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CLINICAL & THERAPEUTIC NUTRITION – II (THEORY)
Paper Code:
HFN 421
Credits:
4
Contact Hours:
60.00
Max. Marks:
100.00
Objective:
Course Objectives:
This course will enable the students to –
- Understand the anatomy and functioning of human body system
- Understand the pathophysiology of commonly occurring diseases.
- Understand the role of diet in the management of various diseases
Course Learning Outcomes (CLOs):
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Course |
Learning outcomes (at course level) |
Learning and teaching strategies |
Assessment Strategies |
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Paper Code |
Paper Title |
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HFN 421 |
Clinical & Therapeutic Nutrition – II (Theory)
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The students will be able to – COFN92: Comprehend functional organization of different organ systems in the human body.
COFN93: Gain knowledge about causative factors, symptoms and metabolic changes in various diseases/disorders and the associated principles of diet therapy.
COFN94: Apply the knowledge in planning therapeutic diets for the disease conditions
COFN95: Acquire professional diet counseling skills
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Approach in teaching: Interactive Lectures, Discussion, Power Point Presentations, Informative videos, group discussion
Learning activities for the students: Self learning assignments, Effective questions, presentations, Field trips
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Quiz, Poster Presentations, Power Point Presentations, Individual and group projects, Open Book Test, Semester End Examination, discussion, demonstration
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12.00
Unit I:
Diseases of Gastro-intestinal tract
- Organs of digestive System – structure and their functions (mouth, salivary gland, pharynx, oesophagus, stomach, small intestine, large intestine)
- Composition, function and regulation of secretions – salivary, gastric, pancreatic, bile and intestinal juices
- Digestion and absorption of nutrients
- Incidence, etiology, metabolic changes, clinical manifestations, complications and dietary management of the following - Gastro-Intestinal Diseases and Disorders –Gastro Oesophageal Reflux Disorder (GERD), Hiatus Hernia, Dyspepsia, Gastritis, Diverticular disease, Peptic Ulcer, Haemorrhoids
- Malabsorption Syndrome (Tropical sprue, Steatorrhoea, Lactose intolerance), Inflammatory Bowel Syndrome, Ulcerative Colitis, Short Bowel Syndrome.
- Bariatric surgery
12.00
Unit II:
Diseases related to accessory organs of Digestive system
- Accessory Organ - Liver, Pancreas, Gall bladder – structure and functions
Incidence, etiology, metabolic changes, clinical manifestations, complications and dietary management for the following -
- Liver, Gall bladder and Pancreatic diseases
- Liver Diseases –Liver Cirrhosis, Hepatic Encephalopathy (HE)/ Hepatic Coma,
- Pancreatic Diseases – Pancreatitis
- Gall Bladder Diseases – Cholelithiasis, Cholecystitis, Cholecystectomy
- Eating Disorders
12.00
Unit III:
Diseases of Cardiovascular system
- Heart – Structure, blood circulation, conducting system of heart, cardiac cycle,
- Blood composition
- Anatomy of blood vessels and physiology of circulation
- Blood pressure and its control
- Incidence, etiology, metabolic changes, clinical manifestations, complications and dietary management for the following
- Cardio vascular disease (CVD) – Dyslipideimia, Atherosclerosis, Hypertension (HT), Angina Pectoris, Myocardial Infarction (MI), Congestive Cardiac failure (CCF), Rheumatic Heart Disease (RHD) Prevention of CHD.
12.00
Unit IV:
Metabolic Disorders
- Endocrine System - Endocrine glands – Pituitary, Thyroid, Parathyroid, Adrenal, Pancreatic Islets, Pineal
- Hormones and their mechanism of action and control of hormone secretions
- Metabolic disorders
- Diabetes Mellitus (Type 1, Type 2 and Gestational), Gout, Thyroid
- Inborn errors of metabolism
- Disorders of Amino Acid metabolism – Phenylketonuria, hypertyrosinemia, hypervalinemia, hyperhistidinemia, hyperlysinemia, homocystinuria.
- Disorders of carbohydrate metabolism – Galactosemia, Pentosuria, MSUD
- Disorders of lipid metabolism – Hyperchylomicronemia, hypercholesterolemia – pure and mixed.
