The syndrome of multiple chemical sensitivities has many manifestations and undoubtedly many causes. Treatment must be individualized based on a thorough psychosocial and biological diagnostic evaluation. Careful listening, as is usually the case, not only results in a more complete history but also serves a critical therapeutic purpose in cementing ...

This comprehensive bibliography is intended to enhance the education of the practitioner, student, and academician in the area of parenteral nutrition. This bibliography is not all-inclusive but serves as an update from the original published in 1983. Of particular note in this work is the addition of topics that reflect ...

Knowledge of nutritional principles and attitudes to nutrition education of a group of clinical medical students and junior hospital doctors were examined by questionnaire. The percentage of correct answers to factual questions was 50.8 for students and 58.5 for doctors. Both groups considered that their teaching was inadequate and over ...

The Southeastern Regional Medical-Nutrition Education Network (SERMEN) comprises 11 medical schools with varied nutrition training programs. A faculty representative from each school rated 41 topics in nutrition as to their importance for medical practice. From the seven topics unanimously chosen, a 90-item examination was prepared using the University of Alabama ...

This is an exploratory attempt to investigate the organization of knowledge in preclinical and clinical textbooks. A theoretical framework to understand the role of textbooks in medical education is developed. An analysis of preclinical and clinical textbooks indicates that preclinical textbooks organize the same field of knowledge differently to clinical ...

Food and water can be naturally delivered to dying patients, or they can be medically delivered. If medically delivered, they are called nutrition and fluids. As such they should be regarded just like all other medical interventions when calculating their burdens and benefits to dying patients. A set of guidelines ...

Pharmaceutical firms and practitioners are rushing to test the medical benefits of oxy radical scavengers in a multitude of clinical situations despite the fact that convincing evidence of oxygen radical tissue damage in vivo is lacking and that properly controlled trials have been few and far between. Analysis of the ...

A multidisciplinary team approach to treatment of failure to thrive in infancy and early childhood permits the simultaneous consideration of nutritional, medical, and psychosocial risk factors associated with this complex syndrome. The registered dietitian works with the physician, nurse, and social worker to provide an integrated evaluation of nutrition history, ...

A two part, prospective study was undertaken to establish the existing frequency of total parenteral nutrition-(TPN) related mechanical, metabolic, and septic complications in an institution with a consultative TPN team (group A) and to determine if increasing the involvement of the TPN team in patient monitoring and verifying adherence to ...

The study of nutrition as it relates to patient evaluation and care is a necessary component of the education of medical students. Although the clinical dietitian is the person best qualified to provide applied nutrition education, this contribution has been made only since the integration of the dietitian into the ...

A nationwide survey of core competencies of nutrition knowledge and skills that primary care physicians should know and/or be able to do has been completed. Nutrition competencies were synthesized from a review of clinical nutrition practices as reported in the medical literature and by medical school faculty group discussions. A ...

The traditional requirement for dancers to be lean coupled with the fact that dance is a nonendurance form of exercise makes it necessary for dancers, particularly females, to follow diets of relatively low caloric content. Food faddism and irrational use of nutritional supplements are common among dancers, who have little ...

Four experiments were conducted with eighteen lambs sustained entirely by intragastric nutrition at gross energy inputs varying from 430 to 860 kJ/kg live weight0.75 (W0.75). Isolated rumen micro-organisms (RMO) were infused into the abomasum in quantities varying from 0 to 2 g digestible N/kg W0.75 to assess the increase in ...

Two surveys eliciting information regarding parenteral nutrition and nutritional support in Veterans Administration Medical Centers were performed in 1981. Of 133 answering Veterans Administration Medical Centers, 45% had nutritional support teams. Two-thirds of these nutritional support groups were reported to be active. If an attempt to assess the quality of ...

A review of the literature on the medical and nutritional use of medium-chain triglycerides (MCTs) since 1970 is presented with additional discussions on the various modifications and applications of the MCTs in the synthesis of certain structured lipids. The metabolism of MCTs in the liver and extrahepatic tissues is discussed ...

A double-blind, multiclinic, parallel, controlled study was conducted to compare the efficacy of two coal tar over-the-counter products, Oxipor VHC lotion and Tegrin lotion. The pooled analysis showed that both left and right sides of the body were comparable with respect to the initial severity of all clinical parameters including ...

Nutrition education in medical schools is still for from established. Part of the difficulty in establishing nutrition as an integral part of the curriculum is a failure by many educators and people in the health professions to recognize the subject as a science. Graduate nutrition programs do not consistently provide ...

The centralized preparation of large-volume parenteral and total parenteral nutrition solutions at the University of California Medical Center, San Diego, was expanded to include intermittent therapy admixtures for piggyback administration. Efficient methods were needed to prepare large quantities of admixtures daily. A batch system of preparation was designed and implemented ...

Experiences of the medical staff serving the Canadian Swimming team and officials at the 1979 World Aquatic Swimming Championships are described in this report. Routines were developed to ensure that 'banned drug' regulations were observed even though some banned drugs might have been essential medication for some athletes. Recommendations for ...

