Download Advances in Human Clinical Nutrition by Joseph J. Vitale ScD, MD (auth.), Joseph J. Vitale ScD, MD, PDF

By Joseph J. Vitale ScD, MD (auth.), Joseph J. Vitale ScD, MD, Selwyn A. Broitman PhD (eds.)

Boston collage institution of medication has confirmed a sequence of clinical teaching programs in nutrients held each one summer season due to the fact that 1975. those care for controversies in human scientific meals. the themes have lined quite a few issues, together with these facing the relation­ ships among nutrition and center disorder, vitamin and melanoma, breast· as opposed to bottle-feeding, and nutritional fiber and ailment. different noncontroversial issues have been additionally lined at those meetings; they have been mentioned just to deliver to the eye of the medical professional new happenings in dietary examine. those issues handled the relationships of foodstuff to immune functionality, to neurotransmitters, to an infection, to weight problems, and to chemotherapy. this article is a compilation of chosen manuscripts of curiosity to the health care provider within the quarter of human scientific food. no matter what luck this article enjoys is in no small method a result of advert­ ministrative and editorial efforts of our administrative assistant, Mrs Geraldine Rankin - our honest thanks.

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Mucosal injury 6. ' Reprinted with permission The three essential components in the pathogenesis of NECl 0 are: Injury to the intestinal mucosa Intestinal micro flora Availability of metabolic substrate (feedings) Figure 3-1 summarizes the proposed mechanisms for development of NEe. By virtue of the protective effects of human milk, breast-fed infants very rarely, if ever, develop NEe. 26 Other aspects of breast milk vs formula include: 1. Maternal-infant bonding. The positive effect of breast-feeding on maternal-infant relationship and bonding has been recently emphasized.

The frequency of diarrheal deaths at the turn of the century was six times greater in British infants fed cow's milk, than those fed human milk. Half a century later, it was discovered that the incidence of enteric and respiratory infections and infant morbidity and mortality rates was substantially lower in breast-fed infants. Gastrointestinal Allergies During the immediate postpartum period, particularly in premature and small-for-gestational-age infants, as a result of delay in maturation of the mucosal barrier, newborn infants are particularly susceptible to pathologic penetration by harmful intraluminal substances, leading to increased susceptibility to infection, potential for hypersensitivity reactions, and potential for the formation of immune complexes.

Jelliffe DB, Jelliffe EFP: "Breast is best": modern meanings. N Eng/ J Med 297:912-915, 1977. 2. Jenness R: The composition of milk, in Larson BL, Smith VR (eds): Lactation, vol 3. New York, Academic Press, 1974, pp 3-107. 3. Guall GE, Rassin OK, Riiihii NCR, et al: Milk protein quantity and quality in low birth weight infants. J Pediatr 90:348-355, 1977. 4. Rassin OK, Gaull GE, Riiihii NCR, et al: Milk protein quantity and quality in low birth weight infants. J Pediatr 90:356-360, 1977. 5. Hambraeus L: Proprietary milk versus human milk in infant feeding.

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