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Medical Nutrition Therapy introduces the fundamentals of nutrition assessment and therapy, and revisits this concepts throughout the changing context of various disease states. The text utilize a cased based approach which incorporates problem-based learning and engages the reader in various clinically based scenarios after discussing the core science of the subject matter. Each chapter opens with a case study and details and further information from the case are woven throughout the chapter in order to reinforce the relevance of various topics. Chapter cases go on to discuss how the nutrition care process can be applied to the case.

Nutrition Therapy

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In the field of pharmacology, drug interactions are often responsible of the occurrence of the toxic effects or changes in the therapeutic efficacy of drugs. Pharmacokinetic nutrients-drug interactions are quite important to take into account when evaluating efficacy and toxicity of drugs. The role of grapefruit juice on pharmacokinetics of drug is a well-known illustration of the rationale to evaluate how food and beverages can have an effect on intestinal metabolism and pharmacokinetics of drugs.Our work aims at evaluating the influence of food’s constituents on key enzymes in charge of intestinal xenobiotics biotransformation’s in the body. We have focused on the intestine as a key organ of metabolism because of the recent discovery about the potential role of the gut microbiota as an internal ecosystem able to play a role on health. Its involvement in the metabolism and the therapeutic efficacy of drug treatment is illustrated by several examples, leading to the conclusion of the need to have a better knowledge of gut microbiota-host interactions in the evaluation of drug efficacy and toxicity. Dans le domaine de la pharmacologie, on accorde une importance tout à fait justifiée aux interactions médicamenteuses, souvent responsables de l’apparition d’effets toxiques, voire de modifications de l’efficacité thérapeutique de médicaments. Parallèlement, les interactions entre aliments et médicaments de type « pharmacocinétiques » font l’objet d’une attention croissante.C’est la raison pour laquelle nous avons choisi de centrer notre travail bibliographique sur l’influence des constituants de l’alimentation sur les enzymes clés responsables de la biotransformation intestinales des xénobiotiques dans l’organisme. L’influence de la consommation de jus de pamplemousse sur la pharmacocinétique de médicaments illustre le risque toxicologique inhérent à ce type d’interaction. Dans ce mémoire, le projet de focaliser sur l’intestin en tant qu’organe de métabolisation a été motivé par la mise en évidence récente du rôle potentiel du microbiote intestinal comme « écosystème interne » capable de jouer un rôle clé sur la santé. Son implication dans la gestion du métabolisme et les conséquences sur l’efficacité thérapeutique des traitements médicamenteux est illustrée par plusieurs exemples clés.

Microbiota --- Nutrition Therapy --- Intestinal Absorption

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Outside back cover : "The importance of nutrition in the prevention and treatment of disease and the maintenance of good health is being increasingly recognised. Nutrition is an area that all health professionals need to be aware of and yet one in which few are specifically trained. However it is now becoming a valued topic in many curricula. The Oxford Handbook of Nutrition and Dietetics makes this information more accessible to dieticians, doctors, nurses, nutritionists, and other healthcare professionals by providing a practical, easily accessible, concise and up-to-date evidence-based guide in a user-friendly portable handbook. It covers the entire life cycle from preconception to old age. As the general public is increasingly aware of the food they eat and the role nutrition plays in health and disease, health professionals must have the kind of knowledge in this book at their fingertips."

Dietetics --- Nutrition Therapy --- Nutritional Physiological Phenomena

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Nutrition Therapy --- Dietetics --- Nutritional Physiological Phenomena

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Skin health has taken center stage for health care practitioners and patients alike. Not only has skin cancer quickly become the number one form of cancer in the United States, with 3.5 million cancers diagnosed in over 2 million patients annually, but concerns about sun protection and healthy aging have dominated both public media and individual patient concerns. As the largest and most visible organ, the skin displays all evidence of health and vitality, both real and perceived, thereby conferring a tremendous amount of psychological burden on those afflicted with cutaneous ailments. Clinici

Skin --- Diet therapy. --- Clinical nutrition --- Diet --- Diet and disease --- Dietotherapy --- Food --- Medical nutrition therapy --- MNT (Medical nutrition therapy) --- Nutrition therapy --- Dietetics --- Therapeutics, Physiological --- Diseases --- Treatment. --- Therapeutic use