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Clinical Nutrition
| Clinical Nutrition |
| Autore | Elia Marinos |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Chicester : , : John Wiley & Sons, Incorporated, , 2013 |
| Descrizione fisica | 1 online resource (542 pages) |
| Disciplina | 615.854 |
| Altri autori (Persone) |
LjungqvistOlle
StrattonRebecca J Lanham-NewSusan A DowsettJulie |
| Collana | The Nutrition Society Textbook Ser. |
| Soggetto topico | Nutrition Therapy |
| Soggetto genere / forma | Electronic books. |
| ISBN |
9781118457740
9781405168106 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Clinical Nutrition -- Copyright -- Contents -- Contributors -- Series Foreword -- Preface -- First Edition Acknowledgements -- 1 Principles of Clinical Nutrition: Contrasting the Practice of Nutrition in Health and Disease -- 1.1 Introduction -- 1.2 The spectrum of nutritional problems -- 1.3 Nutritional requirements -- Effect of disease and nutritional status -- Metabolic blocks and nutritional requirements -- Effect of the route of feeding on nutrient requirements -- Effect of the phase of disease on nutritional requirements -- Feeding schedules -- Structure and function -- 1.4 Management pathways -- 1.5 Concluding remarks -- References and further reading -- 2 Nutritional Screening and Assessment -- 2.1 Introduction -- 2.2 Nutritional screening -- 2.3 Nutritional assessment -- Clinical history -- Dietary history -- Clinical examination -- 2.4 Concluding remarks -- References and further reading -- 3 Water and Electrolytes -- 3.1 Introduction -- 3.2 Fluid compartments of the body -- 3.3 Flux of fluid through the kidney and gastrointestinal tract -- 3.4 Body electrolyte content and concentration -- Fluid shifts between ECF and ICF compartments -- 3.5 Regulation of body water compartments -- Control of body fluid osmolality -- Control of effective circulatory volume -- Thirst regulation and water balance -- Thirst stimulated by plasma osmolarity and sodium concentration -- Thirst stimulated by hypovolaemia -- 3.6 The metabolic response to starvation and injury -- Starvation -- Injury -- 3.7 Body water compartments and electrolytes in starvation and injury -- Extracellular fluid -- Intracellular fluid -- Interstitial fluid -- 3.8 Effects of salt and water overload -- Gastrointestinal function -- Renal function -- Low serum albumin concentrations -- 3.9 Fluid therapy: practical aspects -- Assessment -- Treatment -- Resuscitation.
Maintenance fluid -- Fluid therapy for ongoing losses -- 3.10 Goal-directed fluid therapy -- 3.11 Implications of water and sodium metabolism in nutrition therapy for specific clinical conditions -- Diarrhoeal illness -- Congestive heart failure and cirrhosis -- Stroke, dysphagia, and the elderly -- 3.12 Concluding remarks -- References and further reading -- 4 Over-nutrition -- 4.1 Introduction -- Definitions and classification -- The scale of the problem -- Economic impact and global burden -- 4.2 Aetiology -- The energy-balance equation -- Genetic factors -- Endocrine disorders -- Environmental factors -- Psychosocial influences -- Miscellaneous causes -- 4.3 Clinical presentation -- Body composition -- Fat distribution -- Comorbidities -- 4.4 Clinical assessment -- 4.5 Treatment approaches -- General principles -- Lifestyle changes -- Dietary management -- Physical activity -- Pharmacotherapy -- Bariatric surgery -- Other options -- 4.6 Prevention -- Childhood obesity -- Initiatives in key settings -- 4.7 Concluding remarks -- Acknowledgements -- References and further reading -- Web sites of interest -- 5 Under-nutrition -- 5.1 Introduction -- 5.2 Pathophysiology of under-nutrition -- Body composition -- Energy metabolism -- Protein metabolism -- Hormonal mediators -- Immune function in under-nutrition -- 5.3 Pathophysiology of under-nutrition complicated by stress -- Energy metabolism -- Protein metabolism -- Hormonal mediators -- 5.4 Chronic under-nutrition -- 5.5 Under-nutrition in the elderly -- 5.6 Severe acute malnutrition in children -- 5.7 Assessment of under-nutrition -- 5.8 Treatment -- Assessment of energy and protein requirements -- Requirements for other nutrients -- 5.9 Potential problems with nutritional supplementation in under-nutrition -- Refeeding syndrome -- Nutritional supplementation in chronic under-nutrition. 