- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- Diet and metabolism studies
- Frailty in Older Adults
- Vitamin C and Antioxidants Research
- Child Nutrition and Feeding Issues
- Pharmacological Effects and Toxicity Studies
- Central Venous Catheters and Hemodialysis
- Abdominal Surgery and Complications
- Electrolyte and hormonal disorders
- Intestinal and Peritoneal Adhesions
- Vitamin D Research Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Intensive Care Unit Cognitive Disorders
- Obesity and Health Practices
- Gastrointestinal disorders and treatments
- Gastrointestinal motility and disorders
- Folate and B Vitamins Research
- Child Nutrition and Water Access
- Dietetics, Nutrition, and Education
- Trace Elements in Health
- Bariatric Surgery and Outcomes
- Alcoholism and Thiamine Deficiency
- Metabolism and Genetic Disorders
- Biochemical Analysis and Sensing Techniques
Imperial College Healthcare NHS Trust
2025
Sri Ramachandra Institute of Higher Education and Research
2000-2024
Sri Sivasubramaniya Nadar College of Engineering
2024
Vels University
2023
Edward Hines, Jr. VA Hospital
2019-2022
John Wiley & Sons (United States)
2018-2021
Advocate Health Care
2015-2020
United States Department of Veterans Affairs
1986-2019
VA Midwest Health Care Network
2018-2019
John H. Stroger, Jr. Hospital of Cook County
2006-2015
Background: Although screening patients for malnutrition risk on hospital admission is standard of care, nutrition shortfalls are undertreated. Nutrition interventions can improve outcomes. We tested effects a nutrition‐focused quality improvement program (QIP) readmission and length stay (LOS). Materials Methods: QIP included at admission, prompt initiation oral supplements (ONS) at‐risk patients, support. A 2‐group, pre‐post design malnourished adults with any diagnosis was conducted 4...
Abstract Background Micronutrients, an umbrella term used to collectively describe vitamins and trace elements, are essential components of nutrition. Those requiring alternative forms nutrition support dependent on the prescribed regimen for their micronutrient provision. The purpose this paper is assist clinicians bridge gap between available guidelines’ recommendations practical application in provision micronutrients via parenteral route adult patients. Methods Based evidenced‐based...
Abstract Background Identification and treatment of malnutrition across the care continuum can help prevent illness onset or relapse maximize effectiveness other medical treatments. This study aimed to evaluate effect a nutrition‐focused quality improvement program (QIP) conducted in home health agency (HHA) on hospitalization rates healthcare costs incurred over 90 days. Methods was multisite, pre‐post QIP implemented at 2 branches an Illinois‐based HHA. The included 1546 patients who were...
Background: Obstruction of feeding tubes is a common mechanical complication associated with enteral feeding. Standard methods flushing are not always effective. Methods: This study was conducted patients receiving via nasogastric, nasoenteral, gastrostomy, or jejunostomy to determine if prophylactic use pancreatic enzymes would maintain patency tubes. Interrupted regimens were used. Control (n = 24) received only water for flushing. After the tube, 33) 5‐mL suspension enzyme containing...
Abstract Background R-wave peak time (RWPT) is a measurement from the onset of QRS complex to apex R-wave. It reflects taken for excitation spread endocardial epicardial surface. RWPT in unipolar chest leads reflect depolarisation cardiac muscle immediately below it, where V6 considered surrogate lateral left ventricular activation routine clinical care(1). However, placement can vary between operators addition variation size and position, so whether truly remains representative wall...
The effects of parenteral nutrition on appetite during and after therapy are unclear. Previous studies done in animals, as well humans, inconclusive. purpose this study was to investigate the voluntary oral intake food. ten stable patients receiving for transient dysfunction their gastrointestinal tract. For each patient, a calorie count ingested food obtained 3 consecutive days. Parenteral calories were then decreased without patient's knowledge. A more days following day change. mean daily...
Addressing nutrition needs of inpatients results in improved health outcomes. We conducted a post hoc analysis previously published data. The aim this was to evaluate the clinical benefits quality improvement program (QIP) surgical patients when compared with medical patients.Data were collected from 1269 QIP and 1319 historical controls. These combined 2588 categorized into (390, 15%) (2198, 85%) patient subgroups.Readmission rate relative risk reductions significantly higher among (46.9%...
Copper (Cu) deficiency has been reported both in pediatric and adult patients on total parenteral nutrition (TPN). Manifestations of Cu are usually hematologic the adult. A 56‐yr‐old patient with a history subtotal gastrectomy underwent massive small bowel resection partial colectomy 1977. TPN was initiated. Intravenous (iv) trace mineral supplements were not available 1977 at our institution. By June 1978, manifested neutropenia white blood cell (WBC) count 2000/mm 3 39% neutrophils or...