...CHAPTER 5 Presentation on Lipids – Good Fats vs. Bad Fats: Which to Choose for Good Health * Why a moderate intake of lipids is an essential part of healthy diet? * Compare and contrast the physical properties and food sources of saturated and monounsaturated fats * Describe how and where lipids are broken down, absorbed, and transported throughout the body used to make the phospholipids of all of our cell membranes and to make hormones and numerous bioactive compounds. * Describe the significance of the blood tests for HDL and LDL cholesterol. * Describe the roles of omega -3 and omega-6 fatty acids in the body and the importance of achieving a balanced intake. * Justify the recommendation to eat fatty fish instead of relying on fish oil supplements. * Describe the formation and structure of trans fatty acids, and discuss the possibility of eliminating them from the diet. * Develop a diet plan that provides enough of the right kinds of fats within Calorie limits. Introducing Lipids Lipids in foods and in the human body fall into three classes. 3 Classes of Lipids: 1. Triglycerides – about 95% 2. Phospholipids – (of which lecithin is one) 3. Sterols – (cholesterol is the best known of these) Usefulness of Fats in the Body When people speak of fat, they are usually talking about triglycerides. The term fat is more familiar. Fat is the body’s chief storage form for the energy from food eaten in excess of need...
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...It would not be a surprise that television, internet, and any other kinds of ads of big fast food companies such as McDonalds® or Subway® have successfully advance their ideas of healthy foods in many of Americans. Yet all of these wealthy corporations, along with many other smaller companies, have many ways to sell their products. These methods could be underhanded loaded with jargon. Information of simple knowledge overfilled with confusing and sometimes random information that otherwise will be too insignificant for people to put an effort to learning about. There are also times where information is overly simplified and have no real background to make a worthy judgment. Amidst all of the fallacies in the fast food industry, there exist reliable sources of information. In recent years, there has been an increase of connecting ideas of the transformation of fasts foods. Although some arguments claim the reason is one clause over the other, some will divert and stray off topic. They exert random facts to either make the claim reasonable or by overflowing them with sources that seems reliable from authoritative figures. Rabin article “Proximity to Fast Food a Factor in Student Obesity” goes to say: Ninth graders whose schools are within a block of a fast-food outlet are more likely to be obese than students whose schools are a quarter of a mile or more away, according to a study of millions of schoolchildren by economists at the University of California and Columbia University...
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...Molecules, Biodiversity, Food and Health Biological Molecules Biological Molecules (a) describe how hydrogen bonding occurs between water molecules, and relate this, and other properties of water, to the roles of water in living organisms; Water is a polar molecule. This is because the oxygen atom pulls the shared electrons towards it, meaning that water is slightly negatively charged at the oxygen and positively charged at the hydrogen ends, so they can form hydrogen bonds with each other. This are continuing breaking and reforming, so the molecules can move around. Property of water Solvent Importance Metabolic processes in all organisms rely on chemicals being able to react together in solution Examples 70-95% of cytoplasm is water. Dissolved chemicals take part in processes such as respiration and photosynthesis in living organisms Liquid The movement of materials around organisms, both in cells and on a large scale in multicellular organisms requires a liquid transport medium Water molecules stick to each other creating surface tension at the water surface. Cohesion also makes long, thin water columns very strong and difficult to break Blood in animals and the vascular tissue in plants use water as a liquid transport medium Cohesion Freezing Water freezes, forming ice on the surface. Water beneath the surface becomes insulated and less likely to freeze Thermal stability Large bodies of water have fairly...
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...Michelle Stewart Literature Review Landis FN340 30 April 2015 Introduction Fructose, commonly known as fruit sugar, is a major component of sweeteners such as table sugar, honey and high fructose corn syrup (HFCS)1. Fructose is a simple monosaccharide that has been used as a sweetener in food and drinks, and current estimations suggest that sweetener consumption in the U.S. has increased to an average of 477 kcal/person, or approximately 24% of a typical 2000 kcal/day diet2,3. An increase in the consumption of sweeteners containing fructose has occurred in parallel with the increasing prevalence of obesity, suggesting that increased consumption of fructose may contribute to the current epidemic of obesity-related metabolic disorders, including increased incidence of the metabolic syndrome2. The metabolic syndrome (MetS) consists of a syndrome of insulin resistance, dyslipidemia, abdominal obesity, and elevated blood pressure (BP), and often precedes the development of diabetes4. In some studies, humans and animals that have been administered fructose have developed these symptoms, however they have not been observed with glucose or starch-based diets. Fructose and glucose are metabolized quite differently, and it has been hypothesized that this differentiation is the key factor in the development of pathologies associated with MetS5. Additionally, ingestion of fructose does not stimulate the release of the hormones insulin and leptin, nor does it suppress the secretion...