5.10 Prevention -- 5.11 Concluding remarks -- References and further reading -- 6 Metabolic Disorders -- 6.1 Introduction -- 6.2 Energy intake, health and longevity -- 6.3 The metabolic syndrome -- 6.4 Pathophysiology of insulin resistance -- 6.5 Insulin resistance -- 6.6 The role of affluence in diabetes, dyslipidaemia, and essential hypertension -- Type 2 diabetes mellitus -- Insulin resistance and dyslipidaemia -- Dietary management of the metabolic syndrome -- Insulin resistance and hypertension -- 6.7 Alcohol -- Alcohol and body weight -- Alcohol and blood lipids -- Alcohol and glucose metabolism -- Alcohol and blood pressure -- 6.8 Concluding remarks -- References and further reading -- 7 Eating Disorders -- 7.1 Introduction -- 7.2 Classification and features -- Anorexia nervosa -- Bulimia nervosa -- EDNOS and binge-eating disorder -- 7.3 History -- 7.4 Aetiology -- 7.5 Incidence and prevalence -- Anorexia nervosa -- Bulimia nervosa -- EDNOS and binge-eating disorder -- 7.6 Medical complications of eating disorders -- Starvation and low weight -- Compensatory behaviours -- Binge eating -- 7.7 Nutritional problems in eating disorders -- Appetite regulation in eating disorders -- Nutritional impact of starvation and low weight -- Compensatory behaviours -- Binge eating -- 7.8 Nutritional management of eating disorders -- Restoring appetite regulation -- Weight recovery -- Compensatory behaviours -- Binge eating -- 7.9 Concluding remarks -- Acknowledgements -- References and further reading -- 8 Adverse Reactions to Foods -- 8.1 Introduction -- 8.2 Food intolerance -- 8.3 Food allergy -- 8.4 Types of food allergy -- 8.5 Patterns of food-allergic responses -- Quick-onset symptoms -- Late-onset symptoms -- 8.6 Diagnostic criteria for food allergy -- 8.7 Food-sensitive enteropathy -- 8.8 Specific food allergies -- Cow's milk -- Soya -- Egg -- Wheat. Peanuts -- 8.9 Multiple-food allergy -- 8.10 Scientific background: the basic mechanisms of immune response to dietary antigen -- Innate immunity and the importance of evolutionary heritage -- Lymphocytes may differentiate within the intestine and not the thymus -- Antigen presentation by the epithelium -- Distribution of T cells within the intestine -- The TH1/TH2/TH17 paradigm of T-cell responses and infectious exposures -- Control of B-cell responses, and the importance of mucosal IgA production -- Skewing of B cells towards IgE -- Mast cells and eosinophils in food allergies -- Oral tolerance to dietary antigens -- 8.11 Concluding remarks -- References and further reading -- 9 Nutritional Support -- 9.1 Introduction -- 9.2 Meeting nutritional needs -- 9.3 Oral feeding and oral nutritional supplements -- 9.4 Enteral tube feeding -- Feeding routes -- Post-pyloric feeding -- Complications of enteral feeding -- Physical characteristics of enteral feeding tubes -- Enteral feeding solutions -- Feeding rate -- Monitoring and complications of enteral nutrition -- 9.5 Administration of drugs and enteral feeding -- Controlled-release products -- Cytotoxic drugs -- Hormonal drugs -- Alternative routes of delivery -- Adding drugs to the formula -- 9.6 Parenteral nutrition -- Catheter access -- Parenteral nutrition solutions -- Monitoring and complications of parenteral nutrition -- 9.7 Special considerations with nutritional support -- Clinical nutrition at home -- Complications of clinical nutrition -- Nutrition support team -- 9.8 Concluding remarks -- Immunonutrition -- Acknowledgements -- References and further reading -- Background clinical nutrition -- Access -- Disease specific nutrition -- Requirements -- Enteral nutrition -- Parenteral nutrition -- Useful web sites -- 10 Ethics and Nutrition -- 10.1 Introduction. 