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Energy and nutrient consumption of patients with dysgeusia.

To evaluate the effects of dysgeusia (taste distortion) on nutritional status, 3-day diet records, taste and smell function, and indexes of nutritional risk were measured in 65 patients with dysgeusia and in 37 normal volunteers. The patients with dysgeusia were categorized with the use of a semiquantitative scale into four types (I to IV) on the basis of the number and types of foods or beverages perceived as distorted. Energy intake decreased significantly as the severity of dysgeusia increased, but energy intake was unaffected by hypogeusia and/or hyposmia. In patients with dysgeusia, nutrient intake was correlated with energy intake. Intake of vitamins A and C and calcium was significantly less than the RDAs. Fifty-two percent of all patients with dysgeusia had at least one index of nutritional risk, and 11 percent exhibited more than three indexes.

Adult↗

Evaluation of oral problems in divers performing electrical welding and cutting under water.

A study of 118 professional commercial divers, using an inquiry form, revealed that 55% of the divers complained about a metallic taste in the mouth when working with electrical equipment under water. A nationwide clinical examination of 40 divers was performed to see if the metallic taste during work reflected any alteration in the oral cavity. The clinical appearance of the dental amalgam restorations differed significantly between divers who had been working with electrical equipment and divers who had not. A number of other dental indexes were assessed and showed no differences between the two groups. These included salivary secretion rate, buffering capacity, secondary caries, plaque index, bleeding index, and cultures of S. mutans and Lactobacillus. Relatively high levels of the two organisms were noted, indicating that the group of divers examined should be considered as a caries risk groups.

Adult↗

Radiotherapy: what are patients' needs?

Although there is a substantial body of research into the impact of cancer therapies such as surgery and chemotherapy, little is known about the experiences of cancer patients receiving radiotherapy. Serial interviews with 39 patients undergoing radical radiotherapy to the oral cavity revealed that misunderstandings and groundless fears about this form of treatment were widespread. A majority were unprepared for the severity and duration of their side-effects. These results suggest that written information for patients about radiotherapy and its side-effects should be made available routinely. There is also scope for nutritional support. Finally, as a supplement to out-patient attendance, informal contact with the hospital in the immediate post-treatment phase would provide invaluable reassurance to patients.

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