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"ABSTRAKLatar belakang: Prevalensi obesitas di seluruh dunia telah diketahui mengalami peningkatan yang signifikan dalam tiga dekade terakhir. Tingginya prevalensi obesitas tersebut dapat memengaruhi peningkatan prevalensi pasien luka bakar dengan obesitas yang dirawat di unit luka bakar. Pasien luka bakar dengan obesitas mengalami fenomena 'second hit', yaitu peningkatan respon hipermetabolisme pasca luka bakar akibat inflamasi kronik yang sebelumnya sudah dialami. Masalah tersebut memiliki kaitan erat dengan nutrisi sehingga membutuhkan terapi medik gizi yang optimal untuk memodulasi respon hipermetabolisme yang meningkat pada pasien luka bakar dengan obesitas. Metode: Pada serial kasus ini terdapat empat pasien luka bakar berat karena api. Keempat pasien tersbeut memiliki status nutrisi obes berdasarkan kriteria indeks massa tubuh IMT menurut WHO untuk Asia Pasifik. Target kebutuhan energi dihitung menggunakan formula estimasi Xie dengan berat badan kering. Terapi medik gizi diberikan sesuai panduan terapi medik gizi pasien sakit kritis berupa nutrisi enteral dini dengan target energi awal 20-25 kcal/kg BB dengan target protein 1,5-2 gram/kg BB. Terapi medik gizi selanjutnya diberikan sesuai dengan klinis dan toleransi pasien. Mikronutrien yang diberikan berupa vitamin C, vitamin B, asam folat, dan seng.Hasil: Tiga pasien meninggal selama perawatan karena syok sepsis yang tidak teratasi, sedangkan satu pasien mengalami perbaikan luas luka bakar dari 47 menjadi 36 luas permukaan tubuh LPT serta peningkatan kapasitas fungsional. Kesimpulan: Status nutrisi obesitas pada pasien dalam serial kasus ini dapat menjadi faktor yang memperberat penyulit yang dialami. Terapi medik gizi yang adekuat dapat menunjang proses penyembuhan luka serta meningkatkan kapasitas fungsional.

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ABSTRACT<>br>Background The prevalence of obese patients presenting to burn unit facilities is expected to increase over the next three decades due to global epidemic of obesity. Given that the metabolic derrangements seen in burn mirror those found in association in obesity, it is plausible that excess adipose tissue contributes to a 'second hit' phenomenon in patients affected by burn injury. Optimal and adequate medical nutrition therapy is required in order to modulate the inflammatory and metabolic response, therefore enhance burn wound healing.Methods The current case series consist of four severly flame burned patient. The nutritional status of these patients was moderately obese according to WHO criteria for Asia Pacific. Enery requirement was calculated using the Xie formula based on patient rsquo s dry weight. Medical nutrition therapy was initiated with eraly enteral nutrition started at 20-25 kcal kg day with protein target at 1,5-2 gram kg day. Micronutrient supplementation was also given to these patients. Results Three patients died during hospitalization due to septic shock. The last patient had satisfactory wound healing and improved functional capacity at discharge. Kesimpulan: Obesity in this case series may be one of the risk factor for mortality. Adequate medical nutrition therapy inline with patient's clinical condition leads to enhancement healing process and improved functional capacity."

"DIET CURE FOR COMMON AILMENTS covers the whole gamut of ailments which can be cured by proper food habits and regulation of one’s life, without recourse to medicinal treatment. The book is based on the theories and fundamentals of nature cure that go to preserve health and vitality and regain these when lost. It will undoubtedly be a boon not only to laymen but also to nature cure practitioners as a reference guide because of its practical utility.Nature cure has carved a niche in the realm of curative sciences in our country and abroad, though the protagonists of the drugless healing system have included many other unorthodox treatments in their curative disciplines. Nature cure, through its correct application brings about amazing changes that baffle the practitioners of modern medicine, devoid as it is of the crippling side-effects of drug treatment. The all-pervading truth is that nature alone possesses the power of healing. There are not many institutions which cater to this system. Hence, many patients cannot take advantage of it. Dr. Bakhru’s book in this revised edition with complete treatment charts and illustrations will serve as a useful guide to those who wish to treat themselves through this system at home."

"DIET CURE FOR COMMON AILMENTS covers the whole gamut of ailments which can be cured by proper food habits and regulation of one’s life, without recourse to medicinal treatment. The book is based on the theories and fundamentals of nature cure that go to preserve health and vitality and regain these when lost. It will undoubtedly be a boon not only to laymen but also to nature cure practitioners as a reference guide because of its practical utility.Nature cure has carved a niche in the realm of curative sciences in our country and abroad, though the protagonists of the drugless healing system have included many other unorthodox treatments in their curative disciplines. Nature cure, through its correct application brings about amazing changes that baffle the practitioners of modern medicine, devoid as it is of the crippling side-effects of drug treatment. The all-pervading truth is that nature alone possesses the power of healing. There are not many institutions which cater to this system. Hence, many patients cannot take advantage of it. Dr. Bakhru’s book in this revised edition with complete treatment charts and illustrations will serve as a useful guide to those who wish to treat themselves through this system at home."