10.2 Brief history of medical ethics -- 10.3 Medical ethics: the four-principle approach -- 10.4 Definitions and ethical terms -- Oral nutrition and hydration: 'basic care' -- Artificial nutrition and hydration -- Consent and competence -- Advanced decisions/directives/proxies -- Time-limited trials of treatment -- Futility and the concept of net patient benefit -- 10.5 Application of ethical principles to artificial nutritional support: clinical scenarios -- Stroke -- Dementia -- Wasting disorders: cancer and terminal illness -- Persistent vegetative states: withdrawing and withholding nutritional support -- Malnutrition in the hospitalised patient -- 10.6 Ethical conflict -- 10.7 Clinical guidelines in ethical care -- 10.8 Concluding remarks -- References and further reading -- 11 The Gastrointestinal Tract -- 11.1 Introduction -- Dysphagia -- Gastro-oesophageal reflux disease -- Cancer of the oesophagus and stomach -- Short-bowel syndrome -- 11.2 Coeliac disease -- Epidemiology -- Pathogenesis -- Magnitude of the problem: the spectrum of gluten sensitivity -- Diagnosis and screening -- Treatment -- Therapeutic failure -- 11.3 Tropical enteropathy and tropical sprue -- Concept and epidemiology -- Pathology and clinical relevance -- Pathogenesis -- Treatment -- 11.4 Inflammatory bowel disease -- Definition -- Epidemiology -- Pathogenesis -- Clinical features and diagnosis -- Treatment -- Malnutrition in IBD -- Pathogenesis of malnutrition in IBD -- Micronutrient deficiencies in IBD -- Consequences of impaired nutrition in IBD -- Nutritional support in IBD -- 11.5 Irritable bowel syndrome and diverticular disease -- Definition -- Epidemiology -- Pathogenesis -- Food intolerance and IBS -- Nutritional consequences -- Dietary management of IBS -- Diverticular disease -- 11.6 Concluding remarks -- References and further reading. 12 Nutrition in Liver Disease. |
| Record Nr. | UNINA-9910795985503321 |
Elia Marinos
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| Chicester : , : John Wiley & Sons, Incorporated, , 2013 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Clinical nutrition / / edited on behalf of the Nutrition Society by Marinos Elia, Olle Ljungqvist, Rebecca J. Stratton, and Susan Lanham-New
| Clinical nutrition / / edited on behalf of the Nutrition Society by Marinos Elia, Olle Ljungqvist, Rebecca J. Stratton, and Susan Lanham-New |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Chichester, West Sussex, : Wiley Blackwell, 2013 |
| Descrizione fisica | 1 online resource (xiv, 526 pages) : illustrations |
| Disciplina | 615.854 |
| Collana | The Nutrition Society textbook series |
| Soggetto topico |
Diet in disease
Diet therapy Dietetics Nutrition Nutrition Therapy Nutritional Physiological Phenomena Diet |
| ISBN |
9781119211945
1119211948 9781118457740 1118457749 9781299313910 1299313914 9781118457757 1118457757 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Clinical Nutrition; Copyright; Contents; Contributors; Series Foreword; Preface; First Edition Acknowledgements; 1 Principles of Clinical Nutrition: Contrasting the Practice of Nutrition in Health and Disease; 1.1 Introduction; 1.2 The spectrum of nutritional problems; 1.3 Nutritional requirements; Effect of disease and nutritional status; Metabolic blocks and nutritional requirements; Effect of the route of feeding on nutrient requirements; Effect of the phase of disease on nutritional requirements; Feeding schedules; Structure and function; 1.4 Management pathways; 1.5 Concluding remarks
References and further reading2 Nutritional Screening and Assessment; 2.1 Introduction; 2.2 Nutritional screening; 2.3 Nutritional assessment; Clinical history; Dietary history; Clinical examination; 2.4 Concluding remarks; References and further reading; 3 Water and Electrolytes; 3.1 Introduction; 3.2 Fluid compartments of the body; 3.3 Flux of fluid through the kidney and gastrointestinal tract; 3.4 Body electrolyte content and concentration; Fluid shifts between ECF and ICF compartments; 3.5 Regulation of body water compartments; Control of body fluid osmolality Control of effective circulatory volumeThirst regulation and water balance; Thirst stimulated by plasma osmolarity and sodium concentration; Thirst stimulated by hypovolaemia; 3.6 The metabolic response to starvation and injury; Starvation; Injury; 3.7 Body water compartments and electrolytes in starvation and injury; Extracellular fluid; Intracellular fluid; Interstitial fluid; 3.8 Effects of salt and water overload; Gastrointestinal function; Renal function; Low serum albumin concentrations; 3.9 Fluid therapy: practical aspects; Assessment; Treatment; Resuscitation; Maintenance fluid Fluid therapy for ongoing losses3.10 Goal-directed fluid therapy; 3.11 Implications of water and sodium metabolism in