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...Pathopharmacological Foundations for Advanced Nursing Practice Competency Assessment WUT Task 1 Pamela L. Taylor RN-C(OB), BSN Western Governors University June 2016 A. Disease Process For the purpose of discussion of pathopharmacological features of a specific disease process, this paper will provide information related to heart disease in the form of coronary artery disease (CAD). A1. Pathophysiology Analysis Cardiovascular disease (CVD) is the number one cause of mortality worldwide and becoming a steadily more investigated problem due to its prevalence. Much research is going into genetic, inflammatory mechanisms and neuro-hormonal factors related to CVD as scientific knowledge evolves regarding complexity of this broad pathophysiology. Atherosclerosis is the leading cause of the subsection of CVD called CAD. This is a form of arteriosclerosis where there is progressive thickening and hardening of the vessel walls of the two major coronary arteries and their branches. The thickening is an accumulation of lipid-laden macrophages inside the wall of the artery leading to the formation of lesions and plaque buildup (McCance, K. & Huether, S., 2014). When the plaque develops on the coronary artery walls the pumping ability of the heart becomes impaired as oxygen and nutrients needed for heart function may be partially or completely impeded. Complete occlusion of a coronary artery or one of its branches leads to a myocardial...
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...EFSA Scientific Report (2009) 231, 1-107 SCIENTIFIC COOPERATION AND ASSISTANCE SCIENTIFIC REPORT OF EFSA Review of the potential health impact of β-casomorphins and related peptides 1 Report of the DATEX Working Group on β-casomorphins (Question N° EFSA-Q-2008-379) Issued on 29 January 2009 WORKING GROUP MEMBERS Ivano De Noni, Richard J. FitzGerald, Hannu J. T. Korhonen, Yves Le Roux, Chris T. Livesey, Inga Thorsdottir, Daniel Tomé, Renger Witkamp. 1 For citation purposes: Scientific Report of EFSA prepared by a DATEX Working Group on the potential health impact of β-casomorphins and related peptides. EFSA Scientific Report (2009) 231, 1-107 © European Food Safety Authority, 2009 Review of the potential health impact of β-casomorphins and related peptides SUMMARY Proteins are a very diverse family of large organic compounds involved in many important biological processes. Following their enzymatic hydrolysis during food processing or digestion, proteins may release fragments from their primary amino acid sequence. These fragments are called peptides, and many of them are known to be physiologically active. The possible beneficial effects of bioactive peptides have attracted increasing interest in recent years. On the other hand, there are also reports suggesting that some food-derived peptides might adversely affect human health. Among these, β-casomorphin-7 (BCM7), a peptide sequence present in the milk protein β-casein, has been suggested to...
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...NUR160 Ca Name: Jodi Wiak | Section: 160 | Instructor: Ms. Higgins | Dates of care: 4/1/14 | Week: 1st clinical | Name: Jodi Wiak | Section: 160 | Instructor: Ms. Higgins | Dates of care: 4/1/14 | Week: 1st clinical | General Survey | Age: 85 | Sex: F | Ethnicity: Caucasion | # of days since admission: 7d | Allergies: Latex PCN | Code Status: FULL CODE | Diet: TPN | Rationale: Small bowel obstruction and resection benefit TPN over tube feedings is that all the nutrition is delivered at a cellular level making it immediately available for the body to utilize rather than making the body breakdown and absorb nutrients in the GI tract. It makes it easier on the digestive tract by giving the GI a chance to rest and heal without causing more harm. The patient also has to expend energy to breakdown foods/nutrition through the GI tract. Getting it TPN conserves the much needed energy the patient needs to heal their tissues and gain strength. | Activity: bedridden w/slight mobility with a walker | Rationale: Post surgical abdominal surgery, pt age, weakness, and recent foot surgery limiting her mobility. | Behavior/Affect: My pt was anxious when I first arrived due to her elevated B/P, N&V, and pain intolerance. By the end of shift my patient was very calm and communicative. | Isolation: | Yes | No | Culture: ⦵ | Source: ⦵ | Type of Isolation: ⦰ ⦵ | Height: 5’ 7.5” | Weight: 133 | BMI: 20.5 (BSA 1.71) | General Survey | Age: 85 | Sex:...
