By J. E. Fischer M.D. (auth.), J. M. Greep, Peter B. Soeters, R. I. C. Wesdorp, C. W. R. Phaf, Josef E. Fischer M.D. (eds.)
J. E. Fischer, M.D. Professor Greep, women and gents. it's a nice excitement for me and the individuals to be current at this foreign assembly of Parenteral Nutri tion. This assembly do not have been attainable 5 years in the past. at the moment we have been nonetheless arguing approximately imperative vs. peripheral routes, efficacy of the tech nique, and nonetheless getting familiar with our skill to help sufferers nutri tionally. in the final 5 years those discussions, which appear nearly futile on reflection, were set aside. either recommendations, we all know how, paintings really good and feature their very own symptoms. Having turn into pleased with the procedure, it really is now time to go into the second one part of parenteral nutrients, and that's the differentiation of the method for the good thing about assorted sufferers. Over the following days we are going to be discussing numerous difficulties which this day are relevant to the total topic of parenteral meals. Is a fats calorie similar to a carbo hydrate calorie? what's the impression on protein metabolism of the fats calorie in preference to the carbohydrate calorie? Are they identical? Are'there events within which one is improved to the opposite? maybe we'll discover day after today within the panel.
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Extra info for Current Concepts in Parenteral Nutrition
Siegal, A. M. and Owen, W. , Hyperlacticacidemia in Man: Ethanol- Phenformin Synergism. Diabetes 20: Suppl. 1,324 (1971). , Xylit, Stoffwechsel und klinische Verwendung. Klin. Wschr. 49: 233-245 (1971). Meert, J. , personal communication. Meng, H. , Wang, P. Y. and Lu, K. , The use of fructose and glucose in total parenteral nutrition as an energy source. In: Ritzel, G. and Brubacher, G. 252-276. Munro, H. N. and Allison, J. , Mammalian Protein Metabolism, New York, 1964. Munro, H. , Basic concepts in the use of amino acids and protein hydrolysates for parenteral nutrition.
79: 914·917 (1973). 23. Dolif, D. , Die Bedeutung der nicht essentiellen Aminosauren bei der parenteralen Ernahrung. In: Berg, G. ), Advances in Parenteral Nutrition, Pro· ceedings of the Symposium of the International Society of Parenteral Nutrition, Prague, 1969. Stuttgart (Thieme Verlag). 24. Dolif, D. , Requirement and utilization of Amino·acids. In: Ahnefeld, F. , et a!. ), Parenteral Nutrition, Klinische Anaesthesiologie und In· tensivtherapie, Band 7, (English edition), New York, 1976, pp.
It has been shown that sorbitol achieves an overall metabolic response similar to that of glucose, to achieve the same result glucose must cause an increase above this range, which anti-insulin factors can hinder. Concerning amino acid metabolism in the presence or absence of various calorigenic substrates five studies can be mentioned (15, 16, 23, 24, 26). Three (15, 16, 26) can be taken as examples of a definite attempt to link the substrate effects on several hormonal parameters with overall nitrogen retention.