No abstract

Reduced dietary protein intake in malnourished patients with chronic kidney disease (CKD) may be associated with adverse clinical outcomes, which may mask any efficacy of a low-protein diet. The study included 126 patients with CKD who attended a dedicated dietary counseling clinic in 2005–2009 and were systematically followed until January 2015. Of these patients, 20 (15.9%) had moderate or severe nutrition-related risk of geriatric nutritional risk index (GNRI) < 92; these patients were more likely to be older, have a greater proteinuria, and have lower body mass index and serum albumin concentration. Dietary protein intake was significantly lower in older patients (r = −0.33, p < 0.001) and those with lower glomerular filtration rate (r = 0.47, p < 0.001). The non-protein to nitrogen calorie ratio was independently associated with GNRI. Reduced GNRI was significantly associated with mortality (hazard ratio (HR) = 4.94; 95% confidence interval (CI) = 1.61–15.42, p = 0.012) and cardiovascular events (HR = 9.37; 95% CI = 2.49–37.34, p = 0.006), but not with adverse renal outcomes. Restricting protein intake may be harmful to patients with any nutrition-related risk, suggesting that improvement of nutritional status should be a high priority.

This study examined American students, Japanese students in Japan, and Japanese students in the USA. First, it examined whether respondents' scale for independent and interdependent construals of the self (SII) scores would vary depending on the type of relationship (i.e., family members, friends, or peers at the student's university) posited by the instructions. It was found that the SII score of each of the three groups changed depending on the relationship. Second, the relationship between SII scores, perceived conflict, and self-efficacy were examined. It was found that self-efficacy was highest among the American students, followed by the Japanese students in the USA, and lowest among the Japanese students in Japan. Self-efficacy was correlated to independent and interdependent construals of the self. Third, the respondents' preferences for expressiveness in communication were analyzed. The results of this study showed that there was a difference between the American students and both groups of Japanese students in their preference for three communication styles (independent, mixed, interdependent-type). Finally, the relationship between intercultural sensitivity, as measured by the intercultural sensitivity inventory, and self-efficacy were examined. Intercultural sensitivity was shown to have a positive correlation to general self-efficacy.

No abstract