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Williams' Basic Nutrition & Diet Therapy - E-Book

Williams' Basic Nutrition & Diet Therapy - E-Book

Staci Nix McIntosh

(2016)

Additional Information

Book Details

Abstract

For concise, need-to-know coverage of the most up-to-date topics and research in nutritional care turn to Williams’ Basic Nutrition & Diet Therapy, 15th Edition. This market leading text provides coverage of hot topics, emerging trends, and cutting-edge research, plus all the essentials for providing the best nutrition care. And with its conversational writing style, vivid illustrations, and wide array of reader-friendly features you can easily understand how the concepts in the book can be applied in clinical practice.

  • Case studies with accompanying questions for analysis in the clinical care chapters focus your attention on related patient care problems.
  • Cultural Considerations boxes discuss how a patient's culture can affect nutritional concepts in practice.
  • Clinical Applications and For Further Focus boxes highlight timely topics and analyze concepts and trends in depth. 
  • Bulleted chapter summaries review highlights from the chapter and help you see how the chapter contributes to the book's "big picture."
  • Diet therapy guidelines include recommendations, restrictions, and sample diets for major clinical conditions.
  • Drug-Nutrient Interactions boxes highlight important safety information and cover topics such as nutritional supplements for athletics, drugs interfering with vitamin absorption, and over-the-counter weight loss aids.
  • Key terms and definitions clarify terminology and concepts critical to your understanding and application of the material.
  • NEW! Completely updated content incorporate the recently released 2015 dietary guidelines, Healthy People objectives, nutrition labels, common weight-loss diets, FDA/CDC statistics/warnings regarding trans fatty acids, disordered eating, and more.
  • NEW! New chapter review questions reflect the latest NCLEX Exam format. Answers to these questions will appear in the appendix.
  • NEW! Rewritten chapters on clinical nutrition take a more application-based approach and feature clarified explanations, enhanced readability, a focus on the most relevant and practical information, and new topics such as energy expenditure calculations, water balance, cirrhosis complications, diet plans for diabetes, and more.
  • NEW! Updated Nutrition and Physical Fitness chapter written by sport dietitian Kary Woodruff reflects the latest research in the field, including new questionnaires used for exercise readiness, current recommendations for energy needs, and nutritional considerations for athletic performance.
  • NEW! Updated Weight Management chapter written by certified adult weight management dietitian Theresa Dvorak reflects the latest research in the field, including the role of genetics, disordered eating, treatments for obesity, and more.

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Half title page i
Evolve page ii
Williams' Basic Nutrition & Diet Therapy iii
Copyright Page iv
Contributors and Reviewers v
Preface to the Instructor vi
Audience vi
Conceptual Approach vi
Organization vi
Content and Features vii
Learning Aids vii
Ancillaries viii
Teaching and Learning Resources for the Instructors viii
For Students viii
Acknowledgments viii
Content Threads ix
Preface to the Student x
Table Of Contents xiii
1 Introduction to Basic Principles of Nutrition Science 1
1 Food, Nutrition, and Health 1
Key Concepts 1
Health Promotion 1
Basic Definitions 1
Nutrition and Dietetics 1
Health and Wellness 1
National Health Goals 2
Traditional and Preventive Approaches to Health 2
Importance of a Balanced Diet 2
Signs of Good Nutrition 2
Food and Health 3
Functions of Nutrients in Food 3
