Nutritional Therapies in Clinical Practice, Management and Care

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: 25 August 2024 | Viewed by 944

Special Issue Editors


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Guest Editor
Laboratory of Dietetics and Quality of Life, Department of Food Science & Human Nutrition, School of Food and Nutritional Sciences, Agricultural University of Athens, 11855 Athens, Greece
Interests: diet; nutrition; malnutrition; chronic kidney disease; nutritional support; oncology nutrition
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Co-Guest Editor
Department of Clinical Nutrition, Evangelismos General Hospital of Athens, Ypsilantou 45-47, 10676 Athens, Greece
Interests: diet; nutrition; reproduction; clinical nutrition; obesity; enteral nutrition; critical care; nutritional assessment
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue, "Nutritional Therapies in Clinical Practice, Management and Care", aims to provide a comprehensive overview of the current state of knowledge in the field of nutritional therapies and their application in clinical practice and care. It covers various aspects of nutritional therapies, including their role in disease prevention, management, and treatment. It also discusses the challenges and opportunities in implementing nutritional therapies in clinical settings and the need for further research to improve their effectiveness and safety. This Special Issue is a valuable resource for healthcare professionals, researchers, and policymakers interested in the role of nutritional therapies in improving patient outcomes and overall healthcare quality.

Dr. Kalliopi Anna Poulia
Dr. Dimitrios T. Karayiannis
Guest Editors

Manuscript Submission Information

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nutritional management
  • nutrition support
  • enteral nutrition
  • surgery
  • critical care
  • chronic diseases
  • clinical dietetics

Published Papers (2 papers)

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Research

13 pages, 1816 KiB  
Article
Assessing the Level of Knowledge, Implementation Practices, and Use of Digital Applications for the Optimal Adoption of the Nutrition Care Process in Greece
by Lydia Chrysoula, Emmanouela Magriplis, Michael Chourdakis and Kalliopi Anna Poulia
Nutrients 2024, 16(11), 1716; https://doi.org/10.3390/nu16111716 - 31 May 2024
Abstract
The level of NCP implementation varies across countries due to differences identified in major components of health systems such as infrastructures, legislation, training, and cultural diversities. Dietitians in Greece receive sufficient training in the implementation of the NCP as part of their main [...] Read more.
The level of NCP implementation varies across countries due to differences identified in major components of health systems such as infrastructures, legislation, training, and cultural diversities. Dietitians in Greece receive sufficient training in the implementation of the NCP as part of their main studies; however, the level of awareness and adoption of the NCP model is still quite low, with limited information on the potential barriers. The primary aim of this study was to gain a deeper understanding of the perspectives of Greek dietitians on the NCP and the use of digital tools. An online survey was created and distributed through the platform “SurveyMonkey version 4.1.1”. The overall structure of the questionnaire was modeled according to the validated NCP/NCPT INIS Tool. A total of 279 subjects were included in this study, and 192 were aware of the NCP tool. The most important challenges for the implementation of the NCP included communication with other healthcare professionals (68.2%), provision of appropriate care (33.9%), and insufficient access to continuous education (29.2%). Of the 192 participants who knew the NCP, 81.3% reported using digital applications for the collection and assessment of health data, while 18.8% indicated that they did not utilize such tools. No relationship was found between the use of digital applications by dietitians, NCP knowledge, and demographic characteristics. Our findings highlight the need for targeted educational interventions and appropriate application of standardized protocols by Greek dietitians in daily practice. National Dietetic Associations should provide sufficient guidance on digital tool utilization in facilitating patient data management and enhancing NCP implementation. Full article
(This article belongs to the Special Issue Nutritional Therapies in Clinical Practice, Management and Care)
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10 pages, 605 KiB  
Article
Evaluation of a Novel Enteral Phosphorus Therapy with Enteral Nutrition during a National Intravenous Sodium Phosphate Shortage
by Tinia D. Harris, Julie E. Farrar, Saskya Byerly, Dina M. Filiberto and Roland N. Dickerson
Nutrients 2024, 16(9), 1394; https://doi.org/10.3390/nu16091394 - 6 May 2024
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Abstract
The purpose of this study was to evaluate the efficacy and safety of intragastric administration of small volumes of sodium enema solution containing phosphorus as phosphorus replacement therapy in critically ill patients with traumatic injuries who required continuous enteral nutrition. Adult patients (>17 [...] Read more.
The purpose of this study was to evaluate the efficacy and safety of intragastric administration of small volumes of sodium enema solution containing phosphorus as phosphorus replacement therapy in critically ill patients with traumatic injuries who required continuous enteral nutrition. Adult patients (>17 years of age) who had a serum phosphorus concentration <3 mg/dL (0.97 mmol/L) were evaluated. Patients with a serum creatinine concentration >1.4 mg/dL (124 µmol/L) were excluded. Patients were given 20 mL of saline enema solution intragastrically, containing 34 mmol of phosphorus and mixed in 240 mL water. A total of 55% and 73% of patients who received one (n = 22) or two doses (n = 11) had an improvement in the serum phosphorus concentration, respectively. The serum phosphorus concentration increased from 2.5 [2.1, 2.8] mg/dL (0.81 [0.69, 0.90] mmol/L) to 2.9 [2.2, 3.0] mg/dL (0.94 [0.71, 0.97 mmol/L) for those who received two doses (p = 0.222). Excluding two patients with a marked decline in serum phosphorus by 1.3 mg/dL (0.32 mmol/L) resulted in an increase in the serum phosphorus concentration from 2.3 [2.0, 2.8] mg/dL (0.74 [0.65, 0.90] mmol/L) to 2.9 [2.5, 3.2] mg/dL (0.94 [0.81, 1.03] mmol/L; n = 9; p = 0.012). No significant adverse effects were noted. Our data indicated that intragastric phosphate administration using a small volume of saline enema solution improved the serum phosphorus concentrations in most patients. Full article
(This article belongs to the Special Issue Nutritional Therapies in Clinical Practice, Management and Care)
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