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. December 22, 2020 7. Cummingsotolaryngology6theditionpdffree106 2020 Cummingsotolaryngology6theditionpdffree106 Nutritional assessment of the oldest-old: the Edmonton-Grey North (EGN) study. Eighty-five community-dwelling persons (60-100 years) were invited to participate in a pilot study on nutrition of the oldest old. The purpose was to determine if they could be considered frail and/or malnourished, how frailty and/or malnutrition affect their health status, and if nutritional status/frailty can be predicted by clinical or physical assessment data. Subjects had a 24-h-tape collection to determine energy expenditure and a 24-h diet record for estimation of nutrient intake. Nutritional status was assessed by a 60-point nutrition screening, six measurements of mobility, a three-day-weight record, and anthropometry. Frailty was assessed by a five-point scale of muscle strength. Nutritional assessment data were classified as low/at risk or abnormal. Energy expenditure and nutrient intake were, on the average, within acceptable range. In general, frailty, mobility, and nutrition were not associated. Ten subjects were classified as frail, most of them with cardiovascular or musculoskeletal problems. Twenty-seven subjects were identified as malnourished: 20 with low intake of one or more nutrients, 10 with both low intake of one or more nutrients and low energy intake. Most subjects with malnutrition were found to have low muscular strength and low bone density. This pilot study suggests that frail and/or malnourished subjects can be identified by means of nutritional assessment as well as a low functional capacity. Energy balance and nutrient intake may be monitored regularly by nurses, and not only by physicians. Further studies are needed to elucidate the role of malnutrition among the oldest old.A 48-year-old man has been arrested by the Federal Bureau of Investigations on suspicion of threatening to use a weapon of mass destruction against President Barack Obama while he was speaking in Maryland. Michael Christopher Griffin faces charges of threatening to injure a President or a member of the Presidential Family, a felony, and of transmitting a threat in interstate commerce, a federal misdemeanor. According to the FBI, Griffin posted his threats on Facebook on April 22. “He said some really bad things,” Assistant U.S. Attorney Emily S. L 79a2804d6b
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