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  • Online Resource  (2)
  • DiscoverSys, Inc.  (2)
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  • Online Resource  (2)
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  • DiscoverSys, Inc.  (2)
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  • 1
    In: Bali Medical Journal, DiscoverSys, Inc., Vol. 10, No. 1 ( 2021-04-30), p. 392-396
    Abstract: Background: Malnutrition in the ICU patients increases morbidity, mortality, cost, and mechanical ventilation (MV) duration. Nutric score has been validated as a screening tool in critically ill patients to identify patients at risk of malnutrition. The pathophysiology of malnutrition in critically ill is caused by severity of disease and inflammation resulting in hypercatabolism. Delivering protein-energy intake will reduce hypercatabolism and maintain lean body mass that affects outcome. The study aims to analyze the correlation between nutric score and adequacy of energy and protein intake with MV duration.Methods: This cross sectional study enrolled 65 subjects ≥18 years with mechanical ventilation in the ICU of Dr. Kariadi Hospital Semarang during May to July 2020. The nutric score was determined within 24 - 48 hours. Statistical analysis used correlation test.Results: The mean nutric score was 2.3 ± 1.49, duration of MV was 3.9 ± 4.44. There was significant correlation between nutric score and duration of MV (r = 0.685; p 〈 0.001). The mean adequacy of energy intake was 1448.7 ± 235.87 and protein intake was 57.9 ± 11.94. There was significant negative correlation between adequacy of energy intake and MV duration (r=-0.246; p = 0.048). There was significant negative correlation between protein adequacy intake and MV duration (r=-0.34; p=0.006).Conclusion: Nutric score was correlated with duration of MV in the ICU patients. Adequacy of energy and protein intake had significant correlation with duration of MV.
    Type of Medium: Online Resource
    ISSN: 2302-2914 , 2089-1180
    Language: Unknown
    Publisher: DiscoverSys, Inc.
    Publication Date: 2021
    Location Call Number Limitation Availability
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  • 2
    Online Resource
    Online Resource
    DiscoverSys, Inc. ; 2021
    In:  Bali Medical Journal Vol. 10, No. 1 ( 2021-04-30), p. 405-406
    In: Bali Medical Journal, DiscoverSys, Inc., Vol. 10, No. 1 ( 2021-04-30), p. 405-406
    Abstract: Introduction: Despite having abundant sunshine all year long, hypovitaminosis D in Indonesia is still surprisingly prevalent. However, hypovitaminosis D in Indonesia has still been severely underdiagnosed and there were even fewer studies on its treatment. Thus, we aim to assess the effectiveness of daily vitamin D supplementation for subjects with hypovitaminosis D.Method: A randomized double-blind, placebo-controlled trial conducted was conducted with a total of 76 healthy, non-obese, working-age participants with hypovitaminosis D. The intervention was daily 1,000 IU of vitamin D3 supplementation for 12 weeks, while the placebo group received a placebo pill. The serum 25(OH)D level was measured pre-intervention, after 4 weeks, and after 12 weeks of intervention. The data were analyzed using an unpaired t-test in SPSS version 24.0. Out of the 81 participants, a total of 76 participants (93.8%) have hypovitaminosis D.Result: The serum 25(OH)D level in the treatment group was significantly higher than in the placebo group after 12 weeks of supplementation. The delta of serum 25(OH)D level after 12 weeks of supplementation was also significantly higher in the treatment group. Furthermore, the serum 25(OH)D level in the placebo group was found to be significantly reduced at the 12th week compared to the baseline. Participants who received daily supplementation of 1000 IU vitamin D3 for 12 consecutive weeks have significantly higher serum 25(OH)D levels than the participants in the placebo group. Same result was also observed when the changes of serum 25(OH)D after 12 weeks were analyzed.Conclusion: Hypovitaminosis D was surprisingly very prevalent among the working-age group in Indonesia. Participants who received daily supplementation of 1000 IU vitamin D3 for 12 consecutive weeks have significantly higher serum 25(OH)D levels than the participants in the placebo group.
    Type of Medium: Online Resource
    ISSN: 2302-2914 , 2089-1180
    Language: Unknown
    Publisher: DiscoverSys, Inc.
    Publication Date: 2021
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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