Abstract:
UNLABELLED:Nutritional support in the critically ill patient is an important mainstay within the specialty of intensive care medicine. Patients at the Intensive Care Unit (ICU) are usually hypercatabolic and require an adequate nutritional support. Usually, the intensive care physician prescribes nutrition type, its amount, and follow-up of patients; however, the qualification of these physicians regarding clinical nutrition is unknown. OBJECTIVE:to investigate the degree of knowledge on artificial nutrition and the interest on nutrition of intensive care physicians. METHODOLOGY:a prospective survey was done on 60 intensive care physicians from three public hospitals of Asunción (22 staff physicians and 38 internal residents), with a mean age of 34 +/- 6 years, and a mean professional practice of 5.8 +/- 6 years. The survey contained 10 questions and multiple-choice answers to determine the degree of knowledge depending on the grade obtained, and 5 questions on personal training and attitude towards nutritional support in the ICU. RESULTS:98.3% of surveyed physicians considered that nutritional support of the ICU-admitted patient has an effect on morbidity and mortality of patients. Nevertheless, 88.3% of physicians considered their nutritional training in the ICU as insufficient. Seventy percent do not usually read papers on nutrition on scientific journals. Only 25% of them formulate parenteral nutrition, and 30% have attended a course on nutrition in the ICU within the last 5 years. The final grade for the 10 questions, the maximum grade possible being 10, was 6.1 +/- 1.9 for staff physicians, and 5.59 +/- 2.3 for internal residents (p = 0.3). When analyzing the correct answers by years of practice, the mean grade was 5.2 +/- 2.3 in those with less than 2 years of practice versus 6.4 +/- 1.7 in those with more than 2 years of practice (p = 0.02). CONCLUSIONS:nutritional training in intensive care medicine is incomplete and the degree of knowledge on nutrition in the critically ill patient is insufficient, being lower in physicians with a limited practice in the ICU. These results suggest the urgent need for training on clinical nutrition of intensive care physicians for the care of the critically ill patient being complete.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Goiburu-Bianco ME,Jure-Goiburu MM,Bianco-Cáceres HF,Lawes C,Ortiz C,Waitzberg DLsubject
Has Abstractpub_date
2005-09-01 00:00:00pages
326-30issue
5eissn
0212-1611issn
1699-5198journal_volume
20pub_type
杂志文章abstract:INTRODUCTION:bearing in mind the influence of the environment on the individuals and their choices and behaviours in general and particularly with respect to food, it might be interesting to explore whether eating habits are better or healthier in rural areas than in urban ones. OBJECTIVE:to analyse the perception of ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.5.9688
更新日期:2015-11-01 00:00:00
abstract::Identifying hyponutrition is essential at the hospital setting to avoid or minimize the impact on the patients' clinical course and its association with more severe complications, longer hospital staying, and increased mortality, and all of this is associated with increased costs for the institution and the society. T...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.1590/S0212-16112011000200003
更新日期:2011-03-01 00:00:00
abstract::Breast milk is regarded as an ideal source of nutrients for the growth and development of neonates, but it can also be a potential source of pollutants. Mothers can be exposed to different contaminants as a result of their lifestyle and environmental pollution. Mercury (Hg) and arsenic (As) could adversely affect the ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.2.7441
更新日期:2014-08-01 00:00:00
abstract:INTRODUCTION:Malnutrition in children with cancer is a significant risk factor for negative outcomes, but in the clinical practice setting, it is difficult to pinpoint which factors operate to cause substantial weight loss and malnutrition in a given patient. Appetite-related hormones like ghrelin and leptin are among ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.20960/nh.1221
更新日期:2018-01-19 00:00:00
abstract:BACKGROUND:Obesity and the metabolic syndrome affect a considerable segment of the population worldwide, including health professionals. In fact, several studies have reported that physicians tend to have more cardiovascular risk factors than their patients. The present cross-sectional study assessed whether the Health...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.1.6185
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:the prognostic value of maximal inspiratory and expiratory pressures on functional capacity and mortality of hospitalized patients are not well established. AIM:to evaluate the prognostic value of respiratory pressures in hospitalized patients. METHODS:patients admitted to a general hospital in Santiago-Ch...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1478
更新日期:2018-05-17 00:00:00
abstract::Patients with cancer, irrespective of the stage of their disease, can require admission to the intensive care unit as a result of the complications of their underlying process or the surgical or pharmacological treatment provided. The cancer itself, as well as the critical status that can result from the complications...