Energy Sources 3
Carbohydrates 4
Fats 4
2 Nutrition Throughout the Life Cycle 147
10 Nutrition during Pregnancy and Lactation 147
Key Concepts 147
Nutritional Demands of Pregnancy 147
Energy Needs 147
Reasons for Increased Need 147
Amount of Energy Increase 148
Protein Needs 148
Reasons for Increased Need 148
Development of the placenta. 148
Growth of the fetus. 148
Growth of maternal tissues. 148
Increased maternal blood volume. 148
Amniotic fluid. 148
Amount of Protein Increase 148
Food Sources 149
Key Mineral and Vitamin Needs 149
Minerals 149
Calcium. 149
Iron. 150
Vitamins 150
Folate. 150
Vitamin D. 151
Weight Gain during Pregnancy 151
Amount and Quality 151
Rate of Weight Gain 152
Daily Food Plan 152
General Plan 152
Alternative Food Patterns 152
Basic Principles of Diet and Exercise 152
General Concerns 152
Gastrointestinal Problems 152
Nausea and Vomiting 152
Constipation 153
Hemorrhoids 153
Heartburn 153
High-Risk Pregnancies 153
Identifying Risk Factors 153
Teenage Pregnancy 154
Recognizing Special Counseling Needs 154
Age and parity. 154
Obesity. 154
Alcohol. 154
Nicotine. 156
Drugs. 156
Caffeine. 156
Pica. 156
Socioeconomic difficulties. 157
Complications of Pregnancy 157
Anemia 157
Intrauterine Growth Restriction 157
Hypertensive Disorders of Pregnancy 157
Gestational Diabetes 158
Preexisting Disease 158
Lactation 158
Trends 158
The Baby-Friendly Hospital Initiative 159
Physiologic Process of Lactation 159
Mammary Glands and Hormones 159
Supply and Demand 161
Composition 162
Complications 162
Nutrition and Lifestyle Needs 163
Diet 163
Energy and nutrients. 163
Fluids. 163
Lifestyle 163
Long-Term Impacts of Feeding Methods 163
Risks of Using Breast Milk Substitutes 163
Advantages of Breastfeeding 163
Additional Resources 164
Putting It All Together 164
Summary 164
Chapter Review Questions 164
Additional Learning Resources 165
11 Nutrition during Infancy, Childhood, and Adolescence 166
Key Concepts 166
Growth and Development 166
Life Cycle Growth Pattern 166
Infancy 166
Childhood 166
Adolescence 166
Adulthood 166
Measuring Childhood Growth 166
Individual Growth Rates 166
Physical Growth Measurement 167
Growth charts. 167
Growth charts for children with special health care needs. 167
Psychosocial Development 167
Nutritional Requirements for Growth 167
Energy Needs 167
Protein Needs 171
Water Requirements 171
Mineral and Vitamin Needs 171
Calcium 171
Iron 172
Vitamin Supplements 172
Nutrition Requirements during Infancy 173
Infant Classifications 173
Maturity 173
Term infants. 173
Premature infants. 173
Weight Classification 173
Size for Gestational Age Classification 173
Appropriate for gestational age (AGA). 173
Large for gestational age (LGA). 173
Small for gestational age (SGA). 173
Considerations Regarding Feeding Premature Infants 173
Physiologic Delays Relevant to Feeding 173
Milk Content for Premature Infants 173
Methods of Milk Delivery 173
What, How, and When to Feed the Mature Infant 174
Breast Milk 174
Breast Milk Substitute 174
Choosing a commercial infant formula. 174
Preparing the formula. 174
Feeding the formula. 174
Cleaning bottles and nipples. 175
Weaning 175
Cow’s Milk 175
Solid Food Additions 176
When to introduce. 176
What to introduce. 176
Commercial or homemade complementary foods. 176
Summary Guidelines 177
Nutrition Requirements during Childhood 178
Toddlers (1 to 3 Years Old) 178
Preschool-Aged Children (3 to 5 Years Old) 178
School-Aged Children (5 to 12 Years Old) 178
Nutrition Problems during Childhood 180
Failure to Thrive 181
Anemia 182
Obesity 182
Lead Poisoning 183
Nutrition Requirements during Adolescence (12 to 18 Years Old) 183
Physical Growth 183
Body Composition 183
Bone Mineral Density 184
Eating Patterns 184
Eating Disorders 184
Putting It All Together 185
Summary 185
Chapter Review Questions 185
