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| 1 | Nutritional care in hospitalized patients with chronic liver disease显示文摘AIM: To evaluate the practice of nutritional assessment and management of hospitalised patients with cirrhosis and the impact of malnutrition on their clinical outcome.METHODS: This was a retrospective cohort study on patients with liver cirrhosis consecutively admitted to the Department of Gastroenterology and Hepatology at the Royal Adelaide Hospital over 24 mo. Details were gathered related to the patients' demographics, disease severity, nutritional status and assessment, biochemistry and clinical outcomes. Nutritional status was assessed by a dietician and determined by subjective global assessment. Estimated energy and protein requirements were calculated by Simple Ratio Method. Intake was estimated from dietary history and/or food charts, and represented as a percentage of estimated daily requirements. Median duration of follow up was 14.9(0-41.4) mo. RESULTS: Of the 231 cirrhotic patients(167 male, age: 56.3 ± 0.9 years, 9% Child-Pugh A, 42% ChildPugh B and 49% Child-Pugh C), 131(57%) had formal nutritional assessment during their admission and 74(56%) were judged to have malnutrition. In-hospitalcaloric(15.6 ± 1.2 kcal/kg vs 23.7 ± 2.3 kcal/kg, P = 0.0003) and protein intake(0.65 ± 0.06 g/kg vs 1.01 ± 0.07 g/kg, P = 0.0003) was significantly reduced in patients with malnutrition. Of the malnourished cohort, 12(16%) received enteral nutrition during hospitalisation and only 6(8%) received ongoing dietetic review and assessment following discharge from hospital. The overall mortality was 51%, and was higher in patients with malnutrition compared to those without(HR = 5.29, 95%CI: 2.31-12.1; P < 0.001). CONCLUSION: Malnutrition is common in hospitalised patients with cirrhosis and is associated with higher mortality. Formal nutritional assessment, however, is inadequate. This highlights the need for meticulous nutritional evaluation and management in these patients. | Dep K Huynh Shane P Selvanderan Hugh AJ Harley Richard H Holloway Nam Q Nguyen | 2015 | World Journal of Gastroenterology2015,21,45: | 6 |
| 2 | Proximal gastric response to small intestinal nutrients is abnormal in mechanically ventilated critically ill patients显示文摘瞄准:在非常有病的病人决定近似的胃的反应到小肠的营养素。方法:近似胃的活动性在 13 个非常有病的病人被测量(49.3 +/- 4.7 年) 并且 12 个健康志愿者(27.7 +/- 2.9 年) 用一种 barostat 技术。记录在基线被执行,在 60-min 期间 intra 十二指肠的注入保证(2 kcal/min ) ,并且为跟随注入的 2 h。最小的扩张压力(MDP ) , intra 袋子体积和底的波浪活动是坚定的。结果:MDP 在病人是更高的(11.7 +/- 1.1 对 7.8 +/- 0.7 毫米汞柱;P <
0.01 ) 。基线 intra 袋子体积在 2 个组是类似的。在健康题目,一“双性人形式”近似胃的体积反应被观察。在病人,近似胃的体积的起始的增加小、推迟,但是最后到达了类似于健康题目的最大的体积。在健康题目,近似胃的体积很快在滋养的注入以后回到了基线水平(中部 18 min ) 。相反,到基线的体积的恢复在非常有病的病人被推迟(中部 106 min ) 。在 6 个病人,体积没在滋养的注入以后回到基线水平 2 小时。在病人,底的体积波浪是不太经常的(P <
0.05 ) 并且有的更低的振幅(P <
0.001 ) ,与健康题目相比。结论:在重病,对小肠的滋养的刺激的近似胃的马达回答是反常的。 | Nam Q Nguyen Robert J Fraser Marianne Chapman Laura K Bryant Richard H Holloway Rosalie Vozzo Christine Feinle-Bisset | 2006 | World Journal of Gastroenterology2006,12,27: | 3 |
| 3 | Proximal gastric motility in critically ill patients with type 2 diabetes mellitus显示文摘AIM: To investigate the proximal gastric motor response to duodenal nutrients in critically ill patients with long- standing type 2 diabetes mellitus. METHODS: Proximal gastric motility was assessed (using a barostat) in 10 critically ill patients with type 2 diabetes mellitus (59 ± 3 years) during two 60-min duodenal infusions of Ensure? (1 and 2 kcal/min), in random order, separated by 2 h fasting. Data were compared with 15 non-diabetic critically ill patients (48 ± 5 years) and 10 healthy volunteers (28 ± 3 years). RESULTS: Baseline proximal gastric volumes were similar between the three groups. In diabetic patients, proximal gastric relaxation during 1 kcal/min nutrient infusion was similar to non-diabetic patients and healthy controls. In