oalib

Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99

Submit

Search Results: 1 - 10 of 1226 matches for " Mette Rasmussen "
All listed articles are free for downloading (OA Articles)
Page 1 /1226
Display every page Item
Measuring nutritional risk in hospitals
Henrik H Rasmussen, Mette Holst, Jens Kondrup
Clinical Epidemiology , 2010, DOI: http://dx.doi.org/10.2147/CLEP.S11265
Abstract: suring nutritional risk in hospitals Other (8710) Total Article Views Authors: Henrik H Rasmussen, Mette Holst, Jens Kondrup Published Date September 2010 Volume 2010:2 Pages 209 - 216 DOI: http://dx.doi.org/10.2147/CLEP.S11265 Henrik H Rasmussen1,2, Mette Holst3, Jens Kondrup4 1Centre for Nutrition and Bowel Disease, Department of Medical Gastroenterology, Aarhus University Hospital, Aalborg, Denmark; 2Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; 3Centre for Nutrition and Bowel Disease, Aarhus University Hospital, Aalborg, Denmark; 4Department of Human Nutrition, Faculty of Life Sciences, University of Copenhagen, Clinical Nutrition Unit, Rigshospitalet University Hospital, Copenhagen, Denmark Abstract: About 20%–50% of patients in hospitals are undernourished. The number varies depending on the screening tool amended and clinical setting. A large number of these patients are undernourished when admitted to the hospital, and in most of these patients, undernutrition develops further during hospital stay. The nutrition course of the patient starts by nutritional screening and is linked to the prescription of a nutrition plan and monitoring. The purpose of nutritional screening is to predict the probability of a better or worse outcome due to nutritional factors and whether nutritional treatment is likely to influence this. Most screening tools address four basic questions: recent weight loss, recent food intake, current body mass index, and disease severity. Some screening tools, moreover, include other measurements for predicting the risk of malnutrition. The usefulness of screening methods recommended is based on the aspects of predictive validity, content validity, reliability, and practicability. Various tools are recommended depending on the setting, ie, in the community, in the hospital, and among elderly in institutions. The Nutrition Risk Screening (NRS) 2002 seems to be the best validated screening tool, in terms of predictive validity ie, the clinical outcome improves when patients identified to be at risk are treated. For adult patients in hospital, thus, the NRS 2002 is recommended.
Patterns of screen-based sedentary behavior and physical activity and associations with overweight among Norwegian adolescents: a latent profile approach
Ole Melkevik,Torbj?rn Torsheim,Mette Rasmussen
Norsk Epidemiologi , 2011,
Abstract: Background: Physical activity and screen based sedentary behaviors are both related to energy balance and to risk for becoming overweight. The aim of this study is to find out if these behaviors cluster together in order to find out whether groups of adolescents have particularly unfortunate levels of both physical activity and screen-based sedentary behaviors. Methods: Data are from the Norwegian 2005/2006 sample of the international "Health Behaviour in School-aged Children (HBSC) study; A WHO cross-National Survey". Data were collected through questionnaires from 13-, 15- and 16-year-olds. The final sample included 4848 adolescents. Gender-stratified latent profile analysis was used to identify the different profiles. Results: Six profiles were identified for both boys and girls. Less than 30% of adolescents were found to have behavioral patterns which were associated with higher risk for overweight relative to the most healthy behavioral profile. Physical activity and screen-based sedentary behaviors cluster together in different ways suggesting independence between the behaviors. Low levels of physical activity was the most important predictor for overweight among boys. Screen-based sedentary behaviors were more important predictors of overweight among girls. Conclusions: Physical activity and screen-based sedentary behaviors are independent behaviors and may cluster together in manners which lead to low energy expenditure and subsequent increased risk for overweight among adolescents.
