Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0038187 (starvation)
 24,951 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Case report on 2,5 years old monozygotic twins who died of starvation due to negligence. Different gradings of protein-energy-malnutrition are discussed, among them the Waterlow-classification of PEM. The advantage of the Waterlow-classification is that stunting and wasting can be distinguished. The Waterlow-classification is suitable also for the classification of fatal cases of starvation in childhood. Practical experiences with own cases and cases from the literature are presented.
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PMID:[Starvation due to child neglect. Case report and aspects of expert testimony]. 797 67

Wasting may not be an inevitable consequence of HIV infection but may be a consequence of multiple nutritional insults that are additive without periods of replenishment in between. Protein energy malnutrition in AIDS patients may be consequential to underlying illness and concomitant to death as a result of that illness or may hasten a patient's demise, that is, starvation with fatal loss of body cell mass. Mortality is closely related to weight loss. Malnutrition may be a result of decreased intake, malabsorption, altered metabolism, or any combination of the three. Nutritional strategies to prevent PEM include appetite stimulation, early nutritional supplementation with oral supplements, and the diagnosis and treatment of malabsorption and underlying infections. More aggressive measures such as gastrostomy or jejunostomy tube placement and total parenteral feedings are still being evaluated. Nutritional supplementation to enhance the immune system or manipulate metabolism may be adjunctive to the above strategies. Early intervention and attention to nutritional status may have long-term benefits to patients with this disease.
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PMID:Nutritional aspects of HIV infection. 808 74

Although the relationship between starvation and reduced resistance to infection has been suggested by historical accounts of famines and pestilence and by recent epidemiologic studies, the concept of nutritional deficiency causing impairment of immunocompetence is relatively recent. In PEM (protein-energy malnutrition), most of the host defence mechanisms are breached, especially manifested in reduced cell-mediated immunity. One plausible reason is the reduction in mature fully differentiated T lymphocytes. Recent immunological methods made it possible to analyze its precise mechanism and process in detail. Naturally occurring states of malnutrition are difficult to interpret largely because deficiencies usually involve multiple dietary factors. It is obvious that single nutrients can only be analyzed in defined and controlled animal experiments. Role of micronutrients such as zinc, iron, and vitamins, specific amino acids such as arginine, glutamine, and fat on immunological responses have been paid attention on their specific actions and some of them have been investigated in humans as well.
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PMID:[Role of malnutrition on immunity]. 812 95