nutrition therapy for specific clinical conditions; Diarrhoeal illness; Congestive heart failure and cirrhosis; Stroke, dysphagia, and the elderly; 3.12 Concluding remarks; References and further reading; 4 Over-nutrition; 4.1 Introduction; Definitions and classification; The scale of the problem; Economic impact and global burden; 4.2 Aetiology; The energy-balance equation; Genetic factors; Endocrine disorders; Environmental factors; Psychosocial influences Miscellaneous causes4.3 Clinical presentation; Body composition; Fat distribution; Comorbidities; 4.4 Clinical assessment; 4.5 Treatment approaches; General principles; Lifestyle changes; Dietary management; Physical activity; Pharmacotherapy; Bariatric surgery; Other options; 4.6 Prevention; Childhood obesity; Initiatives in key settings; 4.7 Concluding remarks; Acknowledgements; References and further reading; Web sites of interest; 5 Under-nutrition; 5.1 Introduction; 5.2 Pathophysiology of under-nutrition; Body composition; Energy metabolism; Protein metabolism; Hormonal mediators Immune function in under-nutrition |
| Record Nr. | UNINA-9910139057403321 |
| Chichester, West Sussex, : Wiley Blackwell, 2013 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Enhanced recovery after surgery : a complete guide to optimizing outcomes / / edited by Olle Ljungqvist, Nader K. Francis, Richard D. Urman
| Enhanced recovery after surgery : a complete guide to optimizing outcomes / / edited by Olle Ljungqvist, Nader K. Francis, Richard D. Urman |
| Edizione | [1st ed. 2020.] |
| Pubbl/distr/stampa | Cham : , : Springer International Publishing : , : Imprint : Springer, , 2020 |
| Descrizione fisica | 1 online resource (XXIII, 654 p. 161 illus., 127 illus. in color.) |
| Disciplina | 617.919 |
| Collana | Medicine Series |
| Soggetto topico |
Anesthesiology
Surgery General Surgery |
| ISBN | 3-030-33443-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | I. Introduction -- 1. Enhanced Recovery After Surgery: A Paradigm Shift in Perioperative Care -- 2. Physiology and Pathophysiology of ERAS -- 3. Guidelines for Guidelines -- II. Preoperative Preparation -- 4. Preoperative Fasting and Carbohydrate Treatment -- 5. Preoperative Patient Education -- 6. Perioperative Optimization of Patient Nutritional Status -- 7. Anemia and Blood Management -- 8. Perioperative Smoking and Alcohol Cessation -- 9. Preoperative Medical Optimization -- 10. Prehabilitation -- 11. Cognitive Behavior Counseling – Preoperative Preparation in ERAS -- 12. Bowel Preparation: Always, Sometimes, Never? -- 13. Pharmacogenomics in Perioperative Care -- III. Intraoperative Management -- 14. Anesthetic Management and the Role of the Anesthesiologist in Reducing Surgical Stress and Improving Recovery -- 15. Analgesia During Surgery (Medications) -- Chapter 16. Regional Anesthesia Techniques for Abdominal Operations -- Chapter 17. Prevention of Intraoperative Hypothermia -- Chapter 18. Perioperative Intravenous Fluid Therapy in ERAS Pathways -- Chapter 19. ERAS and Minimally Invasive Surgical Techniques -- Chapter 20. Tubes and Drains: Current Updates on Evidence on Their Role Within Recovery -- IV. Postoperative Management -- Chapter 21. Management of Postoperative Nausea and Vomiting (PONV) -- Chapter 22. Early Oral Nutrition -- 23. Early Ambulation and Physiotherapy After Surgery -- 24. Postoperative Multimodal Pain Management -- 25. Nursing Considerations During Patient Recovery -- V. Prevention of Postoperative Complications -- 26. Long-Term Outcomes Related to ERAS -- 27. Postoperative Ileus: Prevention and Treatment -- 28. Antibiotic Prophylaxis and Surgical Site Infection Prevention -- 29. Thromboprophylaxis -- VI. ERAS After Discharge -- 30. Functional Recovery at Home and After Discharge -- 31. Recovery Within the Cancer Journey -- 32. Readmission Challenges and Impacts Within ERAS -- 33. An Example of a Patient’s Experience in ERAS -- VII. Safety and Quality Improvement in ERAS -- Measuring Outcomes in ERAS -- 35. Measurement of Recovery Within ERAS -- 36. Measuring Compliance: Audit and Data Collection -- 37. Success and Failure of ERAS: Prediction Models of Outcomes -- 38. Research Methods in Enhanced Recovery After Surgery -- 39. Toward a Learning System for ERAS: Embedding Implementation and Learning