Measuring nutritional risk in hospitals
Henrik H Rasmussen,Mette Holst,Jens Kondrup
Clinical Epidemiology , 2010,
Abstract: Henrik H Rasmussen1,2, Mette Holst3, Jens Kondrup41Centre for Nutrition and Bowel Disease, Department of Medical Gastroenterology, Aarhus University Hospital, Aalborg, Denmark; 2Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; 3Centre for Nutrition and Bowel Disease, Aarhus University Hospital, Aalborg, Denmark; 4Department of Human Nutrition, Faculty of Life Sciences, University of Copenhagen, Clinical Nutrition Unit, Rigshospitalet University Hospital, Copenhagen, DenmarkAbstract: About 20%–50% of patients in hospitals are undernourished. The number varies depending on the screening tool amended and clinical setting. A large number of these patients are undernourished when admitted to the hospital, and in most of these patients, undernutrition develops further during hospital stay. The nutrition course of the patient starts by nutritional screening and is linked to the prescription of a nutrition plan and monitoring. The purpose of nutritional screening is to predict the probability of a better or worse outcome due to nutritional factors and whether nutritional treatment is likely to influence this. Most screening tools address four basic questions: recent weight loss, recent food intake, current body mass index, and disease severity. Some screening tools, moreover, include other measurements for predicting the risk of malnutrition. The usefulness of screening methods recommended is based on the aspects of predictive validity, content validity, reliability, and practicability. Various tools are recommended depending on the setting, ie, in the community, in the hospital, and among elderly in institutions. The Nutrition Risk Screening (NRS) 2002 seems to be the best validated screening tool, in terms of predictive validity ie, the clinical outcome improves when patients identified to be at risk are treated. For adult patients in hospital, thus, the NRS 2002 is recommended.Keywords: nutritional risk screening, undernutrition, clinical outcome, hospital
Nutrition Therapy in the Transition between Hospital and Home: An Investigation of Barriers
Mette Holst,Henrik H?jgaard Rasmussen
Journal of Nutrition and Metabolism , 2013, DOI: 10.1155/2013/463751
Abstract: Aims and Objectives. This study aimed to investigate barriers for nutrition therapy in the transition between hospital and home and hereby to identify areas for potential improvements. Background. Though the focus on nutritional risk is improving in hospital, there seems to be less effort to maintain or even improve nutritional status after discharge and during the rehabilitation period. Design. Qualitative focus group interviews. Methods. Semistructured focus group interviews with experienced multiprofessional staff from hospital, home care, nursing homes, and general practise. The study was done in the county of Aalborg with about 280.000 inhabitants regarding homecare and general practise as well as Aalborg University Hospital, Denmark. Results. Interviews were generated with 41 professionals from hospital, general practise, and home care. Barriers identified between settings included the following aspects: economic, organisation, and education. The impression of professionals was that few patients are discharged with nutrition therapy, compared to who could benefit from nutrition therapy after discharge. Most often, reasons were a short in-hospital stay and lack of knowledge and interest. Moreover, lack of clinical guidelines throughout all settings, time consumption, lack of transparency regarding economy and workflows, and lack of assistance from experts regarding complicated nutritional problems were identified. Conclusions. Many barriers were found in hospital as well as in the community and general practise. These were most often practical as well as organizational. Improvements of clinical guidelines and instructions and improvement of knowledge and communication at all levels are needed. Relevance to Clinical Practise. This study emphasizes that responsibility needs to be taken for patients whom are still at nutritional risk at discharge, and even before hospitalization. Nurses and doctors in and outside hospital are in need of improved knowledge, standard care plans, and instructions. 1. Introduction Nutritional risk has been described as prevalent as 20 to 80% among hospitalized patients depending on population, setting, and screening tool [1], and [2, pages 473–481]. Nutritional risk is associated with poorer outcome in many terms, including function, life quality, and mortality [3, pages 321–325], [4, pages 386–395], [5, pages 923–932], and [6, pages M741–746]. Nutritional health tends to deteriorate during hospital stay. Deterioration of nutritional status during hospital stay indicates the necessity for introducing a good nutrition plan
Fruit and vegetable intake is associated with frequency of breakfast, lunch and evening meal: cross-sectional study of 11-, 13-, and 15-year-olds
Trine Pedersen, Charlotte Meilstrup, Bj?rn E Holstein, Mette Rasmussen
International Journal of Behavioral Nutrition and Physical Activity , 2012, DOI: 10.1186/1479-5868-9-9
