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Objectives: To determine whether, in a developing world context, early oral feeding after laryngectomy is safe, cost-effective and appropriate. Study design: A prospective study of early oral feeding after laryngectomy, compared with retrospective, historical delayed feeding controls. Method: Forty patients underwent total laryngectomy for advanced carcinoma of the larynx with or without hypoph...

The feeding of critically ill patients has recently become a controversial issue, as several studies have provided unexpected and contradictory results. Earlier beliefs regarding energy requirements in critical illness-especially during the initial phase-have been challenged. In the current review, we summarize existing evidence about fasting and the impact of early vs. late feeding on the sick...

Obesity has reached epidemic proportions and research into its prevention is increasingly focusing on the earliest stages of life. Avidity of appetite has been linked to a higher risk of obesity, but studies in infancy were scarce. The Gemini twin cohort was established to investigate genetic and environmental determinants of weight trajectories in early childhood with a focus on appetite and t...

Correct feeding and management of the young pig for optimum lifetime performance is a key goal of pig producers, although the associations between these variables are often difficult to quantify. It is well recognised that commercial growth rates of suckling and weaned pigs are less than those that can be achieved when pigs are reared independently of the sow and/or fed greater quantities of a ...

The relationship of milk diet and solid feeding practices during the first 4 months of life to rates of early childhood asthma was studied prospectively in a birth cohort of 1110 children. The results of the analysis showed no significant association between rates of asthma and breast feeding or solid feeding practices. This was true for children both of asthmatic and non-asthmatic parentage. I...

Questions about when, how, and what to feed the preterm baby elicit many diVerent answers. Balancing the risks of enteral feeding with those of parenteral nutrition is not easy. In contrast with the sophistication of clinical cardiorespiratory monitoring, the day to day assessment of gastrointestinal function is still largely dependent on clinical observation. Moreover the population at risk is...

Serial 24 hour balance studies of nitrogen and energy were carried out over 10 days in two groups of ventilator dependent preterm infants, of comparable weight and gestational age. In one group (n = 10) a parenteral amino acid source (Vamin 9) was started within 24 hours of birth, and in the other group (n = 11) it was not started until 72 hours. The feeding protocol was otherwise identical. Th...

Questions about when, how, and what to feed the preterm baby elicit many diVerent answers. Balancing the risks of enteral feeding with those of parenteral nutrition is not easy. In contrast with the sophistication of clinical cardiorespiratory monitoring, the day to day assessment of gastrointestinal function is still largely dependent on clinical observation. Moreover the population at risk is...