Clinical Nutrition: Assessment of Nutritional Status and Screening — High Specialty Treaty

Clinical Nutrition · Clinical Specialties

How it begins

A comprehensive analytical study on the pathophysiology of malnutrition, molecular kinetics of biomarkers, advanced vector body composition analysis, psychometric validation of screening tools and molecular diagnosis of cachexia and sarcopenia.

What it covers

1. Introduction and Clinical Impact of Hospital Malnutrition
2. Pathophysiology of Malnutrition: Simple Fasting versus Hypercatabolism due to Stress
3. · Simple Fasting (Marasmatic Chronic Malnutrition)
4. · Malnutrition due to Metabolic Stress (Acute Hypercatabolism / induced Kwashiorkor)
5. Neuroendocrine Regulation of Appetite and Energy Balance
6. Cachexia and Sarcopenia: Molecular and Immunological Differences
7. The Active Cellular Compartment and Body Cell Mass (BCM)
8. Principles of Nutritional Screening and Tool Selection Criteria
9. Malnutrition Universal Screening Tool (MUST): Application and Interpretation
10. Nutritional Risk Screening 2002 (NRS-2002): The Standard in Acute Hospitalization
11. Mini Nutritional Assessment (MNA) and MNA-SF: Screening in the Geriatric Patient
12. Subjective Global Assessment (VGS) and Pediatric Screening Instruments
13. · Detsky's Subjective Global Assessment (SGA)
14. · Pediatric Screenings: STAMP, PYMS and STRONGkids
15. Advanced Anthropometry: Errors, Standardization and Predictive Equations
16. Assessment of Skin Folds and Body Circumferences
17. · Skin Folds (Measurement of Fat Mass)
18. · Body Circumferences (Muscle Mass Measurement)
19. Electrical Bioimpedanciometry (BIA): Vector Analysis (BIVA) and Phase Angle
20. · Biophysical foundations of the BIA
21. · Bioelectrical Impedance Vector Analysis (BIVA)
22. Dual Energy X-ray Absorptiometry (DEXA) and Computed Tomography
23. · DEXA (Dual-Energy X-ray Absorptiometry)
24. · Computed Tomography (CT): The Gold Standard in Oncology
25. Muscle Ultrasound in the Critical Patient: New Horizons in the Sick Bed
26. Plasma Proteins of Hepatic Synthesis: The Myth versus the Pathophysiological Reality
27. Ultra Short Half-Life Proteins and Nitrogen Balance
28. · Retinol-Bound Protein (RBP)
29. · The Nitrogen Balance ($N_B$): Methods and Limitations
30. Biomarkers of Hydration Status, Kidney Function and Immunocompetence
31. · Total Lymphocyte Count (TLC) as a marker of immunocompetence
32. Biochemical Evaluation of Micronutrients: Water-soluble and Fat-soluble Vitamins
33. · Fat-soluble Vitamins
34. · Water-soluble Vitamins (B Complex and Vitamin C)
35. Essential Trace Elements: Dynamics and Clinical Relevance
36. Indirect Calorimetry: The Gold Standard and the Respiratory Exchange Ratio (RER)
37. · Biophysical foundation of indirect calorimetry
38. · The Respiratory Exchange Ratio (RER / Respiratory Quotient)
39. Direct Calorimetry and Double Isotopes: Advanced Clinical Research Methods
40. · Direct Calorimetry
41. · Doubly Labeled Water (DLW) Method
42. Energy Expenditure Prediction Equations: Formulas and Limitations
43. Determination of Protein and Non-Protein Requirements in Special Populations
44. GLIM Consensus Criteria for the Diagnosis of Malnutrition
45. Nutritional Assessment in Critical and Intensive Care Patients
46. Nutritional Assessment in High Complexity Populations: Oncology, Nephropathy and Hepatopathy
47. · Oncology Patient (PG-SGA - Patient-Generated Subjective Global Assessment)
48. · Patient with Renal Failure (PEW Criteria - *Protein-Energy Wasting*)
49. · Cirrhotic Patient (Royal Free Hospital-SGA)
50. Refeeding Syndrome: Pathophysiology, Prevention and Treatment
51. · Molecular pathophysiology of the feedback catastrophe
52. · Clinical Prevention and Treatment Protocol