Sf8 Nutritional Status Automated Free Download

Purpose: Paper-based nutrition screening tools can be challenging to implement in the ambulatory oncology setting. The aim of this study was to determine the validity of the Malnutrition Screening Tool (MST) and a novel, automated nutrition screening system compared to a 'gold standard' full nutrition assessment using the Patient-Generated Subjective Global Assessment (PG-SGA).

Nutrition apps have great potential to support people to improve their diets, but few apps give automated validated personalised nutrition advice. A web app capable of delivering automated personalised food-based nutrition advice (eNutri) was developed. The aims of this study were to i) evaluate and optimise the personalised nutrition report provided by the app and ii) compare the personalised food-based advice with nutrition professionals' standards to aid validation. A study with nutrition professionals (NP) compared the advice provided by the app against professional Registered Dietitians (RD) (n = 16) and Registered Nutritionists (RN) (n = 16) standards. Each NP received two pre-defined scenarios, comprising an individual's characteristics and dietary intake based on an analysis of a food frequency questionnaire, along with the nutrition food-based advice that was automatically generated by the app for that individual. NPs were asked to use their professional judgment to consider the scenario, provide their three most relevant recommendations for that individual, then consider the app's advice and rate their level of agreement via 5-star scales (with 5 as complete agreement). NPs were also asked to comment on the eNutri recommendations, scores generated and overall impression. The mean scores for the appropriateness, relevance and suitability of the eNutri diet messages were 3.5, 3.3 and 3.3 respectively.

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Premorbid undernutrition has been proven to have an adverse effect on the prognosis of stroke patients. The evaluation of nutritional status is important, but there is no universally accepted screen methodology.

A total of 1,906 patients were included for analysis. Baseline characteristics were collected. We evaluated the nutritional status of the patients using the GNRI and body mass index(BMI). The GNRI was calculated as {1.519serum albumin(g/dL) + 41.7present weight (kg)/ideal body weight (kg)}. All patients were categorized into four groups on the basis of the GNRI score.

The receiver operating characteristic (ROC) analysis was conducted by plotting the sensitivity against the value of 1-specificity for assessing the performance of the GNRI and BMI on predicting unfavorable short-term outcome after acute ischemic stroke. Areas under the ROC curve (AUC) were compared to examine how well nutritional screening methods predicted clinical outcome.

Among the included patients, the mean age was 67 years and 1,168 (59.8%) patients were male (Table 1). Of the 1,906 patients, 546 (28.6%) had an unfavorable outcome. The unfavorable outcome group, in the univariate analysis, was more likely to be older, female and more likely to have a history of hypertension, diabetes mellitus, atrial fibrillation, and a previous history of stroke or transient ischemia attack (TIA). The stroke mechanisms were more likely to be cardioembolic or other determined causes. Premorbid mRS score, initial NIHSS scores and discharge NIHSS scores were higher in the unfavorable outcome group. The unfavorable outcome group had lower hemoglobin, total protein, serum albumin, and LDL cholesterol level. They also had a higher leukocyte count, and CRP level. The proportion of patients with moderate and severe risk was significantly higher in the unfavorable outcome group than in the favorable outcome group. In addition, the unfavorable outcome group had a lower BMI and serum albumin level. The mean duration from admission to nutritional assessment was 0.40.2 day, with no difference between the two groups.

The GNRI is an objective and simple assessment tool, which is a source of competitive strength for a nutritional marker; the GNRI score can be readily calculated automatically in electronic medical record systems. The GNRI has recently been used in elderly patient (over 60 years old), especially with underlying diseases such as heart or kidney problem. Given that most of stroke patients are over 60 years old and have underlying disease, the use of GNRI for stroke patients is worth considering. In another aspect, the GNRI has a high sensitivity for malnutrition compared to other reliable assessment tools [22]. Approximately 20% of the stroke patients had a moderate or severe risk of malnutrition at admission in our study based on the GNRI result, which was within the range reported previously [23].

There are several limitations to our study. First, the GNRI was assessed only on admission, and was not repeated afterward. Therefore, we do not have information whether GNRI was changed after nutritional support during the hospital stay. This is an important issue but may require further study. Second, we did not assess MUST, so comparison between GNRI and MUST could not be done. Despite these limitations, we think that our data are valid in presenting a correlation between premorbid undernutrition evaluated by the GNRI and functional outcome in patients with ischemic stroke.