Medical faculty, practicing physicians, medical students, and dietitians/nutritionists rated nutritional concepts as to their importance for inclusion in the medical school curricula and indicated the best method of accomplishing this. Ten concepts were rated "essential." They related to biochemical and physiological aspects of nutrition; nutrition in pregnancy, lactation, growth, development, ...

There are strong indications that the caffeine intake of Canadian Northern Indigenous People is very substantial. Tea is the main contributor. Preliminary calculations show that daily ingestion of caffeine among these groups is much higher than ingestion levels known to have adverse medical and behavioral effects. Of particular concern is ...

A survey was conducted to identify clinic privileges that might serve as reinforcers for a group of methadone maintenance clients. Fifty-three clients ranked nine clinic privileges according to their desirability. The opportunity to take medication home from the clinic on 4 days of the week was ranked as most desirable, ...

A census was taken of outpatient bookings at all hospitals and health centres in Oxfordshire for the main medical and surgical specialities. Nine per cent of all bookings were to peripheral clinics (that is, those outsie the two main medical centres at Oxford and Banbury). About half of all bookings ...

The availability of a defined medium (STEIGER & STEIGER, 1976) has enabled studies on the nutritional requirements of promastigotes of L. donovani and L. braziliensis (STEIGER & STEIGER, 1977). As outlined elsewhere (STEIGER & MESHNICK, 1977), the present paper describes preliminary experiments dealing with the utilization of amino-acids and glucose ...

A number of medical and surgical conditions in gastro-enterology are important indications for modern parenteral nutrition. In such conditions only parenteral nutrition can provide adequate nourishment and prevent malnutrition. It is important in these cases to provide complete intravenous nutrition, comprising amino acids, carbohydrates, fat, electrolytes and vitamins. Furthermore, a ...

Comparison of the MMPI and Mini-Mult scales yielded significant scale-by-scale correlations. However, the group means were different in 6 of the 11 possible scales, and there was a general tendency for the Mini-Mult to over-estimate MMPI scales. The Mini-Mult proved to be highly ineffective to detect MMPI invalid profiles. In ...

There exists inadequate recognition, inadequate support, and inadequate attention to the subject of nutrion in medical schools. While progress has occurred in some schools, the teaching of nutrition has not generally been integrated into the curriculum of the medical school. This paper raises the question: Within what framework and how? ...

After an eight-year experience of introducing nutrition into the medical school curriculum of a new medical school, the author reflects on the state of the art. Questions are raised: What is nutrition? Is it part of medical education? If not, why not? Why should it be taught? The article ends ...

Three, single-day nutritional surveys at weekly intervals were conducted in the general medical wards of an urban municipal teaching hospital. The techniques of nutritional assessment included anthropometric measures (weight/height, triceps skin fold, arm-muscle circumference, serum albumin, and hematocrit). The prevalence of protein-calorie malnutrition was 44% or greater by these criteria ...

Cavity disinfection, indirect pulp capping, and direct pulp capping have been discussed in light of present day knowledge of the biology of the pulp. A format has been presented to the restorative dentist which has had long-standing clinical acceptance based on some scientific data and clinical evidence to substantiate the ...

Current medication for Huntingtons chorea is based on compounds which affect the activity of acetylcholine and dopamine in the basal ganglia and is unsatisfactory. This report describes a small clinical trial of dopamine antagonists, tetrabenazine (Nitoman) and pimozide (Orap). Improvement was early and striking but was not maintained over the ...

Nutrition has been traditionally taught in medical schools with emphasis on clinical management of disease states with modified diets. However, the science of nutrition can no longer be considered only in terms of the diagnosis and treatment of nutritional deficiency diseases. Prevention of disease-care rather than cure-must be emphasized. Using ...

Two hundred and fifty children, suffering from measles were studied for morbidity and mortality in Tanga District Hospital in Tanzania. The highest incidence of measles was in the second half of the first year of childhood (40%). Mortality was directly related to the nutritional status and associated complications. Medical care ...

The clinical nutritional knowledge of medical students and practicing physicians was assessed. Overall, nutrition knowledge was modest. However, there were substantial variations in knowledge among closely related topics. Knowledge often was highest among nutrition topics which have received the most publicity in the popular press. The nutrition knowledge profile suggests ...

Thesis (M.A.)--Catholic Theological Union at Chicago, 1996.

This position statement of the American Dietetic Association states that the application of medical nutrition therapy (MNT) and lifestyle counseling as a part of the Nutrition Care Process is an integral component of the medical treatment for management of specific disease states and conditions. This document discusses: roles of the ...

Patients with multiple myeloma may present with insidious or acute clinical problems to wide variety of medical specialties. It is important for doctors to know how to diagnose myeloma accurately, to be aware of the clinical complications and to have some knowledge of the newer therapeutic approaches to chemotherapy and ...

An attempt was made to explain the puzzling observation that in bacteria 2,6-diaminopurine can replace guanine for guanineless mutants and for xanthineless mutants (both of which can make adenosine monophosphate de novo) but not for nonexacting purine auxotrophs (which cannot make adenosine monophosphate de novo). The analogue failed to inhibit ...

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