Presentation Title ASPEN 2019 Nutrition Science & Practice Conference Full Name and Credentials Professional Title Organization, City, State Author list if desired Presentation Title Slide - Required

Disclosures Examples: I have no commercial relationships to disclose I have no commercial relationships relevant to the topic being presented I have a commercial relationship with Company X as a consultant. I will not include any practice recommendations and will address only evidence-based science in my presentation. I have a commercial relationship with Company X as a member of speaker’s bureau. I will provide practice recommendations that are based on formal structured review of the literature and will state inclusion and exclusion criteria. Conflict of Interest Disclosures - Required

Text, Pictures, Charts, Tables, Graphs The next ten (10) slides contain examples for using text, pictures, charts, tables, and graphs in your presentation. Please make sure that any pictures, charts, tables, and graphs fit completely within the slide! Text, Pictures, Charts, Tables, Graphs – Optional

Optional: Sample Slide #1 Critically Ill Possible increased antioxidant nutrient needs: Vitamins A, C, E Possible increase selenium Zinc Vitamin D (if deficient) Literature suggests provision of RDA of antioxidant vitamins and trace elements Selenium: ASPEN & Society of Critical Care Medicine found no significant difference in mortality, LOS or ventilation w/or w/o selenium Text, Pictures, Charts, Tables, Graphs – Optional

Circumstances Where PN is the Preferred Method of Nutrition Support Optional: Sample Slide #2 Circumstances Where PN is the Preferred Method of Nutrition Support ADULT Use PN in patients who are malnourished or at risk for malnutrition when a contraindication to EN exists or the patient does not tolerate adequate EN or lacks sufficient bowel function to maintain or restore nutrition status (Recommendation 2A) NEONATAL AND PEDIATRIC Initiate PN for total or supplemental nutrient provision if EN is not feasible or not sufficient to meet total nutrient needs (Recommendation 2B) Text, Pictures, Charts, Tables, Graphs – Optional

Determining Malnutrition – Single Data Point Optional: Sample Slide #3 Determining Malnutrition – Single Data Point BMI or Weight for length, z score MUAC, z score Height or length-for-age, z score Weight-for-age, z score Degree of malnutrition 0 (>-1) None -1 to -1.99 At risk/mild -2 to -2.99, moderately wasted -2 to -2.99, moderately stunted -2 to -2.99, moderately underweight Moderate <-3, severely wasted <-3, severely stunted <-3, severely underweight Severe Text, Pictures, Charts, Tables, Graphs – Optional Corkins et al. 2015

Strength of the Evidence: Study Design Optional: Sample Slide #4 Strength of the Evidence: Study Design High: Further research is very unlikely to change our confidence in the estimate of effect Moderate: Further research is likely to have important impact on our confidence in the estimate of the effect and future guidelines may change Low: Further research is very likely to have important impact on our confidence in the estimate of the effect and future guidelines will change Text, Pictures, Charts, Tables, Graphs – Optional Reference: http://libguides.ecu.edu/c.php?g=17486&p=97640

ASPEN/SCCM Critical Care Nutrition Guidelines (2016) …and Then Some! Optional: Sample Slide #5 ASPEN/SCCM Critical Care Nutrition Guidelines (2016) …and Then Some! Text, Pictures, Charts, Tables, Graphs – Optional

Optional: Sample Slide #6 Text, Pictures, Charts, Tables, Graphs – Optional

Implanted Ports The Good, The Bad, and The Ugly Optional: Sample Slide #7 Implanted Ports The Good, The Bad, and The Ugly Text, Pictures, Charts, Tables, Graphs – Optional

Trace Minerals Iron Zinc Copper Manganese Selenium Chromium Optional: Sample Slide #8 Trace Minerals Iron Zinc Copper Manganese Selenium Chromium Text, Pictures, Charts, Tables, Graphs – Optional

Does Protein Type Matter - Mystery? Optional: Sample Slide #9 Does Protein Type Matter - Mystery? Leucine, BCAA – primary anabolic stimulus for protein synthesis via mTOR activation mTOR complex integrates nutrient signals, with anabolic growth factors – insulin No trials in critically ill patients comparing different type Protein alone? With exercise? Early Mobility? Text, Pictures, Charts, Tables, Graphs – Optional Image based on: Tang JE J Appl Physiol 107:987, 2009

Gastrointestinal Tract Optional: Sample Slide #10 Gastrointestinal Tract Text, Pictures, Charts, Tables, Graphs – Optional

References Reference #1 Reference #2 Reference #3 Reference #4 © 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved. This information is required. Cite references to support your presentation. References Reference #1 Reference #2 Reference #3 Reference #4 References - Required