Additional Learning Resources 185
12 Nutrition for Adults 186
Key Concepts 186
Adulthood: Continuing Human Growth and Development 186
Coming of Age in America 186
Population and Age Distribution 186
Life Expectancy and Quality of Life 186
Impact on Health Care 186
Shaping Influences on Adult Growth and Development 187
Physical Growth 188
Psychosocial Development 189
Young adults (20 to 44 years old). 189
Middle adults (45 to 64 years old). 189
Older adults (65 years old and older). 189
Socioeconomic Status 189
Nutrition Needs 190
The Aging Process and Nutrition Needs 190
General Physiologic Changes 190
Biologic Changes 190
Metabolism. 190
Hormones. 190
Effect on Food Patterns 191
Individuality of the Aging Process 191
Nutrition Needs 191
Macronutrients and Fluids 191
Carbohydrate. 191
Fat. 191
Protein. 191
Fluid. 192
Micronutrients and Health Concerns 192
Bone health. 192
Food safety. 192
Nutrient Supplementation 193
Vitamin B12. 193
Vitamin D. 193
Excess supplementation. 193
Clinical Needs of the Elderly 193
Health Promotion and Disease Prevention 193
Reducing Risk for Chronic Disease 193
Nutritional Status 193
Dental. 194
Dehydration. 194
Weight Management and Physical Activity 194
Individual Approach 197
Chronic Diseases of Aging 197
Diet Modifications 197
Medications 197
Community Resources 198
Government Programs for Older Americans 198
Older Americans Act 198
Congregate nutrition services. 198
Home-delivered meals. 199
United States Department of Agriculture 199
Research centers. 199
Extension services. 199
Supplemental nutrition assistance program (SNAP). 199
Commodity supplemental food program. 199
Senior farmers’ market nutrition program. 199
Public Health Departments 199
Professional Organizations and Resources 199
National Groups 199
Community Groups 199
Volunteer Organizations 200
Alternative Living Arrangements 200
Congregate Care Arrangements 200
Continuing Care Retirement Communities 200
Assisted Living Facilities 200
Nursing Homes 200
Putting It All Together 201
Summary 201
Chapter Review Questions 201
Additional Learning Resources 201
3 Community Nutrition and Health Care 202
13 Community Food Supply and Health 202
Key Concepts 202
Food Safety and Health Promotion 202
The U.S. Food and Drug Administration 202
Enforcement of Federal Food Safety Regulations 202
Consumer Education and Research 202
Food Labels 203
Early Development of Label Regulations 203
Food standards. 203
Nutrition information. 203
Background of Present U.S. Food and Drug Administration Label Regulations 203
Current Food Label Format 204
Nutrition facts label. 204
Front-of-package labeling. 205
Health claims. 206
Food Technology 207
Agricultural Pesticides 207
Reasons for Use 207
Problems 207
Alternative Agriculture 207
Organic farming. 207
Biotechnology. 208
Irradiation. 209
Food Additives 210
Food-Borne Disease 212
Prevalence 212
Food Safety 212
Buying and Storing Food 212
Preparing and Serving Food 213
Food Contamination 215
Bacterial Food Infections 215
Salmonellosis. 215
Shigellosis. 215
Listeriosis. 216
Escherichia coli. 216
Vibrio. 216
Bacterial Food Poisoning 217
Staphylococcal food poisoning. 217
Clostridial food poisoning. 217
Viruses 219
Parasites 219
Environmental Food Contaminants 219
Lead. 219
Natural toxins. 219
Food Needs and Costs 223
Hunger and Malnutrition 223
Worldwide Malnutrition 223
Malnutrition in America 223
Food Assistance Programs 224
Commodity Supplemental Food Program 224
Supplemental Nutrition Assistance Program (SNAP) 224
Special Supplemental Food Program for Women, Infants, and Children 225
School Meals Program 225
Nutrition Services Incentive Program 225
Food Buying and Handling Practices 225
Planning Ahead 226
Buying Wisely 226
Storing Food Safely 226
Cooking Food Well 226
Putting It All Together 226
Summary 226
Chapter Review Questions 226
Additional Learning Resources 227
