The Covid19 pandemic has caused significant changes in staffing and training needs in the healthc... more The Covid19 pandemic has caused significant changes in staffing and training needs in the healthcare workforce. Among the practitioners impacted are dietitians and nutritionists. This study compared samples of position announcements in nutrition and dietetics from 2017 and 2021. Differences by both total number of position and position categories were found to be significantly different (p<.05) between the two time periods studied. There was a decrease of about 50% in the total number of positions posted in the first three months of 2021 as compared to the same months in 2017. Changes across position location were also significant. As a % of the total positions, specialty programs were the only category to show growth over the time period studied. These included overall increases in outpatient clinical programs focusing on HIV/AIDs, cancer, and hemodialysis, and more notably in 2021, eating disorders, obesity, and mental health programs. Differences in specific skills and credent...
Abstract: Innovative interventions addressing childhood obesity are needed to capture the attenti... more Abstract: Innovative interventions addressing childhood obesity are needed to capture the attention of youth living in a multi-media environment. The purpose of this paper is to describe the qualitative study that was conducted to inform the development of an appealing manga comic (Japanese comic art) to promote fruit consumption in youth and the process of creating the comic. Seven focus groups and two interviews (N=28) were conducted with middle-school students to better understand such topics as enjoyable components of manga comics and important health concepts. Two researchers independently analyzed each transcript using ATLAS.ti. Inductive and deductive processes were used to identify codes (ideas emerging from text); similar codes were grouped into themes. Most frequently mentioned themes related to enjoyable components of manga comics were detailed graphics and artistic style of text used to convey sound effects. The majority said eating fruits and vegetables was the most imp...
Abstract: Innovative interventions addressing childhood obesity are needed to capture the attenti... more Abstract: Innovative interventions addressing childhood obesity are needed to capture the attention of youth living in a multi-media environment. The purpose of this paper is to describe the qualitative study that was conducted to inform the development of an appealing manga comic (Japanese comic art) to promote fruit consumption in youth and the process of creating the comic. Seven focus groups and two interviews (N=28) were conducted with middle-school students to better understand such topics as enjoyable components of manga comics and important health concepts. Two researchers independently analyzed each transcript using ATLAS.ti. Inductive and deductive processes were used to identify codes (ideas emerging from text); similar codes were grouped into themes. Most frequently mentioned themes related to enjoyable components of manga comics were detailed graphics and artistic style of text used to convey sound effects. The majority said eating fruits and vegetables was the most imp...
Nutrition informatics (NI) is the effective retrieval, organization, storage, and optimum use of ... more Nutrition informatics (NI) is the effective retrieval, organization, storage, and optimum use of information, data and knowledge for food-and-nutrition-related problem-solving and decision-making. There is a growing opportunity to facilitate technology-enabled behavioral change interventions to support NI research and practice. This paper highlights the changing landscape of food and nutrition practices in India to prepare a NI workforce that could provide some valuable tools to address the double burden of nutrition. Management and interpretation of data could help clarify the relationships and interrelationships of diet and disease in India on both national and regional levels. Individuals with expertise in food and nutrition may receive training in informatics to develop national informatics systems. NI professionals develop tools and techniques, manage various projects and conduct informatics research. These professionals should be well prepared to work in technological settings...
Background: Huntington disease (HD) is a genetic neurologic disorder. Weight loss is common in HD... more Background: Huntington disease (HD) is a genetic neurologic disorder. Weight loss is common in HD and is related to progression of the disease, but the cause of weight loss remains unclear. Objective: The study objective was to compare 24-h energy expenditure (EE) and energy intake in persons with early midstage HD with those of matched control subjects to determine how HD affects energy balance. Design: EE was assessed in 13 subjects with early-stage HD and in 9 control subjects via indirect calorimetry in a human respiratory chamber. Energy intake was determined by weighing all food provided and all leftovers from an ad libitum diet. Body composition was measured via air-displacement plethysmography. Stage of disease was estimated on the basis of the Unified Huntington’s Disease Rating Scale and modified Mini-Mental Status examinations. Regression analysis included all 13 HD subjects; t tests were used for the comparisons between matched HD and control subjects. Results: 24-h EE w...
