Advancements in nutritional diagnosis and support strategies during the perioperative period for patients with liver cancer

Liver cancer represents a grave hepatic condition and constitutes a significant global health concern.Surgical resection remains the principal therapeutic modality for liver cancer.Nevertheless,perioperative malnutrition exerts a notable impact on patients with liver cancer,emerging as an independent risk factor for disease mortality and adverse outcomes.Hence,precise nutritional diagnosis and timely nutritional support hold the potential to enhance therapeutic efficacy and quality of life for liver cancer patients.This study represents a meticulous foray into the literature,extracting data from PubMed,Web of Science,and EMBASE databases,with a focus on the past 5 years.It scrutinizes the impact of malnutrition on patients undergoing liver cancer surgery,the etiological underpinnings of malnutrition within this patient cohort,the critical assessment of perioperative nutritional status,and the strategic approaches to nutritional support.Utilizing rigorous inclusion and exclusion criteria,the amassed scholarly works are meticulously synthesized,methodically organized,and categorically elaborated upon.Ultimately,the authors propose the incorporation of a multidisciplinary nutrition management team during the perioperative period,comprising nutritionists,pharmacists,physicians,nurses,psychologists,and rehabilitation therapists,among other specialized professionals.Together,they collaborate to devise and implement personalized nutritional support plans,monitor patients’nutritional status,and make necessary adjustments as required.Through comprehensive management and intervention,improvements in the nutritional status of liver cancer patients can be achieved,thereby enhancing surgical success rates and facilitating postoperative recovery.It is believed that this manuscript will offer valuable insights to advance the nutritional management during the perioperative phase of liver cancer,aiding in ameliorating patients'nutritional status and treatment outcomes.

Review of Research on Nutritional Physiological Mechanism and Nutritional Diagnosis of Magnesium in Fruit Trees

Magnesium is an essential nutrient element for the growth and development of fruit trees.It not only participates in photosynthesis of plants,but also promotes physiological and biochemical reactions such as carbohydrate and protein synthesis,enzyme activation,and reactive oxygen species(ROS)metabolism.Magnesium deficiency in fruit trees will directly influence the growth and development of trees and the improvement of fruit quality.This study mainly reviews the nutritional and physiological mechanism of magnesium in plants and the nutritional diagnosis of magnesium deficiency in fruit trees,in order to provide a theoretical basis for further research on magnesium nutrition in fruit trees,and accordingly provide a certain reference for the application of magnesium fertilizer.

Diagnosis and Recommendation Integrated System(DRIS)to Assess the Nutritional State of Cotton Crop in Brazil

The diagnosis of nutritional state is an important tool to understand the nutritional requirement of plants and the influence of the nutritional balance on the yield. The proposed in this study was to apply the Diagnosis and Recommendation Integrated System (DRIS) to assess the nutritional state of cotton crop through the order of nutrient requirement and nutritional balance. Yield data from plots (average acreage 100 ha) and foliar concentrations of macro and micronutrients of cotton (Gossypium hirsutum r. latifolium) plants were stored in a database. The criterion to define the reference population consisted of plots with above-average yields + 2/3 standard deviation (over 4785 kg·ha-1 seed cotton yield). The DRIS method was efficient to evaluate the nutrition state of cotton. It was feasible to identify the order of plant requirement and nutritional balance. It was feasible to observe that when minor the Nutritional Balance Index (NBI) it’s higher the yield. It means that to reach high yield it is necessary to show low NBI. The Sulphur, Boron and Zinc showed the higher frequency as the most required nutrients by plant. The Magnesium and Manganese were the less required by the cotton plant, this means that both of them were limiting the yield by excess in the tissue.

Optimizing nutrition in hepatic cirrhosis:A comprehensive assessment and care approach

Cirrhosis is considered a growing cause of morbidity and mortality,which represents a significant public health problem.Currently,there is no effective treatment to reverse cirrhosis.Treatment primarily centers on addressing the underlying liver condition,monitoring,and managing portal hypertension-related complications,and evaluating the potential for liver transplantation in cases of decompensated cirrhosis,marked by rapid progression and the emer-gence of complications like variceal bleeding,hepatic encephalopathy,ascites,malnutrition,and more.Malnutrition,a prevalent complication across all disease stages,is often underdiagnosed in cirrhosis due to the complexities of nutritional assessment in patients with fluid retention and/or obesity,despite its crucial impact on prognosis.Increasing emphasis has been placed on the collaboration of nutritionists within hepatology and Liver transplant teams to deliver compre-hensive care,a practice that has shown to improve outcomes.This review covers appropriate screening and assessment methods for evaluating the nutritional status of this population,diagnostic approaches for malnutrition,and context-specific nutrition treatments.It also discusses evidence-based recommendations for supplementation and physical exercise,both essential elements of the standard care provided to cirrhotic patients.

