Journal of the American Dietetic Association articles from October 1997

Journal of the American Dietetic Association archives from October 1997

The heritage of army dietetics. (50th anniversary of the Army Medical Specialist Corps)
October 1, 1997... As Army dietitians celebrate the 50th anniversary of the Army Medical Specialist Corps (AMSC), which comprises dietitians, occupational therapists, physical therapists, and physician assistants, it is a good time to pause and reflect on the roles...

How a volunteer program enhances student skills, dietitian efficiency, and patient satisfaction. (internship programs for student dietitians)(includes related article on dietitians' comments about the Tallahassee Memorial Regional Medical Center's student volunteer program)
October 1, 1997... Most students know that in today's professional marketplace career planning has to start before classes end. Savvy students know that the sooner they begin construction on a network of connections and preprofessional experiences, the better...

ADA's medical nutrition therapy campaign reaches milestone. (American Dietetic Association; campaign supporting the Medicare Medical Nutrition Therapy Act of 1997)
October 1, 1997... Dietetics professionals have recognized for years that medical nutrition therapy (MNT) is an essential component of outpatient health care for Medicare recipients who have chronic health conditions such as diabetes or cardiovascular disease. Yet,...

New trends in weight management. (treatment of obesity as a disease)
October 1, 1997... Americans are getting heavier and heavier. Indeed, the year 2000 national health objectives to decrease the prevalence of overweight to 20% of adults and 15% of adolescents (1) vail certainly not be achieved. Approximately 33% of adults (2) and...

Computerized patient record: are we prepared for our future practice? (includes related article on an interview with dietitians regarding their experience with a computerized patient record system)
October 1, 1997... Registered dietitians communicate with other team members through their documentation and by providing information, requesting orders, and making recommendations. Chart notes are part of a legal document and provide verification that care was...

Comparative evaluation of body composition in medically stable elderly.
October 1, 1997... The challenge of providing appropriate nutrition care for elderly populations is increasing. By the year 2000, the number of elderly (aged 65 years and older) will reach 35 million, and the number will grow to 39 million by 2010 (1). Life...

No ergogenic effects of ginseng (Panax ginseng C.A. Meyer) during graded maximal aerobic exercise.
October 1, 1997... Ginseng is an herbal plant that has a long history of use in China, Korea, and the former Soviet Union for the treatment of various ailments (1,2). In the United States, however, it is not widely recognized for medicinal purposes (3). Instead, it...

Twelve weeks of endurance exercise training does not affect iron status measures in women.
October 1, 1997... Iron deficiency, the most common nutritional deficiency in the United States (1), develops when body iron supply is not sufficient to meet body iron requirements. Iron deficiency can eventually result in anemia with consequences such as pallor,...

Review of self-efficacy and locus of control for nutrition- and health-related behavior.
October 1, 1997... In the never-ending search for explanations of health-related behavior, many predictive factors have been identified. Three widespread models, or theories - Social Cognitive Theory, Theory of Reasoned Action, and the Health Belief Model -...

The Solution Method: 2-year trends in weight, blood pressure, exercise, depression, and functioning of adults trained in development skills.
October 1, 1997... During the 1980s, the prevalence of adult obesity increased 8%, an increase of 37% above obesity rates at the beginning of the decade (1). Although the dietitian is typically identified as the member of the health care team who treats this...

Database and quick methods of assessing typical dietary fiber intakes using data for 228 commonly consumed foods.
October 1, 1997... Dietary fiber is an important component of a healthful diet. By virtue of its physicochemical properties, such as the extent of fermentation and viscosity, some dietary fiber sources are particularly effective stool bulkers (1), whereas others...

Health care foodservice directors' perception of the importance of value-added services offered by foodservice distributors.
October 1, 1997... In today's market, foodservice distributors are required to expand their product lines and services to meet the changing procurement practices of health care facilities (1). Consolidation, mergers, and acquisitions have forced foodservice...

Nutrition via jejunostomy in refractory hyperemesis gravidarum: a case report.
October 1, 1997... Nasogastric feeding is the preferred modality to attenuate malnutrition in pregnant women with hyperemesis (1,2). The case presented in this article involves jejunostomy feeding, which was initiated mid-trimester and continued to term. Currently,...

