NUTRIZIONE NELLE PATOLOGIE METABOLICHE, CARDIOVASCOLARI E RENALI

Learning Objectives

• Internal Medicine

  The main objectives of the course are as follows:

   

  -To provide essential knowledge on the physiopathology of the acute and chronic diseases (e.g. chronic intestinal disease, autoimmune diseases, diabetes, pancreatitis) and to identify their relationship and inter-dependency.

   

  -To apply these skills to the full spectrum of diseases in human.

   

  -To develop the transferable skills on acute and chronic diseases (including physiopathology, oral communication with patients, team work, decision making during diseases) between students and patients.

• Pharmacology

  The aim of the course is to provide a specific knowledge of the mechanisms of action and side effects of different classes of drugs used in commonly occurring pathologies, as well as of drugs affecting food intake and metabolism. Furthermore, attention is given to drugs acting on digestive system, tio antibiotics and to the interactions between drugs and nutrients. The content of the course is shortly outlined below.

• NUTRITION IN METABOLIC, CARDIOVASCULAR AND RENAL DISEASES

  To provide knowledge for nutritional and therapeutic management of patients with metabolic, cardio-vascular and kidney diseases.

Detailed Course Content

• Internal Medicine

  To provide essential knowledge on the physiopathology of the acute and chronic diseases (e.g. chronic intestinal disease, autoimmune diseases, diabetes, pancreatitis) and to identify their relationship and inter-dependency.

• Pharmacology

  Neuropsychopharmacology – Antipsychotics; Biological basis of drug addiction; Promoting factors: drug-related, subject-related (genetic polymorphisms), environment-related. Tolerance: innate, pharmacokinetic, pharmacodynamic, behavioral. Mechanisms of pharmacodynamic tolerance. Sensitization. Physical dependence. Withdrawal syndrome. Effects of ethanol abuse.

  Antiinflammatory drugs - non-steroidal, steroids

  Chemotherapy and antibiotics – Penicillins, cefalosporins and other beta-lactams.

  Drugs of digestive system - Antiemetics, prokinetics, laxatives, anti-diarrheal drugs.

  Interactions between drugs and nutrients. - Influence of the nutritional status on drug effect. Influence of food on drug effect. Influence of drugs on nutritional status and nutrient availability.

• NUTRITION IN METABOLIC, CARDIOVASCULAR AND RENAL DISEASES

  Obesity and metabolic syndrome

  Diabetes mellitus

  Dyslipidemia

  Diet therapy in cardiovascular disease

  Nutrition in kidney diseases

  The hyperuricemia: Nutritional therapy

  Osteoporosis: nutritional problems

  Nonalcoholic fatty liver disease: nutrizonali issues

Textbook Information

• Internal Medicine

  http://www.cochranelibrary.com/

  http://www.ncbi.nlm.nih.gov/pubmed

  Principi di medicina interna (Harrison text book) Mc Graw Hill.

• Pharmacology

  1. Farmacologia per le professioni sanitarie

  Autore : Rossi Francesco; Cuomo Vincenzo; Riccardi Carlo, Editore: Minerva Medica, 2014.

  2. Compendio di farmacologia generale e speciale

  Autore : Matilde Amico Roxas, Achille P. Caputi, Mario Del Tacca, UTET, Torino, 2006.

• NUTRITION IN METABOLIC, CARDIOVASCULAR AND RENAL DISEASES

  Vanozzi G- Leandro G. Lineamenti di Dietoterapia e nutrizione clinica; Fatati G. Dietetica e nutrizione