Distribution of Leaf Color and Nitrogen Nutrition Diagnosis in Rice Plant

Greenness and nitrogen content of each leaf on main stem of different japonica and indica rice varieties under different nitrogen levels were investigated. Results showed that the fourth leaf from the top exhibited active changes with the change of plant nitrogen status. When the plant nitrogen content was low, its color and nitrogen content were obviously lower than those of the three top leaves. With the increase of plant nitrogen content, the color and nitrogen content of the fourth leaf increased quickly, and the differences of color and nitrogen content between the fourth leaf and the three top leaves decreased. So, the fourth leaf was an ideal indication of plant nutrition status. In addition, color difference between the fourth and the third leaf from the top was highly related to the plant nitrogen content regardless of the variety and development stage. Therefore, color difference between the fourth and the third leaf could be widely used for diagnosis of plant nutrition. Results also indicated that the minimized color difference between the fourth and the third leaf at the critical effective tillering, the emergence of the second leaf from the top, and the heading was the symbol of high yield. Plant nitrogen content of 27 g kg-1 DW for japonica rice and 25 g kg-1 DW for indica were the critical nitrogen concentrations.

Study on Cotton Nitrogen Diagnosis and Topdressing Recommendation in North Xinjiang,China

Field experiments were conducted to study cotton nitrogen diagnosis and topdressing recommendation by measuring cotton tissue NO3- concentration with Reflectoquant. Results showed that the order of NO3- concentration in different cotton plant tissues is petiole > stem > leaf, and upper parts> lower parts. There was significant change in each growth period, which was, NO3- concentration in budding-blooming period was the highest whereas it was the lowest in full blooming period. NO3- concentration in the 4th expanding petiole is relatively stable and can sensitively indicate cotton nitrogen state so it was chosen as diagnosis tissue. NO3- content in budding-blooming period was significantly correlated with seed-cotton yield so it was chosen as diagnosis period. Primary cotton's nitrogen diagnosis index and amount of topdressing was formulated by regression of NO3- concentration against seed-cotton yield. It was not only rapid and accurate but also time-saving and flexible by using Reflectoquant to diagnose cotton nitrogen states and make side-dressing recommendation , so it is an agricultural technique with promising prospect.

Preliminary validation of Global Leadership Initiative on Malnutrition criteria in cancer patients:A cross-sectional study

Background:The Global Leadership Initiative on Malnutrition(GLIM)has been used in China since 2019.This study aimed to test the use of the GLIM criteria in Chinese cancer patients and to compare the diagnostic performance of the GLIM criteria with the Patient-Generated Subjective Global Assessment(PG-SGA)and modified PG-SGA(mPG-SGA). Methods:A total of 2,000 cancer patients were consecutively screened using the Nutritional Risk Screening 2002 instrument on ad-mission.Patients at nutritional risk(Nutritional Risk Screening 2002 score≥3)were enrolled to obtain the complete GLIM,PG-SGA,and mPG-SGA criteria.To evaluate the convergent validity,Spearman correlation analysis was used to compare the test-retest reliability of the GLIM criteria and its results with the scores of various nutritional tools and objective parameters.Kruskal-Wallis tests and χ2 tests were used to test the discriminant validity among groups with different nutritional status.We calculated the sensitivity,specificity,positive predictive value,and negative predictive value for the various tools. Results:There were 562 patients found to be at nutritional risk,accounting for 28.1%of all patients.One hundred seventy-four patients(8.7%)were diagnosed as moderately malnourished,and 333 patients(16.6%)were severely malnourished based on the PG-SGA.When assessed using the GLIM criteria,185 patients(9.3%)were diagnosed as moderately malnourished and 311 patients(15.5%)were severely malnourished.The content validity of the GLIM criteria was 95%,evaluated by 60 medical staff members.The test-retest reliability was good.For the diagnosis of malnutrition versus the PG-SGA,the sensitivity of the GLIM was"good"(90.5%;95%confidence interval[95%CI]=88.0%-93.1%),with a positive predictive value of 92.5%(95%CI=90.2%-94.9%),but the spec-ificity and negative predictive value were"poor."Similar results were obtained when the mPG-SGA was used as the criterion. Conclusions:Overall,this cross-sectional study suggests that the GLIM criteria comprise a valid and reliable tool to assess the nutri-tional status of Chinese cancer patients.

Nutritional requirements and precise fertilization of wine grapes in the eastern foothills of Helan Mountain

Cabernet Sauvignon grapes in the wine-producing area of Helan Mountain,East Ningxia,China,were the research object in this study.The dissection of the roots and branching stems method was used to explore the dynamic changes in the nitrogen,phosphorus,and potassium nutrient requirements of wine grapes over a number of growth stages.The results showed that over the whole growth period,the nitrogen content of the roots was the highest during the leaf-expansion stage and lowest during the turning-color stage,and that the nitrogen content of the leaves and fruit showed a downward trend as growth progressed.The nitrogen content of the secondary branches was the lowest during the fruit expansion stage and the highest during the leaf-expansion stage;and the phosphorus content of the roots was the highest during the leaf-expansion stage and lowest during the fruit expansion stage.The phosphorus content of the trunk and primary branches showed a trend of“rising-falling-rising”.The phosphorus content of the leaves and secondary branches was the lowest during the turning-color stage,whereas the phosphorus content of the fruit was at its highest during this stage.The potassium contents of the secondary branches and fruit showed a downward trend,but the potassium content of the leaves was highest during the fruit expansion stage and lowest in the nutrient return stage.Over the whole growth period,the accumulation of nitrogen,phosphorus,and potassium in wine grapes was 129.92 kg/hm2,41.51 kg/hm2,and 189.47 kg/hm2,respectively,the total requirements for N,P2O5,and K2O were 262.38 kg/hm2,288.15 kg/hm2,and 569.04 kg/hm2,respectively,and the reasonable nutrient requirement ratio was 1.00:1.10:2.17.