Abstract: Data were from the Danish contribution to the international collaborative Health Behavior in School-Aged Children Study (HBSC) in 2002. We used a questionnaire-based, cross-sectional design to study schoolchildren aged 11, 13 and 15 years (n = 3913) selected from a random sample of schools in Denmark. Fruit intake and vegetable intake were measured by a food frequency questionnaire and analyses were conducted using multivariate logistic regression.Overall, statistically significant associations were found between irregular breakfast, lunch and evening meal consumption and low frequency of fruit intake and vegetable intake (breakfast: fruit OR = 1.42, vegetables OR = 1.48; lunch: fruit OR = 1.68, vegetables OR = 1.83; evening meal: vegetables OR = 1.70). No association was found for irregular evening meal consumption and low frequency of fruit intake. Analyses stratified by sex showed that the associations between irregular breakfast consumption and both fruit and vegetable intake remained statistically significant only among girls. When analyses were stratified by both sex and age, different patterns appeared. Overall, skipping meals seemed to be a less serious risk factor for low frequency of fruit and vegetable intake among younger participants compared with those who were older. This was especially evident for skipping breakfast. The same tendency was also seen for skipping lunch and evening meal, although the age pattern varied between boys and girls and between fruit and vegetable intake.Our results showed that irregular breakfast, lunch and evening meal consumption among adolescents was associated with a low frequency of fruit and vegetable intake and that sex and age may play a modifying role. The different associations observed in different age and sex groups indicate the importance of analysing fruit and vegetable intake and meal types separately. The results highlight the importance of promoting regular meal consumption when trying to increase the intake o
Erythroderma and its causes with emphasis on idiopathic erythroderma
Mads Rasmussen,Mette Deleuran,Torben Steiniche,Kristian Thestrup-Pedersen
Clinical Dermatology , 2006,
Abstract: Objective: The aimof the presentstudy was to determine the causeof erythroderma in patients referred to ourdepartment with thisdiagnosisfrom 1991 to 2001 inclusivei.e. an 11-years period. A totalof 149 patients wereincluded. We found 35 patients sufferingfrom idiopathic erythroderma, in this papercalled "the Red Man Syndrome". Material and methods: The design was a retrospective follow up based on clinical records. Results: Of all 149 patients 24% had erythroderma of unknown aetiology and without previous skin disease, 24% had erythroderma due to psoriasis, 17% due to atopic dermatitis and 35% had other causes for their erythroderma. In erythroderma of unknown aetiology there was a very high predominance of males with a male/female ratio on 6.0 in contrast to the rest of the patients, who had a male/female ratio around 1.5. Most of the patients with unknown erythroderma (25 of 35) had or developed pleomorphic infiltration in the skin during the observation period. Three progressed to mycosis fungoides and two developed Sezarys syndrome which is 5 of 35 (14%). Seventeen (47%) went into full remission, but 15 (42%) continued to sufferfrom the condition (median observation 27 months). Conclusions: We have confirmed ourfirstdescription of the "Red Man Syndrome", which is a rare condition. We speculate thatthese patients have pre-Sezary's syndrome orerythrodermic cutaneousT-cell lymphoma, not otherwise specified. It is importantto perform repeated biopsies over time and to considerthe cardiological state of the patients due to the increased skin blood-flow.
Effectiveness of the Gold Standard Programmes (GSP) for Smoking Cessation in Pregnant and Non-Pregnant Women
Mette Rasmussen,Berit Lilienthal Heitmann,Hanne T?nnesen
International Journal of Environmental Research and Public Health , 2013, DOI: 10.3390/ijerph10083653
Abstract: Background: Smoking is considered the most important preventable risk factor in relation to the development of complications during pregnancy and delivery. The aim of this study was to evaluate the effectiveness of an intensive 6-week gold standard programme (GSP) on pregnant women in real life. Methods: This was a prospective cohort study based on data from a national Danish registry on smoking cessation interventions. The study population included 10,682 women of a fertile age. The pregnancy status of the study population was identified using the National Patient Registry. Results: The response rate to follow up was 76%. The continuous abstinence rate for both pregnant and non-pregnant smokers was 24–32%. The following prognostic factors for continuous abstinence were identified: programme format (individual/group), older age, heavy smoking, compliance with the programme, health professional recommendation, and being a disadvantaged smoker. Conclusions: The GSP seems to be as effective among pregnant smokers as among non-pregnant smoking women. Due to the relatively high effect and clinical significance, the GSP would be an attractive element in smoking cessation intervention among pregnant women.
Gold Standard Program for Heavy Smokers in a Real-Life Setting
Tim Neumann,Mette Rasmussen,Berit L. Heitmann,Hanne T?nnesen
International Journal of Environmental Research and Public Health , 2013, DOI: 10.3390/ijerph10094186
Abstract: Background: High-intensity smoking cessation programs generally lead to more continuous abstinence, however, lower rates of success have been reported among heavy smokers. The aim was to evaluate continuous abstinence among heavy smokers during the intensive 6-week Gold Standard Program (GSP) and to identify modifiable factors associated with continuous abstinence. Methods: In this nationwide clinical study based on 36,550 smokers attending an intensive cessation program in Denmark. Heavy smoking was defined as ≥7 points in the Fagerstr?m Nicotine Dependency Test, smoking ≥20 cigarettes daily or ≥20 pack-years. Results: Overall, 28% had a Fagerstr?m score ≥7 points, 58% smoked ≥20 cigarettes daily and 68% smoked ≥20 pack-years. Continuous abstinence was 33% in responders (6-months response rate: 78%); however, abstinence was approximately 1–6% lower in the heavy smokers than the overall population. Attending GSP with an individual format ( vs. group/other, OR 1.23–1.44); in a hospital setting ( vs. pharmacy/municipality services, OR 1.05–1.11); and being compliant (attending the planned meetings OR 4.36–4.89) were associated with abstinence. Abstinence decreased in a dose-dependent manner with increasing smoking severity. Conclusions: Abstinence after GSP was 1–6% lower in the heavy smokers than in the overall study population. Modifiable factors may be used for small improvements in continued abstinence. However attempts to improve compliance seemed especially promising.