contrast, relaxation during 2 kcal/ min infusion was initially reduced in diabetic patients (P < 0.05) but increased to a level similar to healthy humans, unlike non-diabetic patients where relaxation was impaired throughout the infusion. Duodenal nutrient stimulation reduced the fundic wave frequency in a dose-dependent fashion in both the critically ill diabetic patients and healthy subjects, but not in critically ill patients without diabetes. Fundic wave frequency in diabetic patients and healthy subjects was greater than in non-diabetic patients. CONCLUSION: In patients with diabetes mellitus, proximal gastric motility is less disturbed than non- diabetic patients during critical illness, suggesting that these patients may not be at greater risk of delayed gastric emptying. | Nam Q Nguyen Robert J Fraser Laura K Bryant Marianne Chapman Richard H Holloway | 2007 | World Journal of Gastroenterology2007,13,2: | 3 |
| 4 | Identification of three genetic loci controlling leaf senescence in Arabidopsis thaliana显示文摘 | OH S A PARK J H LEE G I PACK K H PARK S K NAM H G | 1997 | Plant Journal1997,12,3: | 1 |
| 5 | Transmit power allocation for a modified V-BLAST system显示文摘 | Nam S H Shin O S Lee K B | 2004 | IEEE Transactions on Communications2004,52,7: | 1 |
| 6 | Carbon source recovery from waste activated sludge by alkaline hydrolysis and gamma - ray irradiation for biological denitrification 显示文摘 | Kim T H Nam Y K Park C | 2009 | Bioresource Technology2009,100,: | 1 |
| 7 | Nucleation and growth behavior of chromium nitride film deposited on various substrates by magnetron sputtering显示文摘 | Jung M J Nam K H Jung Y M | 2003 | Surface and Coatings Technology2003,171,: | 1 |
| 8 | Multiresolution edge detection techniques显示文摘 | Park D J Nam K M Park R H | 1995 | Pattern Recognition1995,28,2: | 1 |
| 9 | Cytotoxic activities of acetoxyscirpenediol and ergosterol peroxide from Paecilomyces tenuipes显示文摘 | Nam K S Jo Y S Kim Y H | 2001 | Life sci2001,69,2: | 1 |
| 10 | BRI1/BAK1, a receptor kinase pair mediating brassinosteroid signaling显示文摘 | Nam K H | 2004 | Cell2004,110,: | 1 |
| 11 | Etoposide induces G2/M arrest and apoptosis in neural progenitor cells via DNA damage and all ATM/p53-related pathway显示文摘 | Nam C Doi K Nakayaam H | 2010 | Histol Histopathol2010,25,4: | 1 |
| 12 | Synthesis of thermo-and acid-stable novel oligosaccharides by using dextransucrase with high concentration of sucrose显示文摘 | Seo E S Nam S H Kang H K | 2007 | Enzyme and Microbial Technology2007,40,5: | 1 |
| 13 | A Vector Control scheme for EV Induction Motors with a Series Iron Loss Model显示文摘 | JUNG J H NAM K | 1998 | IEEE Transaction on In- dustrial Electronics1998,,8: | 1 |
| 14 | Transmit power allocation for a modified V-BLAST system显示文摘 | Nam S H Shin O S Lee K B | 2004 | IEEE Transactions on Communications2004,52,7: | 1 |
| 15 | BRI1/BAK1, a receptor kinase pair mediating brassinosteroid signaling显示文摘 | Nam K H Li Jianming | 2002 | Cell2002,110,2: | 1 |
| 16 | Visualization of multiple incoherent sources by the backward prediction of near-field acoustic holography 显示文摘 | Nam K U Kim Y H | 2001 | JASA2001,109,5: | 1 |
| 17 | Effects of oleoresin-tocopherol combinations on lipid oxidation, off-odor, and color of irradiated raw and cooked pork patties 显示文摘 | Nam K C Ko K Y Min B R Ismail H Lee E J Cordray J Ahn D U | 2007 | Meat Science2007,,: | 1 |
| 18 | Inhibition of cytochrome P450 isozymes in rat live microsomes by polysaccharides derived from Phellinus linteus显示文摘 | Shon Y H Nam K S | 2003 | Biotechnology Letters2003,,25: | 1 |
| 19 | Distribution of polycyclic aromatic hydrocarbons in agricultural soils in South Korea显示文摘 | Nam J J Song B H Eom K C | 2003 | Chemosphere2003,50,: | 1 |
| 20 | Design Sensitivi- ty Analysis for Sequential Structural-acoustic Prob- lems显示文摘 | Nam H K Dong J Choi K K | 2003 | Journal of Sound and Vibration2003,263,3: | 1 |