Nutrition/Dietary

The ability to find and understand peer-reviewed research is a critical skill in the health and nutrition field. This assignment is designed to practice those skills and also be able to review the research and compile a summary of what you found. Please read the instructions careful and make sure that you complete all aspects of this assignment to receive full credit.

Find 3 related scientific, peer-review articles of research related to the Management Topics listed below
Articles should relate to nutrition management or foodservice management
Articles must be about the same topic (see Management topics below for ideas)
Articles should be from no less than two different journals (JAND, Journal of Hospitality Management, etc.) and no older than 10 years (2009 and after).
To determine if the journal the article comes from is peer reviewed and appropriate, you can look up the journal in Ulrich’s database (link below). If a little striped referee shirt appears next to the journal name, it indicates the journal is peer reviewed. http://ulrichsweb.serialssolutions.com.ezproxy1.lib.asu.edu/ (Links to an external site.)
Read the complete articles; print (at least) the first page from each study to turn in.
Abstracts (ie: from PubMed) are not appropriate
If the first page is only the abstract, print a second page
Provide an abstract in your own words of each article. (250 words each)
Write a brief, one-page article, targeting nutrition or foodservice managers, based on your synopsis of the data presented in the studies you found. (500 words) In this article explore some of the following questions:
How does this information related to what we have learned in the class?
How does this information connect to the field of nutrition or food management?
What is surprising about the information you learned?
What further research needs to be done in that area or another area to further clarify a finding?
How does this impact your thoughts about your future professional goals/aspirations?

 

Sample Solution

• Fatigue/numbness in an extremity Pt came in to ED for generalized weakness
• Pain – Patient reports LLE pain constant and hurting
• Pallor
• Pulselessness Pt has absent pedal pulses
• Poikilothermia (coldness)
• Paralysis
• Poor hair growth
• Parethesia(abnormal physical sensation-prickling, tingling, numbness)
• Poor healing of sores or ulcers Pt has nonhealing wound on L foot, led to amputation of 2nd and 3rd toe
• Bruits – indicate disturbance in flow (plaque formation)
• Edema – Pt has bilateral LE w/ 2+ pitting edema from knee down
(Baird, 2016 p595, Osborn, 2014 p1069)
Common lab & diagnostic tests
• CBC ( to check for anemia r/t surgical blood loss or post op bleeding, platelet level for evaluating for increased clotting/bleeding propensity, increased WBCs indicating possible infection – High WBC(19.7,14.8, 12.9)-infection, Low RBC(3.22)infection, Low Hgb (32.9/25.9) anemia, renal disease – Low Hct (32.9, 25.9) – anemia, renal disease, acute blood loss
• BMP (fluid shift or volume changes w/ increased use of IV fluids, kidney disorders) – Elevated BUN(92/92/94) renal disease r/t HF , High Cr (3.71,3.3,3.96) – HTN,high K (6.5) lactic acidosis
• Coagulation studies(evaluate increased clotting/bleeding propensity)- Elevated PT (22.8, 20.5) & PTT(41.6)
• HgbA1C
• Liver enzymes, CPK (evaluating for reperfusion injuries) Elevated ALT, AST, Alk Phos, Osmo Calc, CPK r/t liver disease, CHF, acute MI
• Lactic acid (compensation for metabolic acidosis) (high ; 4.7 on admission – lactic acidosis r/t CHF & COPD)
• Ankle-brachial index ( detects PAD of LE by assessing pressure of foot and brachial)
• Doppler waveforms( Assess for LE stenosis)
• Duplex US (sound waves to identify areas of stenosis in arterial vessels and defines severity) Occluded left superficial femoral artery distal reconstitution of the popliteal artery through collateral vessels consistent w/ chronic occlusion. Two vessel runoff in the calf.

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