14 Food Habits and Cultural Patterns 228
Key Concepts 228
Social, Psychologic, and Economic Influences on Food Habits 228
Social Impact 228
Factors That Influence Personal Food Choices 228
Psychologic Influences 228
Food and Psychosocial Development 228
Marketing and Environmental Influences 229
Economic Influences 229
Cultural Development of Food Habits 229
Strength of Personal Culture 229
Traditional Culture-Specific Food Patterns 229
Spanish and Native American Influences 230
Mexican. 230
Puerto Rican. 230
Native American. 231
Influences of the Southern United States 233
Black or African American. 233
French American. 233
Asian Food Patterns 234
Chinese. 234
Japanese. 234
Southeast Asian. 234
Mediterranean Influences 235
Italian. 236
Greek. 238
Religious Dietary Laws 238
Jewish 238
Basic food pattern. 238
Representative foods and influence of festivals. 238
Muslim 240
Basic food pattern. 240
Representative foods in the Middle East. 240
Influence of festivals. 241
Changing American Food Patterns 241
Household Dynamics 241
With Whom and Where We Eat 243
How Often and How Much We Eat 243
Frequency 243
Portion Sizes 243
Economical Buying 244
Putting It All Together 244
Summary 244
Chapter Review Questions 244
Additional Learning Resources 244
15 Weight Management 245
Key Concepts 245
Obesity and Weight Control 245
Body Weight Versus Body Fat 245
Body Composition 246
Measures of Weight Maintenance Goals 248
Standard Height/Weight Tables 248
Healthy Weight Range 249
Body frame. 249
Individual variation. 249
Necessity of body fat. 249
Obesity and Health 250
Weight Extremes 250
Overweight and Health Problems 250
Causes of Obesity 250
Basic Energy Balance 250
Hormonal Control 250
Leptin. 250
Ghrelin. 250
Genetic and Environmental Factors 250
Genetic control. 250
Family reinforcement. 251
Physiologic factors. 251
Psychologic factors. 251
Other environmental factors. 251
Individual Differences and Extreme Practices 252
Individual Energy Balance Levels 252
Energy out. 252
Energy in. 252
Extreme Practices 252
Fad diets. 252
Fasting. 256
Specific macronutrient restrictions. 256
Clothing and body wraps. 256
Weight-loss drugs. 256
Surgery. 257
A Sound Weight-Management Program 258
Essential Characteristics 258
Behavior Modification 258
4 Clinical Nutrition 288
17 Nutrition Care 288
Key Concepts 288
The Therapeutic Process 288
Setting and Focus of Care 288
Health Care Team 288
Physician and Support Staff 289
Roles of the Nurse and the Clinical Dietitian 289
Coordinators and advocates. 290
Interpreters. 290
Teachers and counselors. 290
Phases of the Care Process 291
Nutrition Assessment 291
Food- and Nutrition-Related History 291
Anthropometric Measurements 293
Height. 294
Weight and body mass index. 294
Body composition. 295
Waist circumference. 295
Biochemical Data, Medical Tests, and Procedures 295
Skeletal system integrity. 295
Gastrointestinal function. 295
Resting metabolic rate. 295
Nutrition-Focused Physical Findings 295
Client History 295
Nutrition Diagnosis 297
Problem 297
Etiology 297
Signs and Symptoms 298
Nutrition Intervention 298
Food and/or Nutrient Delivery 298
Personal adaptation. 298
Mode of feeding. 298
Nutrition Education and Counseling 299
Coordination of Nutrition Care 299
Nutrition Monitoring and Evaluation 299
Diet-Drug Interactions 300
Drug-Food Interactions 300
Drug-Nutrient Interactions 301
Drug-Herb Interactions 301
Putting It All Together 302
Summary 302
Chapter Review Questions 302
Additional Learning Resources 303
18 Gastrointestinal and Accessory Organ Problems 304
Key Concepts 304
The Upper Gastrointestinal Tract 304
Mouth 304
Dental Problems 304
Surgical Procedures 304
Oral Tissue Inflammation 304
Salivary Glands 306
Swallowing Disorders 306
Esophagus 307
Central Tube 307
Lower Esophageal Sphincter 307
Gastroesophageal Reflux Disease 307
