Pancreatic surgery contains several major procedures of pancreatectomy.Surgical trauma,severe complications and preoperative nutritional disorders will affect postoperative recovery and clinical outcomes of patients.P...Pancreatic surgery contains several major procedures of pancreatectomy.Surgical trauma,severe complications and preoperative nutritional disorders will affect postoperative recovery and clinical outcomes of patients.Perioperative whole-course nutrition management focus on rational nutritional care from admission to discharge even post-hospital follow-up,including preoperative nutritional screening,perioperative nutrition assessment and intervention.The whole-course strategy has been validated in some other fields by RCTs and is also seemed to be suitable for pancreatic surgery.However,few high-grade evidences have been published and controversy still exists.This review aims to reflect the current situation,consensus and controversy of perioperative nutrition management in pancreatic surgery,expecting to provide necessary guidance for clinical research and practice.展开更多
Through the painstaking efforts,the situation of epidemic prevention and control is now developing in a positive direction.Nutritional Diet health management is an important part of health management.The main objectiv...Through the painstaking efforts,the situation of epidemic prevention and control is now developing in a positive direction.Nutritional Diet health management is an important part of health management.The main objective of nutritional diet health management is to improve the clinical outcomes,quality of life and cost-effectiveness ratio of patients with COVID-19 through standardized nutritional support,nutritional diet supplement and medical nutritional diet therapy,for the benefit of patients with COVID-19.展开更多
In this commentary,we summarize some of the key points of the original paper“Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality,complications,or outcomes”a...In this commentary,we summarize some of the key points of the original paper“Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality,complications,or outcomes”and offer support for the proposed results.Specifically,we address how early percutaneous endoscopic gastrostomy(PEG)tube placement may reduce hospital length of stay and costs.We also discuss topics related to the article including PEG weaning and post-stroke nutritional formulation.However,we note that concerns purported by previous studies that early PEG placement may worsen outcomes are not fully addressed,and further research is needed.展开更多
A geospatial GIS-linked spreadsheet model (Nutrient Budget Model—Nova Scotia: NBM-NS) was developed for Nova Scotia to assess the long-term sustainability of forest harvest scenarios as constrained by primary nutrien...A geospatial GIS-linked spreadsheet model (Nutrient Budget Model—Nova Scotia: NBM-NS) was developed for Nova Scotia to assess the long-term sustainability of forest harvest scenarios as constrained by primary nutrient inputs and outputs due to atmospheric deposition, soil weathering, and leaching. Harvest scenarios refer to user-defined stand-specific removal rates of bole wood, bark, branches, and foliage, based on current or projected forest inventories. These scenarios are evaluated within the context of existing data layers for current climate (mean annual precipitation and air temperatures), atmospheric deposition (N, S, Ca, Mg, K), and soil/substrate types, supplemented by species-specific look-up tables containing expected biomass fractions and nutrient concentrations. This article introduces this model to assess relative site quality and limiting nutrients for red spruce and sugar maple across Nova Scotia. This is followed by an output comparison involving 25 spruce plantations whereby NBM-NS determinations derived using “default” soil survey data are compared with those derived using plantation-specific soil data. Model output shows that (i) Ca and N are the main growth-limiting nutrients across Nova Scotia, (ii) currently projected plantation yields are generally not sustainable on sites underlain by slowly weathering soils, (iii) current soil base cation contents are generally lower than what is reported in historic soil survey reports, and (iv) model results are expected to vary within the context of changing climate, acid deposition levels, and data accuracy.展开更多
BACKGROUND About 25%of the general population in Japan are reported to have nonalcoholic fatty liver disease(NAFLD).NAFLD and nonalcoholic steatohepatitis carry a risk of progressing further to hepatocellular carcinom...BACKGROUND About 25%of the general population in Japan are reported to have nonalcoholic fatty liver disease(NAFLD).NAFLD and nonalcoholic steatohepatitis carry a risk of progressing further to hepatocellular carcinoma.The primary treatment for NAFLD is dietary therapy.Dietary counseling plays an essential role in dietary therapy.Although artificial intelligence(AI)-based nutrition management software applications have been developed and put into practical use in recent years,the majority focus on weight loss or muscle strengthening,and no software has been developed for patient use in clinical practice.AIM To examine whether effective dietary counseling is possible using AI-based nutrition management software.METHODS NAFLD patients who had been assessed using an AI-based nutrition management software application(Calomeal)that automatically analyzed images of meals photographed by patients and agreed to receive dietary counseling were given dietary counseling.Blood biochemistry tests were performed before(baseline)and 6 mo after(6M follow-up)dietary counseling.After the dietary counseling,the patients were asked to complete a questionnaire survey.RESULTS A total of 29 patients diagnosed with NAFLD between August 2020 and March 2022 were included.There were significant decreases in liver enzyme and triglyceride levels at the 6M follow-up compared to baseline.The food analysis capability of the AI used by Calomeal in this study was 75.1%.Patient satisfaction with the AIbased dietary counselling was high.CONCLUSION AI-based nutrition management appeared to raise awareness of dietary habits among NAFLD patients.However,it did not directly alleviate the burden of registered dietitians,and improvements are much anticipated.展开更多
基金supported by the Capital Characteristic Clinical Project Supported by Beijing Municipal Science&Technology Commission(No.Z181100001718216)Beijing Hospital Nova Project(No.BJ-2020-082).
