Kent State Interns

Martindale R, Warren M. Should enteral nutrition be started in the first week of critical illness? Curr Opin Clin Nutr Metab Care . 2015;18(2):202-206.               This study looks at the early initiation of enteral nutrition for patients who are critically ill. Authors admit that there is a lack of trials that contain a large number of participants and are randomized. A majority of the supporting studies on this topic were done on animal models and not human patients.             Results from this study show that the initiation of enteral nutrition within the first week of being in the intensive care unit promotes gut-mediated immunity, lowers metabolic response to stress, maintains microbial diversity, and improves clinical outcomes versus standard of care or parenteral nutrition.             This is...

Kang K, Shu X, Zhang Y, Liu X, Zhao J. Effect of glutamine enriched nutrition support on surgical patients with gastrointestinal tumors: A meta-analysis of randomized controlled trials. Chin Med J. 2015;128(2):245-251               This study a meta-analysis that looks at the addition of glutamine supplementation in patients with severe traumatic stress or tumor bearing states. The meta-analysis showed that glutamine enriched nutrition support improved immune function, reduced incidence of infectious complications postoperatively, and shortened the length of hospital stays.             A number of the trials were conducted on patients with post-operative GI cancer patients, but the results seem to be applicable to any severe traumatic stress situation.             All studies were randomized, but not all studi...

Shaw C, Fleuret C, Pickard J, Mohammed K, Black G, Wedlake, L. Comparison of a novel, simple nutrition screening tool for adult oncology inpatients and the Malnutrition Screening Tool(MST) against the Patient-Generated Subjective Global Assessment(PG-SGA). Support Care CancerI. 2015;23(1):47-54.                         This article evaluates the specificity and sensitivity of different methods of assessing nutrition status. What is different is that this article is looking to find a the best one for a specific disease.             While some screening tools are better than others overall for identifying malnutrition in patients, no one tool is the best for everyone. More than the contents of this study  the idea itself is what is important. Instead of a tool or method that is used throughout dietetics or th...

Daley BJ, Cherry-Bukowiec J, Van Way III CW, et al. Current status of nutrition training in graduate medical education from a survery of residency program directors: A formal nutrition education course is necessary. J parenter Enteral Nut. 2015;XX(X):1-5.               Among dietitians it is sometimes a sore subject as to whether or not they are allowed to prescribe diet orders. It changes from state to state and from hospital to hospital. The questions arise as to who is more knowledgeable in regard to diets and if doctors are prescribing diet orders then what is the point of clinical dietetics? Well, this article surveyed graduate medical education facilities to determine what level of nutrition education was being giving. Of the 72 residencies programs that responded only 19(26.4%) had a formal course in nutrition, and of these 19 institutions only 16 required that the courses be taken. The statistics go on to show...

I previously wrote an article about how sugar-sweetened beverages may decrease the body's stress response. Now, there is another study out suggesting that drinking sugar-sweetened beverages may increase the risk of heart disease. It is important to keep in mind that how the studies were conducted and if there is other research out there to back it up. It is also important to remember moderation is key when it comes to what we eat and drink. This study is the first to show a direct dose-dependent relationship between the amount of added sugar consumed in sugar-sweetened beverages and increases in specific risk factors for cardiovascular disease. There are other studies that show an increase in sugar-sweetened beverages correlates with an increase in cardiovascular disease. There were 85 participants both men and women between the ages of 18-40 years old who were divided into four different groups. The study followed these participants for 15 days while they consumed sugar-sweetene...

New research may suggest that compounds in apples and green tea may help to protect our health. Other dietary studies have shown that consuming diets high in fruits and vegetables reduces the chance of developing chronic diseases like heart disease, diabetes, and cancer. There could be multiple reasons for this. One reason may be the fact that fruits and vegetables contain polyphenols, which may help to protect our health.  In this study it was shown that polyphenols that are in green tea and apples block a signaling molecule called VEGF, which can trigger atherosclerosis in the body and anti-cancer drugs. In the body VEGF drives blood cell formation by a process called angiogenesis. Angiogenesis is a major contributor to cancer progression and the formation of plaque and plaque rupture, which can cause a heart attack or stroke. Using cells that were from human blood vessels, the researchers found that low levels of EGCG the polyphenol in green tea and procyanidin from apples st...

There is no standard diet to prevent kidney stones because there are various types of kidney stones and risk factors associated with each one of them. In order to provide individualized nutrition therapy, dietitians need to look at the medical history, current/past dietary pattern, type of stone, 24-hour urine parameters, and medications. The followings are some types of kidney stones: ·       Calcium oxalate stones (which is caused by: high urinary calcium excretion, high urinary oxalate excretion, low urinary citrate/magnesium excretion or low urine volume. ·       Calcium phosphate stone (which is caused by: high urinary calcium excretion, low urinary citrate excretion, high urine pH, or low urine volume) ·       Uric acid stones (which is caused by: genetic problem, or some diseases such as leukemia, lymphoma, multiple myeloma, and sickle cell disease. These might result in high urinary uric ac...