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In hospitals through Europe and worldwide, the practices regarding hospital diets are very heterogeneous. Hospital diets are rarely prescribed by physicians, and sometimes the choices of diets are based on arbitrary reasons. Often prescriptions are made independently from the evaluation of nutritional status, and without taking into account the nutritional status. Therapeutic diets (low salt, gluten-free, texture and consistency modified, …) are associated with decreased energy delivery (i.e. underfeeding) and increased risk of malnutrition. The European Society for Clinical Nutrition and Metabolism (ESPEN) proposes here evidence-based recommendations regarding the organization of food catering, the prescriptions and indications of diets, as well as monitoring of food intake at hospital, rehabilitation center, and nursing home, all of these by taking into account the patient perspectives. We propose a systematic approach to adapt the hospital food to the nutritional status and potential food allergy or intolerances. Particular conditions such as patients with dysphagia, older patients, gastrointestinal diseases, abdominal surgery, diabetes, and obesity, are discussed to guide the practitioner toward the best evidence based therapy. The terminology of the different useful diets is defined. The general objectives are to increase the awareness of physicians, dietitians, nurses, kitchen managers, and stakeholders towards the pivotal role of hospital food in hospital care, to contribute to patient safety within nutritional care, to improve coverage of nutritional needs by hospital food, and reduce the risk of malnutrition and its related complications.
Adequate nutritional provision is important for critically ill patients to improve clinical outcomes. Starting enteral nutrition (EN) as early as possible is recommended and preferred to parenteral nutrition (PN). However, patients who undergo emergency abdominal operations may have alterations in their intra-abdominal environment and gastrointestinal motility leading to limitation in starting an enteral diet. Therefore, our study was designed to evaluate the benefit of early supplemental PN to achieve adequate calorie and protein supply in critically ill patients undergoing surgery who are not eligible for early EN.
We reviewed the medical records of 317 patients who underwent emergency abdominal surgery for complicated intra-abdominal infection (cIAI) between January 2013 and December 2018. The nutritional data of the patients were collected for 7 days in maximum, starting on the day of intensive care unit (ICU) admission. The patients were divided by low or high malnutrition risk using the modified Nutdequacy of the "Early" group and the "Usual" group were 0.88±0.34 and 0.6±0.29, respectively. Amounts of protein received were 0.94±0.39g/kg in the "Early" group and 0.47±0.34g/kg in the "Usual" group, respectively. There was no significant difference in infectious complications between both groups.
Mortality in patients with high malnutrition risk who received early PN supply within 48h after emergency surgery for cIAI was lower than those who did not receive PN earlier. PN may be necessary to fulfill the caloric and protein requirements for critically ill patients who cannot achieve their nutritional requirements to the fullest with EN alone.
Mortality in patients with high malnutrition risk who received early PN supply within 48 h after emergency surgery for cIAI was lower than those who did not receive PN earlier. PN may be necessary to fulfill the caloric and protein requirements for critically ill patients who cannot achieve their nutritional requirements to the fullest with EN alone.
Circulating microvesicles (cMV) are both effectors and biomarkers of cardiovascular disease (CVD), and the effects of omega 3 polyunsaturated fatty acids (n3 PUFA) in MV shedding are not yet well known. Therefore, we aimed to investigate the effects of long-term n3 PUFA supplementation on cMV release from cells of the vascular compartment in elderly subjects at very high risk of CVD.
We included 156 elderly patients 2-8 weeks after suffering an acute myocardial infarction from the OMEMI cohort. Subjects were randomly allocated to receive 930mg EPA+660mg DHA (n3 PUFA intervention) or corn oil (56% linoleic acid, 32% oleic acid, 10% palmitic acid) used as placebo daily for two years. At inclusion and after one-year follow-up, prothrombotic [annexin V (AV)
] cMV derived from blood and vascular cells were phenotyped by flow cytometry.
No differences were observed in the levels of cMV between the randomized groups at inclusion in the study. After one-year follow-up, total AV
, platelet-derived CD61
/AV
, and endothelial-derived CD31
/AV
and CD31
/CD42b
/AV
cMV increased significantly in both groups. In the n3 PUFA supplemented group, platelet-derived CD62P
/AV
, CD42b
/AV
and CD31
/CD42b
/AV
; leukocyte-derived CD62L
/AV
, CD45
/AV
, and CD11b
/AV
, as well as endothelial derived CD146
/AV
, CD62E
/AV
, and CD309
/AV
cMV also increased significantly. No significant differences were however, observed in the changes of cMV levels between groups.
In elderly Norwegians who have suffered a recent acute myocardial infarction and treated as per guidelines, long-term supplementation with 1.8g/day n3 PUFA does not modulate prothrombotic MV release from blood and vascular cells.
URL https//www.clinicaltrials.gov; Unique identifier NCT01841944.