journal_title:Nutricion hospitalaria
pub_type: 指南,杂志文章,评审
doi:10.1590/S0212-16112011000800011
更新日期:2011-11-01 00:00:00
abstract::The alimentary surveys carried out on various sectors of the population in industrialized countries have shown the existence of chronic clinically silent deficiency in micronutrients. In some cases, as in folates, their lability against conservation techniques, the change in alimentary habits, the abuse of alcohol and...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 00:00:00
abstract:BACKGROUND:tracheoesophageal fistula (TEF) may result from cancer or mechanical ventilation. Endoscopic Gastrostomy or Gastrojejunostomy (PEG/PEG-J) is used for nutritional support. OBJECTIVE:in TEF-patients, evaluating nutritional status when PEG is performed, safety of PEG/PEG-J and clinical outcome. METHODS:from t...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.2.9078
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:To update the system for nutritional screening. The high prevalence of nutritional unstability that causes the Clinical Undernutrition (CU), especially within the hospitals and assisted residencies, makes it necessary to use screening tools for the constant control of undernutrition to combat it during its de...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.29.4.7275
更新日期:2014-01-13 00:00:00
abstract:BACKGROUND:Amyotrophic Lateral Sclerosis (ALS) is a degenerative disorder that affects the pyramidal tract, producing progressive motor dysfunctions leading to paralysis. These patients can present with dysphagia, requiring nutritional support with a nasogastric tube or Percutaneous Endoscopic Gastrostomy (PEG). PEG is...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.6.7808
更新日期:2014-12-01 00:00:00
abstract:Introducción:el propósito de este estudio fue investigar la eficacia del entrenamiento diario de una repetición máxima (1RM) de la sentadilla en fuerza máxima. Material y método:tres levantadores de peso de competición realizaron la sentadilla durante 37 días consecutivos y se reportan como casos individuales. Partici...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.129
更新日期:2016-03-25 00:00:00
abstract:INTRODUCTION:Transferrin (Tf) exerts a crucial function in the maintenance of systemic iron homeostasis. The expression of the Tf gene is controlled by transcriptional mechanism, although little is known about genetic factors influence. OBJECTIVE:To study the role of rs3811647 in Tf expression using an in-vitro assay ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6154
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVES:To ascertain the relationship between maternal weight gain and birth weight, in every pre-gestational body mass index (BMI) category. MATERIAL AND METHODS:A two-stage sampling observational and descriptive study was carried out in the health department of La Ribera (Valencia, Spain). The sample was divided ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8495
更新日期:2015-04-01 00:00:00
abstract::Colorectal cancer is the most common tumor behind lung cancer in men and breast cancer in women. Its prevalence shows a wide geographic variability, which, along with epidemiological and experimental evidence, suggests a considerable participation of environmental factors, mainly dietary in its cause. It is not known ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract:RATIONALE:The ELAN Ecuadorian Study of Hospital Malnutrition returned a malnutrition rate of 37.1% in public hospitals of Ecuador [Gallegos Espinosa S, Nicolalde Cifuentes M, Santana Porbén S; para el Grupo Ecuatoriano de Estudio de la Desnutrición Hospitalaria. State of malnutrition in hospitals of Ecuador. Nutr Hosp ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.1.8178
更新日期:2014-10-03 00:00:00
abstract:OBJECTIVES:To determine the nutritional status of patients admitted to hospital for the first time the hematology service and who have not received treatment for cancer, to know if the nutritional status assessed by the EGS-GP and serum albumin related mortality of patients METHODS:A longitudinal, prospective, analyti...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.4.6484
更新日期:2013-07-01 00:00:00
abstract::Most of acute pancreatitis cases present as mild cases for which nutritional support is not recommended provided the patient is able to restart normal oral intake within 5- days. By contrast, severe pancreatitis associates metabolic stress and requires early nutritional support. In these cases, enteral nutrition is re...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2007-01-01 00:00:00
