The nutrition dose truly absorbed by a patient is crucial information in the management or the investigation of nutrition during critical illness. In the present issue of Critical Care, assessment of nutritional losses in stools was studied. These losses together with enteral nutrition lost in gastric fluids and enteral nutrition prescribed but never infused make up the difference between the d...

Despite pharmacological advances in diabetes treatment, medical nutrition therapy (MNT) continues to be an essential component of diabetes management. Nonetheless, physicians have missed opportunities to provide nutrition counseling to their patients. This presents a problem because type 2 diabetes is an epidemic with severe consequences that result from non-adherence to nutrition protocols. Th...

OBJECTIVES To describe a conceptual framework to assist in the application of capacity-building principles to public health nutrition practice. DESIGN A review of the literature and consideration of the determinants of effective public health nutrition practice has been used to inform the development of a conceptual framework for capacity building in the context of public health nutrition pra...

INTRODUCTION The literature on community-based participatory research (CBPR) approaches for promoting healthy diet and nutrition and preventing and controlling obesity in African-American communities was systematically reviewed as part of the planning process for new research. METHODS CBPR studies of diet, nutrition, and weight management among African-Americans were identified from 1989 thro...

One of the important roles of pharmacists as members of a nutrition support team is nutritional prescription support. We developed a nutritional prescription support system (NPSS) that facilitates prescription support and analysis and evaluated its usefulness in nutritional therapy. An NPSS for prescription support and the management of patient information was created. With this NPSS, the nutri...

background: sufficient intake of fruits and vegetables has been associated with a reduced risk of chronic diseases and body weight management but the exact mechanism is unknown. the world health organisation and food and agriculture of the united nation reports recommend adults to consume at least five servings of fruits and vegetables per day excluding starchy vegetables. this review focuses o...

Crohn's disease may be complicated by the development of penetrating (fistulizing) or structuring complications. The presentation of an intra-abdominal phlegmon or abscess with or without an associated fistula has traditionally required surgical intervention. This series of two cases illustrates a beneficial role of non-surgical management, with parenteral and then enteral nutrition playing cen...

Dear Editor, The enteral mode of nutrition delivery in the critically ill confers gastrointestinal, immunologic and survival advantages over parenteral nutrition (PN), especially when initiated early. Intensive care unit (ICU) patients with traumatic brain injury (TBI) exhibit hypercatabolism, needing higher energy requirements. The focus of TBI management is cardiorespiratory resuscitation (CP...

BACKGROUND The management of patients with enterocutaneous fistula (ECF) requires an interdisciplinary approach and poses a significant challenge to physicians, wound/stoma care specialists, dietitians, pharmacists, and other nutrition clinicians. Guidelines for optimizing nutrition status in these patients are often vague, based on limited and dated clinical studies, and typically rely on indi...