As demographics in many countries shift towards older populations, disorders affecting primarily ... more As demographics in many countries shift towards older populations, disorders affecting primarily older people have garnered increasing attention. One such disorder is Parkinson’s disease (PD), which after Alzheimer’s, is the second most prevalent neurodegenerative disorder, and is most commonly diagnosed in people greater than sixty years of age. While attention is typically paid to the visible symptoms of the movement disorder, non-motor symptoms of PD can significantly detract from quality of life for affected individuals. Many of these non-motor symptoms impact the gastrointestinal (GI) system, with concurrent impact on nutritional status. This paper will describe the nature of these problems as described in research literature, and offer some suggestions as to how these issues may be addressed.
Innovative interventions addressing childhood obesity are needed to capture the attention of yout... more Innovative interventions addressing childhood obesity are needed to capture the attention of youth living in a multi-media environment. The purpose of this paper is to describe the qualitative study that was conducted to inform the development of an appealing manga comic (Japanese comic art) to promote fruit consumption in youth and the process of creating the comic. Seven focus groups and two interviews (N=28) were conducted with middle-school students to better understand such topics as enjoyable components of manga comics and important health concepts. Two researchers independently analyzed each transcript using ATLAS.ti. Inductive and deductive processes were used to identify codes (ideas emerging from text); similar codes were grouped into themes. Most frequently mentioned themes related to enjoyable components of manga comics were detailed graphics and artistic style of text used to convey sound effects. The majority said eating fruits and vegetables was the most important nut...
A historical perspective on the education and training of dietetics students from the 1940s was r... more A historical perspective on the education and training of dietetics students from the 1940s was recently presented in the Journal of the Academy of Nutrition and Dietetics [1]. This history showed the development of training methods and practices as the profession evolved. Another recent paper in the American Journal of Clinical Nutrition [2] described the need for nutrition education across disciplines in health professions, both to promote interdisciplinary collaboration, and to address the growing needs of the public for information and guidance. These papers clearly show that nutrition education has been important in the past, and will continue to be so into the future
This review explores the concept of clinical judgment and its relationship to critical thinking. ... more This review explores the concept of clinical judgment and its relationship to critical thinking. A systematic review of the literature was performed in PubMed, using the key words “clinical judgment,” and limiting the search to papers published in English. A hand search located additional pertinent documents. While papers on clinical judgment specifically in nutrition and dietetics are scarce, literature from other disciplines can inform this discussion. How these essential skills are taught and learned in the health professions, and some theoretical views of this area are examined. Following this, the underlying philosophy and educational models are discussed. Lastly, specific educational methods and strategies are described as illustrative examples of how these theoretical concepts can be applied in training health professionals.
Huntington disease (HD) is a genetic neurologic disorder. Weight loss is common in HD and is rela... more Huntington disease (HD) is a genetic neurologic disorder. Weight loss is common in HD and is related to progression of the disease, but the cause of weight loss remains unclear. The study objective was to compare 24-h energy expenditure (EE) and energy intake in persons with early midstage HD with those of matched control subjects to determine how HD affects energy balance. EE was assessed in 13 subjects with early-stage HD and in 9 control subjects via indirect calorimetry in a human respiratory chamber. Energy intake was determined by weighing all food provided and all leftovers from an ad libitum diet. Body composition was measured via air-displacement plethysmography. Stage of disease was estimated on the basis of the Unified Huntington's Disease Rating Scale and modified Mini-Mental Status examinations. Regression analysis included all 13 HD subjects; t tests were used for the comparisons between matched HD and control subjects. 24-h EE was 11% higher in the HD subjects tha...
