British Dietetic Association

Background/Objectives: Nutritional disorders are common conditions in older people. This study aimed to determine nutritional disorders in a Mediterranean cohort of nursing home residents without cognitive or functional impairment. Methods: A multicentre cross-sectional observational study was conducted in 10 Spanish geriatric centres. Socio-health, clinical, and laboratory data were recorded from the participants’ medical records. The Mini-Nutritional Assessment (MNA) and Global Leadership Initiative in Nutrition (GLIM) diagnostic criteria [weight loss and serum C-reactive protein (CRP)] were used. Frailty risk was assessed using the FRAIL questionnaire. Anthropometric parameters [body mass index, weight loss, triceps skinfold thickness (TSF), muscle mass circumference (MAMC), and calf-circumference] were evaluated. Body composition [hydration pattern, fat-free mass, muscle mass (MM), fat mass, and phase angle (PhA)] was measured by bioelectrical impedance analysis. Laboratory parameters, such as haemoglobin, total lymphocyte count, serum albumin, transferrin, and CRP, were recorded. Participants were classified into two groups: the disease-related malnutrition (DRM) group and the no-DRM group. Using multivariate regression analysis, predictive factors for nutritional status were tested. Results: Among 340 participants, 63.2% were over 85 years old, 28.2% were men, and the median length of stay was 24 months (range: 6–119). Nutritional risk or malnutrition, as assessed by the MNA, was present in 60.8% of the residents. DRM was diagnosed in 39.4%, and frailty risk was diagnosed in 57.6%. Older adults with DRM had significantly lower MAMC, calfcircumference, MM, and serum albumin, as well as higher CRP concentrations compared with their No-DRM counterparts (all, at least, p < 0.05). The frailty risk (OR = 3.317), MM (OR = 0.732), PhA (OR = 0.033), serum albumin (OR = 0.070), and EuroQol visual analogue scale (OR = 0.961) were risk predictors of DRM in nursing home residents. Conclusions: This study supports the importance of conducting comprehensive nutritional assessments to ensure the earliest recognition of nutrition disorders in nursing homes. Older adults with DRM had greater unintentional weight loss, inflammation, and a high risk of frailty, as well as reduced MM, compared to those without DRM. Subclinical low-grade systemic inflammation is a risk factor for DRE and functional decline in older adults living in nursing homes. The generalisation of the study results is limited to institutionalised older adults without cognitive impairment who are clinically stable and functionally independent.

This review explores how the timing of surgery affects outcomes in adults with multisystem trauma requiring general surgical or orthopedic procedures. A targeted search of PubMed and other major databases up to July 2025 identified six relevant studies, including four observational cohorts, one meta-analysis, and one narrative review, collectively covering 273,683 patients. Early definitive surgery, performed within 24-48 hours of admission, was associated with lower mortality rates, fewer respiratory complications, and shorter ICU and hospital stays compared to delayed interventions. One large study reported no significant mortality difference, highlighting the importance of preoperative stabilization and individualized care. Despite variability in study design and the definition of “early” surgery, current evidence suggests that early operative management in stable trauma patients, including abdominal trauma, offers meaningful benefits in reducing complications and improving recovery.

Background: Low platelet count that is thrombocytopenia is the major sign of any type of viral fever; patients who have very low platelet count need ICU admission considering bleeding tendency. To check the efficiency of guava juice in low plate Objective: let count patients induced by any type of viral fever. A randomized, parallel clinical trial with CTR registration no- CTRI/2024/09/0 Methods And Materials: 73657 performed at Vishwaraj hospital in Pune, Maharashtra, India from July 2024 to December 2024 and ethical approval taken from MAEER'S Institutional Ethics Committee. 200 low platelet count patients which is induced by any type of viral fever selected by randomization method, in which 100 patients in study group who received guava juice and 100 patients in control group who did not received guava juice. This guava juice also contains 15% Amla into it. There are 5 comparisons of interest. Statistical analysis done by the Paired t Test for tw Results And Discussions: o independent samples which compares the means of two measurements of platelet count level taken before intervention and after intervention i.e. paired observations. The test used was 't' test for two independent samples. Level of significance is less than 0.05(p&lt;0.05). Analysis suggested that there was increasing trend in study group (guava juice group) while in control group either No Significant change in platelet count or first decreasing trend and then increasing trend of platelet count. Also the early recovery is significant in study group compared to control group at significance level 0.05 (p&lt;0.05). This study concluded that Guava juice with 15% Amla (Indian Gooseberry) into it, helps to Conclusion: increase platelet count in low platelet count which is induced by any type of viral fever and early recovery from symptoms.

Smit, Harry, Pešić, Vladimir (2023): A new species of the water mite genus Hesperomomonia Harvey, 1998 from Australia (Acari: Hydrachnidia: Momoniidae). Zootaxa 5311 (1): 148-150, DOI: 10.11646/zootaxa.5311.1.8, URL: http://dx.doi.org/10.11646/zootaxa.5311.1.8

At the heart of infection prevention in the home care setting is aseptic technique, a generic term for the clinical competency of ensuring asepsis during invasive clinical procedures and the maintenance of invasive medical devices. Variable terminology has resulted in confused education and clinical practice. Ambiguity has played out in all care environments, but especially in the home, where the challenge of providing effective aseptic technique is complicated by unique environmental and logistical factors. This has led some to conclude that aseptic technique is not possible in the home, or that it is not required at all in certain situations. This article challenges these assumptions and outlines the Aseptic Non Touch Technique (ANTT®) Clinical Practice Framework, that is used widely internationally. Through a thematic analysis of focus group discussions with home care nurses (n = 107) in the United Kingdom and the United States, opinions about aseptic practice in the home care setting were examined. Three main polarizing themes were identified and used to discuss theory and practice applications of aseptic technique for home healthcare nurses. Specific challenges in performing aseptic technique in home-based settings are exacerbated by ambiguity between what constitutes "clean," "aseptic," or so-called "sterile" technique, and are perpetuated by a lack of competency-based training that doesn't reflect the critical importance of aseptic technique to patient safety. Rather than continuing an endless debate about the definition of aseptic technique, ANTT has redefined aseptic technique education and clinical practice, with a comprehensive clinical practice framework and associated clinical governance better supporting patient safety.

