A Balancing Act: Diet Selection for Older Adults

This study highlights that, beyond the detrimental effects of tube feeding on quality of life, there could be detrimental effects from non-oral feeding on the health of our patients. This is obviously not the case for all patients, so each individual case needs to be considered, but these studies comparing outcomes are important to consider. Participant: When using the IDDSI (International Dysphagia Diet Standardization Initiative), are there at least two numbers included in a diet order: one for foods and one for liquids? Are dietary departments fully onboard? Rogus-Pulia: My understanding of IDDSI is that, yes, there would need to be two numbers, one for liquids and one for solids, included in the diet order. At my facility and others in our vicinity, there has been a positive response to this initiative. There is a lot of frustration from dietitians over the confusing terminology used to describe modified diets. My experience is that standardization is greatly appreciated from my dietitian colleagues. It would also be worth reaching out to the IDDSI group to discuss implementation strategies for the framework. I know this is something they are working through, and I am sure they would be happy to help. I did want to add one thing about the IDDSI framework: There may be situations where the liquid and food consistency would be the same, such as level 3 (moderately thick for liquids and liquidized for solids) or level 4 (extremely thick for liquids and pureed for s...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Academia & Research Health Care Private Practice Slider Speech-Language Pathology Dysphagia Feeding Disorders nutrition Speech Disorders Swallowing Disorders Source Type: blogs

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I've been interviewed for and hired (onboarding to come) for a low volume rural ED to do a few moonlighting shift in the last few months of residency. I'm excited. I asked my PD what questions to ask the medical director for a low volume ED and the answers were as expected No cath lab, yes STEMI cardiologist on call to guide me with respect to tPA/no tPA and where to ship Tele-neurologist to 'share' my liability and decision making for stroke Radiology reads CT's 24/7, but... Low Volume Rural ED Survival Guide?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Emergency Medicine Source Type: forums
The objective of the study is to describe the prognostic factors that would allow maintaining functionality at 12 months.MethodFrom June 1, 2010 to May 31, 2013, all patients older than 69 years with hip fracture due to bone fragility admitted to the Geriatric Acute Unit of our hospital were included. We define as functional maintenance those patients who have lost between 0 and 15 points in the Barthel Index with respect to the previous to the fracture. Prospective study of bivariate data analysis for related and multivariate prognostic factors for predictive predictors.Results271 patients were included, of them, 146 (54....
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - Category: Orthopaedics Source Type: research
Authors: Jun SH, Shin WK, Kim Y Abstract BACKGROUND: Soybean food consumption has been considered as a possible way to lower incidence of cardiometabolic syndrome (CMS) among Asians. However, results from studies investigating its efficacy on CMS in Asians have been inconsistent. METHODS: We analyzed the association between soybean intake frequency and prevalence of CMS based on data from the Korea National Health and Nutrition Examination Survey 2007 to 2011. Data of 9,287 women aged 20 to 64 years were analyzed. Food frequency questionnaire was used to assess soybean food consumption frequency. General linear...
Source: Diabetes and Metabolism Journal - Category: Endocrinology Tags: Diabetes Metab J Source Type: research
Authors: Lizardo K, Ayyappan JP, Ganapathi U, Dutra WO, Qiu Y, Weiss LM, Nagajyothi JF Abstract Chagas disease is caused by Trypanosoma cruzi which is endemic in Latin America. T. cruzi infection results in a latent infection with approximately a third of latently infected patients developing chronic Chagas cardiomyopathy (CCM). CCM is a common cause of cardiomyopathy in endemic regions and has a poor prognosis compared to other cardiomyopathies. The factors responsible for the transition from the asymptomatic indeterminate latent stage of infection to CCM are poorly understood. Our previous studies demonstrated th...
Source: Disease Markers - Category: Laboratory Medicine Tags: Dis Markers Source Type: research
Publication date: Available online 18 January 2020Source: Journal of Hospital InfectionAuthor(s): Vincent C.C. Cheng, Shuk-Ching Wong, Kelvin K.W. To, P.L. Ho, Kwok-Yung Yuen
Source: Journal of Hospital Infection - Category: Infectious Diseases Source Type: research
Conclusion: We for the first time demonstrated that chrysoeriol ameliorates TPA-induced ear edema in mice, and that inhibition of JAK2/STAT3 and IκB/p65 NF-κB pathways are involved in the anti-inflammatory effects of chrysoeriol. This study provides chemical and pharmacological justifications for the use of chrysoeriol-containing herbs in treating inflammatory diseases, and provides pharmacological groundwork for developing chrysoeriol as a novel anti-inflammatory agent.Graphical Abstract
Source: Phytomedicine - Category: Drugs & Pharmacology Source Type: research
This study provides strong evidence that following a healthy lifestyle can substantially extend the years a person lives disease-free." Commentary on Recent Evidence for Cognitive Decline to Precede Amyloid Aggregation in Alzheimer's Disease https://www.fightaging.org/archives/2020/01/commentary-on-recent-evidence-for-cognitive-decline-to-precede-amyloid-aggregation-in-alzheimers-disease/ I can't say that I think the data presented in the research noted here merits quite the degree of the attention that it has been given in the popular science press. It is interesting, but not compelling if its role...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
CONCLUSIONS: This study provides further evidence for a link between amyloid deposition and clinical progression in DLB. Pathologies such as amyloid, and their interaction with α-synuclein, remain possible treatment targets in DLB. PMID: 31953009 [PubMed - as supplied by publisher]
Source: The American Journal of Geriatric Psychiatry - Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research
Publication date: Available online 18 January 2020Source: Materials Today: ProceedingsAuthor(s): Piyush Chandra Verma, Suman Kumari MishraAbstractThe crystalized Iron boride (FeB) ceramic powder has been successfully obtained through carbothermic reduction method with Fe2O3 and B2O3 powders as a starting materials. It was found that the synthesizing temperature and holding time has fundamental control on the morphology of FeB powder. The microstructure observation showed the irregular FeB crystallites, when increase in annealing temperature and holding time. Further investigations on the reaction mechanism were examined by...
Source: Materials Today: Proceedings - Category: Materials Science Source Type: research
Publication date: Available online 18 January 2020Source: Materials Today: ProceedingsAuthor(s): Sunil Deshpande, Akshay Joshi, Shashikant Vagge, Nitinkumar AnekarAbstractIn recent years due to environmental issues, have a great demand to search for alternative energy sources. The high demand of fuels in transportation and industrial sectors strengthen the identification of alternative fuel sources. In this regards biodiesel and its different blends (corrosive environments) with petro diesel, can be considered a prompt substitute for petro diesel. But the use of biodiesel possesses several limitations, such as metal surfac...
Source: Materials Today: Proceedings - Category: Materials Science Source Type: research
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