AI Article Synopsis
- This position paper from ESPGHAN outlines recommendations for managing blended diets in children with gastrostomy tubes based on a review of literature spanning from 1992 to 2021 and expert opinions when evidence was lacking.
- The reported benefits of blended diets include improvements in symptoms like GERD, infections, and overall well-being, along with enhanced family satisfaction and normalcy.
- Despite the positive findings, there's a notable lack of solid evidence on health benefits or risks, indicating a need for further research to guide healthcare professionals in providing care for patients using this feeding method.
Article Abstract
Objectives: This joint position paper of the Committees of Allied Health Professionals (CAHP) and Nutrition (CON) of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) provides a comprehensive guide for health professionals to manage blended diets in children via gastrostomy tubes.
Methods: A systematic literature search was performed from 1992 to 2021 using Pubmed, MEDLINE, and Cochrane Database of Systematic Reviews and recent guidelines reviewed. In the absence of evidence, recommendations reflect the authors' expert opinion. Final consensus was obtained by multiple e-mail exchange and virtual meetings of the CAHP and CON.
Results: Reported benefits of blended diets include reduced GERD and infections, improved defecation, level of alertness and attention span, skin conditions, and appearance of hair and nails. Families report a sense of greater normality. Small case series, cross-sectional surveys, questionnaire-based small case studies, reports of personal experience, and single-center pilot studies are available in the medical literature. A total of 20 recommendations for practice were made based on the results and consensus process.
Conclusions: There is little evidence published to formally inform about the potential health benefits or risks of this practice and how to use it in the best way. This leaves health professionals caring for such patients in a relative vacuum regarding what to consider when providing a duty of care to patients and carers who wish to pursue this method of feeding. This article provides guidelines for safe and appropriate use of a BD, but more research is needed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/MPG.0000000000003601 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Quality Assurance of Depression Ratings in Psychiatric Clinical Trials.
J Clin Psychopharmacol
December 2024
From the NRx Pharmaceuticals, Inc, Wilmington, DE.
Background: Extensive experience with antidepressant clinical trials indicates that interrater reliability (IRR) must be maintained to achieve reliable clinical trial results. Contract research organizations have generally accepted 6 points of rating disparity between study site raters and central "master raters" as concordant, in part because of the personnel turnover and variability within many contract research organizations. We developed and tested an "insourced" model using a small, dedicated team of rater program managers (RPMs), to determine whether 3 points of disparity could successfully be demonstrated as a feasible standard for rating concordance.
View Article and Find Full Text PDFPrevalence, Distribution and Antimicrobial Susceptibility of Enterobacteriaceae and Non-Fermenting Gram-Negative Bacilli Isolated From Environmental Samples in a Veterinary Clinical Hospital in Madrid, Spain.
Environ Microbiol Rep
December 2024
Facultad de Ciencias de la Salud, Universidad Alfonso X el Sabio, Madrid, Spain.
Managing infections caused by multidrug-resistant Gram-negative bacilli is a major public health concern, particularly in hospitals where surfaces can act as reservoirs for resistant microorganisms. Identifying these bacteria in hospital environments is crucial for improving healthcare safety. This study aimed to analyse environmental samples from a veterinary hospital to identify prevalent microorganisms and detect antimicrobial resistance patterns.
View Article and Find Full Text PDFCross-Cultural Adaptation and Psychometric Properties Testing of the Persian Version of the Emergency Department Forensic Nursing Survey.
J Forensic Nurs
December 2024
Department of Nursing, School of Nursing, Alborz University of Medical Sciences.
Background: Forensic nursing is an evolving specialty focusing on healthcare when legal issues are involved. Valid tools are needed to assess emergency department (ED) nurses' performance of forensic nursing role behaviors and their corresponding perceptions. We aimed to translate and culturally adapt the original English version of the "Emergency Department Forensic Nursing Survey" (EDFNS) into Persian and evaluate its psychometric properties among ED nurses.
View Article and Find Full Text PDFGYNs at the REI gates: unsolvable conundrum or unambiguous opportunity?
J Assist Reprod Genet
December 2024
Seattle Reproductive Medicine, Suite 400, Seattle, WA, 98104, USA.
Contemporary fertility care has matured from a restricted, special interest in women's health care where success sometimes made magazine covers to a well-honed start-to-finish process with ever-improving success rates and an ever-expanding panoply of treatment options. Innovations in both lab and clinic have been exponential and game changing. The specialty now finds itself in the enviable position of an extensive menu of highly successful treatment options but a complicated set of circumstances of access to these options.
View Article and Find Full Text PDFExploring Rapport Formation Between Nurses and End-of-Life Patients: A Meta-ethnographic Synthesis.
J Hosp Palliat Nurs
December 2024
This study aims to deepen the understanding of rapport formation between nurses and end-of-life patients by synthesizing existing qualitative research. Using meta-ethnography, this research integrates findings from various studies to explore the essence and process of rapport formation from nurses' perspectives. A comprehensive search across MEDLINE, EMBASE, CINAHL, and Web of Science databases in August 2024 identified 13 relevant studies.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!