文摘Pancreatic surgery contains several major procedures of pancreatectomy.Surgical trauma,severe complications and preoperative nutritional disorders will affect postoperative recovery and clinical outcomes of patients.Perioperative whole-course nutrition management focus on rational nutritional care from admission to discharge even post-hospital follow-up,including preoperative nutritional screening,perioperative nutrition assessment and intervention.The whole-course strategy has been validated in some other fields by RCTs and is also seemed to be suitable for pancreatic surgery.However,few high-grade evidences have been published and controversy still exists.This review aims to reflect the current situation,consensus and controversy of perioperative nutrition management in pancreatic surgery,expecting to provide necessary guidance for clinical research and practice.
基金The 2019 Project of Sichuan Sexual Sociology and Sex Education Research Center(SXJYZ1912)the first batch of doctoral special scientific research funds of Sichuan University of Arts and Sciences(2019BS003R).
文摘Through the painstaking efforts,the situation of epidemic prevention and control is now developing in a positive direction.Nutritional Diet health management is an important part of health management.The main objective of nutritional diet health management is to improve the clinical outcomes,quality of life and cost-effectiveness ratio of patients with COVID-19 through standardized nutritional support,nutritional diet supplement and medical nutritional diet therapy,for the benefit of patients with COVID-19.
文摘In this commentary,we summarize some of the key points of the original paper“Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality,complications,or outcomes”and offer support for the proposed results.Specifically,we address how early percutaneous endoscopic gastrostomy(PEG)tube placement may reduce hospital length of stay and costs.We also discuss topics related to the article including PEG weaning and post-stroke nutritional formulation.However,we note that concerns purported by previous studies that early PEG placement may worsen outcomes are not fully addressed,and further research is needed.
文摘A geospatial GIS-linked spreadsheet model (Nutrient Budget Model—Nova Scotia: NBM-NS) was developed for Nova Scotia to assess the long-term sustainability of forest harvest scenarios as constrained by primary nutrient inputs and outputs due to atmospheric deposition, soil weathering, and leaching. Harvest scenarios refer to user-defined stand-specific removal rates of bole wood, bark, branches, and foliage, based on current or projected forest inventories. These scenarios are evaluated within the context of existing data layers for current climate (mean annual precipitation and air temperatures), atmospheric deposition (N, S, Ca, Mg, K), and soil/substrate types, supplemented by species-specific look-up tables containing expected biomass fractions and nutrient concentrations. This article introduces this model to assess relative site quality and limiting nutrients for red spruce and sugar maple across Nova Scotia. This is followed by an output comparison involving 25 spruce plantations whereby NBM-NS determinations derived using “default” soil survey data are compared with those derived using plantation-specific soil data. Model output shows that (i) Ca and N are the main growth-limiting nutrients across Nova Scotia, (ii) currently projected plantation yields are generally not sustainable on sites underlain by slowly weathering soils, (iii) current soil base cation contents are generally lower than what is reported in historic soil survey reports, and (iv) model results are expected to vary within the context of changing climate, acid deposition levels, and data accuracy.
文摘BACKGROUND About 25%of the general population in Japan are reported to have nonalcoholic fatty liver disease(NAFLD).NAFLD and nonalcoholic steatohepatitis carry a risk of progressing further to hepatocellular carcinoma.The primary treatment for NAFLD is dietary therapy.Dietary counseling plays an essential role in dietary therapy.Although artificial intelligence(AI)-based nutrition management software applications have been developed and put into practical use in recent years,the majority focus on weight loss or muscle strengthening,and no software has been developed for patient use in clinical practice.AIM To examine whether effective dietary counseling is possible using AI-based nutrition management software.METHODS NAFLD patients who had been assessed using an AI-based nutrition management software application(Calomeal)that automatically analyzed images of meals photographed by patients and agreed to receive dietary counseling were given dietary counseling.Blood biochemistry tests were performed before(baseline)and 6 mo after(6M follow-up)dietary counseling.After the dietary counseling,the patients were asked to complete a questionnaire survey.RESULTS A total of 29 patients diagnosed with NAFLD between August 2020 and March 2022 were included.There were significant decreases in liver enzyme and triglyceride levels at the 6M follow-up compared to baseline.The food analysis capability of the AI used by Calomeal in this study was 75.1%.Patient satisfaction with the AIbased dietary counselling was high.CONCLUSION AI-based nutrition management appeared to raise awareness of dietary habits among NAFLD patients.However,it did not directly alleviate the burden of registered dietitians,and improvements are much anticipated.