Thinking about less polluting ways of generating energy and obtaining drinking water, a very current discussion focuses on ways to meet the need for energy consumption and sustainable production, as well as better use of water. Such questions can encourage the organization of teaching materials on these topics that promote the teaching of contents related to the area of Environmental Sciences. Thus, the objective of this work was to produce and evaluate a Kit, as a teaching material, aimed at teaching topics related to energy generation and obtaining drinking water, for basic education, seeking to answer the following question: How does a teaching kit on the use of solar energy, wind energy and obtaining drinking water, can it favor didactic transposition and educational work in favor of sustainable development? The Kit in question was produced with low-cost, recyclable materials and presents activities drawn from research results in the field of study on solar and wind energy generation and obtaining drinking water through the condensation process, seeking to relate research and teaching, performing the didactic transposition of concepts, that is, it contemplates didactic models from research models, in order to didactically bring to the classroom the results of scientific research in areas such as Physics, Engineering and others, from an interdisciplinary way involving, above all, discussions on sustainable development. The research involved the production of the Kit, and subsequent evaluation, through a questionnaire containing an evaluation form, by ten professors from the fields of Natural Sciences, linked to the Board of Education of Piracicaba, SP and by a professor specialized in the field of Physics and Energy from the University of So Paulo. The data were qualitatively analyzed and showed that the kit developed is able to favor didactic transposition and constitute a support resource for the development of didactic activities on renewable sources of energy generation and ways of obtaining drinking water, in addition to promoting discussions that lead to the critical positioning of the student in relation to the development of a society based on the principles of sustainability. After evaluating the material, a leaflet with guidelines for the preparation of the materials present in the Kit was organized as a product, enabling its reproduction in different contexts. It is considered that working on the themes of Water and Energy, from basic education, can favor the development of a society more concerned with the appreciation and conscientious consumption of water, as well as awakening students' interest in the relevance of scientific research and the study of new forms of energy generation with less impact on the environment. Thus, it is suggested as future research the application and evaluation of the Kit with basic education students to verify the use of the material in real teaching situations and the contributions to learning.

Sustainable diets, which contribute to food security and health are the focus of many policy discussions around the world. The translation of sustainable diets into national and regional dietary guidance is necessary for shifts in population-based behaviour. Food-based dietary guidelines (FBDGs) are one such tool for conveying dietary advice, indeed, the National Food Strategy recommends that 'an updated "reference diet" for the nation' should be developed' which considers both health and sustainability. However, many, including the UK EatWell Guide, have not specifically considered sustainability in their development That said, following the Eatwell Guide has a lower environmental impact than the typical UK diet Dietitians frequently use the Eatwell Guide to disseminate dietary advice to patients/clients. To understand whether dietitians agree with the inclusion of the latest sustainability principles within the UK FBDGs, all dietitians who are members of the British Dietetic Association (BDA) were invited to participate in an online survey (Google Forms, Menlo Park, California) via e-mail between 25th November and 18th December 2021. The survey assessed attitudes towards sustainability and alternative proteins, including mycoprotein (a protein derived from fungi) within FBDGs, as part of a larger multiple-choice survey, which aimed to identify views on various public health issues. Three questions focused on the EatWell Guide, with five additional questions on sustainability within their professional practice. A total of 188 responses were received. Respondents worked in a wide variety of specialties including 23.9% (n = 45) in weight management, 18.6% (n = 35) in parenteral nutrition and 16.5% (n = 35) in diabetes and pediatrics equally 2.7% (n = 5) reported working within the field of sustainability. A total of 72.3% (n = 136) of dietitians agreed that the EatWell Guide should be updated to better reflect sustainable diets. When asked where they thought meat-alternatives should be represented within FBDGs, 91.5% (n = 172) stated that they should be visually represented among the protein food group and 81.9% (n = 154) agreed that mycoprotein should also be included in this food group pictorially.

Effective communication and leadership are needed when developing knowledge networks for nutrition research and education. The need for clear and approachable communication was highlighted by Dr Giles Yeo, who advocated for consensus, which takes time. As a result, nutrition has become a competitive space, contributing to a pseudoscience vacuum for people who want readily available and easy-to-understand information. Evidence-informed knowledge networks, and the individual participants who make up such networks, are key in cutting through the pseudoscience. During the Nutrition Decade, knowledge networks need skilled leaders, as mentioned in Action Area 4, regarding effective leadership to address these challenges and inspire future generations. Dr Kirsty Pourshahidi discussed the many different definitions and styles of leadership, underpinned by concepts of motivation and positive influence. To train these leaders, the European Nutrition Leadership Platform (ENLP) was introduced as a dynamic network of around 850 global leaders in food and nutrition with a mission to train, inspire and connect leaders in this space. The ENLP is a prime example of how to train leaders to drive progress in voluntary networks during the Nutrition Decade.