scholarly journals Current Evidence for the Use of Smoflipid® Emulsion in Critical Care Patients for Parenteral Nutrition

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Alberto A. Leguina-Ruzzi ◽  
Rina Ortiz
Keyword(s):  
Parenteral Nutrition ◽  
Positive Impact ◽  
Hospital Length ◽  
Current Evidence ◽  
Structural Function ◽  
Energy Needs ◽  
Total Treatment ◽  
Anti Inflammatory ◽  
Body Energy

There are strong data showing that malnutrition is highly prevalent in intensive care unit patients (20–50% in the worldwide), presenting a negative accumulated body energy balance. This results in an increased mortality, infections, and hospital length stay with high costs associated with the total treatment. Parenteral nutrition is the first option when the patient’s physical condition is not suitable for oral nutrient intake. It is composed essentially by lipids as an energy source, metabolic, and structural function. However, these patients also require a mixture of essential and nonessential fatty acids (SMOF emulsions) to supply not only energy needs but also restore immunological, anti-inflammatory, and proregenerative functions. A revision of the safety and efficacy of Smoflipid® in patients requiring long-term parenteral nutrition was discussed here. Although controversial data are available indicating the contraindications or effectiveness of its use, most of studies presented indicate favorable benefits associated with improved clinical outcomes. The reported roles of this supplementation include positive immunomodulatory and anti-inflammatory effects, positive impact in liver function, reduction of hospital stay, and nosocomial infections as additional contributions to its energetic role, which in many cases results in reduced total costs per patient. Finally, many authors propose that the use of Smoflipid® should become a gold standard of parenteral nutrition in intensive unit care patients and that the costs associated with this supplement should not be limiting for its use, not only to improve the clinical outcome but also to reduce the treatment costs.

scholarly journals Trace Element Provision in Parenteral Nutrition in Children: One Size Does Not Fit All

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1819 ◽  
Author(s):  
Boutaina Zemrani ◽  
Zoe McCallum ◽  
Julie Bines
Keyword(s):  
Trace Elements ◽  
Parenteral Nutrition ◽  
Trace Element ◽  
Clinical Condition ◽  
Standard Of Care ◽  
Current Evidence ◽  
Preterm Neonates ◽  
Global Consensus ◽  
Routine Administration

Routine administration of trace elements is recognised as a standard of care in children requiring parenteral nutrition. However, there is a lack of global consensus regarding trace elements provision and dosing in pediatric parenteral nutrition. This review provides an overview of available evidence regarding trace elements supply and posology in parenteral nutrition in neonates and children. Trace elements provision in children should be tailored to the weight and clinical condition of the child with emphasis on those at risk of toxicity or deficiency. Based on current evidence, there is a need to review the formulation of commercial solutions that contain multiple-trace elements and to enable individual trace elements additives to be available for specific indications. Literature supports the removal of chromium provision whereas manganese and molybdenum supplementation are debated. Preterm neonates may have higher parenteral requirements in iodine, selenium and copper than previously recommended. There is growing support for the routine provision of iron in long-term parenteral nutrition. Further studies on trace elements contamination of parenteral nutrition solutions are needed for a range of trace elements.

scholarly journals Effects of Essential Oils and Selected Compounds from Lamiaceae Family as Adjutants on the Treatment of Subjects with Periodontitis and Cardiovascular Risk

2021 ◽  
Vol 11 (20) ◽  
pp. 9563
Author(s):  
Giuseppa Castellino ◽  
Francisco Mesa ◽  
Francesco Cappello ◽  
Cristina Benavides-Reyes ◽  
Giuseppe Antonio Malfa ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Essential Oils ◽  
Alveolar Bone ◽  
Innate Immune ◽  
Current Evidence ◽  
Anti Inflammatory ◽  
Safe Approach ◽  
Anti Inflammation ◽  
Inflammatory Component

