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http://projects.csail.mit.edu/courseware/?term=free-essay-contests free essay contests 22–337 pmol/l) 220–420 mcg/dl (39. 4–75. 2 μmol/l) tsat 15%–50% (0. 15–0. 50) ferritin is the protein–iron complex found in macrophages used for iron storage. Low in ida measures the capacity of transferrin to bind iron. High in ida tsat(%) = (serum iron/tibc) × 100. A saturation of less than 15% (0.

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http://www.cs.odu.edu/~iat/papers/?autumn=creative-writing-coursework-ideas creative writing coursework ideas Some elemental formulas contain a low proportion of fat (less than 10% of total calories), which makes cialis levitra oder viagra them useful in certain situations where fat needs to be restricted. The carbohydrate source in oligomeric formulas 1512  section 17  |  nutrition and nutritional disorders is also less complex than in polymeric formulas, consisting of oligosaccharides rather than hydrolyzed starch. Fiber content another distinguishing factor of enteral formulas is whether or not they contain fiber. Both soluble and insoluble fibers may be included. Insoluble fiber exerts an effect on gut motility by drawing water into the intestine and decreasing transit time, thus preventing constipation. Soluble fiber can help to lower blood cholesterol levels, regulate blood sugar, and prolong gastric emptying. Soluble fiber may also help control diarrhea. Cellulose gum is an example source of insoluble fiber. Oat fiber and guar gum provide primarily soluble fiber. Soy fiber provides primarily insoluble fiber but also some soluble fiber and is the most commonly used fiber source in tube feeding products. Fiber has been useful for regulating gut motility in some but not all clinical studies. It certainly can be useful in selected patients. 19 some patients may experience gi discomfort secondary to gas production with introduction of fiber. Fructooligosaccharides (fos) are a form of fiber that pass through the stomach and small bowel undigested and are fermented by colonic bacteria to the scfas butyrate, propionate, and acetate. The scfas serve as a fuel source for colonocytes and also serve other important functions. 20 the fos are thus prebiotics that serve as fermentable substrates for normal flora of the colon. The scfas are not added directly to en products because they would be absorbed completely before reaching the colon. Rather, fos are added, allowing bacterial degradation to form scfas. Products containing fos are often avoided postoperatively due to increased gas, bloating, and abdominal distention with these products. Caloric density enteral feeding formulas can be categorized based on caloric density. Standard caloric density is 1 to 1. 3 kcal/ml (4. 2–5. 4 kj/ ml). More calorically dense formulas containing 1. 5 to 2 kcal/ ml (6.

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