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51.
Nicole Darmon Zo Rambeloson Constance Bellin Katia Castetbon 《Cahiers de Nutrition et de Diététique》2006,41(2):118-124
Practical and specific guidelines are needed to design nutritionally adequate food baskets for food aid. Since the weight of foods is the only information on food easily available and understandable by non nutritionist field-workers, weight-based guidelines were presently developed. They are compatible with the French food-based dietary guidelines and take into account that food-insecure individuals have limited access to some foods, such as meat, fish, fruit and vegetables, while refined cereals are the main component of their diets. These guidelines can also be used to evaluate the dietary quality of existing food aid. factual food baskets delivered by food aid agencies in France were compared to the recommended food basket. The results show that fruit and vegetables are severely lacking (only 10% of total food basket weight instead of 33% recommended) while staples, mainly refined cereals, are given in excess (40% instead of 15%), as well as sugar- or salt-containing food products (9% instead of 2%). This results show that it is necessary to improve the dietary quality of food aid in France and suggest that simple weight-based recommendations can be helpful. 相似文献
52.
T. Meunier A. François J. Poisson M. Gisselbrecht J.B. Arlet L. Ducot H. Lahjibi-Paulet J. Le Guen E. Mercadier J. Pouchot O. Saint Jean 《La Revue de médecine interne / fondée ... par la Société nationale francaise de médecine interne》2018,39(2):84-89
Introduction
In France, nearly 50% of patients transfused in packed red blood cells are 75 or older. The benefit of restrictive transfusion policies is no longer to be demonstrated, but the practices are still far from it. The objective of our study was to show the impact of a decision support tool on transfusion practices, specifically in a hospitalized elderly population.Method
A clinical decision support, validated in the improvement of practices, was created, based on the latest transfusion recommendations of 2014. Our study was interventional, monocentric, within the departments of internal medicine and geriatrics of a university hospital from February to July 2016. The clinical decision support was available for any request of transfusion of packed red blood cells for 75 years old or older patient who was hospitalized in one of these two services.Results
There were 134 transfusions out of 173 for which the prescriber used our tool. Comparing 2016 with the previous two years, our tool decreased the rate of packed red blood cells delivered by 11% compared to 2014 (P < 0.005), but there was no significant difference compared to 2015. It has also reduced the transfusion rate of multi-unit transfusions by 35% compared with 2014 and by 29% compared with 2015 (P < 0.005).Conclusion
Our tool, applied specifically to the elderly, is useful to improve transfusion practices and requires to be validated on a larger scale. 相似文献53.
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