Methods: A study of device accuracy was embedded within a 2-stage cluster survey at the Malakal Protection of Civilians site in South Sudan conducted between September 2021 and October 2021. All children aged 6 to 59 months within selected households were eligible. For each child, manual measurements were obtained by 2 anthropometrists following the protocol used in the 2006 World Health Organization Child Growth Standards study. Scans were then captured by a different enumerator using a Samsung Galaxy 8 phone loaded with a custom software, AutoAnthro, and an Intel RealSense 3D scanner. The scans were processed using a fully automated algorithm. A multivariate logistic regression model was fit to evaluate the adjusted odds of achieving a successful scan. The accuracy of the measurements was visually assessed using Bland-Altman plots and quantified using average bias, limits of agreement (LoAs), and the 95% precision interval for individual differences. Key informant interviews were conducted remotely with survey enumerators and Body Surface Translations Inc developers to understand challenges in beta testing, training, data acquisition and transmission.

At present, the enteral nutrition approaches via nose and duodenum (or nose and jejunum) are the preferred method of nutritional support in the medical engineering field, given the superiority of in line with physiological processes and no serious complication. In this study, the authors adopted saline as the acoustic window, and gave enteral nutrition support to critically ill patients, via the nasogastrojejunal approach guided by semi-automated ultrasound. These above patients benefited a lot from this kind of nutrition support treatment, and we aimed to report the detailed information.

Critically ill patients (n = 41) who had been treated with hospitalized intestine nutrition were identified. The Apogee 1200 ultrasonic diagnostic apparatus, and nasogastrojejunal tubes were adopted to carry out intestine nutrition treatment guided by semi-automated ultrasound. In order to confirm the specific positions of cardia, gastric body, antrum of stomach, and pylorus, the semi-automated ultrasound was utilized to probe the stomach cavity. And then, the ultrasonic probe was placed in the cardia location, and the nasogastrojejunal tube was slowly inserted through the metal thread. After operation, the nursing service satisfaction of patients and mean operation time were calculated, respectively.

In summary, the application of saline can be taken as sound window, and the metal wire as the tracking target, the bedside nasogastrojejunal tube guided by semi-automated ultrasound is an effective feeding tube placement method, with relatively good clinical application value in medical engineering.

Nutrition support is one major development of clinical medicine in the twentieth century, and has become an indispensable constituent part in the treatment of critically ill patients, in order to alleviate the nutritional deficit [1, 2]. Enteral nutrition has achieved significant advances in decades, and is beneficial for the patients who have functional guts but can not meet their nutritional requirements via normal diet, on account of cancer, HIV, stroke, multiple sclerosis, dementia, etc. [3,4,5]. This kind of enteral feeding can be delivered by means of various approaches, including nasogastric tube, percutaneous endoscopic gastrostomy, jejunostomy. In general, during the period of enteral nutrition, the providers also need to assess the nutritional status, and evaluate the nutritional requirements of patients [6]. Besides, the development of enteral nutrition also requires multidisciplinary teams, such as the extended roles for dietitians and nurses, etc. [7]. In addition, more and more serious aging society, various diseases mentioned above, the swallowing difficulties and malnutrition resulted from various complications, are all the main reasons why rapidly increasing enteral nutrition is needed [8, 9].

At present, the enteral nutrition approaches via nose and duodenum (or nose and jejunum) are the preferred method of nutritional support in medical engineering, given the superiority of in line with physiological processes and no serious complication [10, 11]. In this study, the authors adopted saline as the acoustic window, and gave enteral nutrition support treatment to critically ill patients, via the nasogastrojejunal approach guided by semi-automated ultrasound. These above patients benefited a lot from this kind of nutrition support, and we reported the detailed information as followed.

The main approaches of enteral nutrition are various, but the commonly used and noninvasive method is nasogastrojejunal tube. The traditional method of intubation tube always depends on X ray or gastroscope, or only relies on the operator experience. When the intubationist just operates by his own experience, the success rate of intubation appears lower [21, 22]. When the intubationist operates under the guidance of X ray, the patients have to be moved, but the majority of patients are critically ill in the intensive care unit and are hard to be carried, especially for the patients who need mechanical ventilation [23, 24]. Nasogastrojejunal tube insertion is based on minimally invasive catheterization procedure that is combined with ultrasound guidance. This semi-automated device pertains to a class of medical imaging assisted equipment that can help patients in terms of enteral nutrition [25]. 006ab0faaa