Background & Aims: For children and adolescents undergoing hematopoietic stem cell transplant (HSCT), adequate protein and energy intake is essential to mitigate malnutrition risk. However, little is known about optimal requirements, including adequate dietary protein intake in this population. We conducted an international benchmarking survey and a scoping review to explore current practices in determining protein requirements (PR) and examine existing evidence for PR and dietary protein intake in pediatric HSCT.
View Article and Find Full Text PDFHospitalization is common among older adults. Prolonged time in bed during hospitalization can lead to deconditioning and functional impairments. Our team is currently working with Department of Veterans Affairs (VA) medical centers across the United States to implement STRIDE (assiSTed eaRly mobIlity for hospitalizeD older vEterans), a hospital-based walking program designed to mitigate the risks of immobility during hospitalization.
View Article and Find Full Text PDFNutritional profile and management of patients with primary immunodeficiencies (PID) undergoing hematopoietic stem cell transplant (HSCT) has not been described in the literature. We aim to report the nutritional challenges and practices peculiar to this population before and after HSCT and suggest clinical pathways for their management. We conducted a single-centre retrospective study.
View Article and Find Full Text PDFRationale and key points This article outlines the appropriate and effective technique for using a corticosteroid nasal spray. If these sprays are used inappropriately, they will be ineffective and might reduce the patient's adherence to the treatment. Nurses can use the information in this article to advise patients on the appropriate technique for using a corticosteroid nasal spray.
View Article and Find Full Text PDFRationale and key points This article provides information on nasal douching, which nurses can use to advise patients on how to perform this procedure. It explains how to prepare and use a home-made solution for nasal douching, and discusses the various products available that can assist patients in undertaking this procedure. » Nasal douching, also known as nasal washout, irrigation or lavage, is recommended to clear mucus and allergens from the nose for people with rhinitis or rhinosinusitis.
View Article and Find Full Text PDFHay fever, or seasonal allergic rhinitis, is a common condition that affects one in four people in the UK. It is characterised by cold-like symptoms that may include a runny nose, itchy eyes, sneezing and nasal congestion or blockage. Patient education is important in improving patient concordance with treatment regimens and effectively managing hay fever symptoms, and may include advice on ways to avoid pollen.
View Article and Find Full Text PDFBackground: Chronic kidney disease (CKD) is a potent risk factor for cardiovascular disease (CVD). CVD risk increases in a stepwise manner with increasing kidney impairment and is significantly reduced by kidney transplantation, suggesting a causal relationship. Dyslipidemia, a well recognised CVD risk factor, is highly prevalent in CKD.
View Article and Find Full Text PDFAccurate ground-based estimation of the carbon stored in terrestrial ecosystems is critical to quantifying the global carbon budget. Allometric models provide cost-effective methods for biomass prediction. But do such models vary with ecoregion or plant functional type? We compiled 15 054 measurements of individual tree or shrub biomass from across Australia to examine the generality of allometric models for above-ground biomass prediction.
View Article and Find Full Text PDFPhysical therapy (PT) is a key component of treatment for knee osteoarthritis (OA) and can decrease pain and improve function. Given the expected rise in prevalence of knee OA and the associated demand for treatment, there is a need for models of care that cost-effectively extend PT services for patients with this condition. This manuscript describes a randomized clinical trial of a group-based physical therapy program that can potentially extend services to more patients with knee OA, providing a greater number of sessions per patient, at lower staffing costs compared to traditional individual PT.
View Article and Find Full Text PDFJ Fam Health Care
September 2011
Hay fever is an allergy to pollen or spores presenting as an allergic inflammatory response in all mucous membranes of the upper airway. The UK has one of the highest rates (it's estimated one in four of us have hay fever) and symptoms are often trivialised, even though the socio-economic and health costs are huge. If left treated, for example, a hay fever sufferer risks developing asthma.
View Article and Find Full Text PDFClin Otolaryngol
February 2008
Bismuth Iodoform Paraffin Paste (BIPP) is one of the most commonly used packs after middle and external ear surgery. Only two retrospective case studies exist which found a 0.4% and 6% overall risk of BIPP allergy.
View Article and Find Full Text PDFConcentrations of the heavy metals cadmium, copper, lead, zinc, mercury and, in some individuals, methyl mercury were determined in a range of tissues of 64 tropical, subtropical, subantarctic and antarctic seabird taxa mostly from the New Zealand region. Although apparently natural, levels of cadmium and mercury in some species greatly exceed those known to have toxic effects in some terrestrial birds. Copper and zinc levels exhibited less inter-species variation than the non-essential metals cadmium and mercury.
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