Hiatal Hernia 308
Stomach and Duodenum: Peptic Ulcer Disease 308
Etiology 309
Helicobacter pylori. 309
Nonsteroidal antiinflammatory drugs. 309
Psychologic factors. 309
Clinical Symptoms 310
Medical Management 310
Drug therapy. 310
Lifestyle factors. 311
Nutrition Intervention 311
Eating a well-balanced and healthy diet. 312
Avoiding acid stimulation. 312
Lower Gastrointestinal Tract 312
Small Intestine Diseases 312
Cystic Fibrosis 312
Disease process. 312
Nutrition management. 313
Inflammatory Bowel Disease 315
Crohn’s disease. 315
Ulcerative colitis. 316
Nutrition therapy. 316
Diarrhea 316
Large Intestine Diseases 317
Diverticular Disease 317
Irritable Bowel Syndrome 318
Constipation 318
Food Intolerances and Allergies 318
Food Intolerances 319
Food Allergies 319
Common Food Allergens 319
Signs and symptoms. 319
Diagnostics. 319
Nutrition management. 319
Celiac Disease 319
Diagnostics. 320
Disease process. 320
Nutrition management. 320
Gastrointestinal Accessory Organs 320
Liver Disease 321
Fatty Liver Disease 321
Hepatitis 321
Cirrhosis 322
Gallbladder Disease 324
Cholecystitis and Cholelithiasis 324
Disease process. 324
Nutrition management. 324
Pancreatic Disease 325
Pancreatitis 325
Disease process. 325
Nutrition management. 325
Putting It All Together 325
Summary 325
Chapter Review Questions 326
Additional Learning Resources 326
19 Coronary Heart Disease and Hypertension 327
Key Concepts 327
Coronary Heart Disease 327
Atherosclerosis 327
Disease Process 327
Relation to Fat Metabolism 328
Total cholesterol. 328
Lipoproteins. 329
Triglycerides. 330
Risk Factors 330
Dietary Recommendations to Reduce Risk 331
Dietary guidelines. 332
Adult treatment panel guidelines. 333
Lifestyle management guideline recommendations. 333
Drug Therapy 334
Acute Cardiovascular Disease 334
Objective: Cardiac Rest 334
Principles of Medical Nutrition Therapy 334
Energy. 335
Texture. 335
Long-Term Dietary Modifications 335
Mediterranean diet. 335
Sodium. 336
Heart Failure 336
Control of Pulmonary Edema 336
Fluid shift mechanism. 336
Hormonal alterations. 336
Principles of Medical Nutrition Therapy 336
Essential Hypertension 338
Incidence and Nature 338
Hypertensive Blood Pressure Levels 339
Prehypertension 339
Stage 1 Hypertension 340
Stage 2 Hypertension 340
Principles of Medical Nutrition Therapy 340
Weight Management 340
Physical Activity 340
The DASH Diet 341
Sodium Control 343
Other Nutrients 343
Additional Lifestyle Factors 343
Education and Prevention 343
Practical Food Guides 343
Food Planning and Purchasing 343
Food Preparation 344
Person-Centered Approach 344
Education Principles 344
Starting Early 344
Focusing on High-Risk Groups 344
Using a Variety of Resources 344
Putting It All Together 345
Summary 345
Chapter Review Questions 345
Additional Learning Resources 346
20 Diabetes Mellitus 347
Key Concepts 347
The Nature of Diabetes 347
Defining Factor 347
Classification of Diabetes Mellitus and Glucose Intolerance 347
Type 1 Diabetes Mellitus 347
Type 2 Diabetes Mellitus 348
Gestational Diabetes 349
Other Types of Diabetes 351
Impaired Glucose Tolerance 351
Symptoms of Diabetes 352
Initial Signs 352
Laboratory Tests 352
Progressive Results 352
The Metabolic Pattern of Diabetes 352
Energy Supply and Control of Blood Glucose 352
Energy Supply 352
Blood Glucose Control 353
Sources of blood glucose. 353
Uses of blood glucose. 353
Pancreatic Hormonal Control 353
Insulin. 353
Glucagon. 354
Somatostatin. 354
Abnormal Metabolism in Uncontrolled Diabetes 355
Glucose 355
Fat 355
Protein 355
Long-Term Complications 355
Retinopathy 355
Nephropathy 356
Neuropathy 356
Heart Disease 356
Dyslipidemia. 356
Hypertension. 357
General Management of Diabetes 357
Early Detection and Monitoring 357
Basic Goals of Care 357
Glycemic Control and Medication 357
Insulin. 357
Oral hypoglycemic agents. 358