abstract:INTRODUCTION:In 2012, the Mexican National Health Survey showed a moderate prevalence rate of vitamin D deficiency, around 16%, in a national representative sample of children. A decreasing prevalence of anemia during the last 15 years has been observed in Mexico. The aim of this study was to determine the levels of vi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.372
更新日期:2016-07-19 00:00:00
abstract:OBJECTIVE:To investigate the colon's development in rats subjected to protein energy malnutrition followed by supplementation with rice bran. MATERIALS AND METHODS:Weaned Wistar male rats (21 days old), weight (40-50 g) were divided into two groups: diet with 17% protein (C; control group) or an aproteic diet (A; apro...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2007-11-01 00:00:00
abstract::We conducted a prospective study of the incidence of malnutrition in the surgical departments of the Reina Sofia University Hospital, on a total of 329 patients at the time of admittance (154 women and 175 men). As was denounced by Bristian more than 20 years ago, more than 50% of the patients presented some form of m...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:The nutritional care for HIV patients in Chile is a challenge for public health due to the absence of ministerial guidelines to ensure standardized and timely nutritional care that helps to enhance immunity and delay immunological failure from a preventive approach. OBJECTIVE:To design a proposal of protoco...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.2.7888
更新日期:2014-11-18 00:00:00
abstract:INTRODUCTION:The satisfaction's analysis is being used as an instrument to create different sanitary reforms to improve the quality and numerous studies aim to the increase the mother's satisfaction directly related to the maternity care. OBJECTIVES:[corrected] Identify the woman satisfaction's degree about birth atte...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6395
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:Obesity is a pandemic disease in Latin America. The purpose of this review was to analyze the studies exploring food advertising in TV conducted in Latin-American countries and in the USA geared to Hispanics. METHODS:An electronic literature search was conducted in the MEDLINE/PubMed, EMBASE, SCIELO, and ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.31.5.8730
更新日期:2015-05-01 00:00:00
abstract::Over the last few years, the colon has come to be considered more and more as a central digestive organ. This is where bacterial fermentation takes place to eliminate the substrates, mostly carbohydrates, that have avoided digestion by human enzymes within the small intestine. Of these, fibre plays a prominent role. A...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2002-01-01 00:00:00
abstract::Sugars are sweet-flavored carbohydrates that provide energy to the body. The adult brain uses about 140 g of glucose per day, amount which can represent up to 50 of the total number of carbohydrates consumed. In our country the sugar in food consumption pattern remains constant, while the consumption of soft drinks ha...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.sup4.6794
更新日期:2013-07-01 00:00:00
abstract::The build up of cholesterol in the atheromas is caused by, among other things, a disequilibrium of certain plasmatic lipoproteins. Food components which modify the levels of these lipoproteins can be considered as "atherogenic". Other components influence platelet activity and can be considered "thrombogenic". The sat...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVE:To identify attitudinal determinants of fish consumption in Spain and Poland, and to discuss the potential impact of local healthy eating policies in the observed reported frequency of fish consumption. DESIGN:Repeated survey analysis , multivariate linear regression analysis. Data collected through a questi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000600031
更新日期:2011-11-01 00:00:00
abstract:INTRODUCTION:Hypertension is a health problem that is of national importance. It is a major risk factor for the occurrence of atherosclerosis and cardiovascular, cerebrovascular and renal diseases that are leading or among the leading causes of mortality and morbidity as in ours, as in the most developed and less devel...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.973
更新日期:2017-02-01 00:00:00
abstract:INTRODUCTION:height variations across cohorts are a proxy of the evolution of living conditions and, specifically, of the nutritional status of a given population. However, the interpretation of the changes in stature sexual dimorphism are controversial. OBJECTIVE:to test the association between nutritional status and...
journal_title:Nutricion hospitalaria
pub_type: 历史文章,杂志文章
doi:10.20960/nh.2094
更新日期:2018-06-04 00:00:00