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CLINICAL NUTRITION II

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
MARIA CHIARA ZATELLI
Credits
6
Didactic period
Secondo Semestre

Training objectives

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Modulo: 015434/1 - ONCOLOGIA MEDICA
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MEDICAL ONCOLOGY
Knowledge of neoplastic pathology, including pathogenesis diagnosis, treatment strategies and their side effects, natural history and prognosis, and their relation with nutrition.

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Modulo: 52701 - ASPETTI NUTRIZIONALI NEL PAZIENTE CON MALATTIE DELL'APPARATO CARDIOVASCOLARE
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NUTRITIONAL ASPECTS IN PATIENTS WITH CARDIOVASCULAR DISEASE
The aim of this course is to provide knowledge on the main atherosclerotic vascular disease, risk factors and nutritional therapy principles, in particular regard to the prevention and treatment of ischemic heart disease, atherosclerotic cerebrovascular disease, peripheral arterial disease and heart failure.

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Modulo: 52702 - MALATTIE ENDOCRINE E DEL METABOLISMO
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At the end of the course the student should know the main basis of endocrine and metabolic physiopathology.
In particular the student should learn:
•physiopathologic and clinical aspects of the main endocrine and metabolic diseases with particular attention to diabetes mellitus, dyslipidemias, obesity, osteoporosis, thyroid, pituitary and adrenal cortex diseases;
•principles of nutrition therapy of these diseases.
The basic acquired abilities will be:
•to have acquired the basis for a correct approach to nutrition of patients with endocrine and metabolic disorders.

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Modulo: 52703 - ALLERGOLOGIA
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ALLERGOLOGY
Learn about:
•general principles of the immune system (innate immune system, adaptive immune system, mechanisms of hypersensitivity reactions, mechanisms of allergic inflammation);
•food allergens and additives;
•adverse reactions to food (adversion, allergy, intolerance);
•assess the impact of food allergy/intolerance on the quality of life.

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Modulo: 52704 - DIETETICA APPLICATA III
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APPLIED DIETETICS III
Knowing how to formulate diets in diseases of interest nephrology and digestive system.

Prerequisites

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Modulo: 015434/1 - ONCOLOGIA MEDICA
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MEDICAL ONCOLOGY
Knowledge about principles of anatomy, histology, physiopathology and pharmacology.

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Modulo: 52701 - ASPETTI NUTRIZIONALI NEL PAZIENTE CON MALATTIE DELL'APPARATO CARDIOVASCOLARE
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NUTRITIONAL ASPECTS IN PATIENTS WITH CARDIOVASCULAR DISEASE
Knowledge is required on pathophysiology of nutrition, nutrition and diet.

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Modulo: 52702 - MALATTIE ENDOCRINE E DEL METABOLISMO
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Knowledge about principles of anatomy, biochemistry and physiology of the endocrine system.

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Modulo: 52703 - ALLERGOLOGIA
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ALLERGOLOGY
Knowledge about principles of anatomy, histology, biochemistry, physiology and pathology.

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Modulo: 52704 - DIETETICA APPLICATA III
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APPLIED DIETETICS III
Knowledge about principles of anatomy, histology, biochemistry, physiology and pathology of the immune system.

Course programme

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Modulo: 015434/1 - ONCOLOGIA MEDICA
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MEDICAL ONCOLOGY
Clinical approach to nutrition in cancer patients. Principles of treatments, of potential side effects and their fallout on nutrition. Neoplastic diseases of gastroenteric apparatus: esophagus, liver, pancreas, colon. Neoplastic diseases of lung and breast. Cancers of Head and neck, central nervous system, urological and gynaecological apparatus. Cancer cachexia

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Modulo: 52701 - ASPETTI NUTRIZIONALI NEL PAZIENTE CON MALATTIE DELL'APPARATO CARDIOVASCOLARE
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NUTRITIONAL ASPECTS IN PATIENTS WITH CARDIOVASCULAR DISEASE
The coursework aims to expand on the educational goals of the course creating knowledge on:
•the atherosclerotic vascular disease: classification and main elements characterizing the clinical history (2 hours);
•the risk factors modifiable and non-modifiable (2 hours);
•prevention and nutritional treatment of ischemic heart disease (2 hours);
•prevention and nutritional treatment of cerebrovascular atherosclerotic (2 hours);
•prevention and nutritional treatment of peripheral arterial disease (2 hours);
•prevention and nutritional treatment of heart failure (2 hours).

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Modulo: 52702 - MALATTIE ENDOCRINE E DEL METABOLISMO
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Diabetes mellitus: classification, clinical characteristics and nutritional aspects;
•Obesity and malnutrition: clinical characteristics and nutritional aspects. Dyslipidemia;
•Osteoporosis: clinical characteristics and nutritional treatment;
•Diseases of thyroid, pituitary and adrenal cortex: physiophatology and clinical characteristics;
•Nutritional approach to the patient with diseases of the thyroid, pituitary and adrenal cortex.