Evaluation -- VIII. Specialty-Specific Enhanced Recovery Programs -- 40. ERAS in Colorectal Surgery -- 41. Enhanced Recovery After Surgery: Recommendations for Esophagectomy -- 42. Enhanced Recovery After Gastrectomy -- 43. Bariatric Surgery -- 44. ERAS for Major Urological Procedures: Evidence Synthesis and Recommendations -- 45. ERAS for Breast Reconstruction -- 46. Gynecologic/Oncology Surgery -- 47. Enhanced Recovery After Surgery: Cesarean Delivery -- 48. ERAS in Spine Surgery -- 49. Orthopedic Surgery in Enhanced Recovery After Surgery -- 50. ERAS in Otolaryngology – Head and Neck Surgery -- 51. Cardiac Surgery ERAS -- 52. Vascular Surgery and ERAS -- 53. Thoracic Surgery -- 54. Enhanced Recovery Program in the Ambulatory Surgery Setting -- 55. Enhanced Recovery After Surgery: Emergency Laparotomy -- 56. Liver Surgery -- 57. Pancreatic Surgery -- 58. Pediatric Enhanced Recovery After Surgery -- IX. Administrative -- 59. Department-wide Implementation of an Enhanced Recovery Pathway: Barriers and Facilitators -- 60. Introducing Enhanced Recovery Programs into Practice: Lessons Learned from the ERAS® Society Implementation Program -- 61. Enhanced Recovery After Surgery – Making the Business Case: Economics – The Alberta Experience -- 62. ERAS® Society and Latin American -- 63. ERAS® Society and Asia -- 64. ERAS for Low- and Middle-Income Countries -- 65. ERAS Position in the Global Surgical Community. |
| Record Nr. | UNINA-9910383828403321 |
| Cham : , : Springer International Publishing : , : Imprint : Springer, , 2020 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery / / edited by Liane S. Feldman, Conor P. Delaney, Olle Ljungqvist, Francesco Carli
| The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery / / edited by Liane S. Feldman, Conor P. Delaney, Olle Ljungqvist, Francesco Carli |
| Edizione | [1st ed. 2015.] |
| Pubbl/distr/stampa | Cham : , : Springer International Publishing : , : Imprint : Springer, , 2015 |
| Descrizione fisica | 1 online resource (366 p.) |
| Disciplina | 610 |
| Soggetto topico |
Surgery
Anesthesiology Health administration Nursing General Surgery Health Administration |
| ISBN | 3-319-20364-9 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Introduction to Enhanced Recovery Programs: A Paradigm Shift in Perioperative Care -- Section I: The Science of Enhanced Recovery: Building Blocks for your Program -- Preoperative Education -- Medical Optimization and Prehabilitation -- Preoperative Fasting and Carbohydrate Treatment -- Bowel Preparation: Always, Sometimes, Never? -- The Role of the Anesthesiologist in Reducing Surgical Stress and Improving Recovery -- Prevention of Hypothermia -- Prevention of Postoperative Nausea and Vomiting -- Thromboprophylaxis -- Surgical Site Infection Prevention -- Fluid Management -- Postoperative Ileus: Prevention and Treatment -- Choosing Analgesia to Facilitate Recovery -- Early Nutrition and Early Mobilization: Why They Are Important and How to Make it Happen -- Management of Tubes, Drains, and Catheters -- Hospital Recovery and Full Recovery -- Section II: Creation and Implementation of an Enhanced Recovery Program -- Overcoming Barriers to the Implementation of an Enhanced Recovery After Surgery Program -- Introducing Enhanced Recovery Programs into Practice: Lessons Learned from The ERAS® Society Implementation Program -- Enhanced Recovery Programs: Making the Business Case -- Audit: Why and How -- Why Add an ERP to a Laparoscopic Case: The Colorectal Experience -- Section III: Examples of Enhanced Recovery Programs -- Enhanced Recovery Programs for Colorectal Surgery: University Hospitals Case Medical Center -- Enhanced Recovery Programs for Colorectal Surgery: The Guilford: (UK) Experience -- Setting up an Enhanced Recovery Program Pathway for Bariatric Surgery: Current Evidence into Practice -- Enhanced Recovery Pathways in Hepato-pancreato-biliary Surgery -- Enhanced Recovery Programs for Upper Gastrointestinal Surgery: How I Do It -- Department-Wide Implementation of an Enhanced Recovery Pathway -- The ERAS® Society -- SAGES SMART Enhanced Recovery Program. |
| Record Nr. | UNINA-9910300167503321 |
| Cham : , : Springer International Publishing : , : Imprint : Springer, , 2015 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||