Malnutrition can be defined as a state of nutrition in which a deficiency or excess or imbalance of energy, protein, and other nutrients cause measurable adverse effects on body tissues, eventually affecting the quality of life and clinical outcome. Malnutrition is associated with many adverse outcomes both in the community as well as in clinical settings; including a suppressed immune system, impaired wound healing, muscle wasting, extended periods of hospital stay, and increased mortality. Undetected malnutrition not only enhances the risk of adverse complications for patients but impacts negatively with an increase in health care costs. This can be prevented if protocol prioritized attention is given to their nutritional care. Achievement of good nutrition is important and is a must in overall healthcare, hence, all stakeholders should be updated regarding the management of malnutrition and challenges encountered. It’s time we start, mobilize everyone and engage governments, policymakers, gain national and global cooperation to address the issue of malnutrition in healthcare settings. The objective of this specialist declaration is to provide evidence-based recommendations for the proper management of malnutrition by a multi-parametric approach starting with the screening of all patients by trained healthcare professionals with easy-to-use validated screening tools. Nutrition screening is the first step towards identifying patients at risk and requiring intervention at the earliest. Only a few accredited hospitals have nutrition screening at the time of reporting as a protocol. The timing of recognizing the presence of malnutrition or at-risk is of paramount importance to reverse the deteriorating nutritional status before the patient becomes cachectic. Keywords: Nutrition care, Malnutrition, Prevention, Clinical nutrition, Human right to nutrition care, Screening, Assessment, Dietitian

To screen for the nutritional status of patients with Diabetes Mellitus in out-patient department of a Multi Speciality Hospital during treatment using validated Malnutrition Universal Screening Tool. Nutritional status is an important element for quality of life and wellness among patients with Diabetes Mellitus Type 2. This study aimed to assess the nutritional status of adult diabetic outpatients using MUST-Malnutrition Universal Screening Tool and evaluate relative factors in these patients. Patients and Method: A total of 168 adult patients with Diabetes Mellitus Type 2 seen at the out-patient department of a Multi Speciality hospital in a suburb of Mumbai were included in this study. A crosssectional study was carried out from February 2019 to June 2019 in the out-patient department. Patients were evaluated for their nutritional status using Malnutrition Universal Screening Tool (MUST). Sociodemographic, current pharmaceutical treatment information, BMI, MUST score was recorded. As a part of ongoing research, 3-day dietary recall and physical activity information were collected. Multivariate regression was used to ascertain the aspects associated with nutritional status. Results: The aggregate age of the study subjects was 56 years. A total of 12 participants had MUST score of 2 or more points by MUST screening and 5 patients had a score of 1 and rest had a MUST score of 0 but 72.62% were overweight or obese. Conclusion: Early screening of nutritional status using simple screening tools like MUST might help to identify and thereby improve the nutritional status of patients with Diabetes Mellitus type 2 in out-patient department of any healthcare setting.

New business creation is influenced by the five industry and competitive forces proposed by Michael Porter i.e. bargaining power of customers, bargaining power of suppliers, threat of new entrants, threat of substitutes and intensity of competitive rivalry. There is a need for fostering innovation in the light of current competitive realities. Hence the key to success for any organization in the present competitive and dynamic environment is the need to adopt an entrepreneurial strategy by inducing intrapreneurial culture through internal corporate venturing and innovation. Growth of any organization is possible by effectively identifying and exploring opportunities that are market driven. This paper attempts to highlight as to how any innovation-be it product, process, material or any other type-can be converted into a sustainable competitive advantage to build a firm standing in the arena of business. In order to conduct the research the researchers have adopted a Case Study approach. In this particular study it was observed that the turnaround of the company was based on the innovative mindset of the intrapreneurs. This is done by studying and analyzing the innovation and success of Gadre Marine Export,

This review article highlights the aims, primary areas of work, interests of the core group and promotes to reach population at large to bring together similar associations, specialists, and like minded healthcare workers to come together on one platform to address the growing burden of diabetes mellitus both nationally and globally. This article aims to reach journal's readers who are interested in the prevention and management of diabetes mellitus and also to develop stronger policies that more effectively addresses the growing burden of diabetes mellitus. IAPEN India Association for Parenteral and Enteral Nutrition in addition to Chapters and Working Groups promotes Core Groups or Special Interest Groups, which brings together clinicians and scientists with special interest in specific areas of Clinical Nutrition and Metabolism. Core Groups of IAPEN India are voluntary groups of IAPEN India members that may be created to discuss, conduct, and report upon any question related to clinical practice, science, nutrition, education, research, courses, or other matters relevant to IAPEN Association and the Core group subject, by writing documents, position papers, guidelines, developing research or carrying out projects that help to improve the ability of IAPEN India to reach its aims. The said core group was launched in August 2020 and has already impacted more than 2000 participants and has conducted various awareness activities with help of national and international faculties and conducts the Certified Diabetes Educators course too. We have since its launch, expanded the scope of our research and training to contemplate international feasibility too.

Source: Janiszewski PM, Oeffinger KC, Church TS, et al. Abdominal obesity, liver fat, and muscle composition in survivors of childhood acute lymphoblastic leukemia.Question: Among adult survivors of childhood acute lymphoblastic leukemia, what is the association between cranial radiation therapy and/or sex with levels of total, regional, and ectopic fat storage, metabolic risk, IGF-1, and leptin? Question type: Harm/Causation Study design: Cross-sectional analysis A cute lymphoblastic leukemia (ALL), the most common malignancy of childhood, has an overall cure rate of approximately 80%. 1 Long-term survivors of childhood ALL are at increased risk for obesity, cardiovascular disease, and related mortality in the years following treatment. 2 Investigators from multiple US institutions studied young adult survivors of ALL to assess the association of cranial radiotherapy (CRT) with levels of total, regional, and ectopic fat storage, metabolic risk, IGF-1, and leptin.A total of 237 young adult survivors of childhood ALL, treated from 1970-2000 in the Dallas-Fort Worth area, were identified. Of the 189 individuals who met eligibility criteria, 114 were enrolled and completed the study.Study participants' mean age was 23.8 years, their mean age at diagnosis was 6.2 years, the mean interval from diagnosis to study enrollment was 17.5 years, and 23.7% were of an ethnic or racial minority group. Anthropometric measures, blood pressure, metabolic status, and levels of IGF-1 and leptin were assessed in 52 male (15 CRT-treated) and 62 female (24 CRTtreated) participants. Visceral, liver, and subcutaneous fat were determined using abdominal CT scan. Data from patients treated with CRT and non-CRT survivors were compared after controlling for potentially confounding variables.Exposure to CRT had no effect on BMI, waist circumference, or liver fat. Controlling for age and race, ALL survivors treated with CRT had significantly higher body fat percentage and more abdominal and visceral fat than non-CRT patients. IGF-1 levels were significantly lower and leptin levels significantly higher in the group that received CRT. There was more evidence of insulin resistance and dyslipidemias in CRT patients compared with the non-CRT survivors.The authors conclude that among ALL survivors CRT is associated with excess accumulation of abdominal fat, particularly visceral fat, and elevated metabolic risk.Question: Among women potentially exposed to DDT in childhood, do serum concentrations of DDT obtained during obstetric care predict risk of breast cancer? Question Type: Prognosis Study Design: Nested case-control PICO PICO at