The objective is to characterize the dietary intakes of patients treated with sacrosidase for SID and determine relationships between type of carbohydrates, sacrosidase dose, and gastrointestinal symptoms. Forty-nine English-speaking patients treated with sacrosidase for > 3 months were recruited to participate in this 30-day observation study. Dietary energy and nutrient intakes reported during 24-hour diet recall interviews, frequency and severity of gastrointestinal (GI) symptoms, and Sacrosidase dose.
Energy intakes averaged 1,562.5+411.5 kcal/day in children, 1,964.7+823.6 kcal/day in adolescents, and 1,952.6+546.5 kcal/day in adults. Macronutrient composition averaged 44% carbohydrate, 39% fat, and 17% protein. Average carbohydrate composition
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It is conceivable that foods rich in potassium would be restricted by patients treated for SID due to their high starch or sucrose content. In addition to potassium, intakes of calcium, magnesium, and folate were also insufficient. It is likely that participants with lactose intolerance or those experiencing continued diarrhea were avoiding diary products, which may account for the insufficient intake of calcium.
Weakness: Some of the study’s limitations include a small sample size particularly when divided by life stage group. It is unclear whether the findings would differ in the case that participants were stratified by genetic diversity because current evidence has not confirmed that genetic diversity in SID produces phenotypic differences in intestinal function or gastrointestinal symptoms.
Boney, A., Elser , H. E., & Silver, H. J. (2017). Relationships among dietary intake and persistent gastrointestinal symptoms in patients receiving enzyme treatment for genetic sucrase-isomaltase deficiency. Journal of the Academy of Nutrition and Dietetics. Retrieved from http://jandonline.org/article/S2212-2672(17)31748-3/fulltext
El-Chammas, K., Williams, S. E., Miranda, A. (2017). Disaccharidase deficiencies in children with chronic abdominal pain. JPEN J Parenteral Enteral Nutrition. 41(3):463-469.
When the patient is sent home, the goal is to prevent readmission to the hospital due to complications of SCD. Sammy’s poor decisions leading up to this ER admission and past medical history should be discussed in detail with the patient. The nurse should also address possible triggers of a sickle cell crisis with the patient. (Reddin et al., 2011). In Sammy’s case, discarding lunches and drinks at school significantly contributed to being dehydrated making this one of his triggers.
Additionally, calcium and iron just barley met the DRI. I eat a lot of vegetables and fruits, therefore increasing the amounts of minerals that intake each day. 2. Deficiencies in potassium include “elevation of blood pressure, an increase in salt sensitivity, muscle weakness, kidney stone increase, increased burn turnover, and glucose intolerance”(Pinna 246). As for calcium deficiency, symptoms include “stunted growth in children”(Pinna246), which is unlikely to impact me since I am an adult, and bone loss.
This is important to remember down the road because instead of waiting uncomfortably, you or your patient could remember the symptoms and suggest to your doctor that you think it might be inflammatory bowel disease. This would save time and discomfort. I was also informed during the discussion how hygiene can have an impact on Crohn’s disease because it will affect the immune system. A fact that I found interesting is that inflammatory bowel disease can be caused by hereditary through your genes, but also because of your smoking status. This is just another reason why people should not smoke.