Position of the American Dietetic Association: health implications of dietary fiber.
October 1, 1997... Dietary fiber has demonstrated benefits for health maintenance, disease prevention, and as a component of medical nutrition therapy. Except in certain therapeutic situations, dietary fiber should be obtained through consumption of foods. In...

Multimedia Products for Breastfeeding Education of Health Professionals: Computer Interactive Modules on Breastfeeding Management. (Software Review)(Evaluation)
October 1, 1997... Equipment required For IBM compatibles, minimum requirements are 486/33 MHZ processor, 8 MB RAM, 2X CD-ROM drive, Windows 3.1 with MM extensions or Windows 95, sound card for digitized audio, SVGA 256-color monitor, and Quicktime for Windows 2.0....

Research competencies in the dietetics curricula.
October 1, 1997... Research is the architect of a profession in supporting a discipline and determining the future (1). One of the constraints for research is the average lead time (30 to 40 years) between new theoretical knowledge and first application. Johanna...

Pediatric nutrition assessment: identifying children at risk.
October 1, 1997... A growing number of children require nutrition assessment and intervention in both community and hospital settings. Community settings that may provide pediatric nutrition services include clinics for the Special Supplemental Nutrition Program...

Empower children to develop healthful eating habits.
October 1, 1997... An "obesity explosion" is occurring among children and adolescents, according to Patricia B. Crawford, a research nutritionist at the University of California at Berkeley. Speaking at the recent American Dietetic Association Annual Meeting and...

School-based health clinics: the role for nutrition.
October 1, 1997... School-based health clinics (SBCs) are rapidly increasing in number. In 1984, there were 10 clinics in the United States. Currently, there are more than 600, about 25% of which are in New York State (1). Of these, 47% are housed in high schools,...

Elder insecurities: poverty, hunger, and malnutrition.
October 1, 1997... Good nutritional status is vital to helping America's 34 million elders remain independent, maintain their quality of life, and avoid premature nursing home placement. Access to adequate food that provides essential nutrients is a daily issue for...

Oral health screening guidelines for nondental health care providers.
October 1, 1997... Maintaining good oral health is essential to overall health. Changes in oral health can be symptomatic of disease, but more importantly, can have a direct effect on dietary practices and nutritional status. Dietitians cannot overlook the...

Dietary studies in the joint US-Russian space program.
October 1, 1997... Since 1961, the United States and the former Soviet Union have launched more than 600 people into space. Early nutrition guidelines were both general and tentative and were meant to meet the food and fluid needs of moderately active, earthbound...

Building your business - setting your fees: a cost-based approach.
October 1, 1997... Don't sell yourself short! It's the most frequent advice the fee-setting experts give. The truth is, it's the number one mistake entrepreneurs make. Charging too little is a cycle that will either starve your business slowly or kill it fast....

Charting by exception: a solution to the challenge of the 1996 JCAHO's nutrition care standards. (Joint Commission on Accreditation of Healthcare Organizations)
October 1, 1997... The 1996 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards for nutrition care are revolutionary. For the first time in its history, JCAHO has developed detailed standards for the practice of medical nutrition therapy...

Do you know what a dietetic technician can do? A focus on clinical technicians and their expanded roles and responsibilities.
October 1, 1997... Recently, I needed to train a fellow professional to assist me in an outpatient facility. As I brought our new employee to my office, she was amazed. Her first remark was, "You're in charge here!" I simply replied, "Yes, I am." She had expected...

Cyberspace 101: taking a ride on the information superhighway.
October 1, 1997... Let's face it. If you're looking for success in the 21st century, you have to be comfortable in cyberspace. If you're already a "techno-weenie," that's great. On the other hand, if you're among the "electronically impaired," this is your wake-up...

Overcoming resistance to organizational change.
October 1, 1997... Some leaders become upset with managers, physicians, and others who resist organizational change strategies, while other leaders see resistance as an indication that they may have done something wrong strategically. The fact is, resistance to...

Foodservice design - planning for the future.
October 1, 1997... Have you ever dreamt of having a new kitchen in your facility? Have you ever wondered, "Who designed this kitchen?!" For some foodservice directors and consultants, designing a new kitchen or renovating existing space is only wishful thinking....

