[Medicinal waters in therapy of digestive system diseases].
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A retrospective review of the medical records of 114 malnourished and 106 non-malnourished male veterans assessed the inpatient and 1 year post-discharge dietetic care given for the treatment of malnutrition. The malnourished sample consisted of subjects discharged with a protein-energy or protein malnutrition comorbidity. Subjects in the diagnosis-matched and age-matched control sample were discharged without a malnutrition comorbidity during the same period. Data collected from progress notes included diagnoses, inpatient dietetic feedings and services provided, discharge dietetic care, intervening clinic visits, and rehospitalizations. On initial admission, 79% of the diagnoses for the malnourished group fell into five diagnosis categories: neoplasms; respiratory system diseases; digestive system diseases; endocrine, nutritional, and metabolic diseases; and mental disorders (including alcohol-related disorders). Malnourished subjects received more specialized feedings and dietetic services than did the controls on initial admission. However, the discharge and post-discharge care received by surviving members of both groups was similar. Fewer than half the members of either group received post-discharge care. Fifty-four malnourished and 54 control patients were hospitalized more than once. The findings indicate that levels of inpatient and outpatient dietetic care need to be coordinated to alleviate malnutrition.
In the paper there was examined 246 pupils from secondary school. The auditorial survey including 23 questions was drawn up. The questions referred to digestive diseases occurrence among members of family, pupils under the survey, their style of nutrition, financial status of their family. It was interesting how kind of food, keeping regular hours, behaviour during eating is connected with frequency of digestive disease occurrence. 14.5% of pupils suffered from alimentary tract diseases especially constipation and peptic ulcer. A large percentage (46.2%) do not eat regularly, and 85% is in a hurry, doing something else during eating. 39.4% of examined use spices, ketchup, mustard every time, 17.5% do not eat vegetables, fruit at all, 45.9% eat sweets every day. Before leaving for school 45.9% pupils do not even eat breakfast. 69.1% of subjects claimed that stress is a reason of occurence their digestive disorders. In the paper abnormal style of nutrition is more frequent among pupils complaining of digestive system diseases.
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The first chapter looks at the advantages of continuous oral feeding (COF) over conventional oral feeding, from a physiological and physiopathological point of view. From this discussion the indications and contraindications for this type of feeding are drawn. Then a few major diseases of the digestive tract are examined: diseases of the bile salts, intra-luminal bacterial proliferation, acute bacterial diarrhoea, isufficiency of exocrine pancreatic secretion. In each case the use off continuous oral feeding is suggested.
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