Nutritional and Metabolic Diseases

Symptoms and General Pathology

All Conditions

Dehydration

Death

Water-Electrolyte Imbalance

Metabolic Diseases

Survey of Palliative care physicians from Latin America and Spain

10-15 minute online survey to assess palliative care physicians' attitudes, beliefs and practice patterns related to parenteral hydration at the end of life in Latin America and Spain.

Survey

Isabel Torres, MPH, DRPH

The purpose of this study is to assess palliative care physicians' attitudes, beliefs and practice patterns related to parenteral hydration at the end of life in Latin America and Spain.

Objectives:

1. To assess palliative care physicians' attitudes, beliefs and practice patterns related to parenteral hydration at the end of life in Latin America and Spain.
2. To assess cross-national differences in practice patterns related to parenteral hydration at the end of life. (Latin America vs. Spain).
3. To determine the percentage of physicians who practice parenteral hydration at the end-of-life in the hospital setting and the home setting.
4. To examine the association between providers' parenteral hydration practice patterns and:

   * 1. provider demographic characteristics;
   * 2. specific characteristics of their practice settings; and
   * 3. training and experience in end of life care;
5. To determine which factors most predict the practice of parenteral hydration at the end of life among palliative care physicians.

This study is a collaboration between MD Anderson's Departments of Palliative care and Rehabilitation Medicine, Health Disparities Research, the Latin American Association for Palliative Care (ALCP) and the Spanish Society for Palliative Care (SECPAL). The proposed study involves a 10-15 minute online survey of palliative care physicians from Latin America and Spain to assess their attitudes, beliefs and practice patterns related to parenteral hydration at the end of life.

Physician Perceptions About Parenteral Hydration in Latin America and Spain

Physician Perceptions About Parenteral Hydration in Latin America and Spain: A Survey of Physicians Affiliated With the Latin American Association for Palliative Care (ALCP) and the Spanish Society for Palliative Care (SECPAL)

M.D. Anderson Cancer Center

Gland and Hormone Related Diseases

Neoplasms

Skin and Connective Tissue Diseases

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Diabetes Mellitus

Breast Neoplasms

Diabetes, Gestational

Glucose Metabolism Disorders

Altered metabolic milieu is defined as a fasting glucose level \>100 mg/dL at the first trimester of pregnancy by national guidelines. Altered metabolic milieu during the second trimester (24-28 weeks of pregnancy) is defined as a fasting glucose levels \> 92 mg/dL and/or plasma glucose levels \> 153 mg/dL two hours after load in the oral glucose tolerance test according to ADA guidelines or a fasting glucose \>100 mg/dL and/or \> 140 mg/dL two hours after load in the oral glucose tolerance test according to national guidelines. The COVID-19 pandemic is considered as a natural nutritional and mental health exposure.

Nutrition and mental health during pregnancy

María L Garmendia, PhD

Camila L Corvalán Aguilar, PhD

María F Mujica Coopman, PhD

The Chilean Maternal \& Infant Cohort Study II (ChiMINCs II) is an ongoing cohort that is part of the Chilean Maternal and Infant Nutrition Observatory of the South-East area of Santiago, Chile. In total, 1927 pregnant women beneficiaries of the public health systems and their offspring were recruited before 12 weeks of gestation and are followed across pregnancy (\<15, 26-28, and 35-37 weeks of gestation) and up to 2 years of age of their offspring. Two studies are currently nested in ChiMINCs II: 1) Breast Cancer Risk Assessment in Mothers (BRECAM) study, and 2) the ChiMINCs-COVID study. The primary objective of BRECAM study is to test the association between maternal metabolic indicators (i.e., insulin, glucose, IGF-1, and HbAc1 concentrations) at early pregnancy (i.e., \<15 and 26-28 weeks of gestation) and breast density 3 months after the cessation of lactation. For this purpose, we collect maternal obstetric, lifestyle, dietary intake, anthropometric, and biochemical information. The aim of the ChiMINCs-COVID study is to assess dietary-related risks and mental health problems derived from the COVID-19 pandemic and their influence on maternal and infant's health and nutrition. Thus, we collected detailed information on dietary behaviors, mental health and COVID-related information at each trimester, along with neonatal and infant nutritional information. The purpose of the present work is to describe the design, methods, and descriptive information at recruitment of ChiMINCs-II, also discussing the implications that this study can have to better understand maternal and infant nutrition and health during the COVID-19 era.

Additional fasting venous samples will be collected during routine public health care blood extractions and at delivery (maternal venous and umbilical cord blood samples). Also, feces samples of newborn will be collected after delivery. Whole blood, plasma, buffy coat, serum and red blood cells will be separated by centrifugation within the next 3 hours. Biological specimens will be aliquot and keep to -80ºC until the determination of metabolic markers, growth factors and hormones.

Chilean Maternal & Infant Cohort Study II (CHiMINCs-II)

The Chilean Maternal and Infant Nutrition Cohort Study II

Data and blood samples that will be collected in this study will be under the custody of the principal investigator and a human subject protection review board will regulate its use. Others researchers may access the data by contacting to María Luisa Garmendia (Principal Investigator).

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Physician Perceptions About Parenteral Hydration in Latin America and Spain	NCT01011140	Dehydration Advanced Cancer...	Survey	18 Years -	M.D. Anderson Cancer Center
Physician Perceptions About Parenteral Hydration in Latin America and Spain	NCT01011140	Dehydration Advanced Cancer...	Survey	18 Years -	M.D. Anderson Cancer Center
Chilean Maternal & Infant Cohort Study II (CHiMINCs-II)	NCT03920098	Breast Density Body Compositio... Nutritional Sta... Mental Health I...	Nutrition and m...	18 Years - 50 Years	Instituto de Nutrición y Tecnología de los Alimentos
Physician Perceptions About Parenteral Hydration in Latin America and Spain	NCT01011140	Dehydration Advanced Cancer...	Survey	18 Years -	M.D. Anderson Cancer Center

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