Background: Lack of appropriate nutritional support during hospitalization may worsen patients' nutritional status and increases risk for infection, organ failure, decreased wound healing and suboptimal response to regular medical treatment. The prevalence and intensity of hospital malnutrition have been recognized as an important parameter in the outcome of disease. The study aimed at to determine incidence of malnutrition in hospitalized patients, the change in nutrition status during hospital stay and its effects on outcome of disease. Methods: It was a prospective study and conducted at a tertiary care hospital. Total 70 patients were studied. Each patient's nutritional status was determined from anthropometric data -body mass index, triceps skinfold thickness, mid-arm circumference, mid arm muscle circumference, MNA scoring, serum protein level changes during hospital stay. The next recording was done at 15 days and 30 days after discharge. Student's t is test used for statistical analysis. Results: The statistical difference for various parameters of nutritional status was found significant at admission and discharge. Conclusions: The change in various parameter of nutritional status was observed in hospitalized patients. The treatment should be aimed at treating specific disorders along with nutritional correction. It is recommended to have dietary plans at the time of admission in consultation with the dietician.
Background: Fine-needle aspiration cytology (FNAC) is a well-established technique for the evaluation of salivary gland lesions, but because of the heterogenicity and morphological overlap between the spectrum of the lesion, there are a few challenges in its wide use. Recently, “The Milan system for reporting salivary gland cytopathology” was introduced, providing guide for diagnosis and management according to the risk of malignancy (ROM) in different categories. The present study was conducted to assess the Milan System for Salivary Gland Cytopathology on salivary gland lesion aspirate and to correlate the reporting categories with conventional reporting methods and to use as objective tool in implication and uniformity at the management of salivary gland lesions. Materials and Methods: A total of 102 cases of salivary gland lesion were enrolled in the study, who underwent FNAC in the division of cytopathology. The FNA results of this study were recategorized according to the Milan system and compared with the final histopathological diagnosis. Results: Milan system FNAC sensitivity was 82.5%; specificity was 90.90%, while the diagnostic accuracy was 84.31%. The positive and negative predictive values were 97.05% and 58.82%, respectively. ROM was calculated for each category. It was 33.3% in Cat I, 9.0% in Cat II, 100% in Cat III, 9.3% in Cat IV A, rest 100% in the remaining categories. Conclusion: The present study concluded that the Milan system has cytodiagnostic advantages over the conventional reporting system. It has the advantage to know the ROM and as a systematic nomenclature, it may reduce the rate of surgery where it was not indicated.
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