Optimal Nutrition 358
Physical Activity 358
Diabetes Self-Management Education and Support 359
Diet and lifestyle management. 360
Monitoring. 361
Medications. 361
Problem solving. 361
Reducing risk. 361
Resource awareness. 361
Psychosocial Assessment and Care 361
Medical Nutrition Therapy for Individuals with Diabetes 361
Medical Nutrition Therapy 361
Prediabetes 361
Diabetes 362
Additional Considerations 362
Total Energy Balance 362
Nutrient Balance 362
Carbohydrate 362
Starch and sugar. 362
Glycemic index. 363
Fiber. 363
Sugar substitutes and sweeteners. 364
Protein 364
Fat 364
Food Distribution 364
Daily Schedule 364
Exercise and Glycemic Control 364
Drug Therapy 365
Diet Management 365
Carbohydrate Counting 365
Food Exchange System 366
Special Concerns 366
Special diet food items. 366
Alcohol. 366
Hypoglycemia. 366
Illness. 368
Travel. 369
Eating out. 369
Stress. 369
Putting It All Together 369
Summary 369
Chapter Review Questions 369
Additional Learning Resources 370
21 Kidney Disease 371
Key Concepts 371
Basic Structure and Function of the Kidney 371
Structures 371
Glomerulus 371
Tubules 372
Proximal tubule. 372
Loop of Henle. 372
Distal tubule. 372
Collecting tubule. 372
Function 373
Excretory and Regulatory Functions 373
Endocrine Functions 373
Disease Process and Dietary Considerations 373
General Causes of Kidney Disease 373
Infection and Obstruction 373
Damage from Other Diseases 374
Toxins 374
Genetic or Congenital Defects 374
Risk Factors 374
Medical Nutrition Therapy in Kidney Disease 375
Length of Disease 375
Degree of Impaired Kidney Function and Clinical Symptoms 375
Nephron Diseases 375
Acute Glomerulonephritis or Nephritic Syndrome 375
References 434
Chapter 1 434
Chapter 2 434
Chapter 3 435
Chapter 4 435
Chapter 5 436
Chapter 6 436
Chapter 7 437
Chapter 8 438
Chapter 9 439
Chapter 10 439
Chapter 11 441
Chapter 12 442
Chapter 13 443
Chapter 14 444
Chapter 15 445
Chapter 16 446
Chapter 17 446
Chapter 18 447
Chapter 19 448
Chapter 20 449
Chapter 21 450
Chapter 22 451
Chapter 23 452
Further Reading and Resources 454
Chapter 1 454
Chapter 2 454
Chapter 3 454
Chapter 4 454
Chapter 5 455
Chapter 6 455
Chapter 7 455
Chapter 8 455
Chapter 9 456
Chapter 10 456
Chapter 11 456
Chapter 12 456
Chapter 13 457
Chapter 14 457
Chapter 15 457
Chapter 16 457
Chapter 17 457
Chapter 18 458
Chapter 19 458
Chapter 20 458
Chapter 21 458
Chapter 22 459
Chapter 23 459
Glossary 460
A 460
B 461
C 461
D 462
E 463
F 463
G 464
H 464
I 465
K 465
L 465
M 465
N 466
O 466
P 466
R 467
S 467
T 468
U 468
V 469
W 469
X 469
Z 469
Appendix A Answers to Chapter Review Questions 470
Chapter 1: Food, Nutrition, and Health 470
Chapter 2: Carbohydrates 470
Chapter 3: Fats 470
Chapter 4: Proteins 470
Chapter 5: Digestion, Absorption, and Metabolism 470
Chapter 6: Energy Balance 470
Chapter 7: Vitamins 470
Chapter 8: Minerals 470
Chapter 9: Water and Electrolyte Balance 470
Chapter 10: Nutrition during Pregnancy and Lactation 470
Chapter 11: Nutrition during Infancy, Childhood, and Adolescence 470
Chapter 12: Nutrition for Adults: The Early, Middle, and Later Years 470
Chapter 13: Community Food Supply and Health 470
Chapter 14: Food Habits and Cultural Patterns 470
Chapter 15: Weight Management 470
Chapter 16: Nutrition and Physical Fitness 470
Chapter 17: Nutrition Care 470
Chapter 18: Gastrointestinal and Accessory Organ Problems 470
Chapter 19: Coronary Heart Disease and Hypertension 470
Chapter 20: Diabetes Mellitus 470
Chapter 21: Kidney Disease 470
Chapter 22: Surgery and Nutrition Support 470
Chapter 23: Nutrition Support in Cancer and HIV 470
Appendix B Dietary Reference Intake (DRI) 471
Appendix C 480
Index 492
A 492
B 493
C 494
D 495
E 496
F 497
G 499
H 499
I 500
J 500
K 500
L 501
M 501
N 502
O 503
P 503
Q 505
R 505
S 505
T 506
U 506
V 506
W 507
X 507
Y 507
Z 507
Inside Back Cover ibc1