12.00
Unit V:
Diseases related to renal system
- Urinary System
- Structure and functions of urinary organs, blood supply
- Physiology of urine formation – glomerular filtration
- Urine volume and composition
- Pathophysiology of renal stones
- Fluid, Electrolyte and Acid-base Homeostasis
- Fluid compartments and fluid balance, Concentration of solution, Electrolytes, Movement of body fluids, Acid base balance
- Renal Diseases – Glomerulonephritis (Acute and Chronic), Nephrotic Syndrome, Nephrolithiasis (Renal calculi), Nephrosclerosis, Renal Failure (Acute and chronic), End Stage Renal Failure (ESRD), Dialysis (Haemodialysis and Peritoneal Dialysis), Kidney Transplantation
Essential Readings:
- Swaminathan, M.S. (1985). Advanced Textbook on Food and Nutrition. Vol. I & II. The Bangalore Printing & Publishing Co. Ltd. Bangalore.
- Antia, F.P. and Abraham, P. (2001). 4th Edition. Clinical Dietetics and Nutrition. Oxford University Press, Delhi.
- Robinson, C.H. and Lawler, M.R. (1990). Revised 17th Edition. Normal and Therapeutic Nutrition. Macmillan, New York.
References:
- Mahan, L.K. & Ecott-Stump, S. (2000): Krause’s Food, Nutrition and Diet Therapy, 10th Edition, W.B. Saunders Pvt. Ltd.
- Shils, M.E.. Olson, J.A., Shike, N. and Ross, A.C. (Ed) (1999) : Modern Nutrition in Health & Disease, 9th Edition, Williams and Wilkins.
- Escott-Stump, S. (2015) : Nutrition and Diagnosis Related Care, 8th Edition, Williams and Wilkins.
- Garrow, J.S., James, W.P.T. and Ralph, A. (2000): Human Nutrition Dietetics, 10th Edition, Churchill Livingstone.
- William’s Essentials of Nutrition and Diet Therapy (2018) 12th Edition. Authors - Eleanor Schlenker Joyce Ann Gilbert .Times Mirror/Mosby College Publishing.
- Davis, J. and Sherer, K. (1993): Applied Nutrition and Diet Therapy for Nurses, 2nd Edition, W.B. Saunders Co.
- Walker, W.A. and Watkins, J.B. (Ed) (1985): Nutrition in Pediatrics, Boston, Little, Brown & Co.
- Guyton, A.C. and Hall, J.E. (2010) : Textbook of Medical Phyiology. 12th Edition. W.B. Saunders Co.
- Ritchie, A.C. (1990): Boyd’s Textbook of Pathology, 9th Edition, Lea and Febiger, Philadelphia.
- Fauci, S.A. et al (1998) : Harrison’s Principles of Internal Medicine, 14th Edition, McGraw Hill.
- World Cancer Research Fund, 3rd Expert Report (2017). Diet, Nutrition and Physical Activity – A Global Perspective. Washington E.D. WCRF
- Khanna, K., Gupta, S. and Seth, R. (2001). Textbook of Nutrition and Dietetics, 2nd Edition. Phoenix Pub. House Pvt. Ltd. , New Delhi.
- Bamji, M.S., Rao, N.P. and Reddy, V. (2009) : Textbook of Human Nutrition, 4th Edition. Oxford & IBH Publishing Co. Pvt. Ltd., New Delhi
- Ganong W.F.(2003)-Review of Medical Physiology.21st ed. McGraw Hill.
- Tortora G.J and Grabowski S.R. (2016) Principles of Anatomy and Physiology. 15th ed. John Wiley and Sons.Inc.
- West J.B.(1996): Physiological Basis of Medical Practice .12th Edition. B. I. Waverly Pvt. Ltd.
- Marieb E.N (2001) Human Anatomy and Physiology (5th ed) Pearson Education ,Inc, publishing as Benjamin Cummings.
- Jain A. K (2014) Human Physiology for BDS (5th Edition), Publisher: Avichal Publishing Company; ISBN: 9788177394337 .
- Pal G.K and Pal Pravati (2016) Comprehensive Textbook Of Medical Physiology (2Vols) Publisher:Jaypee Brothers Medical Pub (P) Ltd. ) ISBN:5551234080758
- Ross and Wilson (2014). Anatomy and Physiology in Health and Illness. Authors: Anne Waugh Allison Grant.12th Edition. Churchill Livingstone
- Journals :
- Nutrition Update Series.
- World Review of Nutrition and Dietetics.
- Journal of the American Dietetic Association.
- Indian Journal of Nutrition and Dietetics
- American Journal of Clinical Nutrition.
- European Journal of Clinical Nutrition.
- Nutrition Reviews.
Academic Year:
