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Query: UMLS:C0038187 (starvation)
 24,951 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Acute and chronic starvation is often associated with childhood cancer. Total parenteral nutrition (TPN) with 20% glucose and 3.0% amino acids, and minerals and vitamins was instituted to treat or prevent malnutrition in 41 children with cancer, ages three months to 18 years. TPN was required for anorexia, vomiting and diarrhea associated with anti-cancer therapy in 33 patients for intestinal complications or surgery in nine, and for preoperative correction of malnutrition in two. During TPN, general nutrition and appearance improved in all patients. Weight gain was noted in most. Despite gastrointestinal complications which usually require the interruption of chemotherapy and irradiation, in 21 children treatment could be continued at full dose with nutritional support by TPN. TPN was discontinued in six patients when blood cultures became positive. Sepsis was treated successfully by removal of the central venous catheter in all six and administration of antibiotics in three. No metabolic complications were noted. TPN appears to be a safe and effective means of combating the malnutrition which may occur with cancer and its therapy.
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PMID:Parenteral nutritional support in children with cancer. 40 34

Fluid transport was gravimetrically measured in vivo in the duodenum, jejunum, and ileum of anaesthetised fed, 72 hour starved and 72 hour starved rats refed for up to five days after starvation. Basal unstimulated fluid transport was monitored by instilling 0.9% NaCl into the lumen and measuring the gain or loss in weight of the closed intestinal loop. Fluid was absorbed in all the areas of the intestine in the fed rats. Increasing basal fluid absorption was observed in the duodenum over the three days of starvation but in the jejunum there was no significant change. In the ileum, the pattern was very different, on day 1 the fluid was absorbed but on days 2 and 3 there was an increasing secretion of fluid. Refeeding the rats with their normal diet restored the basal absorption of fluid in the duodenum within 24 hours, had no effect in the jejunum but in the case of the ileum the hypersecretion of fluid observed in the day 3 starved rat was maintained on day 1 of refeeding, increased further on day 2, decreased on day 3 but returned to absorption on day 4. The normal absorption was restored to the ileum on day 5 of refeeding. Fluid secretion was induced in all the rat groups by bethanechol (ip 60 micrograms/kg bw) a stable cholinergic agonist, PGE2 (ip 10 micrograms/kg (bw) and E coli STa (luminally instilled, 500 ng/ml) a secretory enterotoxin. All the secretagogues gave enhanced secretion compared with the fed by day 2 of starvation which increased considerably on day 3. Refeeding returned their secretion back to the fed level in the duodenum within 24 hours, in the jejunum within 48 hours but in the ileum their induced secretion on day 2 of refeeding was greater than that of the day 2 of refeeding was greater than that of day 3 starved and took until day 4 to return to the fed levels for behanechol and PGE2 and until day 5 for E. coli STa. This behaviour of rat small intestine showing even greater hypersecretion in the refed state than the starved mimics the human condition of alimentary induced diarrhoea where incautious feeding of starved humans induces severe, often lethal diarrhoea. The refed starved rat appears to be a possible model for this condition.
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PMID:Intestinal hypersecretion of the refed starved rat: a model for alimentary diarrhoea. 135 88

In 1992, the worst drought in recorded history hit southern Africa. It especially affected the eastern area of Swaziland where staff at a rural district hospital, Good Shepherd Hospital in Siteki, struggled to treat rising numbers of ill and malnourished people. 10% of the population in this area reached the advanced stage of starvation. Almost 50% did not have enough food to meet their nutritional needs. Women had to travel as far as 15 miles to retrieve water from tankers and sometimes wait for days because other water sources evaporated. Maize did not grow. The subsistence farmers and their families, who made up most of the population, were able to use food stored from the year before, but it only postponed hunger. They sold their cattle (their symbol of wealth), borrowed money, and migrated to cities, leaving children and grandparents to provide for themselves. This area also had an influx of refugees from Mozambique who tended to receive more food than the natives. The incidence, but not the types, of diseases increased much during the drought. These diseases included diarrhea, respiratory infections, measles, marasmus, kwashiorkor, and vitamin deficiencies. The drought did reduce the incidence of malaria, however. Nongovernmental organizations helped with food and in measuring the effects of the drought, e.g., with anthropometric surveys of young children. The international community offered to send Swaziland more than 100,000 tons of cereal, but by December 1992 the cereal had not arrived. The people distributed the limited food to those most in need. The limited maize available for distribution was yellow, but the people were accustomed to white maize and believed yellow maize to be poisonous. When droughts occur, the crux of the problem in developing countries is the pressure exerted by multinational lending institutions to earn foreign currency to pay interest on national debt.
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PMID:Another African disaster. 846 97

The cases of two patients with fulminant hepatic failure after intake of therapeutic doses (4-8 g) of paracetamol, and who were admitted to hospital for assessment for liver transplantation, are described. In both patients starvation, due to abdominal pain, nausea and vomiting or diarrhoea, was probably contributing to the toxic effect of the drug. One of the patients also had an excessive alcohol intake. Paracetamol should not be prescribed for patients with alcoholism or with low food intake.
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PMID:Hepatotoxicity due to repeated intake of low doses of paracetamol. 160 96

The effects of progressive starvation for up to three days on the secretory functions of the intestine were investigated using in vitro and in vivo preparations of rat jejunum and secretagogues whose action was either through cyclic AMP or Ca++. Initial starvation for 24 h (day 1) did not significantly alter the basal net electrogenic ion secretion measured in vitro as the short circuit current (Isc, muamps/cm2) or the change in electrogenic ion secretion (delta Isc) induced by the secretagogues. By day 2 of starvation, however, the maximum delta Isc transient induced by the cholinergic and other secretagogues (delta Isc = Isc max-basal Isc) was greatly increased (up to a maximum of 117%) compared with the fed controls on an area basis. The delta Isc were even greater on day 3 of starvation. If a tissue weight basis was used to normalise the data the increase became even more marked. The enhancement in secretion was not caused by a decrease in absorptive capacity as glucose, added mucosally, gave larger increases in absorptive currents in the starved than in the fed jejuna. Bethanecol dose-delta Isc response curves in fed and starved jejuna showed an increase in the maximum electrogenic secretion in the starved but no apparent change in the affinity of their cholinergic receptors mediating the enhanced secretion. The starvation-induced increase in secretion elicited by bethanecol was blocked by atropine, indicating that the receptors were muscarinic, but was unaffected by tetrodotoxin indicating that the enteric neural innervation was not essential for its expression. Noradrenaline released by tyramine was greater in the starved than the fed jejunum, suggesting that a decreased sympathetic tone was unlikely to be the major cause of the starvation induced secretory enhancement. Measurement of jejunal fluid movements in vivo showed that in fed controls and throughout the three days of starvation there was an unchanged net fluid absorption in the basal, unstimulated state. By day 2 and day 3 of starvation, however, bethanecol stimulated fluid secretion was very much greater than that of the fed controls. This increase in fluid secretion was concomitant with significant increases in the concentration of chloride in the lumenal fluid. Starvation thus appears to make the rat jejunum hypersensitive to cholinergic and other secretagogues, increasing the electrogenic secretion of chloride in vitro and that of chloride and fluid in vivo. These results obtained with the rat model give a new insight into possible mechanisms by which the diarrhoea of human famine and malnutrition may be expressed.
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PMID:Diarrhoea of famine and malnutrition: investigations using a rat model. 1. Jejunal hypersecretion induced by starvation. 196 78

The appropriate choice of treatment for infants with diarrhea has long provoked debate. Growth of infants with diarrhea is adversely affected by associated diseases including anorexia, malabsorption, catabolic response to infection, and iatrogenic starvation. To prevent the negative effects of diarrhea on the nutrition of infants, continued feeding during the active and early convalescent phases has been recommended. Although this concept is not new, until recently it has been little used in the treatment of diarrhea. In this article we examine the current knowledge about, and trends in, feeding infants with diarrhea. We will discuss treatments for the well-nourished infant with acute diarrhea, the infant with prolonged diarrhea, and the malnourished infant. Information regarding the use of local staples will also be provided.
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PMID:Nutritional therapy for infants with diarrhea. 209 32

The Great Circus of Mocorongo was conceived in 1984 with funds from the state and various educational institutions to disseminate health messages to communities with scarce economic and human resources in Para State, Brazil. The show was aimed at 15,000 people scattered in 13 remote communities afflicted with malnutrition as well as high morbidity and mortality. It used a methodology consisting of medical and pedagogical techniques showing in dramatical and amusing scenes everyday human encounters with diseases, microbes, the problems of hygiene, and various aspects of community health (proper nutrition, diarrhea, use of medicines, respiratory infections, and vaccinations). The central characters of the show entitled "Health and Merriment" were: the housewife Larimunda, the druggist Salim, and the clowns Banziero, Xulex, and Primentinha. It is difficult to measure the effect of laughter and mirth on changing one's mindset, but in 12 months not a single instance of death of a child occurred resulting from diarrhea or malnutrition. Children played with the characters in scenes that stressed good nutrition in anemia or during diarrhea, they used Salim's medicines for rehydration and vaccination and they witnessed Larimunda's victory over microbes. The goal was to transform the village in a grand scene stressing prevention of ailments. The circus was a timid and hesitant venture at its inception involving children,violence, starvation, hope, and fantasy. Still, it contributed to formal research by introducing innovative approaches to nursing materials and methods.
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PMID:[Circuses and clowns. Experimental contribution to nursing methodology]. 211 75

Nutrition of colonic epithelial cells is mainly from short chain fatty acids (SCFAs) produced by bacterial fermentation in the colonic lumen. n-Butyrate contributes more carbon of oxidation to epithelial cells than glucose or glutamine from the vasculature. Incomplete starvation of colonic epithelial cells through lack of luminal SCFAs leads, in the short term, to mucosal hypoplasia with either diminished absorption or diarrhea. A chronic lack of SCFAs or complete organ starvation in conjunction with other factors leads to nutritional colitis, either "diversion colitis" or "starvation colitis." Whether predominantly diarrhea or colitis develops in mucosal malnutrition appears to depend upon the severity and duration of starvation. Ulcerative colitis may be classified as a nutritional colitis in that colonic epithelial cells are unable to utilize SCFAs reflecting epithelial starvation despite abundant SCFAs.
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PMID:The starved colon--diminished mucosal nutrition, diminished absorption, and colitis. 220 75

Diarrhea or respiratory infection constitutes the terminal illness in most starved children and adults. A major component of starvation diarrhea appears to be an organ-specific malnutrition of the inestinal epithelium, not bacterial overgrowth. Faced with an overburden of nutrients on refeeding, the intestine cannot salvage ions because its epithelium has insufficient energy to control absorption effectively. In many cases, patients have a worsening of diarrhea and die within the 1st few days of oral refeeding. Antibiotics are particularly detrimental in starvation because they prevent effective bacterial fermentation and thus production of substrates for mucosal growth and sodium absorption. Oral rehydration thereapy uses glucose to drive sodium absorption in the small intestine mucosa, but it provides little energy to the mucosa. Nutrition of the small bowel mucosa is promoted by increasing the vascular supply of amino acids. Once nutrition of the intestinal mucosa has been restored, absorption of orally supplied nutrients becomes efficient. Refeeding diets in starvation should have a relatively high content of ferementable complex polysaccharides and dietary fiber and smaller amounts of milk fats and glucose than are normally provided to severely malnourished children. The starved intestinal epithelium returns to functional capacity after 5-7 days. As a result of the therapeutic implications in severely malnourished children, it is essential that cases of infective diarrhea and starvational diarrhea be differentiated from each other.
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PMID:Metabolic basis of starvation diarrhoea: implications for treatment. 287 46

"Inpitan" is the first Soviet full-value balanced food mixture for tube feeding, produced under industrial conditions. It was used for enteral nutrition of 50 patients with different diseases of the upper gastro-intestinal tract. The mixture contains protein (12%), fat (30%), carbohydrates (58%), all the necessary mineral substances, and water- and fat-soluble vitamins. Depending on the clinical situation the patients received 2000-3200 ml of the mixture/day. The use of "Inpitan" with the energy density of 1 kcal/ml as the only source of nutrition during 7-75 days has demonstrated its high nutritious effectiveness. When the mixture was introduced directly into the small intestine according to the authors' schedule, no dyspeptic symptoms (eructation, nausea, vomiting, abdominal pain, meteorism, diarrhea) were recorded, dipsosis and the sense of starvation disappeared, the body weight increased, biochemical parameters returned to normal, the time of the preoperational preparation was significantly reduced, the post-operational complications were better managed.
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PMID:[Enteral feeding of patients with surgical diseases of the digestive tract using the Soviet balanced food mixture Inpitan]. 311 53


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