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CLINICAL NUTRITION I

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
ROBERTO DE GIORGIO
Credits
6
Didactic period
Primo Semestre

Training objectives

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Modulo: 015126/2 - GASTROENTEROLOGIA
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GASTROENTEROLOGY
To provide the knowledge of the relevant aspects of the digestive diseases. To guide the students in the gastroenterological practice and in the diagnostic procedures. In particular the student should learn: pathophysiologic mechanisms of digestive diseases.

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Modulo: 015366/2 - NEFROLOGIA
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NEPHROLOGY
To provide the basic elements regarding physiopathology of the urinary apparatus, including the most frequent renal syndromes. The course examines also the several contributions of dieticians to obtain an optimal control of water and saline balance, of the acid-base equilibrium, especially when nephrotic syndrome, acute and chronic renal failure are diagnosed.


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Modulo: 52649 - DIETETICA APPLICATA II
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APPLIED DIETETICS II
Knowing how to formulate diets in diseases of interest nephrology and digestive system.

Prerequisites

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Modulo: 015126/2 - GASTROENTEROLOGIA
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GASTROENTEROLOGY
The student should already have adequate background knowledge in human anatomy and physiology.

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Modulo: 015366/2 - NEFROLOGIA
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NEPHROLOGY
Basic knowledge of biological chemistry, human anatomy and physiology of the urinary apparatus.

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Modulo: 52649 - DIETETICA APPLICATA II
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APPLIED DIETETICS II
Basic knowledge of biological chemistry, food science, human nutrition and pathophysiology.
The student should already have adequate background knowledge in human anatomy and physiology. Anatomy and physiology of the urinary apparatus.

Course programme

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Modulo: 015126/2 - GASTROENTEROLOGIA
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GASTROENTEROLOGY
Pathophysiological basis of gastrointestinal diseases (2 hours). Diagnostic procedures and therapy with particular references to the role of foods on gastrointestinal diseases (2 hours). Pathophysiological and clinical aspects of the digestive tract, liver and pancreas, with specific reference to: Acid-related diseases, Gastro-esophageal-Reflux-Disease (GERD), Gastritis, Gastric and Duodenal Ulcer, the role of Helicobacter pylori; Inflammatory Bowel diseases, Colon Diverticular disease; Maldigestion, Malabsorption, Celiac disease; Gallstone disease. Liver Cirrhosis. Pathophysiological and Clinical aspects of Diarrhea and Constipation (20 hours).

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Modulo: 015366/2 - NEFROLOGIA
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NEPHROLOGY
Signs and symptoms of the main nephrologic syndromes, including electrolytes imbalance, acute renal failure and chronic renal failure.
Contributions of dieticians in the optimal control of water and saline balance and in the management of metabolic equilibrium in the main renal syndromes.

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Modulo: 52649 - DIETETICA APPLICATA II
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APPLIED DIETETICS II
The gastric digestion of food.
The diet in the problems of the digestive system: dyspepsia, gastroesophageal reflux, gastritis and peptic ulcers, dumping syndrome, constipation, diarrhea, inflammatory bowel disease, diverticulosis, diverticulitis.
The diet in hepatobiliary and pancreatic problems. Dietary Guidelines for cirrhosis. Proteins and encephalopathy.
Dietary suggestions in chronic pancreatitis.
The diet in chronic renal failure.
Exercises.

Didactic methods

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Modulo: 015126/2 - GASTROENTEROLOGIA
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GASTROENTEROLOGY
Frontal lessons

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Modulo: 015366/2 - NEFROLOGIA
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Lectures with slides and PowerPoint presentations. Case Study.

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Modulo: 52649 - DIETETICA APPLICATA II
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The lectures will be delivered with distance learning (video lessons and / or streaming) with integration in the presence, where the epidemiological conditions linked to the transmission of the SARS-CoV-2 virus infection allow it.
Focus groups will also be carried out in presence and also in streaming mode for the benefit of students who are unable to participate in teaching or curricular activities in presence and furthermore these activities will be modulated according to the epidemiological conditions linked to the transmission of the SARS-CoV-2 virus infection.

Learning assessment procedures

GASTROENTEROLOGY
Oral exam: 2 questions, 10-15 min and the evaluation is based on the consistence of the answers, as well as on the exposition clearness. To pass this test it is required to get at least 18 points out of 30.
NEPHROLOGY
Multiple choice written test: 30 closed-answer questions, with 4-5 possible responses each (one only right response), with a score definition of 1 point for each correct response, 0 point for each ungiven response or each wrong response. Positive test: equal or higher than 18/30. Allowed time: 45 minutes.
APPLIED DIETETICS II
The learning tests will be carried out in the presence orally, where the epidemiological conditions related to the transmission of the SARS-CoV-2 virus infection allow it.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS.

Reference texts

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Modulo: 015126/2 - GASTROENTEROLOGIA
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GASTROENTEROLOGY
Manuale di Gastroenterologia per Dietisti. Edizione 2009, UNIGASTRO Ed., Società Editrice Gastroenterologica Italiana, EGI, Roma, Italia.
Lecture Notes.

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Modulo: 015366/2 - NEFROLOGIA
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NEPHROLOGY
Guidelines of the Italian society of Nephrology - www.sin-italy.org
Binetti P, Marcelli M, Baisi R. (2006), Manuale di nutrizione clinica e scienze dietetiche applicate. Società Editrice Universo. Roma, Italia. (or other textbooks of clinical nutrition).
www.gtnd-online.com
www.renalgate.it
www.fondazioneitalianadelrene.org
Lecture Notes.

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Modulo: 52649 - DIETETICA APPLICATA II
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APPLIED DIETETICS II
Del Toma E. & Santanocita A. (2005), Prevenzione e terapia dietetica. Una guida per medici e dietisti, Il Pensiero Scientifico Editore, Roma, Italia.
Lucchin L. & Chilovi F. (2009), Nutrizione patologie gastrointestinali, Il Pensiero Scientifico Editore, Roma, Italia.
Lecture Notes.