Essential oils from different plant species were found to contain different compounds exhibiting anti-inflammatory effects with the potential to be a valid alternative to conventional chemotherapy that is limited in long-term use due to its serious side effects. Generally, the first mechanism by which an organism counteracts injurious stimuli is inflammation, which is considered a part of the innate immune system. Periodontitis is an infectious and inflammatory disease caused by a dysbiosis in the subgingival microbiome that triggers an exacerbated immune response of the host. The immune–inflammatory component leads to the destruction of gingival and alveolar bone tissue. The main anti-inflammation strategies negatively modulate the inflammatory pathways and the involvement of inflammatory mediators by interfering with the gene’s expression or on the activity of some enzymes and so affecting the release of proinflammatory cytokines. These effects are a possible target from an effective and safe approach, suing plant-derived anti-inflammatory agents. The aim of the present review is to summarize the current evidence about the effects of essentials oils from derived from plants of the Lamiaceae family as complementary agents for the treatment of subjects with periodontitis and their possible effect on the cardiovascular risk of these patients.

Integrated Biomarkers for Depression in Alzheimer’s Disease: A Critical Review

2017 ◽  
Vol 14 (4) ◽  
pp. 441-452 ◽  
Author(s):  
Sofia Wenzler ◽  
Christian Knochel ◽  
Ceylan Balaban ◽  
Dominik Kraft ◽  
Juliane Kopf ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Affect Regulation ◽  
Current Evidence ◽  
Diagnostic Process ◽  
Neuropsychiatric Manifestation ◽  
The Brain ◽  
Control Functional

Depression is a common neuropsychiatric manifestation among Alzheimer’s disease (AD) patients. It may compromise everyday activities and lead to a faster cognitive decline as well as worse quality of life. The identification of promising biomarkers may therefore help to timely initiate and improve the treatment of preclinical and clinical states of AD, and to improve the long-term functional outcome. In this narrative review, we report studies that investigated biomarkers for AD-related depression. Genetic findings state AD-related depression as a rather complex, multifactorial trait with relevant environmental and inherited contributors. However, one specific set of genes, the brain derived neurotrophic factor (BDNF), specifically the Val66Met polymorphism, may play a crucial role in AD-related depression. Regarding neuroimaging markers, the most promising findings reveal structural impairments in the cortico-subcortical networks that are related to affect regulation and reward / aversion control. Functional imaging studies reveal abnormalities in predominantly frontal and temporal regions. Furthermore, CSF based biomarkers are seen as potentially promising for the diagnostic process showing abnormalities in metabolic pathways that contribute to AD-related depression. However, there is a need for standardization of methodological issues and for replication of current evidence with larger cohorts and prospective studies.

Lost Glory

2018 ◽  
Author(s):  
Sumit K. Majumdar
Keyword(s):  
Positive Impact ◽  
Positive Outcomes ◽  
State Sector ◽  
Definitive Evidence ◽  
Industrial Landscape ◽  
Intellectual Origins ◽  
Automobile Manufacturer ◽  
High Output

Lost Glory: India’s Capitalism Story describes India’s industrialization experiences. Questions about long-term industry and productivity evolution, and their impact on economic growth, lie at the heart of discourses of capitalism. The book is based on detailed empirical analyses of India’s industrialization over a period of almost seven decades, and a case study of Maruti Suzuki, India’s largest automobile manufacturer. The deeply nuanced depiction of the historical political economy that has affected India’s industrialization is a unique feature. This history will enlighten everyone interested in India. The presentation takes readers on a definitive evidence-based survey of India’s industrial landscape. It includes a detailed historical description of the intellectual origins of India’s modern industrialization, anchored in a privileged view of economic policymaking. Grounded in historical and political analyses, the facts derived on India’s long-term economic performance are used to set the record straight. It is unsparing in its assessments where the evidence warrants such conclusions. Its findings will transform debate, and set the agenda for thoughtfully assessing the future course of India’s prosperity. The author overturns the assumptions that India’s much-vaunted private sector firms only engender positive outcomes, finding State-sector firms to have become efficient, and the molecular sector to be as effective overall, while also challenging the notion that privatization is necessary for progress. Conversely, it is found that competition policy innovations to have had positive impact. Practical suggestions are provided and three fundamental reforms, one administrative, one structural, and one behavioral, necessary to regenerate high output, are advocated.

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