VITAMIN E in the nutrition of swine.
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OBJECTIVE: The present study aimed to identify those factors that influence the decision of a dietitian to consider working in a rural area. DESIGN: A qualitative design using focus groups was chosen for this study to allow for in-depth data to be obtained. SETTING: University of Newcastle, Callaghan Campus. SUBJECTS: Twenty-three students/new graduates from the Bachelor of Health Science (Nutrition and Dietetics) degree at the University of Newcastle. MAIN OUTCOME MEASURES: Not applicable, this project was an exploratory study. RESULTS: A number of factors that influence the decision of dietetic students and newly graduated dietitians to consider working in a rural area were identified. These fell into the following main thematic areas: job prospects; rural lifestyle; comfort zones; support networks; promotion opportunities/professional development; type of work/work role; rural needs; and time frame. CONCLUSIONS: The present study found that choosing a location to work (whether it be a rural one or not) is a complex process and involves a number of interacting factors. Also those factors that may influence one dietitian to choose a career in a rural area may also be the factors that influence another dietitian not to choose a career in a rural area.
Moderation in the consumption of nutritive and non-nutritive sweeteners appears to be prudent advice for persons who choose to use sweeteners. The major benefit from use of sweeteners is a perceived improvement in the quality of life. Some nutritive sweeteners also provide important textural properties to many foods. Sweeteners should be used in the context of an otherwise nutritious and well-balanced diet. Excessive intake of any sweetener requires nutrition counseling for basic nutrition reasons. An individual can minimize potential risks from any one sweetener by using a variety of available sweeteners, thus ingesting less of any specific sweetener. Research into possible risks of long-term uses of non-nutritive sweeteners, either alone or in combination, should continue. It is important that the public have a choice of various non-nutritive sweeteners, with safe and reasonable guidelines on how to use each. As new sweeteners become available, they must receive the same rigorous testing to which previously approved sweeteners have been subjected.
Nutritional care--what is it, who gets it, who gives it, and how? The registered dietitian is identified as the only health professional whose primary concern is the application of food and nutritional science to the health care of people. Traditionally, the major part of health care has been in the medical sphere--sought in times of acute illness or injury. Hospital-based services provide increasingly sophisticated life support systems in specialized intensive care units. Humane, as well as financial, considerations mandate a change in emphasis to the provision of preventive care as well as restorative measures. Care that provides nutritional status screening, dietary assessment, and dietary counseling is seen as essential for health maintenance.... The facts of food composition are not enough!
Our short-term pilot study suggests that a dietitian can play an important role in the dental office. Patients, staff, and dentists perceived a need for nutrition counseling in the dental setting that is not presently being met. We suggest that a dietitian might effectively meet this need without putting a financial burden on the practice.
BACKGROUND: Few data exist about plasma lipids in malnourished patients. Published studies have shown low cholesterol and normal or high triglycerides concentrations in an extreme energy deficiency in subjects with marasmus. Few studies in less severely malnourished patients show low serum cholesterol concentrations in malnourished elderly and surgical subjects (with cancer or benign diseases), hypercholesterolemia in anorexia nervosa; no data exist about triglyceridemia. The aim of this study was to evaluate the usefulness of serum cholesterol and trigliceride assays in nutritional assessment in light-moderate malnourished patients. MATERIALS AND METHODS: Light-moderate malnourished subjects (BMI >15 e or=10 % e <20%), admitted to our nutritional and dietetic consulting room in 1994-95, were examined; patients with renal and liver diseases, pancreatic deficiency, malabsorption, endocrine-metabolic diseases interfering with lipid metabolism were excluded; 58 subjects, 40 males 18 females according to criteria for inclusion, entered the study. They were examined for levels of total cholesterol (Ct t), HDL, triglycerides (Tg) and anthropometric-laboratory measurements of nutritional assessment (total proteins, albumin, transferrin, pseudocolynesterasis, weight, height, triceps skinfold, midarm muscle circumference, BMI, weight loss %, midarm muscle area). Infor-med consent was obtained prior to entry into the study. Pearson correlation test was used to estimate the degree of association between total cholesterol, HDL, Tg and anthropometric-laboratory indexes evaluated. RESULTS: A significant negative correlation (p<0.05) in patients between Ct t and weight loss % was found; there was a significant positive correlation between Ct t, HDL and total proteins (respectively p<0.01; p<0.05), albumin (p<0.05), pseudocolynesterasis (p<0.01; p<0.05); there was no correlation between Tg and anthropometric-laboratory indexes. CONCLUSIONS: Our data show in mild-moderate malnourished subjects observed in the study, the utility of cholesterol assay, since correlated with weight loss % and laboratory measurements of nutritional assessment. Unclear is the usefulness of Tg assay.
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PURPOSE: An important challenge for a pediatric nephrologist is to achieve in children the innovations of current adult dialytic technology. METHODS: Five children, mean age 14.1 +/- 1.5 yrs, mean weight 31.5 +/- 5.8 kg, mean dialytic age 32 +/- 20 months, were evaluated after a 6-month treatment with paired filtration dialysis (PFD). We used two capillary membranes: a 0.4 m 2 polysulfone hemofilter and a 0.8 m 2 cuprophan dialyzer. There was a reinfusion system (1540 +/- 150 mL/h) between these two filters. QD 500 mL/min and QB 230 +/- 10 mL/min. Ultrafiltration (UF) 2400 mL/h was planned for the hemofilter. At base-line and after 6 months of treatment, in addition, we evaluated routine clinical parameters, and other parameters such as beta2-microglobulin, dialytic adequacy (Kt/V) and nutritional status (dietetic diary). The data were analyzed using the Student's t-test for paired values. RESULTS: Medium values of small molecules did not demonstrate meaningful variations after 6 months of treatment. The extraction percentage after each session was between 63% phosphorous and 76% for urea, but only 25% for convection. Instantaneous urea clearance after 60 min was 178 +/- 10 mL/min. Dialytic efficiency and nutritional intake were appropriated: Kt/V 1.66 +/- 0.2; PCRn 1.65 +/- 0.2; protein intake 2.2 +/- 0.5 g/kg/die; caloric balance 71.2 +/- 15 Kcal/kg/die; protein balance 0.53 +/- 0.4 g/kg/die; and azotic balance 85.8 +/- 74 mg/kg/die. We confirmed the good depuration capacity from the middle molecules with convective treatments: beta2-microglobulin extraction was 53%. Moreover, in children we found good clinical tolerance to PFD with modest interdialytic symptomatology: headache (8%), hypotension (6%), and cramps and vomiting (<2%). Increased priming of the extracorporeal circuit was not a significant technical problem. The cuprophan membrane has been subsequently replaced with the polysulfone membrane. CONCLUSIONS: We can assert that this technique can also be performed in the pediatric age with similar results as in the adult age: good depuration of the small and averages molecules, good clinical tolerance, and shortening the dialytic sessions.