Clinical Nutrition. Enteral and Tube Feeding by John L. Rombeau, Rolando H. Rolandelli, Ray Kersey

By John L. Rombeau, Rolando H. Rolandelli, Ray Kersey

Here is the thoroughly revised, up-to-date, and extended new version of the definitive reference on enteral food. It offers the clinical starting place and scientific recommendations wanted for powerful enteral feeding within the health facility and at domestic. stories of past variation: "The most excellent textual content on enteral nutrition." --Mayo medical institution complaints "An very good reference." --Journal of the yank Dietetic organization "It has anything for everybody within the box of nutrition...Truly a must." --Clinics in utilized foodstuff

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At conception the sperm mitochondria and DNA are lost and very little is contributed to the resultant embryo. Nuclear DNA in contrast is a mixture of that contributed by both parents. Two copies of each gene are found in this DNA; one copy comes from the mother and the other from the father. 32 The Human Genome project has detailed the specific base sequence of nuclear DNA in the human cell. ' Mapping means the identification, within the DNA, of each segment and the protein it encodes. The nuclear DNA has not been completely mapped.

The diet containing complex proteins stimulated gut mucosal growth more effectivelythan did diets containing peptides or amino acids as their protein source. Other substrates, in addition to protein, may be important in maintaining gut structure and function. Short-ehain fatty acids, especially butyrate, are produced by the fermentation of fiber by the enteric bacteria and are the preferred fuel of the colonocytes. " However, fiber was only partially effective in restoring TPN-induced immune depression.

Yet, even though there are species differences in the amino acid sequence of this protein, insulin from one species can be given to another species and be functionally active. Obviously, the species differences in the amino acid sequence of this protein are not at locations in the insulin molecule that determine its biologic function in promoting glucose use. The deletion or substitution of a base could occur in a noncoding region of the DNA or in an area that encodes a nonactive portion of the gene product.

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