Malnutrition is a condition that develops from an imbalance of nutrient intake and the body's needs. It can manifest as protein-energy malnutrition (PEM) in various forms including kwashiorkor, marasmus, and marasmic-kwashiorkor. Kwashiorkor is characterized by edema and results from insufficient protein intake while marasmus is caused by lack of energy intake leading to wasting. PEM is assessed clinically through measurements, lab tests, and evaluating functional criteria to determine severity and appropriate treatment.
This document discusses protein energy malnutrition (PEM), also known as protein calorie malnutrition. It defines PEM as a range of pathological conditions arising from simultaneous deficiency of proteins and energy, commonly associated with infections. PEM manifests in two main forms: marasmus and kwashiorkor. Marasmus involves inadequate intake of protein and calories, characterized by emaciation. Kwashiorkor involves inadequate protein intake with reasonable caloric intake, characterized by edema. PEM is highly prevalent in developing countries among children under 5 years old. The most common causes of PEM are poverty, inadequate food intake, infections, and poor maternal health and nutrition.
Undernutrition refers to being underweight, stunted, or wasted due to insufficient food intake and recurrent infections. Stunting reflects a failure to reach linear growth potential from chronic undernutrition and generally occurs before age 2. Wasting reflects low body weight in relation to height and indicates acute undernutrition from recent food deprivation or illness. Common indicators used to measure undernutrition include stunting, wasting, and being underweight.
Protein energy malnutrition (PEM) refers to a group of conditions caused by inadequate protein and calorie intake. The main types are marasmus, kwashiorkor, and a combined form. PEM is diagnosed using measurements of weight for height and age along with lab tests. Treatment involves correcting nutritional deficiencies, managing complications, and gradual refeeding to support recovery. Prevention strategies target national, community, and family levels through measures like supplementation, education, growth monitoring, and breastfeeding promotion.
Malnutrition is poor nutrition due to an insufficient, poorly balanced diet, faulty digestion or poor utilization of foods. (This can result in the inability to absorb foods).
Malnutrition is not only insufficient intake of nutrients. It can occur when an individual is getting excessive nutrients as well.
The document discusses nutritional assessment for BScN students. It defines nutritional assessment as collecting and interpreting data to determine nutritional status. The four components of assessment are anthropometric, biochemical, clinical, and dietary methods. Anthropometric measurements include height, weight, skin signs. Biochemical tests measure substances in blood. Clinical methods consider disease states and symptoms. Dietary methods estimate energy needs. Nursing diagnoses for malnutrition include imbalanced nutrition and risk of infection. Preventive measures include supplements, diet modification, and health education. The document also defines undernutrition and overnutrition, and their causes and signs.
This document summarizes several common nutritional disorders caused by deficiencies of proteins, minerals, vitamins, and other nutrients. It discusses protein-energy malnutrition (PEM) disorders like kwashiorkor and marasmus caused by inadequate protein and energy intake. Mineral deficiencies covered include anemia from iron deficiency and iodine deficiency disorders (IDD) like goiter. Vitamin deficiencies discussed are night blindness from vitamin A deficiency, rickets from vitamin D deficiency, scurvy from vitamin C deficiency, and several B-complex deficiencies like beriberi, photophobia, and pellagra. The document provides details on symptoms, affected groups, causes, and prevention strategies for each nutritional disorder.
This document discusses protein energy malnutrition (PEM), also known as protein calorie malnutrition. It defines PEM as a range of pathological conditions arising from simultaneous deficiency of proteins and energy, commonly associated with infections. PEM manifests in two main forms: marasmus and kwashiorkor. Marasmus involves inadequate intake of protein and calories, characterized by emaciation. Kwashiorkor involves inadequate protein intake with reasonable caloric intake, characterized by edema. PEM is highly prevalent in developing countries among children under 5 years old. The most common causes of PEM are poverty, inadequate food intake, infections, and poor maternal health and nutrition.
Undernutrition refers to being underweight, stunted, or wasted due to insufficient food intake and recurrent infections. Stunting reflects a failure to reach linear growth potential from chronic undernutrition and generally occurs before age 2. Wasting reflects low body weight in relation to height and indicates acute undernutrition from recent food deprivation or illness. Common indicators used to measure undernutrition include stunting, wasting, and being underweight.
Protein energy malnutrition (PEM) refers to a group of conditions caused by inadequate protein and calorie intake. The main types are marasmus, kwashiorkor, and a combined form. PEM is diagnosed using measurements of weight for height and age along with lab tests. Treatment involves correcting nutritional deficiencies, managing complications, and gradual refeeding to support recovery. Prevention strategies target national, community, and family levels through measures like supplementation, education, growth monitoring, and breastfeeding promotion.
Malnutrition is poor nutrition due to an insufficient, poorly balanced diet, faulty digestion or poor utilization of foods. (This can result in the inability to absorb foods).
Malnutrition is not only insufficient intake of nutrients. It can occur when an individual is getting excessive nutrients as well.
The document discusses nutritional assessment for BScN students. It defines nutritional assessment as collecting and interpreting data to determine nutritional status. The four components of assessment are anthropometric, biochemical, clinical, and dietary methods. Anthropometric measurements include height, weight, skin signs. Biochemical tests measure substances in blood. Clinical methods consider disease states and symptoms. Dietary methods estimate energy needs. Nursing diagnoses for malnutrition include imbalanced nutrition and risk of infection. Preventive measures include supplements, diet modification, and health education. The document also defines undernutrition and overnutrition, and their causes and signs.
This document summarizes several common nutritional disorders caused by deficiencies of proteins, minerals, vitamins, and other nutrients. It discusses protein-energy malnutrition (PEM) disorders like kwashiorkor and marasmus caused by inadequate protein and energy intake. Mineral deficiencies covered include anemia from iron deficiency and iodine deficiency disorders (IDD) like goiter. Vitamin deficiencies discussed are night blindness from vitamin A deficiency, rickets from vitamin D deficiency, scurvy from vitamin C deficiency, and several B-complex deficiencies like beriberi, photophobia, and pellagra. The document provides details on symptoms, affected groups, causes, and prevention strategies for each nutritional disorder.
Protein-energy malnutrition (PEM), sometimes called protein-energy undernutrition (PEU), is a form of malnutrition that is defined as a range of pathological conditions arising from a coincident lack of dietary protein and/or energy (calories) in varying proportions.
NUTRITIONAL DISORDERS AND PROTEIN ENERGY MALNUTRITIONRabia Khan Baber
Nutritional disorder are diseases that occur when a person's dietary intake does not contain the right amount of nutrients for healthy functioning, or when a person cannot correctly absorb nutrients from food. Nutritional disorders can be caused by undernutrition, over nutrition or an incorrect balance of nutrients.
This document discusses protein-energy malnutrition (PEM) in infants and children. It defines malnutrition and the specific forms of PEM, including marasmus and kwashiorkor. For kwashiorkor, it covers the pathophysiology, etiology, clinical signs and symptoms, laboratory findings, and complications. For marasmus it discusses the definition, etiology, clinical assessment, and differences from kwashiorkor. The document also outlines the WHO's 10 steps for recovery from malnutrition and provides a nursing care plan to address malnutrition through dietary interventions and maintaining appropriate body temperature.
Malnutrition consequences, causes, prevention and controlHarshraj Shinde
Malnutrition can be caused by both under-nutrition and over-nutrition, resulting in nutritional disorders. Under-nutrition can cause protein-energy malnutrition, vitamin and mineral deficiencies, and specific deficiency diseases like beriberi, pellagra, rickets, and anemia. Over-nutrition can cause obesity. Malnutrition has wide-ranging consequences and is both caused by and exacerbates poverty. Prevention strategies include improving agricultural production, educating people, food fortification, genetic engineering of crops, and government assistance programs.
The document discusses protein-energy malnutrition (PEM) in children. It defines PEM as a group of pathological conditions arising from a lack of proteins and calories, most commonly seen in infants and young children. The three main forms of PEM are marasmus (predominant energy deficiency), kwashiorkor (predominant protein deficiency with some energy deficiency), and intermediate states. The document then discusses indicators used to assess malnutrition, the global and regional burden of PEM, clinical manifestations, classifications, management, preventive measures, and Indian government programs addressing PEM like ICDS and mid-day meals.
Malnutrition, Causes,Framework, vicious cycle,Preventive measures,Policy and ...Dhirendra Nath
This document discusses various types of malnutrition including protein energy malnutrition (PEM) in Nepal. It outlines the immediate, underlying, and basic causes of PEM as inadequate dietary intake and infections which interact in a vicious cycle. Preventive measures proposed include promoting optimal infant and young child feeding practices, vaccination, food fortification, and treating diarrhea and intestinal parasites. The document also discusses iodine deficiency disorders, iron deficiency anemia, vitamin A deficiency and their prevention through salt iodization, food fortification, and supplementation programs.
This document discusses various methods for assessing nutritional status, including direct methods like anthropometric measurements, biochemical tests, clinical exams, and dietary evaluations as well as indirect methods using community health data. It provides details on anthropometric indicators like BMI, waist circumference, and hip measurements. Clinical exams can identify signs of deficiencies in hair, mouth, eyes, nails, skin, thyroid, and bones. Biochemical tests of blood and urine are useful to detect early nutritional changes. Dietary assessments include 24-hour recalls, food frequency questionnaires, and food diaries.
The document discusses various methods for assessing nutritional status, including direct methods like anthropometric measurements, biochemical tests, and clinical examinations as well as indirect methods like dietary assessments, vital statistics, and socioeconomic factors. It provides details on specific anthropometric indicators, nutritional assessment techniques for children, and how to interpret dietary and anthropometric data. The overall aim of nutritional assessment is to identify malnutrition, develop health programs, and measure their effectiveness.
This document defines nutrition and classifies essential nutrients in several ways, including by origin, chemical composition, predominant function, and nutritive value. It describes the major macronutrients - carbohydrates, proteins, fats, water, and fiber - and micronutrients like vitamins and minerals. It also discusses major nutritional disorders and methods of nutritional assessment. Finally, it provides an overview of the Tamil Nadu Noon Meal Programme and emphasizes that good health is attained through a nutritious diet containing all essential nutrients in proper amounts.
This document discusses malnutrition, including its signs, types, causes, and diagnosis. It defines malnutrition as a deficiency or imbalance of energy, protein, and other nutrients that adversely affects the body. The two main types are overnutrition and undernutrition. Undernutrition can result from not eating enough food, poor nutrition, or medical conditions. Specific malnutrition diseases include kwashiorkor (protein deficiency), marasmus (calorie deficiency), and micronutrient deficiencies. Diagnosis involves measuring body mass index, blood tests, and other physical exams. Treatment aims to restore proper nutrition through diet and managing any underlying illnesses.
Premature infants have special nutritional needs that depend on their gestational age and health status. They may be fed intravenously through total parenteral nutrition, through a feeding tube via gavage, or directly by mouth once they can coordinate sucking and swallowing. The goal is to meet their nutritional requirements to support growth and development while avoiding feeding-related health issues like necrotizing enterocolitis. Feeding methods transition over time from intravenous to enteral as the infant's maturity and ability to tolerate feedings improves.
Iodine deficiency disorder (IDD) refers to health issues caused by inadequate iodine intake, ranging from abortions and stillbirths to mental and physical retardation. Over two billion people worldwide are at risk of IDD, with iodine deficiency being the leading preventable cause of intellectual disabilities. Universal salt iodization, health education, and monitoring programs are recommended to prevent and control IDD.
This document defines childhood obesity and discusses its prevalence, etiology, comorbidities, evaluation, intervention, and prevention. Childhood obesity is defined as a BMI above the 95th percentile. It affects 31% of children aged 2-6 years and 16% of children aged 6-19 years. The main causes include environmental factors like increased consumption of unhealthy foods and decreased physical activity, genetic predispositions, and certain endocrine conditions. Obesity can lead to serious health issues like diabetes, hypertension, sleep apnea, and mental health problems. Evaluation involves growth monitoring and testing for underlying causes and comorbidities. Treatment focuses on nutrition, exercise, and behavior changes, while prevention emphasizes healthy eating, activity, and limiting screen
This document discusses protein-energy malnutrition (PEM), a major public health problem in India that affects children under 5 years old. It defines PEM as resulting from protein and calorie deficiencies. The most severe forms are kwashiorkor and marasmus. PEM is classified based on severity and symptoms. Kwashiorkor involves edema while marasmus is severe wasting. Risk factors include low birth weight and infections. Treatment focuses on nutrition, infection prevention, and educating parents to prevent relapse. Nursing care includes assessment, addressing nutritional deficits and risks, and monitoring for complications.
Malnutrition refers to any imbalance between nutrient needs and intake that negatively impacts growth, development, and other bodily functions. It can be caused by inadequate food intake, early breastfeeding cessation, cultural food customs, poor sanitation, or chronic illness impairing digestion. The WHO classifies malnutrition as moderate or severe based on levels of stunting, wasting, and edema. The main types are marasmus marked by severe wasting, kwashiorkor shown by edema, and a combination of both. Treatment focuses on food distribution programs, supplements, breastfeeding support, and improving sanitation and healthcare access.
Malnutrition is defined as a deficiency or excess of essential nutrients. India has a major malnutrition problem, with over 200 million undernourished people. Malnutrition has many dimensions and can be measured through anthropometry, clinical signs, biochemical tests and secondary data. The major forms of malnutrition in India are undernutrition like stunting, wasting, and micronutrient deficiencies. Prevention and control requires efforts across many sectors like agriculture, public health, and socioeconomic development. Key programs in India aim to address issues like vitamin A deficiency, anemia, and iodine deficiency through supplementation and nutrition education.
Nutritional assessment by Dr. Rajan Bikram Rayamajhiwrigveda
This document discusses various methods for nutritional assessment, including anthropometric, biochemical, clinical, dietary, functional, and anthropometric assessments. It provides details on each method, including what they measure and their advantages and limitations. The key methods covered are anthropometry (measuring height, weight, skin folds), biochemical tests of nutrients, clinical exams for signs of deficiencies, dietary assessments like 24-hour recalls, and functional tests of physiological processes impacted by nutrition.
Moderate to severe malnutrition presents with different clinical features depending on whether the child has marasmus or kwashiorkor. Marasmus is characterized by marked wasting of fat and muscle without edema. Children with marasmus appear alert despite their condition and have less mortality and infection risk than kwashiorkor. Kwashiorkor mainly affects children ages 1-4 and is identified by pitting edema along with flaky skin, loss of hair pigmentation and curls, and mental changes like apathy. Recovery from kwashiorkor tends to be slower than from marasmus.
This document discusses various types of malnutrition including marasmus, kwashiorkor, hypovitaminosis, and hypervitaminosis. It provides details on the causes, signs and symptoms, and treatment of kwashiorkor and marasmus. Key information includes that kwashiorkor is caused by very low protein intake between 1-3 years old, presents with edema, muscle wasting, and psychomotor changes, and is treated with dietary protein and calorie support. Marasmus is characterized by emaciation due to lack of both proteins and calories, with weight for age <60% expected.
Protein-energy malnutrition (PEM), sometimes called protein-energy undernutrition (PEU), is a form of malnutrition that is defined as a range of pathological conditions arising from a coincident lack of dietary protein and/or energy (calories) in varying proportions.
NUTRITIONAL DISORDERS AND PROTEIN ENERGY MALNUTRITIONRabia Khan Baber
Nutritional disorder are diseases that occur when a person's dietary intake does not contain the right amount of nutrients for healthy functioning, or when a person cannot correctly absorb nutrients from food. Nutritional disorders can be caused by undernutrition, over nutrition or an incorrect balance of nutrients.
This document discusses protein-energy malnutrition (PEM) in infants and children. It defines malnutrition and the specific forms of PEM, including marasmus and kwashiorkor. For kwashiorkor, it covers the pathophysiology, etiology, clinical signs and symptoms, laboratory findings, and complications. For marasmus it discusses the definition, etiology, clinical assessment, and differences from kwashiorkor. The document also outlines the WHO's 10 steps for recovery from malnutrition and provides a nursing care plan to address malnutrition through dietary interventions and maintaining appropriate body temperature.
Malnutrition consequences, causes, prevention and controlHarshraj Shinde
Malnutrition can be caused by both under-nutrition and over-nutrition, resulting in nutritional disorders. Under-nutrition can cause protein-energy malnutrition, vitamin and mineral deficiencies, and specific deficiency diseases like beriberi, pellagra, rickets, and anemia. Over-nutrition can cause obesity. Malnutrition has wide-ranging consequences and is both caused by and exacerbates poverty. Prevention strategies include improving agricultural production, educating people, food fortification, genetic engineering of crops, and government assistance programs.
The document discusses protein-energy malnutrition (PEM) in children. It defines PEM as a group of pathological conditions arising from a lack of proteins and calories, most commonly seen in infants and young children. The three main forms of PEM are marasmus (predominant energy deficiency), kwashiorkor (predominant protein deficiency with some energy deficiency), and intermediate states. The document then discusses indicators used to assess malnutrition, the global and regional burden of PEM, clinical manifestations, classifications, management, preventive measures, and Indian government programs addressing PEM like ICDS and mid-day meals.
Malnutrition, Causes,Framework, vicious cycle,Preventive measures,Policy and ...Dhirendra Nath
This document discusses various types of malnutrition including protein energy malnutrition (PEM) in Nepal. It outlines the immediate, underlying, and basic causes of PEM as inadequate dietary intake and infections which interact in a vicious cycle. Preventive measures proposed include promoting optimal infant and young child feeding practices, vaccination, food fortification, and treating diarrhea and intestinal parasites. The document also discusses iodine deficiency disorders, iron deficiency anemia, vitamin A deficiency and their prevention through salt iodization, food fortification, and supplementation programs.
This document discusses various methods for assessing nutritional status, including direct methods like anthropometric measurements, biochemical tests, clinical exams, and dietary evaluations as well as indirect methods using community health data. It provides details on anthropometric indicators like BMI, waist circumference, and hip measurements. Clinical exams can identify signs of deficiencies in hair, mouth, eyes, nails, skin, thyroid, and bones. Biochemical tests of blood and urine are useful to detect early nutritional changes. Dietary assessments include 24-hour recalls, food frequency questionnaires, and food diaries.
The document discusses various methods for assessing nutritional status, including direct methods like anthropometric measurements, biochemical tests, and clinical examinations as well as indirect methods like dietary assessments, vital statistics, and socioeconomic factors. It provides details on specific anthropometric indicators, nutritional assessment techniques for children, and how to interpret dietary and anthropometric data. The overall aim of nutritional assessment is to identify malnutrition, develop health programs, and measure their effectiveness.
This document defines nutrition and classifies essential nutrients in several ways, including by origin, chemical composition, predominant function, and nutritive value. It describes the major macronutrients - carbohydrates, proteins, fats, water, and fiber - and micronutrients like vitamins and minerals. It also discusses major nutritional disorders and methods of nutritional assessment. Finally, it provides an overview of the Tamil Nadu Noon Meal Programme and emphasizes that good health is attained through a nutritious diet containing all essential nutrients in proper amounts.
This document discusses malnutrition, including its signs, types, causes, and diagnosis. It defines malnutrition as a deficiency or imbalance of energy, protein, and other nutrients that adversely affects the body. The two main types are overnutrition and undernutrition. Undernutrition can result from not eating enough food, poor nutrition, or medical conditions. Specific malnutrition diseases include kwashiorkor (protein deficiency), marasmus (calorie deficiency), and micronutrient deficiencies. Diagnosis involves measuring body mass index, blood tests, and other physical exams. Treatment aims to restore proper nutrition through diet and managing any underlying illnesses.
Premature infants have special nutritional needs that depend on their gestational age and health status. They may be fed intravenously through total parenteral nutrition, through a feeding tube via gavage, or directly by mouth once they can coordinate sucking and swallowing. The goal is to meet their nutritional requirements to support growth and development while avoiding feeding-related health issues like necrotizing enterocolitis. Feeding methods transition over time from intravenous to enteral as the infant's maturity and ability to tolerate feedings improves.
Iodine deficiency disorder (IDD) refers to health issues caused by inadequate iodine intake, ranging from abortions and stillbirths to mental and physical retardation. Over two billion people worldwide are at risk of IDD, with iodine deficiency being the leading preventable cause of intellectual disabilities. Universal salt iodization, health education, and monitoring programs are recommended to prevent and control IDD.
This document defines childhood obesity and discusses its prevalence, etiology, comorbidities, evaluation, intervention, and prevention. Childhood obesity is defined as a BMI above the 95th percentile. It affects 31% of children aged 2-6 years and 16% of children aged 6-19 years. The main causes include environmental factors like increased consumption of unhealthy foods and decreased physical activity, genetic predispositions, and certain endocrine conditions. Obesity can lead to serious health issues like diabetes, hypertension, sleep apnea, and mental health problems. Evaluation involves growth monitoring and testing for underlying causes and comorbidities. Treatment focuses on nutrition, exercise, and behavior changes, while prevention emphasizes healthy eating, activity, and limiting screen
This document discusses protein-energy malnutrition (PEM), a major public health problem in India that affects children under 5 years old. It defines PEM as resulting from protein and calorie deficiencies. The most severe forms are kwashiorkor and marasmus. PEM is classified based on severity and symptoms. Kwashiorkor involves edema while marasmus is severe wasting. Risk factors include low birth weight and infections. Treatment focuses on nutrition, infection prevention, and educating parents to prevent relapse. Nursing care includes assessment, addressing nutritional deficits and risks, and monitoring for complications.
Malnutrition refers to any imbalance between nutrient needs and intake that negatively impacts growth, development, and other bodily functions. It can be caused by inadequate food intake, early breastfeeding cessation, cultural food customs, poor sanitation, or chronic illness impairing digestion. The WHO classifies malnutrition as moderate or severe based on levels of stunting, wasting, and edema. The main types are marasmus marked by severe wasting, kwashiorkor shown by edema, and a combination of both. Treatment focuses on food distribution programs, supplements, breastfeeding support, and improving sanitation and healthcare access.
Malnutrition is defined as a deficiency or excess of essential nutrients. India has a major malnutrition problem, with over 200 million undernourished people. Malnutrition has many dimensions and can be measured through anthropometry, clinical signs, biochemical tests and secondary data. The major forms of malnutrition in India are undernutrition like stunting, wasting, and micronutrient deficiencies. Prevention and control requires efforts across many sectors like agriculture, public health, and socioeconomic development. Key programs in India aim to address issues like vitamin A deficiency, anemia, and iodine deficiency through supplementation and nutrition education.
Nutritional assessment by Dr. Rajan Bikram Rayamajhiwrigveda
This document discusses various methods for nutritional assessment, including anthropometric, biochemical, clinical, dietary, functional, and anthropometric assessments. It provides details on each method, including what they measure and their advantages and limitations. The key methods covered are anthropometry (measuring height, weight, skin folds), biochemical tests of nutrients, clinical exams for signs of deficiencies, dietary assessments like 24-hour recalls, and functional tests of physiological processes impacted by nutrition.
Moderate to severe malnutrition presents with different clinical features depending on whether the child has marasmus or kwashiorkor. Marasmus is characterized by marked wasting of fat and muscle without edema. Children with marasmus appear alert despite their condition and have less mortality and infection risk than kwashiorkor. Kwashiorkor mainly affects children ages 1-4 and is identified by pitting edema along with flaky skin, loss of hair pigmentation and curls, and mental changes like apathy. Recovery from kwashiorkor tends to be slower than from marasmus.
This document discusses various types of malnutrition including marasmus, kwashiorkor, hypovitaminosis, and hypervitaminosis. It provides details on the causes, signs and symptoms, and treatment of kwashiorkor and marasmus. Key information includes that kwashiorkor is caused by very low protein intake between 1-3 years old, presents with edema, muscle wasting, and psychomotor changes, and is treated with dietary protein and calorie support. Marasmus is characterized by emaciation due to lack of both proteins and calories, with weight for age <60% expected.
1. Hospital malnutrition affects 40-55% of patients and is associated with increased complication rates and longer hospital stays.
2. Single or combined markers of malnutrition like low albumin and total lymphocyte count are associated with higher morbidity and mortality.
3. Prolonged IV glucose without protein can lead to loss of muscle mass, edema, and hypoalbuminemia due to effects on growth hormone, glucagon, and insulin.
This document outlines a lesson plan for teaching students about nutritional deficiency diseases. The lesson introduces key terms like nutrients, vitamins, and minerals. It discusses diseases caused by deficiencies like goiter from iodine deficiency, kwashiorkor from protein deficiency, marasmus from protein and energy deficiencies, and rickets from vitamin D deficiency. Students learn the symptoms of each disease and how to prevent them by consuming a nutritious diet.
There are two forms of protein-energy malnutrition: Kwashiorkor, associated with oedema and hepatomegaly from fair-to-normal energy but inadequate protein intake, and Marasmus, from inadequate energy and protein intake leading to severe wasting. Risk factors include young age, chronic illness, neglect, poverty, seasonal food insecurity, and conditions affecting appetite, eating, or nutrient absorption in elderly or disabled people. Symptoms include weight loss, fatigue, wounds, and decreased muscle mass in Marasmus or moon facies, oedema, and skin changes in Kwashiorkor.
This document discusses 9 foods that are beneficial for women's health:
1. Berries which contain antioxidants and help prevent cancer and maintain weight.
2. Leafy greens such as kale and spinach which contain vitamins, minerals, and iron important for women's health.
3. Fatty fish which contain omega-3 fatty acids that have cardiovascular and anti-inflammatory benefits.
4. Nuts such as walnuts and almonds which contain protein, healthy fats, and vitamin E.
5. Whole grains like oats, wheat, and rye which aid digestion, heart health, and blood sugar levels.
6. Beans which provide fiber, protein, calcium and help prevent chronic
This document discusses severe acute malnutrition (SAM) in children. It begins by defining SAM and its forms, including kwashiorkor and marasmus. It then discusses the epidemiology, finding SAM contributes to over 1.5 million child deaths annually worldwide and prevalence varies significantly between developing and developed countries. Risk factors in developing countries include poverty, socioeconomic status, and infections. The document goes on to cover etiology, precipitating factors, pathogenesis of symptoms, initial assessment of children with SAM, features of kwashiorkor and marasmus, and organization of care. Children are triaged based on severity of symptoms into outpatient or inpatient treatment.
The document discusses various nutritional disorders including malnutrition, protein energy malnutrition (PEM), and specific vitamin deficiencies. It describes the classifications, etiologies, clinical manifestations, diagnoses, and treatments of marasmus, kwashiorkor, obesity, hypovitaminosis A, rickets, and osteomalacia. Key signs and laboratory findings for each condition are provided along with recommended daily allowances and prevention strategies.
Protein energy malnutrition among children Sushma Oommen
This document discusses protein energy malnutrition (PEM) among children. It defines PEM as a deficit in protein and calories needed for growth and cell function. PEM is highly prevalent in developing countries and manifests as kwashiorkor, marasmus, or marasmic-kwashiorkor. Kwashiorkor involves edema and is caused by abrupt weaning from breastmilk, while marasmus is severe wasting due to inadequate overall intake. The document outlines signs, symptoms, classifications, causes, and treatments of the various forms of PEM as well as nursing interventions to promote adequate nutrition, growth, and development in malnourished children.
This document discusses malnutrition and provides definitions and descriptions of different types. It begins by defining malnutrition and protein-energy malnutrition. It then describes marasmus and kwashiorkor, two types of protein-energy malnutrition. Marasmus is characterized by energy deficiency and emaciation, while kwashiorkor is caused by protein deficiency and causes fluid retention. The document also discusses the prevalence of malnutrition in India, clinical features, symptoms, differences between marasmus and kwashiorkor, and etiological factors of protein-energy malnutrition.
Protein-energy malnutrition (PEM) is a form of malnutrition caused by a lack of protein and calories. It includes conditions like marasmus, kwashiorkor, and intermediate states. PEM is characterized by wasting of muscle and tissue in marasmus or edema and liver damage in kwashiorkor. Common causes are improper complementary feeding, lack of breastfeeding, poverty, and infection. PEM has a high prevalence in children under 5 years old and is a major public health problem in India due to high mortality and long-term health effects. Treatment involves resolving medical issues, restoring nutrition, and ensuring rehabilitation through dietary management and nutrition education.
This document discusses malnutrition in pediatrics. It defines various types of malnutrition including protein energy malnutrition, marasmus, and kwashiorkor. Marasmus is characterized by energy deficiency and wasting, while kwashiorkor involves protein deficiency and can cause edema. Symptoms, assessment measures, treatment, prevention, and the roles of nutrition and occupational therapy are described for managing malnutrition in children.
According to World Health Organization,protein energy malnutrition (PEM) refers to “an imbalance between the supply of protein and energy and the body’s demand for them to ensure optimal growth and function.”PEM is the condition of lack of energy due to the deficiency of all the macronutrients and many micronutrients.it can occur suddenly or gradually. It can be graded as mild, moderate or severe.in developing countries, it affects children who are not provided wit calories and proteins.in developed countries, it affects the older generation.Classification PEM may be classified according to the severity, course and the relative contributions of energy or protein deficit. Severity classifications are based on anthropometric measurements, mainly weight and height. Accordingly, several classifications are suggested.
Severe acute malnutrition (SAM) results from insufficient energy (kilocalories), fat, protein and/or other nutrients (vitamins and minerals, etc.) to cover individual needs. Childhood obesity is now an epidemic in India. With 14.4 million obese children, India has the second – highest number of obese children in the world, next to china. The prevalence of overweight and obesity in children is 15%. Childhood obesity is a serious medical condition that affects children and adolescents. It is particularly troubling because the extra pounds often start children on the path to health problems that were once considered adult problems – diabetes, high blood pressure and high cholesterol. Childhood obesity can also lead to poor self – esteem and depression.
Vitamin deficiency is the condition of a long – term lack of a vitamin. when caused by not enough vitamin intake it is classified as a primary deficiency, whereas when due to an underlying disorder such as malabsorption it is called as secondary deficiency. Lathyrism It is a paralyzing disease of human and animals it also referred to as neurolathyrism as it affects the nervous system. Anorexia nervosa It is an eating disorder characterized by immoderate food restriction, inappropriate eating habits or rituals, obsession with having a thin figure, and an irrational fear of weight gain, as well as a distorted body self- perception.
Bulimia nervosa is an eating disorder characterized by binge eating and purging, or consuming a large amount of food in a short amount of time followed by an attempt to rid oneself of the food consumed (purging), typically
by vomiting, taking
a laxative, diuretic, or stimulant, and/or excessive exercise, because of an extensive concern for body weight.
Nutrition disorders are diseases that occur when a person’s dietary intake does not contain the right amount of nutrients for healthy functioning, or when a person cannot correctly absorb nutrients from food. Nutritional deficiency occurs when the body is not getting enough nutrients such as vitamins and minerals. A well balanced diet is required for the normal growth and development of an individual.
Malnutrition is a condition that develops from an imbalance between the nutrients the body needs and the nutrients supplied through diet. The main types of protein-energy malnutrition are marasmus and kwashiorkor. Marasmus is characterized by severe wasting and loss of muscle and fat tissue due to low energy intake. Kwashiorkor is caused by low protein intake and presents with edema, skin changes, and hair discoloration. Prevention strategies include promoting breastfeeding, education on proper nutrition, immunization, and early diagnosis and treatment.
This document summarizes key information about malnutrition. It defines malnutrition as an imbalance between nutrient intake and demand that impacts growth and function. There are two main types of protein-energy malnutrition discussed - marasmus caused by lack of calories and marasmus caused by lack of protein. Globally, 149 million children are stunted and 45 million wasted. In Nepal, 43% of children under 5 are malnourished. Clinical features and treatment strategies are described for different forms of malnutrition. The document concludes with details of an innovative community nutrition project in Nepal aimed at preventing malnutrition through education and use of local foods.
THESE SLIDES ARE PREPAREED TO UNDERSTAND CHILD HEALTH DISORDERS IN EASY WAY
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Protein Energy Malnutrition (nepal).pptxNabinBist8
This document presents information on Protein Energy Malnutrition (PEM). It begins with defining malnutrition and the different forms of undernutrition, including PEM. It then discusses the three main forms of PEM: Marasmus caused by calorie deficiency, Kwashiorkor caused by protein deficiency, and Marasmic Kwashiorkor having features of both. Risk factors, diagnosis, management, and prevention strategies for PEM are also outlined. The document concludes with discussing government programs in Nepal aimed at preventing malnutrition, such as the Multi-Sector Nutrition Plan and Integrated Management of Acute Malnutrition.
This document discusses malnutrition including definitions of overnutrition, undernutrition, and micronutrient malnutrition. It describes protein energy malnutrition and provides details on etiology, assessment methods, clinical features, worldwide prevalence, and classifications like WHO and IAP. Specific forms of severe acute malnutrition like kwashiorkor and marasmus are explained in terms of etiology, epidemiology, clinical features, and management. Assessment methods covered include clinical exam, anthropometry, laboratory tests, and epidemiological analysis.
This document provides information on protein-energy malnutrition (PEM). It defines PEM and describes its main forms: kwashiorkor, marasmus, and marasmic-kwashiorkor. Kwashiorkor is characterized by edema and results from insufficient protein intake with adequate calories. Marasmus is caused by severe energy deficiency and presents as wasting. Marasmic-kwashiorkor shows features of both. The document discusses the prevalence of PEM in India, clinical features, biochemical changes, treatment involving rehydration and diet, and prevention through breastfeeding promotion and nutrition education.
The document summarizes malnutrition and protein-energy malnutrition (PEM). It defines malnutrition and PEM, describing the main types as marasmus (caused by energy deficiency), kwashiorkor (caused by protein deficiency), and marasmus-kwashiorkor (having features of both). It discusses the prevalence of PEM in India, risk factors including poverty and infection, and clinical features like edema, hair changes, and susceptibility to infection for kwashiorkor and emaciation for marasmus. Biochemical changes in PEM include hypoalbuminemia, hypoglycemia, electrolyte depletion, and decreased enzyme levels.
This document discusses various nutritional problems including protein-energy malnutrition, micronutrient deficiencies, and eating disorders. Protein-energy malnutrition manifests as kwashiorkor or marasmus depending on whether there is edema or wasting. Common micronutrient deficiencies in India are vitamin A deficiency which can cause blindness, and anemia. Prevention strategies include breastfeeding, immunization, supplementation, and food fortification. The document provides details on the causes, risk groups, clinical features and management of various nutritional problems.
This document discusses various nutritional disorders including malnutrition, undernutrition, micronutrient deficiencies, overweight, obesity, and metabolic syndrome. It defines each condition and provides details on signs, causes, and health effects. Malnutrition refers to deficiencies or imbalances in energy and nutrient intake and includes undernutrition, micronutrient deficiencies, overweight, and obesity. Undernutrition is insufficient food intake over time and includes wasting, stunting, and being underweight. Micronutrient deficiencies involve inadequate intake of vitamins and minerals. Overweight and obesity result from excessive calorie intake over time and not enough physical activity.
The document discusses both undernutrition and overnutrition, defining key terms like stunting, wasting, marasmus, kwashiorkor, and obesity. It examines the causes and indicators of malnutrition, including factors like poverty, illness, and nutrient deficiencies that can lead to undernutrition. National policies and programs aimed at addressing malnutrition in India are also outlined.
Protein Energy Malnutrition ans Policies in IndiaSakshi Singla
Protein energy malnutrition (PEM) is caused by a deficiency of protein and energy intake and can have serious health consequences, especially for children. It manifests as conditions like marasmus, kwashiorkor, or a combination of the two. Marasmus is characterized by severe wasting while kwashiorkor involves edema in addition to wasting. Treatment involves resolving life-threatening conditions, restoring nutritional status, and ensuring rehabilitation to prevent recurrence. Diet and supplementation aim to increase calorie and protein intake depending on the severity of malnutrition. Addressing underlying socioeconomic causes is also important for long-term management of PEM.
Malnutrition is a global problem and a major risk factor for illness and death worldwide. In 2010, there were over 900 million malnourished people globally and in India, 65% of children under 5 years old were malnourished. Malnutrition results from an unbalanced diet with certain nutrients either lacking, in excess, or in the wrong proportions. Protein-energy malnutrition (PEM) is a pathological condition arising from a coincident lack of protein and calories, most commonly seen in infants and children. PEM can manifest as kwashiorkor characterized by edema, or marasmus characterized by wasting without edema. Biochemical markers are altered in malnutrition and pathological changes occur in multiple organ systems.
