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Assessment and management of late radiation-associated dysphagia after treatment for head and neck cancer: A scoping review and survey of UK speech and language therapists.
Int J Lang Commun Disord
January 2025
School of Health Science, Univeristy of Liverpool University, Liverpool, UK.
Background: Late side effects of head and neck cancer treatment commonly affect swallowing function. Late radiation-associated dysphagia (late-RAD) often presents years post-treatment when patients have been discharged from their multidisciplinary team. Timely symptom management may provide important physical and emotional support, potentially reducing the overall healthcare burden.
View Article and Find Full Text PDFEnhancing nutritional care in palliative care units: assessing nurse knowledge and quality perception in enteral nutrition practices.
BMC Nurs
December 2024
Palliative Care Unit, Health Sciences University Tepecik Training and Research Hospital, İzmir, Türkiye.
Background: Adequate, balanced, and individualized nutrition, planned according to the patients' life expectancy in palliative care units, is crucial for maintaining essential functions.
Aim: To determine the knowledge levels of nurses working in palliative care units regarding enteral nutrition practices and their perceptions of nutritional care quality in their units.
Methods: This descriptive, cross-sectional study was conducted in 25 palliative care units located in Izmir, Türkiye, between June and September 2022.
Treatment of hospitalized patient with hyperglycemia: An EFIM critically appraised and adapted guideline.
Eur J Intern Med
December 2024
CIBERESP-IBIS-ROCIO-University Hospital, Fundación Enebro, Seville, Spain.
Background: Over the past decade, diabetes mellitus (DM) has emerged as a growing epidemic, with a direct link to an increased risk of hospitalization and a strong effect of glycemic control on clinical outcomes. The aim of this document was to critically appraise and adapt existing clinical practice guidelines (CPGs) to provide specific recommendations for the management of hyperglycemia in hospitalized adults with and without previously known DM, in an attempt to provide a practical tool to reduce the risk of major in-hospital complications.
Methods: The first step of the adaptation process was to identify unsolved clinical questions (PICOs) in hospitalized persons with hyperglycemia.
Comparison of two doses of vitamin D3 in critically ill patients undergoing continuous renal replacement therapy (NephroD): study protocol for a single-blinded, multicenter, parallel group randomized controlled trial.
Trials
November 2024
Department of Anesthesiology, Intensive Care and Regional ECMO Center, Institute of Medical Sciences, University of Opole, Opole, Poland.
Article Synopsis
- - ICU patients are at high risk for vitamin D3 deficiencies due to factors like severe illness, treatments, malnutrition, and aging, especially during continuous renal replacement therapy (CRRT), which can remove vitamin D3 from the body.
- - The study will utilize a randomized controlled trial to compare the effects of two different doses of vitamin D3 (750,000 IU vs. 500,000 IU) on critically ill patients with severe deficiencies while undergoing CRRT across multiple hospitals in Poland.
- - The aim is to determine if a 50% increase in vitamin D3 supplementation is more effective in raising serum levels in these patients within a week, helping to address the issue of hypovitaminosis D in critically ill individuals. *
[Guideline for medical nutritional treatment of adult patients with gastrointestinal dysfunction (2025 edition)].
Zhonghua Yi Xue Za Zhi
January 2025
Article Synopsis
- * The Chinese Society of Parenteral and Enteral Nutrition (CSPEN) gathered experts to establish guidelines based on current evidence for treating gastrointestinal dysfunction through medical nutrition.
- * A total of 29 questions and 58 recommendations were developed to standardize medical nutrition therapy for patients with this condition.
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