Essential fatty acid deficiency in renal failure: can supplements really help?
October 1, 1997... Many chronic disease states are associated with plasma fatty acid profiles that differ from normal, reflecting mild essential fatty acid deficiency (EFAD). Abnormal fatty acid patterns have been reported in patients with such diseases as cystic...

Indirect calorimetry: technical aspects.
October 1, 1997... Energy expenditure (EE) is defined as the ability of a person to do internal and external work. Energy exists in many forms that are interchangeable and related. Thus, the chemical energy of 1 g glucose can be converted to heat, so that if...

HIV and medical nutrition therapy. (nutrition therapy for HIV patients)
October 1, 1997... Since the early 1980s, when the acquired immunodeficiency syndrome (AIDS) first was recognized by researchers, the wasting syndrome has been known to be a significant part of the disease (1). Wasting was such a prominent feature of the fatal...

Pattern management: a tool for improving blood glucose control with exercise.
October 1, 1997... Exercise is recognized as an important component of diabetes management (1). Health benefits of exercise include a reduction in cardiovascular risk factors, lowered body weight, reduced body fat, and a heightened sense of well-being (1-4)....

The "to feed or not to feed" dilemma. (use of advance directives regarding patient nutrition and hydration)
October 1, 1997... Mrs Smith was continually losing significant amounts of weight every month. As her dietitian, I had tried every imaginable intervention. Her calorie counts revealed that she consumed 400 to 500 kcal and very little protein each day. At this rate,...

Nutritional needs of the person with Alzheimer's disease: practical approaches to quality care.
October 1, 1997... Alzheimer's disease affects approximately 4 million Americans and is now the fourth most common cause of death for individuals over the age of 65. As clinicians, we are seeing people with Alzheimer's type dementia in a variety of living and...

The use of dietary supplements in the elderly: current issues and recommendations.
October 1, 1997... The elderly have been identified as a population at increased risk for poor nutritional status (1). The use of dietary supplements to reduce that risk is considered controversial, although the level of controversy is not the same for all...

The role of maternal nutrition in the prevention of birth defects. (with related article on the connection between vitamin A toxicity and birth defects)
October 1, 1997... Maternal diet and nutritional status have a direct impact on pregnancy course and outcome. This is demonstrated dramatically in experimental animals and brought closer to home through observation of women living in poverty. Low birth weight is...

Cystic fibrosis, nutrition, and the health care team.
October 1, 1997... Cystic fibrosis (CF) is a common, severe autosomal recessive disorder. The incidence of CF varies among different populations. It is most common among Caucasians of northern European ancestry. The incidence is somewhat lower in populations of...

The ketogenic diet revisited.
October 1, 1997... The ketogenic diet actually is a component of a therapy for treatment of seizures that maintains ketosis, more appropriately referred to as "ketosis therapy." A high-fat diet maintains the body's starvation mechanism, with exogenous fat provided...

Dietitians: experts about food systems?
October 1, 1997... "There are two spiritual dangers in not owning a farm. One is the danger of supposing that breakfast comes from the grocery, and the other that heat comes from the furnace. "-Aldo Leopold, A Sand County Almanac (1) Even for those who will...

Sports drinks: research asks for reevaluation of current recommendations.
October 1, 1997... Fluid replacement drinks or carbohydrate-electrolyte (CE) beverages may be one of the most researched sports nutrition topics ever, and accompanying this high volume of research are continually evolving recommendations. Years ago, sports...

Phytochemicals: guardians of our health.
October 1, 1997... Increasingly, Americans are being told to eat. more plant foods (1). The optimal diet recommended by most professional health organizations is a low-fat, low-saturated fat, high-complex carbohydrate diet characterized by frequent consumption of...

Taste: the neglected nutritional factor.
October 1, 1997... As soon as an edible body has been put into the mouth, it is seized upon - gases, moisture, and all - without possibility of retreat. Lips stop whatever might try to escape; the teeth bite and break it; saliva drenches it; the tongue mashes and...

A review of some herbal and related products commonly used in cancer patients.
October 1, 1997... The popularity of herbal medications as adjunctive therapy for acute and chronic medical problems has grown significantly in the past several years. US herb sales in 1996 were expected to reach or exceed $12 billion. In a recent survey of 1,008...