URL https//www.clinicaltrials.gov; Unique identifier NCT01841944.Quantitative determination of targeted and untargeted pesticide residues from food products is very important for the assessment of safety of the food products. In the present work, a simple, selective and sensitive method based on liquid chromatography atmospheric pressure chemical ionization high energy collisional dissociation high-resolution tandem mass spectrometry (LC-APCI-HCD-HRMS/MS) for quantification of 19 priority organophosphorus and carbamate pesticides and 10 untargeted pesticides from coconut milk samples was developed and validated. The pesticide residues were extracted by solvent partition followed by dispersive solid-phase extraction clean-up and quantified by LC-APCI-HRMS/MS technique. The method showed the linearity for targeted pesticides in the range of 0.5-1000 ng/g with a limit of detection of ranging 0.5-5 ng/g and limit of quantification of ranging 1-10 ng/g measured at 31 and 101 signal to noise ratios, respectively. Pentetic Acid mw The untargeted pesticide residues were quantified by the response factor method. The method was validated for intraday and interday precision, which was less than 15%. The recovery of the analytes varied between 82 and 117%, and the developed method was applied for the analysis of the coconut milk samples. The analyzed samples showed the presence of quinalphos, malathion, and methiocarb at concentrations of 4.55, 5.54, and 206.99 ng/g.In a recent article [Analytical Chemistry, 93(17), 6808-6816 (2021)], an unconventional device configuration enforcing a Brownian sieving mechanism was proposed as proof of concept for the efficient implementation of microcapillary hydrodynamic chromatography (MHDC). In this article, we perform a thorough analysis of the device geometry and of operating conditions, in order to single out the optimal configuration maximizing separation resolution. Brenner's macro-transport theory provides the technical picklock to perform the search for the optimum over a wide choice of device geometries and for a range of values of the particle Péclet number covering most conditions encountered in practical implementations of MHDC. Specifically, effective transport coefficients defining the dynamics of the suspended phase are obtained by the solution of a two-dimensional steady-state advection-diffusion equation defined onto the channel cross-section. The eigenvalue/eigenfunction structure of the associated transient problem is exploited in order to quantify the timescale for reaching the macro-transport regime conditions. Based on this timescale and on the effective transport parameters, an estimate of the column length necessary to achieve a prescribed level of separation resolution is obtained. We identify device geometry and operating conditions where the capillary length is shrunk down by a factor above ten compared to the standard MHDC configuration. Lagrangian stochastic statistics of particle ensembles are used to validate the results obtained through Brenner's macro-transport approach. The method proposed can be readily generalized to other classes of device geometries enforcing the same Brownian sieving mechanism.
Immune cells show distinct motion patterns that change upon inflammatory stimuli. Monocytes patrol the vasculature to screen for pathogens, thereby exerting an early task of innate immunity. Here, we aimed to non-invasively analyse single patrolling monocyte behaviour upon inflammatory stimuli.
We used time-lapse Magnetic Resonance Imaging (MRI) of the murine brain to dynamically track single patrolling monocytes within the circulation distant to the actual site of inflammation in different inflammatory conditions, ranging from a subcutaneous pellet model to severe peritonitis and bacteraemia.
Single patrolling immune cells with a velocity of <1µm/s could be detected and followed dynamically using time-lapse MRI. We show, that due to local and systemic stimuli the slowly patrolling behaviour of monocytes is altered systemically and differs with type, duration and strength of the underlying stimulus.
Using time-lapse MRI, it is now possible to investigate the behaviour of single circulating monocyteniversity of Muenster (MEDK fellowship to FF and IF).Despite efforts to reduce the global burden of childhood diarrhoea, 50% of all cases globally occur in children under five years in Low-Income and Middle- Income Countries (LMICs) and knowledge gaps remain regarding the aetiological diagnosis, introduction of diarrhoeal vaccines, and the role of environmental enteric dysfunction and severe acute malnutrition. link2 Biomarkers may assist in understanding disease processes, from diagnostics, to management of childhood diarrhoea and the sequelae to vaccine development. Proteomics has the potential to assist in the identification of new biomarkers to understand the processes in the development of childhood diarrhoea and to aid in developing new vaccines. Centralised repositories that enable mining of large data sets to better characterise risk factors, the proteome of both the patient and the different diarrhoeal pathogens, and the environment, could inform patient management and vaccine development, providing a systems biological approach to address the burden of childhood diarrhoea in LMICs.Bacillus Calmette-Guérin (BCG) vaccine is currently used to prevent tuberculosis infection. The vaccine was found to enhance resistance to certain types of infection including positive sense RNA viruses. The current COVID-19 pandemic is caused by positive sense RNA, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). link3 A higher mortality rate of COVID-19 patients was reported in countries where BCG vaccination is not routinely administered, when compared to the vaccinated ones. We hypothesized that BCG vaccine may control SARS-CoV2 infection via modulating the monocyte immune response. We analyzed GSE104149 dataset to investigate whether human monocytes of BCG-vaccinated individuals acquire resistance to SARS-CoV-2 infection. Differentially expressed genes obtained from the dataset were used to determine enriched pathways, biological processes, and molecular functions for monocytes post BCG vaccination. Our data show that BCG vaccine promotes a more effective immune response of monocytes against SARS-CoV2, but probably not sufficient to prevent the infection.
Homepage: https://www.selleckchem.com/products/pentetic-acid.html
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