ESPEN guidelines on artificial enteral nutrition--percutaneous endoscopic gastrostomy (PEG).
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Biomedical subjects
Publications and source records attributed to H Rollins.
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This paper reviews evidence that suggests malnutrition exists among the sick population in hospital and at home, a situation that has not improved in 20 years. It examines the consequences of malnutrition in broad terms and its effect on wound healing. The role of specific nutrients for wound healing is discussed, and finally the barriers which prevent nurses from delivering adequate patient nutrition are exposed.
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A freshwater bioprobe, combining the Asiatic Clam, Corbicula fluminea (Müller) and the laser microprobe mass spectrometer (LAMMA), can determine anthropogenic chemical contamination of freshwater systems. Laser generated mass spectra from the periostracal layers of clams contaminated with either a salt, potassium bromide, or an aromatic compound, phenol, produce distinctive mass spectral signatures that are different from uncontaminated clams. Uncontaminated clams have characteristic signatures with distinctive spectral peaks less than m/z 41; while exposed clams have many strong peaks well above this m/z. This freshwater bioprobe, using LAMMA to analyze the surface of clams, can be used as a screening tool for monitoring the water-treatment systems, for determining the source of contaminated baseflow and return flow discharge to streams, and for monitoring the water chemistry of a body of water. This system exploits the facility of using the shell instead of soft tissue with the LAMMA and has potential to detect anthropogenically-derived chemical stress.
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This article recommends that screening for malnutrition is used in both primary care and hospital settings. The authors also outline how nurses are ideally placed to screen patients for evidence of malnutrition and to offer first line nutritional advice and care.
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