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Modulo: 52703 - ALLERGOLOGIA
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ALLERGOLOGY
The immune system. Allergies and allergic reactions. Adverse reactions to foods and food additives. Food allergy. Food intolerance. Celiac disease. Intolerance to lactose, fructose, sulfites and salicylates. Elimination diets and provocation.

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Modulo: 52704 - DIETETICA APPLICATA III
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APPLIED DIETETICS III
Diet therapy of diabetes mellitus, hyperlipidemia, obesity
Diet and hypertension. Diets and heart disease. Diet in food intolerance.

Didactic methods

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Modulo: 015434/1 - ONCOLOGIA MEDICA
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MEDICAL ONCOLOGY
Frontal lessons, that may also be pre-registered. In case of remote learning there will be follow ups in order to discuss and deepen the subjects addressed during the lessons.

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Modulo: 52701 - ASPETTI NUTRIZIONALI NEL PAZIENTE CON MALATTIE DELL'APPARATO CARDIOVASCOLARE
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NUTRITIONAL ASPECTS IN PATIENTS WITH CARDIOVASCULAR DISEASE
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.

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Modulo: 52702 - MALATTIE ENDOCRINE E DEL METABOLISMO
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The course is organized as follows: frontal lectures on the course’s topics and clinical cases presentation.

Online teaching may be necessary.

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Modulo: 52703 - ALLERGOLOGIA
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ALLERGOLOGY
Frontal lessons

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Modulo: 52704 - DIETETICA APPLICATA III
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APPLIED DIETETICS III
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

NUTRITIONAL ASPECTS IN PATIENTS WITH CARDIOVASCULAR DISEASE
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.
ENDOCRINE AND METABOLIC DISORDERS
The aim of the exam is to verify at which level the previously described learning objectives have been acquired, by an oral test lasting approx 20 minutes with 2-3 questions,. In addition, the test will evaluate the capacity of connecting the acquired notions. To pass this test it is required to reach at least 18 points out of 30.
MEDICAL ONCOLOGY
Written examination, with multiple choice questions (4 options), exploring the acquisition of basic knowledge of neoplastic diseases and nutritional related problems, and the capacity to transfer them in practice. Each exact answer totalizes 1 point, wrong or blank answer 0 point. To pass the exam it is required to get at least 18 points out of 30 points. 45 minutes to perform the exam.
ALLERGOLOGY
An oral exam 15-20 minutes lasts, consisting of 2-3 questions aimed at assessing not so much the ability in exposing one or more topics covered in class, as the ability to connect and compare the different aspects. To pass this test it is required to get at least 18 points out of 30.
APPLIED DIETETICS III
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: 015434/1 - ONCOLOGIA MEDICA
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MEDICAL ONCOLOGY
Teacher's handouts.
Bianco A.R., De Placido S., Tortora, G. Conte P.(2016), Oncologia clinica, 2/ed, Mc Graw-Hill Ed., Milano, Italia.
“I numeri del Cancro”, edited by Associazione Italiana Registri Tumori and Associazione Italina di Oncologia Medica, www.aiom.it

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Modulo: 52701 - ASPETTI NUTRIZIONALI NEL PAZIENTE CON MALATTIE DELL'APPARATO CARDIOVASCOLARE
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NUTRITIONAL ASPECTS IN PATIENTS WITH CARDIOVASCULAR DISEASE
Lecture notes.
Slides of the lessons provided in copies to the students and supplementary and research material on the Moodle platform.
Riccardi G., Pacioni D., Giacco R., Rivellese A. (2009), Manuale di Nutrizione Applicata, III ed. Idelson-Gnocchi, Napoli, Italia.
Orsi E. & Musacchio N. (1996), Nutrizione clinica e terapia dietetica, McGraw-Hill, Milano, Italia.

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Modulo: 52702 - MALATTIE ENDOCRINE E DEL METABOLISMO
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Faglia G., Beck-Peccoz P., Spada A., Lania A. (2009), Core Curriculum. Endocrinologia e Metabolismo. Mc Graw-Hill Education, Milano, Italia.
Monaco F. (2013), Endocrinologia per i corsi di laurea delle professioni sanitarie, II edizione, Società Editrice Universo, Roma, Italia.
Lecture notes.

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Modulo: 52703 - ALLERGOLOGIA
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ALLERGOLOGY
Teacher’s handouts.

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Modulo: 52704 - DIETETICA APPLICATA III
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APPLIED DIETETICS III
Del Toma E. & Santanocita A. (2005), Prevenzione e terapia dietetica. Una guida per medici e dietisti, Il Pensiero Scientifico Editore
Lucchin L. & Chilovi F. (2009), Nutrizione patologie gastrointestinali, Il Pensiero Scientifico Editore