The Covid19 pandemic has caused significant changes in staffing and training needs in the healthc... more The Covid19 pandemic has caused significant changes in staffing and training needs in the healthcare workforce. Among the practitioners impacted are dietitians and nutritionists. This study compared samples of position announcements in nutrition and dietetics from 2017 and 2021. Differences by both total number of position and position categories were found to be significantly different (p<.05) between the two time periods studied. There was a decrease of about 50% in the total number of positions posted in the first three months of 2021 as compared to the same months in 2017. Changes across position location were also significant. As a % of the total positions, specialty programs were the only category to show growth over the time period studied. These included overall increases in outpatient clinical programs focusing on HIV/AIDs, cancer, and hemodialysis, and more notably in 2021, eating disorders, obesity, and mental health programs. Differences in specific skills and credent...
Abstract: Innovative interventions addressing childhood obesity are needed to capture the attenti... more Abstract: Innovative interventions addressing childhood obesity are needed to capture the attention of youth living in a multi-media environment. The purpose of this paper is to describe the qualitative study that was conducted to inform the development of an appealing manga comic (Japanese comic art) to promote fruit consumption in youth and the process of creating the comic. Seven focus groups and two interviews (N=28) were conducted with middle-school students to better understand such topics as enjoyable components of manga comics and important health concepts. Two researchers independently analyzed each transcript using ATLAS.ti. Inductive and deductive processes were used to identify codes (ideas emerging from text); similar codes were grouped into themes. Most frequently mentioned themes related to enjoyable components of manga comics were detailed graphics and artistic style of text used to convey sound effects. The majority said eating fruits and vegetables was the most imp...
Abstract: Innovative interventions addressing childhood obesity are needed to capture the attenti... more Abstract: Innovative interventions addressing childhood obesity are needed to capture the attention of youth living in a multi-media environment. The purpose of this paper is to describe the qualitative study that was conducted to inform the development of an appealing manga comic (Japanese comic art) to promote fruit consumption in youth and the process of creating the comic. Seven focus groups and two interviews (N=28) were conducted with middle-school students to better understand such topics as enjoyable components of manga comics and important health concepts. Two researchers independently analyzed each transcript using ATLAS.ti. Inductive and deductive processes were used to identify codes (ideas emerging from text); similar codes were grouped into themes. Most frequently mentioned themes related to enjoyable components of manga comics were detailed graphics and artistic style of text used to convey sound effects. The majority said eating fruits and vegetables was the most imp...
Nutrition informatics (NI) is the effective retrieval, organization, storage, and optimum use of ... more Nutrition informatics (NI) is the effective retrieval, organization, storage, and optimum use of information, data and knowledge for food-and-nutrition-related problem-solving and decision-making. There is a growing opportunity to facilitate technology-enabled behavioral change interventions to support NI research and practice. This paper highlights the changing landscape of food and nutrition practices in India to prepare a NI workforce that could provide some valuable tools to address the double burden of nutrition. Management and interpretation of data could help clarify the relationships and interrelationships of diet and disease in India on both national and regional levels. Individuals with expertise in food and nutrition may receive training in informatics to develop national informatics systems. NI professionals develop tools and techniques, manage various projects and conduct informatics research. These professionals should be well prepared to work in technological settings...
Background: Huntington disease (HD) is a genetic neurologic disorder. Weight loss is common in HD... more Background: Huntington disease (HD) is a genetic neurologic disorder. Weight loss is common in HD and is related to progression of the disease, but the cause of weight loss remains unclear. Objective: The study objective was to compare 24-h energy expenditure (EE) and energy intake in persons with early midstage HD with those of matched control subjects to determine how HD affects energy balance. Design: EE was assessed in 13 subjects with early-stage HD and in 9 control subjects via indirect calorimetry in a human respiratory chamber. Energy intake was determined by weighing all food provided and all leftovers from an ad libitum diet. Body composition was measured via air-displacement plethysmography. Stage of disease was estimated on the basis of the Unified Huntington’s Disease Rating Scale and modified Mini-Mental Status examinations. Regression analysis included all 13 HD subjects; t tests were used for the comparisons between matched HD and control subjects. Results: 24-h EE w...