Changes in thermal nociceptive responses in dairy cows following experimentally induced Escherichia coli mastitis
Ditte B Rasmussen, Katrine Fogsgaard, Christine M R?ntved, Ilka C Klaas, Mette S Herskin
Acta Veterinaria Scandinavica , 2011, DOI: 10.1186/1751-0147-53-32
Abstract: Seven Danish Holstein-Friesian cows were kept in tie-stalls, where the E. coli associated mastitis was induced and laser stimulations were conducted. Measurements of rectal temperature, somatic cell counts, white blood cell counts and E. coli counts were conducted. Furthermore, scores were given for anorexia, local udder inflammation and milk appearance to quantify the local and systemic disease response. In order to quantify the nociceptive threshold, behavioral responses toward cutaneous NLS applied to six skin areas at the tarsus/metatarsus and udder hind quarters were registered at evening milking on day 0 (control) and days 1, 2, 3, 6 and 10 after experimental induction of mastitis.All clinical and paraclinical variables were affected by the induced mastitis. All cows were clinically ill on days 1 and 2. The cows responded behaviorally toward the NLS. For hind leg stimulation, the proportion of cows responding by stepping was higher on day 0 than days 3 and 6, and the frequency of leg movements after laser stimulation tended to decrease on day 1 compared to the other days. After udder stimulation, the proportion of cows responding by stepping was higher on day 1 than on all other days of testing. Significant correlations between the clinical and paraclinical variables of disease and the behavioral responses toward nociceptive stimulation were found.Changes in behavioral responses coincide with peaks in local and systemic signs of E. coli mastitis. During the acute stage of E. coli mastitis nociceptive thermal stimulation on hind leg and mammary glands results in decreased behavioral responses toward nociceptive stimulation, which might be interpreted as hypoalgesia.Mastitis is a frequent production-associated disease in dairy cows, and is considered painful in the acute stage [1-4]. The severity of mastitis depends on the pathogen, host and environmental factors [5-7]. Escherichia coli provoke acute clinical mastitis characterized by marked increase in local in
Parental socioeconomic position and development of overweight in adolescence: longitudinal study of Danish adolescents
Camilla Morgen, Laust Mortensen, Mette Rasmussen, Anne-Marie Andersen, Thorkild IA S?rensen, Pernille Due
BMC Public Health , 2010, DOI: 10.1186/1471-2458-10-520
Abstract: Prospective cohort study conducted in Denmark with baseline examination in 1996 and follow-up questionnaire in 2003 with a mean follow-up time of 6.4 years. A sample of 1,656 adolescents participated in both baseline (mean age 14.8) and follow-up (mean age 21.3). Of these, 1,402 had a body mass index (BMI = weight/height2kg/m2) corresponding to a value below 25 at baseline when adjusted for age and gender according to guidelines from International Obesity Taskforce, and were at risk of developing overweight during the study period. The exposure was parental occupational status. The main outcome measures were change in BMI and development of overweight (from BMI < 25 to BMI > = 25).Average BMI increased from 21.3 to 22.7 for girls and from 20.6 to 23.6 in boys during follow-up. An inverse social gradient in overweight was seen for girls at baseline and follow-up and for boys at follow-up. In the full population there was a tendency to an inverse social gradient in the overall increase in BMI for girls, but not for boys. A total of 13.4% developed overweight during the follow-up period. Girls of lower parental socioeconomic position had a higher risk of developing overweight (OR's between 4.72; CI 1.31 to 17.04 and 2.03; CI 1.10-3.74) when compared to girls of high parental socioeconomic position. A tendency for an inverse social gradient in the development of overweight for boys was seen, but it did not meet the significance criteriaThe levels of overweight and obesity among adolescents are high and continue to rise. Results from this study suggest that the inverse social gradient in overweight becomes steeper for girls and emerges for boys in late adolescence (age span 15 to 21 years). Late adolescence seems to be an important window of opportunity in reducing the social inequality in overweight among Danish adolescents.The prevalence of overweight and obesity has increased markedly among children and adolescents in recent years in Denmark as it has internationally[
Page 1 /1226
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.