Protein-energy malnutrition (PEM) refers to a range of pathological conditions caused by insufficient protein and calories. It most commonly affects infants and young children. The main forms of PEM are kwashiorkor, marasmus, nutritional dwarfing, underweight, and stunting. Kwashiorkor is characterized by edema and skin changes and is caused by low protein intake with adequate calories. Marasmus involves severe wasting and is caused by low energy intake. PEM is a major global issue, affecting over 1/3 of the world's population, especially in Asia and Africa. Causes include poverty, poor hygiene, frequent infections, and inappropriate feeding practices. Treatment involves medical care, dietary management with nutrient-dense foods
This document discusses the history and key concepts of nutrition science. It describes how early physicians like Hippocrates and James Lind contributed to the understanding of nutrition and vitamin deficiencies. Major developments include the identification of essential nutrients like vitamins and amino acids in the 1930s-1950s. Common nutritional disorders addressed include protein-energy malnutrition, micronutrient deficiencies like vitamin A deficiency and iodine deficiency disorder, and obesity. Prevention and management strategies for different nutritional problems are also outlined.
Nutrition is the selection and ingestion of foods to be assimilated by the body. A healthy diet can avoid many health issues. In 1747, Dr. James Lind performed the first scientific nutrition experiment, discovering that sailors given limes were cured of scurvy where others given other substances were not, though he did not know it was due to vitamin C. Various essential nutrients like vitamins, minerals, amino acids, and fats have been discovered and their roles in the body's processes have been elucidated from the 1930s to present.
This document defines and describes various learning disabilities including dyslexia, dyscalculia, dysgraphia, dyspraxia, aphasia, central auditory processing disorder, visual processing disorder, non-verbal learning disorder, and ADHD. It discusses the signs and symptoms of each disorder as well as their causes. The document also covers the diagnosis and management of learning disabilities through assessments, improving academic skills, developing cognitive abilities, and focusing on specific skill development needed for learning.
This document defines intellectual disabilities and describes their causes, characteristics, and treatment approaches. Intellectual disabilities originate before age 18 and involve deficits in both intellectual functioning and adaptive behaviors. Common causes include genetic syndromes like Down syndrome, fetal alcohol syndrome, and fragile X syndrome. Symptoms vary depending on severity but may include impaired language, cognition, memory, and behavioral issues. Treatment focuses on developing skills through education, training programs, managing medical issues, and supporting independence.
The document defines intellectual disabilities as limitations in both intellectual functioning and adaptive behavior. It describes degrees of severity from mild to profound intellectual disabilities. Mild intellectual disability is characterized by IQ scores of 50-55 to 70, while profound intellectual disability involves IQ scores under 20-25. The document outlines clinical symptoms, common causes including Down syndrome, and goals of treatment which aim to develop independence and social skills.
Cerebral palsy is a disorder of movement and posture caused by an injury to the developing brain. It has a variety of presentations ranging from mild motor impairment to severe involvement of the entire body. Risk factors include preterm birth, infections, genetic factors, and complications during delivery. The main types are spastic, athetoid, ataxic, and hypotonic cerebral palsy. Treatment is multidisciplinary and focuses on rehabilitation, physical therapy, medications, and surgery to improve symptoms and quality of life. Hydrocephalus is an excess of cerebrospinal fluid in the brain which can occur as a complication of cerebral palsy.
Hydrocephaly is a condition where there is an excess of cerebrospinal fluid in the brain, causing the ventricles to enlarge and increasing intracranial pressure. It is usually caused by abnormalities that obstruct the flow of cerebrospinal fluid, such as malformations of the brainstem or aqueduct of Sylvius. Symptoms include head enlargement, vomiting, blurred vision, and motor problems from stretching of brain structures. It is diagnosed through clinical examination, imaging tests, and lumbar puncture. Treatment options include medications to reduce fluid production or increase absorption, as well as surgical procedures like shunt placement to drain fluid.
Cleft palate is a common congenital craniofacial anomaly that requires a multidisciplinary team for treatment. It can involve the lip, palate, or both and has both genetic and environmental causes. Diagnosis is often made prenatally through ultrasound. Treatment involves a coordinated approach including surgery to repair the cleft, orthodontics, speech therapy, and other interventions throughout development. Successful treatment requires technical skill and knowledge of the abnormal anatomy to achieve functional and aesthetic outcomes.
This document provides an overview of learning disabilities, including definitions, causes, types, and diagnostic criteria. It discusses several specific learning disabilities such as dyslexia, dyscalculia, dysgraphia, dyspraxia, aphasia, dysphasia, central auditory processing disorder, visual processing disorder, non-verbal learning disorder, and ADHD. Causes can include brain injury, heredity, chemicals, and environmental factors. Types affect areas like motor skills, math, language, reading, writing, auditory processing, and visual processing. Diagnosis involves considering history, clinical presentation, and assessment results.
Cerebral palsy is a heterogeneous disorder of movement and posture caused by prenatal, perinatal, or postnatal brain injury. It has a wide variety of presentations from mild motor disturbances to severe involvement of the entire body. The main types are spastic, athetoid, ataxic, and rigid. Diagnosis involves obtaining a medical history and examining reflexes, posture, locomotion, and visual-motor integration through a physical exam. Treatment aims to improve nutrition, mobility, and functioning through medications, surgery, physical therapy, bracing, and assistive devices.
This document provides an overview of cleft palate and club foot.
For cleft palate, it defines the condition as a congenital craniofacial anomaly causing a cleft in the hard and/or soft palate that may extend to the lip. It then discusses the etiology, normal embryological process, classifications, diagnosis, clinical features, and treatment.
For club foot, it defines various foot deformities and provides an overview of the clinical features and goal of treatment, which is to obtain a functional, painless, and stable plantigrade foot with a cosmetically pleasing appearance through conservative or surgical methods including external fixators.
Fetal alcohol syndrome refers to the growth, mental, and physical problems that may occur in a baby when a mother drinks alcohol during pregnancy. It can cause failure to thrive, developmental delays, organ dysfunction, epilepsy, poor growth, decreased muscle tone, heart defects, facial abnormalities, respiratory issues, low birth weight, small head circumference, poor motor skills, learning difficulties, and behavioral problems. The diagnosis requires growth deficiency, a characteristic facial pattern, and central nervous system dysfunction.
This document discusses hearing impairment, including definitions, types, tests used for diagnosis, and treatment options. It defines the main types of hearing loss as conductive, sensorineural, and mixed. Diagnosis involves a medical history, physical exam, and tests like pure tone audiometry, tympanometry, and auditory brainstem response testing. Treatment depends on the underlying cause but may include medications, surgery, hearing aids, or cochlear implants. Regular screening is important due to the high prevalence of hearing loss.
This document provides lecture notes on visual and hearing impairment. It defines key terms like visual acuity, legal blindness, and low vision. It describes the anatomy of the eye including protective structures, refractive parts, muscles, retina, and optic nerves. Causes of visual impairment include errors of refraction, muscle imbalances, diseases, and trauma. Hearing impairment can be conductive, sensorineural, or mixed. Assessment of hearing involves medical history, ear exam, tuning fork tests like Rinne's test and Weber test, and checking cranial nerves. The notes provide information on visual and hearing impairment definitions, anatomy, causes, assessment methods.
Fetal alcohol syndrome is caused when a woman drinks alcohol during pregnancy. It can cause growth delays, physical abnormalities, and cognitive impairments in the baby. The risks are highest when alcohol is consumed during the first trimester. There is no known safe amount of alcohol during pregnancy. Diagnosis involves assessing physical features and developmental delays. Prevention focuses on educating women not to drink during pregnancy.