The importance of preventing and managing chronic diseases, which include renal failure and cardiovascular diseases, along with their risk factors are emphasized by the Department of Chronic Disease and Health Promotion of the World Health Organization (Desroches, Lapointe, Ratté, Gravel, Légaré, & Turcotte, 2013). However, there is evidence in literature showing a gap of knowledge in the kinds of educational interventions being considered as most effective in compliance to dietary regimen. The study by Desroches et al., 2013 states that there are limitations to their study including that being a short duration, low quality and adherence measures varied widely (Desroches et al., 2013) Hence, these limitations assisted in the generation of research questions, which are: 1) Which educational interventions being used show reliability in compliance or adherence to dietary regimen; 2) What are the detrimental factors contributing to low compliance to dietary regimen among patients with ESRD and CHF; and 3) Can a study performed in a longer length of time produce a higher rate of compliance to dietary regimen among patients with ESRD and
A recent study found that children who regularly ateschool lunches were 29 percent more likely to beobese than their peers who brought lunch fromhome. Health science has advanced greatly since theinception of the National School Lunch Program in1946. When a 2008 Institute of Medicine committeecomprising 14 child-nutrition experts examined dataon the content of school lunches in the UnitedStates, its findings were stark. The updated standards aligned school meals withthe 2010 Dietary Guidelines for Americans byincreasing quantities of fruits, vegetables, andwhole grains; establishing calorie ranges; andlimiting trans fats and sodium. Children consume almost half of their total caloriesat school, and the National School Lunch Programprovides
As such, it is important to ask the patients what alternative methods they are utilizing in order to properly advise them against harmful practices, though, as Juckett (2013) states, many folk and herbal treatments are harmless and can be safely accommodated. Other beliefs include that abdominal pain may be attributed to food stuck in the intestine and that a child’s failure to thrive may be caused by a hex given to the child due to an envious glance. Again, though most therapies and responses to illness and disease are not harmless, lead salts and mercury compounds may be given for food stuck in the intestine and teething. These therapies are not advised to be used (Juckett, 2013). As with illness and disease, Hispanic culture responds to death in its own
It is interesting that the clinic you evaluated asked more questions for the personal intake then the family. I wonder why this was? Perhaps they have each person fill out a personal intake and a family intake? For this week assignment I chose to review the intake forms for the Lotus and Hollywood Centers.
hese articles examined the issue that greater cultural competence can play a larger role in minimizing healthcare disparities and improving the quality and access of healthcare to certain populations. Many healthcare agencies and associations are struggling to come up with strategies that are easy to implement regarding cultural competence. In the world of nursing, the realization of the need for nurses to have a profound understanding and respect for their patient’s life but also for their race and cultural values to make their patient a person and not a room number is improving but not fast enough. In order for nurses to provide the best care for their patient, they must be sensitive to all aspects of that patient’s life which include the
LABORATORY REPORT Activity: Enzyme Activity Name: Natalie Banc Instructor: Elizabeth Kraske Date: 09.26.2016 Predictions 1. Sucrase will have the greatest activity at pH 6 2. Sucrase will have the greatest activity at 50 °C (122 °F) 3.
Sometimes when older adults feel bored or lose interest in activities that they once enjoyed. When experiencing depression, they often have a hard time concentrating and making their own decisions. People who has problems with dementia may also be at risk of mal-nutrition. People with dementia rely on others to help them to organize their day to day life such as preparing their meals. People with dementia are at risk of mal-nutrition because they may not be physically able to provide themselves with a balanced diet, there may also be the issue that they are not able to remember whether they have eaten and therefore decide not to make themselves.
Like all other kinds of supplementation or even medicine, directions and serving sizes play a crucial role on the patients’
LABORATORY REPORT Activity: Enzyme Activity Name: Natalie Banc Instructor: Elizabeth Kraske Date: 09.22.2016 Predictions 1. Sucrase will have the greatest activity at pH 6 2. Sucrase will have the greatest activity at 50 °C (122 °F) 3. Sucrase activity increases with increasing sucrose concentration Materials and Methods Effect of pH on Enzyme Activity 1. Dependent Variable amount of product (glucose and fructose) produced 2.
1.1 Abstract The purpose of quantitative analysis of protein using a spectrophotometer is to measure the concentration of proteins in a given sample. The experiment is conducted by laboratory method (Biuret Test) and using spectrophotometer to analyze the absorbance of reactants at 540 nm, hence determining the concentration of the proteins in a given sample. The purpose of stopped enzyme assay to study B-galactosidase is to determine the effect of temperature and concentrations of substrate on enzyme activity.
The main goal was to plan, prepare, present and evaluate a main course meal for a toddler to prevent the possibility of anaemia. In order to come to conclusion to what to cook I heard to research recipe that had iron it in because that was the main aim to prepare a meal that can prevent anaemia. Even though the time plan that was produced by me and my partner was well followed and constructed, the meal took longer than I thought. This was because some preparation of the ingredients took longer than others.
CASE STUDIES 1. BLADDER CALCULUS Bladder Calculus is also known as Bladder stone which are generally or basically formed when minerals such as calcium salts and other such as cholesterol and bile pigments inside the bladder lump together and harden. Diet: 1. The diet should be high in fiber such as the diet must include whole grains, fruits and vegetables, etc. 2.