scholarly journals BAPEN Malnutrition Universal Screening Tool in Adults in the City of Vlora, Albania

Author(s):  
Brunilda Subashi

Malnutrition, in all its forms, is a global problem and continues to be one of the greatest challenges facing our generation. ‘MUST’ is a five-step screening tool to identify adults, who are malnourished, at risk of malnutrition (undernutrition), or obese. Purpose: Evaluation of BMI, malnutrition and percentage of weight loss in the city of Vlora, Albania. Methodology: This is an exploratory study, carried out in the city of Vlora during May 20 - June 20, 2020, using the ‘MUST’ since data such as: height, weight and weight before 3-6 months, was obtained through the AFQPHALS Survey (Adult Food Quality and Physical Activity Level Survey), which was distributed online on social networks during May 17- 27, 2020 and completed by 545 adult subjects 18 years and older, including some Albanian cities with the predominance of the city of Vlora. Results & conclusions: Vlora constitute 55% part of the study sample; women 75%; with higher education 45% and master's degree 29%; full-time employees 38% and students 35%; 24% overweight, 9% obesity and 8% underweight; 73% has low risk, 16% has medium risk and 11% has high risk for malnutrition; 73% has not lost weight (0%). The high risk for malnutrition prevails in gender female, at higher education and master's level in students and full-time employees. Recommendations: Recognition and use of the Malnutrition Universal Screening Tool by the community, that is a free tool, easy and accessible for all to know and reduce malnutrition.

2018 ◽  
Vol 120 (5) ◽  
pp. 528-536 ◽  
Author(s):  
Abbie L. Cawood ◽  
Emily R. Walters ◽  
Sarah K. E. Sharp ◽  
Marinos Elia ◽  
Rebecca J. Stratton

AbstractSelf-screening using an electronic version of the Malnutrition Universal Screening Tool (‘MUST’) has been developed but its implementation requires investigation. A total of 100 outpatients (mean age 50 (sd 16) years; 57 % male) self-screened with an electronic version of ‘MUST’ and were then screened by a healthcare professional (HCP) to assess concurrent validity. Ease of use, time to self-screen and prevalence of malnutrition were also assessed. A further twenty outpatients (mean age 54 (sd 15) years; 55 % male) examined preference between self- screening with paper and electronic versions of ‘MUST’. For the three-category classification of ‘MUST’ (low, medium and high risk), agreement between electronic self-screening and HCP screening was 94 % (κ=0·74, se 0·092; P<0·001). For the two-category classification (low risk; medium+high risk) agreement was 96 % (κ=0·82, se 0·085; P<0·001), comparable with the previously reported paper-based self-screening. In all, 15 % of patients categorised themselves ‘at risk’ of malnutrition (5 % medium, 10 % high). Electronic self-screening took 3 min (sd 1·2 min), 40 % faster than previously reported for the paper-based version. Patients found the tool easy or very easy to understand (99 %) and complete (98 %). Patients that assessed both tools found the electronic tool easier to complete (65 %) and preferred it (55 %) to the paper version. Electronic self-screening using ‘MUST’ in a heterogeneous group of hospital outpatients is acceptable, user-friendly and has ‘substantial to almost-perfect’ agreement with HCP screening. The electronic format appears to be as agreeable and often the preferred format when compared with the validated paper-based ‘MUST’ self-screening tool.


2008 ◽  
Vol 67 (OCE3) ◽  
Author(s):  
S. H. Merriman ◽  
H. F. Scott ◽  
K. E. Paterson ◽  
R. Lee ◽  
E. A. Wainwright

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Emília Carolle Azevedo De Oliveira ◽  
Iris Edna Pereira Da Silva ◽  
Ricardo José Ferreira ◽  
Ricardo José de Paula Souza e Guimarães ◽  
Elainne Christine de Souza Gomes ◽  
...  

This is an analysis of the risk of schistosomiasis transmission in the city of Recife in the Northeast of Brazil based on the number of schistosomiasis cases (Schistosoma mansoni) registered for the period 2007-2017 together with data resulting from active search of breeding sites of the Biomphalaria snail intermediate host. The analyses were performed using Kernel Density Estimation (KDE), SaTScan and Map Algebra methodology using human socio-demographic data and biotic and abiotic data from the snail breeding sites. Investigating 44 breeding sites resulted in a total of 3.800 snails, 31.8% of which were positive for S. mansoni DNA. These data were considered in relation to total of 652 schistosomiasis cases. The KDE showed two high-risk and two medium-risk clusters, while three significant clusters were identified by SaTScan. Combining these data with the Map Algebra methodology showed that all high-risk neighbourhoods had breeding sites with snails positive for S. mansoni. It was concluded that schistosomiasis transmission cannot be controlled without basic sanitation and sewage management in the presence of Biomphalaria snails. The technique of Map Algebra was found to be fundamental for the analysis and demonstration of areas with a high probability of schistosomiasis transmission.


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