Diarrhoea is a leading cause of childhood morbidity and mortality in developing countries. It is defined as the passage of loose or watery stools at least three times in 24 hours. The main types are acute watery diarrhoea, acute bloody diarrhoea (dysentery), persistent diarrhoea lasting 14 days or longer, and diarrhoea with severe malnutrition. Causes include viral, bacterial, parasitic and fungal infections as well as drugs and diet. Treatment involves oral rehydration, continued feeding, and seeking medical help for signs of dehydration. Antibiotics may be given for specific bacterial infections. Preventing diarrhoea relies on access to safe water, adequate sanitation, handw
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
2. MALNUTRITION
WHO defines Malnutrition as "the cellular
imbalance between the supply of nutrients
and energy and the body's demand for them
to ensure growth, maintenance, and specific
functions.“
Malnutrition is the condition that develops when
the body does not get the right amount of
the vitamins, minerals, and other nutrients it needs
to maintain healthy tissues and organ function.
Definitions
3. • PROTEIN ENERGY MALNUTRITION
It is a group of body depletion disorders which
include kwashiorkor, marasmus and the
intermediate stages
• MARASMUS
Represents simple starvation . The body adapts
to a chronic state of insufficient caloric intake
• KWASHIORKOR
It is the body’s response to insufficient protein
intake but usually sufficient calories for energy
5. • Amongst the Social, Economic, Biological and
Environmental Factors the common causes are:
Lack of breast feeding and giving diluted formula
Improper complementary feeding
Over crowding in family
Ignorance
Illiteracy
Lack of health education
Poverty
Infection
Familial disharmony
6. • Role of Free Radicals & Aflatoxin: Two new
theories have been postulated recently to
explain the pathogenesis of kwashiorkor. These
include Free Radical Damage & Aflatoxin
Poisoning . These may damage liver cells giving
rise to kwashiorkor.
• Age Of Host :
Frequent in Infants & young children whose
rapid growth increases nutritional requirement.
PEM in pregnant and lactating women can
affect the growth, nutritional status & survival
rates of their fetuses, new born and infants.
Elderly can also suffer from PEM due to
alteration of GI System
7. Leading cause of death (less than 5 years of
age)
Primary PEM:
Protein + energy intakes below requirement for normal growth.
Secondary PEM:
the need for growth is greater than can be supplied.
decreased nutrient absorption
increase nutrient losses
Linear growth ceases
Static weight
Weight loss
Wasting
Malnutrition and its signs
AETIOLOGY of PEM:
8. The clinical presentation depends upon the
type , severity and duration of the dietary
deficiencies. The five forms of PEM are :
1. Kwashiorkor
2. Marasmic-kwashiorkor
3. Marasmus
4. Nutritional dwarfing
5. Underweight child
9. Body weight
as percentage
of standard
Oedema Deficit in
weight for
height
Kwashiorkor 60 – 80 + +
Marasmic
kwashiorkor
< 60 + ++
Marasmus < 60 0 ++
Nutritional
dwarfing
< 60 0 Minimal
Underweight
child
60 – 80 0 +
Classification of PEM (FAO/WHO)
10. KWASHIORKOR
• The term kwashiorkor is taken from the Ga language of
Ghana and means "the sickness of the weaning”.
• Williams first used the term in 1933, and it refers to an
inadequate protein intake with reasonable caloric (energy)
intake.
• Kwashiorkor, also called wet protein-energy malnutrition, is a
form of PEM characterized primarily by protein deficiency.
• This condition usually appears at the age of about 12 months
when breastfeeding is discontinued, but it can develop at
any time during a child's formative years.
• It causes fluid retention (edema); dry, peeling skin; and hair
discoloration.
11. • Kwashiorkor was thought to be caused by
insufficient protein consumption but with
sufficient calorie intake, distinguishing it
from marasmus.
• More recently, micronutrient and
antioxidant deficiencies have come to be
recognized as contributory.
• Victims of kwashiorkor fail to
produce antibodies following vaccination against
diseases, including diphtheria and typhoid.
• Generally, the disease can be treated by
adding food energy and protein to the diet;
however, it can have a long-term impact on a
child's physical and mental development, and in
severe cases may lead to death.
12. SYMPTOMS
• Changes in skin pigment.
• Decreased muscle mass
• Diarrhea
• Failure to gain weight and grow
• Fatigue
• Hair changes (change in color or
texture)
• Increased and more severe
infections due to damaged
immune system
• Irritability
• Large belly that sticks out
(protrudes)
• Lethargy or apathy
• Loss of muscle mass
• Rash (dermatitis)
• Shock (late stage)
• Swelling (edema)
14. MARASMUS
• The term marasmus is derived from the Greek
word marasmos, which means withering or wasting.
• Marasmus is a form of severe protein-energy
malnutrition characterized by energy deficiency and
emaciation.
• Primarily caused by energy deficiency, marasmus is
characterized by stunted growth and wasting of muscle
and tissue.
• Marasmus usually develops between the ages of six
months and one year in children who have been
weaned from breast milk or who suffer from
weakening conditions like chronic diarrhea.
15. SYMPTOMS
• Severe growth retardation
• Loss of subcutaneous fat
• Severe muscle wasting
• The child looks appallingly thin and
limbs appear as skin and bone
• Shriveled body
• Wrinkled skin
• Bony prominence
• Associated vitamin deficiencies
• Failure to thrive
• Irritability, fretfulness and apathy
• Frequent watery diarrhoea and acid
stools
• Mostly hungry but some are anoretic
• Dehydration
• Temperature is subnormal
• Muscles are weak
• Oedema and fatty infiltration are
absent
17. CLINICAL
FEATURES
-MUSCLE
WASTING
-FAT WASTING
-EDEMA
-WEIGHT FOR HEIGHT
-MENTAL CHANGES
MARASMUS
Obvious
Severe loss of
subcutaneous fat
None
Very low
Sometimes quite and
apathetic
KWASHIORKOR
Sometimes
hidden by edema and
fat
Fat often retained but
not firm
Present in lower legs,
and usually in face and
lower arms
May be masked by
edema
Irritable, moaning,
apathetic
DIFFERENCE IN CLINICAL FEATURES BETWEEN MARASMUS AND KWASHIORKOR
18. CLINICAL FEATURES
-APPETITE
-DIARRHOEA
-SKIN CHANGES
-HAIR CHANGES
-HEPATIC ENLARGEMENT
MARASMUS
Usually good
Often
Usually none
Seldom
None
KWASHIORKOR
Poor
Often
Diffuse pigmentation,
sometimes ‘flaky paint
dermatitis’
Sparse, silky, easily
pulled out
Sometimes due to
accumulation of fat
DIFFERENCE IN CLINICAL FEATURES BETWEEN MARASMUS AND KWASHIORKOR
19. A severely malnourished child
with features of both
marasmus and Kwashiorkor.
• The features of
Kwashiorkor are severe
oedema of feet and legs
and also hands, lower
arms, abdomen and face.
Also there is pale skin and
hair, and the child is
unhappy.
• There are also signs of
marasmus, wasting of the
muscles of the upper arms,
shoulders and chest so that
you can see the ribs.
MARASMIC-KWASHIORKOR
20. • Some children adapt to prolonged
insufficiency of food-energy and protein by a
marked retardation of growth.
• Weight and height are both reduced and in
the same proportion, so they appear
superficially normal.
