Hampsey and K B Schwarz Johns Hopkins

School of Medicine, Baltimore, MD, USA

© 2005 Elsevier Ltd. All rights reserved.

This article covers the role of the liver in normal nutrition, including the important functions of bile salt production, macronutrient metabolism, and fat-soluble vitamin absorption, metabolism, and storage. Next, the pathogenesis of malnutrition in liver disease is discussed, starting with the mechanisms of malnutrition in both acute and chronic liver failure. Specific nutritional issues in liver failure are addressed, including metabolic disturbances of carbohydrates, protein, and fats. Nutritional disturbances in the major types of specific liver diseases are reviewed: hepatocellular, metabolic liver disease, and biliary tract disorders. Nutritional assessment and management of patients with acute, chronic liver disease and end stage liver disease are discussed.

New Mothers Guide to Breast Feeding

New Mothers Guide to Breast Feeding

For many years, scientists have been playing out the ingredients that make breast milk the perfect food for babies. They've discovered to day over 200 close compounds to fight infection, help the immune system mature, aid in digestion, and support brain growth - nature made properties that science simply cannot copy. The important long term benefits of breast feeding include reduced risk of asthma, allergies, obesity, and some forms of childhood cancer. The more that scientists continue to learn, the better breast milk looks.

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