As demographics in many countries shift towards older populations, disorders affecting primarily ... more As demographics in many countries shift towards older populations, disorders affecting primarily older people have garnered increasing attention. One such disorder is Parkinson’s disease (PD), which after Alzheimer’s, is the second most prevalent neurodegenerative disorder, and is most commonly diagnosed in people greater than sixty years of age. While attention is typically paid to the visible symptoms of the movement disorder, non-motor symptoms of PD can significantly detract from quality of life for affected individuals. Many of these non-motor symptoms impact the gastrointestinal (GI) system, with concurrent impact on nutritional status. This paper will describe the nature of these problems as described in research literature, and offer some suggestions as to how these issues may be addressed.
Innovative interventions addressing childhood obesity are needed to capture the attention of yout... more Innovative interventions addressing childhood obesity are needed to capture the attention of youth living in a multi-media environment. The purpose of this paper is to describe the qualitative study that was conducted to inform the development of an appealing manga comic (Japanese comic art) to promote fruit consumption in youth and the process of creating the comic. Seven focus groups and two interviews (N=28) were conducted with middle-school students to better understand such topics as enjoyable components of manga comics and important health concepts. Two researchers independently analyzed each transcript using ATLAS.ti. Inductive and deductive processes were used to identify codes (ideas emerging from text); similar codes were grouped into themes. Most frequently mentioned themes related to enjoyable components of manga comics were detailed graphics and artistic style of text used to convey sound effects. The majority said eating fruits and vegetables was the most important nut...
A historical perspective on the education and training of dietetics students from the 1940s was r... more A historical perspective on the education and training of dietetics students from the 1940s was recently presented in the Journal of the Academy of Nutrition and Dietetics [1]. This history showed the development of training methods and practices as the profession evolved. Another recent paper in the American Journal of Clinical Nutrition [2] described the need for nutrition education across disciplines in health professions, both to promote interdisciplinary collaboration, and to address the growing needs of the public for information and guidance. These papers clearly show that nutrition education has been important in the past, and will continue to be so into the future
This review explores the concept of clinical judgment and its relationship to critical thinking. ... more This review explores the concept of clinical judgment and its relationship to critical thinking. A systematic review of the literature was performed in PubMed, using the key words “clinical judgment,” and limiting the search to papers published in English. A hand search located additional pertinent documents. While papers on clinical judgment specifically in nutrition and dietetics are scarce, literature from other disciplines can inform this discussion. How these essential skills are taught and learned in the health professions, and some theoretical views of this area are examined. Following this, the underlying philosophy and educational models are discussed. Lastly, specific educational methods and strategies are described as illustrative examples of how these theoretical concepts can be applied in training health professionals.
Huntington disease (HD) is a genetic neurologic disorder. Weight loss is common in HD and is rela... more Huntington disease (HD) is a genetic neurologic disorder. Weight loss is common in HD and is related to progression of the disease, but the cause of weight loss remains unclear. The study objective was to compare 24-h energy expenditure (EE) and energy intake in persons with early midstage HD with those of matched control subjects to determine how HD affects energy balance. EE was assessed in 13 subjects with early-stage HD and in 9 control subjects via indirect calorimetry in a human respiratory chamber. Energy intake was determined by weighing all food provided and all leftovers from an ad libitum diet. Body composition was measured via air-displacement plethysmography. Stage of disease was estimated on the basis of the Unified Huntington's Disease Rating Scale and modified Mini-Mental Status examinations. Regression analysis included all 13 HD subjects; t tests were used for the comparisons between matched HD and control subjects. 24-h EE was 11% higher in the HD subjects tha...
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