NUTRITIONAL DWARFING OR
STUNTING
21. • Children with sub-
clinical PEM can be
detected by their
weight for age or
weight for height,
which are significantly
below normal. They
may have reduced
plasma albumin. They
are at risk for
respiratory and gastric
infections
UNDERWEIGHT CHILD
23. Investigations for PEM
• Full blood counts, inflammatory markers;
• Blood glucose profile, lipidic profile
• Iron, vitamin levels;
• Microbiology: septic screening,stool & urine for parasites &
germs;
• Electrolytes, Ca, Ph & Mg;
• Serum proteins, protein electrophoresis;
• immunological status: cellular immunity - decreased T cell,
interferon, IDR lack of response to tuberculin; humoral
immunity - low IgA (secretory IgA), IgM - high, low IgG.
• Decrease complement C3;
• Exclude HIV & malabsorption.
24. Investigations for PEM
In essence:
• decrease serum albumins → edema;
• decrease apoproteins (lipoproteins carrier);
• storage of fat in the liver (fatty infiltration);
Clinical outcomes: oedema, hepatomegaly
(fatty liver), changes in hair growth and skin
(areas of hypo-or hyperpigmentation, fissures),
diarrhea (villous atrophy), predisposition to
infection (humoral and cellular immunity
disturbed).
25. Anthropometric assessment of
malnutrition
anthropometric criteria :
percentiles method (normal 10-90).
standard derivations method (normal + / - 2 SD).
ponderal index (PI)
PI = actual weight of the child / ideal weight (W of child of
the same age located on the 50th percentile of the growth
curve).
After the PI values : 3 degrees of PEM(Gomez)
degree I (PI = 0.89 to 0.76);
degree II (PI = 0.75 to 0.60);
degree III ( PI = 0.60).
PI = 0.90- underweight or child at risk of malnutrition.
26. Anthropometric assessment of
malnutrition
The protein malnutrition are two degrees:
degree I PI = 0.8-0.6 - KWASHIORKOR;
degree II PI= 0.6 – MARASMIC KWASHIORKOR
Nutritional index (NI) - index diets.
• NI = actual weight / weight appropriate waist.
After this indicator there are 3 degrees of malnutrition:
• grade I (NI= 0.89 to 0.81);
• grade II (NI= 0.80 to 0.71);
• grade III (NI= 0.70).
Head circumference (HC) - highlights the true growth in the first two years.
Midarm circumference (measured at the ½ distance between the acromion
and olecranon) pathological - under 13 cm - available in children over 2
years.
27. Assessment of malnutrition- functional criteria
Appreciation of the digestive tolerance:
• paradoxical reaction to hunger (disproportionate
weight loss);
• food paradoxical reaction (weight loss to increased
food intake, sometimes diarrhea);
• sensitivity to fasts - by spacing meals: hypoglycaemia,
especially nocturnal → apnea, sudden death.
• immunological reactivity :
- increased responsiveness to infection;
- reactivity collapsed (serious infection without fever,
leukocytosis, sometimes opportunistic).
28. Assessment of malnutrition
Neuropsychological development:
• Archaic reflexes;
• Muscle tone;
• Posture;
• Mobility;
• Development of language;
• Affection.
They are affected differently depending on the
severity of malnutrition .
29. • Significant findings in kwashiorkor include
hypoalbuminemia (10-25 g/L), hypoproteinemia
(transferrin, essential amino acids, lipoprotein), and
hypoglycemia.
• Plasma cortisol and growth hormone levels are high, but
insulin secretion and insulinlike growth factor levels are
decreased.
• The percentage of body water and extracellular water is
increased.
• Electrolytes, especially potassium and magnesium, are
depleted.
• Levels of some enzymes (including lactase) are decreased,
and circulating lipid levels (especially cholesterol) are low.
•
BIOCHEMICAL & METABOLIC CHANGES
30. • Ketonuria occurs, and protein-energy
malnutrition may cause a decrease in the
urinary excretion of urea because of
decreased protein intake.
• In both kwashiorkor and marasmus, iron
deficiency anemia and metabolic acidosis are
present.
• Urinary excretion of hydroxyproline is
diminished, reflecting impaired growth and
wound healing.
31. OT ROLE IN Malnutrition
• Occupational therapy offers patients goal-
directed activity to increase their functional
mobility and self-care abilities.
• Psychological problems may emerge during
hospitalization; pain, fear, and change in medical
status will influence motivation and activity
tolerance. Patients may attempt to avoid activity
because they are generally deconditioned from
prolonged illness and bedrest
32. • A program of individualized activity should be
instituted if nutritional intake is used
appropriately, and it should result in increased
strength and endurance.
• Physical activity or exercise enhances the
synthesis of protein into skeletal muscle.
Because the body does not store protein,
unused calories are stored only as fat or, to a
lesser extent, carbohydrates.
33. Treatment strategy can be divided into three
stages.
• Resolving life threatening conditions
• Restoring nutritional status
• Ensuring nutritional rehabilitation.
TREATMENT
34. 3 stages of TX
There are three stages of treatment.
1. Hospital Treatment
The following conditions should be corrected. Hypothermia,
hypoglycemia, infection, dehydration, electrolyte imbalance, anaemia
and other vitamin and mineral deficiencies.
2. Dietary Management
The diet should be from locally available staple foods - inexpensive,
easily digestible, evenly distributed throughout the day and increased
number of feedings to increase the quantity of food.
3. Rehabilitation
The concept of nutritional rehabilitation is based on practical
nutritional training for mothers in which they learn by feeding their
children back to health under supervision and using local foods.
35. TREATMENT
General principles:
The recovery of PEM (II and III degree) :
I. The initial phase
•Correction of water & electrolyte imbalance;
• Treatment of infectious complications.
II. Repair phase
• Dietary therapy;
• Correction of deficiencies (anemia, rickets, hypovitaminosis, etc).
III. Convalescence phase
• Restoration of body composition;
• Enhancing healing.
Optimal objective is to resume growth after 2-3 weeks of starting the
diet and clinical recovery in 6-8 weeks.
36. TREATMENT
I)Parenteral nutrition for 2-3 days → enteral nutrition with
flow probe using hyperproteic and hypercaloric solutions ;
II) Early initiation of oral nutrition :
– hypoallergenic preparations rich in proteins and calories, low
osmolarity: Alfare, PeptiJunior, Pregestimil, Nutramigen,
Pregomin or amino acid formulas, such as Neocate .
– Keep in parallel parenteral intake of carbohydrates, amino
acids, lipids.
– Simultaneously treating infections, hypoproteinemia, anemia,
multivitamins deficiencies .
– This variant is also little used because it requires specials
dietetics and carefully monitorization of nutritional therapy .
37. TREATMENT
III) after fluid replacement and electrolyte - digestive tolerance :
- with carrot soup or rice mucilage (in various concentrations ) in a dose of
150-200 ml / kg ( not exceeding 1000 ml / day)
- carbohydrates were obtained from glucose 5%, 7 %, 10 % and chicken
mixed proteins ( hypoallergenic, 100g , 17g protein).
- after normalization of the stools ( 7 days) :oil gradually (3-4 ml / day ) and
after 10 days from the beginning of enteral diet →hypoallergenic
preparation can be inserted (!preparations lactose free- can induce cow's
milk protein intolerance ) .
- week 4 :sugar (restoring lactose tolerance is difficult , 3-4 months);
- flour products containing gluten will not enter until full recovery;
- increases in protein - calorie intake by parenteral administration of
carbohydrates , amino acids and proteins;
- treat the infection , iron or vitamin deficiencies .
39. • Promotion of breast feeding
• Development of low cost weaning
• Nutrition education and promotion of
correct feeding practices
• Family planning and spacing of births
• Immunization
• Food fortification
• Early diagnosis and treatment
PREVENTION