Malabsorption in those with ostomies is evidenced by elevated volumes of output. Malabsorption is a clinical diagnosis manifest as chronic diarrhea or steatorrhea. It is also associated with disorders like esophageal strictures, gastroparesis, and intestinal pseudo-obstruction. Symptom intensity, frequency, and duration should be noted.Ĭ Reduced assimilation of food/nutrients is associated with malabsorptive disorders like short bowel syndrome, pancreatic insufficiency and after bariatric surgery. Use clinical judgment to discern severity based upon the degree to which intake or absorption are impaired. dysphagia, nausea, vomiting, diarrhea, constipation or abdominal pain. Functional assessments like hand-grip strength may be considered as a supportive measure.ī Consider gastrointestinal symptoms as supportive indicators that can impair food intake or absorption e.g. Thresholds for reduced muscle mass need to be adapted to race (Asia). When not available or by regional preference, physical examination or standard anthropometric measures like mid-arm muscle or calf circumferences may be used. Inflammation d,e,f: Acute disease/injury or chronic disease-relatedĭiagnosis of malnutrition: Requires at least 1 phenotypic criterion and 1 etiologic criterion.Ībbreviations: GI, gastro-intestinal, ER, energy requirements.Ī For example fat free mass index (FFMI, kg/m²)) by dual-energy absorptiometry (DXA) or corresponding standards using other body composition methods like bioelectrical impedance analysis (BIA), CT or MRI.Reduced food intake or assimilation b,c: ≤50% of ER > 1 week, or any reduction for >2 weeks, or any chronic GI condition that adversely impacts food assimilation or absorption.Reduced muscle mass a: Reduced by validated body composition measuring techniques.Low body mass index (kg/m2): 70 years.Weight loss (%): >5% within past 6 months, or >10% beyond 6 months.Phenotypic and etiologic criteria for the diagnosis of malnutrition. GLIM Criteria for the Diagnosis of Malnutrition The flexible design of GLIMS make it easy to interface to other scales and instruments.This Global Leadership Initiative on Malnutrition (GLIM) initiative targets the priority to adopt global consensus criteria so that malnutrition prevalence, interventions, and outcomes may be compared throughout the world. If you have instruments not listed please contact us. GLIMS imports from the following air samplers: Anderson, R&P (manual and sequential) and BGI and GLIMS links to both the Mettler and Sartorius Scales. GLIMS generates reports in both delimitated and non-delimitated formats. GLIMS can then generate reports for AIRS, net weight, particulate concentrations, scale accuracy, and quality control information. Additionally, full editing features allow the user to manually enter information directly into the database for documentation. The technician can import field sampler data into the database at this time. When filters are returned to the laboratory, each filter is weighed again and the program records the gross weight. Sampler Run Data Sheets are printed to accompany filters out to the field. Temperature and relative humidity information can be viewed in a graphic display, allowing technicians to easily monitor lab conditions. This data can be used for documenting ambient conditions to support quality control reporting. Additionally, the program records temperature and relative humidity in the laboratory, via a data translator. The filter is placed on the scale and the program reads the tare weight of the filter, adding it to the database record. Developed as a custom solution for a research laboratory, GLIMS is now a commercial product used by State and County Air Quality Management Districts to manage their collection, measurement and reporting of particulate data.įor each filter, GLIMS creates a database record and optionally generates a bar coded label which is applied to a filter container (and can be scanned at any time to recall the database record). GLIMS is a comprehensive Gravimetric Laboratory Information System that collects data from particulate dust monitors, reads filter labels via bar codes, records filter weights via a serial interface to a precision scale, collects temperature and humidity data required for quality assurance and creates formatted particulate air quality reports and quality assurance reports required by state and federal agencies.
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