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...Constructivism (learning theory) Constructivism is a theory to explain how knowledge is constructed in the human being when information comes into contact with existing knowledge that had been developed by experiences. It has its roots in cognitive psychology and biology and an approach to education that lays emphasis on the ways knowledge is created in order to adapt to the world. Constructs are the different types of filters we choose to place over our realities to change our reality from chaos to order. Von Glasersfeld describes constructivism as “a theory of knowledge with roots in philosophy, psychology, and cybernetics”.[1] Constructivism has implications to the theory of instruction. Discovery learning, hands-on, experiential, collaborate, project-based, tasked-based are a number of application that base teaching and learning. Constructivists • John Dewey (1859–1952) • Maria Montessori (1870–1952) • Władysław Strzemiński (1893–1952) • Lev Vygotsky (1896–1934) • Jean Piaget (1896–1980) • George Kelly (1905–1967) • Heinz von Foerster (1911–2002) • Ernst von Glasersfeld (1917–2010) • Paul Watzlawick (1921–2007) • Edgar Morin (1921–) • Humberto Maturana (1928–) • Laszlo Garai (1935–) • David A. Kolb (1939–) Historical and Theoretical Roots According to Kliebard,[2] John Dewey created an active intellectual learning environment in his laboratory school during the early 20th century. Neuroscience now supports this form of active learning as the way people naturally...
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...pretectal region of superior colliculus Cerebellar tonsil herniation through foramen magnum = see thoracolumbar meningomyelocele Columnar metaplasia of lower esophagus (↑ risk of adenocarcinoma)- constant gastroesophageal reflux Hyperreninemia Similar to Duchenne, but less severe (mutation, not a deficiency, in dystrophin protein) CNVII palsy (entire face; recall that UMN lesion only affects lower face) IgA nephropathy causing hematuria in kids, usually following infection Defect in platelet adhesion (abnormally large platelets & lack of platelet-surface glycoprotein) • Circle of Willis (subarachnoid bleed) Anterior Communicating artery • Often associated with ADPKD Carcinoma in situ on shaft of penis (↑ risk of visceral ca) [compare w/...
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...0 3 0 Electronic Health Records in the Physician Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted...
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...0 3 0 Electronic Health Records in the Physician Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the...
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...Chapter 1 The Patient Interview Sneha Baxi Srivastava, PharmD, BCACP Learning Objectives • Explain the basic communication skills needed when performing a patient interview. • Describe the components of the patient interview. • Conduct a thorough medication history. • Compare and contrast the different patient interview approaches in various clinical settings. • Adapt the interview technique based on the needs of the patient. Key Terms • Active Listening • Rapport • Empathy • Open-Ended Questions • Leading Questions • Probing Questions • Nonverbal Communication • Chief Complaint • History of Present Illness • Pertinent Positive • Pertinent Negative • Past History • Medication History • Family History • Personal and Social History • Review of Systems • Physical Exam • QuEST/SCHOLAR-MAC Introduction The patient interview is the primary way of obtaining comprehensive information about the patient in order to provide effective patient-centered care, and the medication history component is the pharmacist’s expertise. A methodological approach is used to obtain information from the patient, usually starting with determining the patient’s chief complaint, also known as the reason for the healthcare visit, and then 2 Chapter 1 / The Patient Interview delving further into an exploration of the patient’s specific complaint and problem. A comprehensive patient interview includes inquiring about the patient’s...
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...2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study 2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study The Arroyo Fresco Community Health Center Case Study was prepared for use in the 2006 Malcolm Baldrige National Quality Award Examiner Preparation Course. The Arroyo Fresco Community Health Center Case Study describes a fictitious nonprofit organization in the health care sector. There is no connection between the fictitious Arroyo Fresco Community Health Center and any other organization, either named Arroyo Fresco Community Health Center or otherwise. Other organizations cited in the case study also are fictitious, except for several national and government organizations. Because the case study is developed to train Baldrige Examiners and others and to provide an example of the possible content of a Baldrige application, there are areas in the case study where Criteria requirements are not addressed. CONTENTS 2006 Eligibility Certification Form ………………………………………………………………… Organization Chart ………………………………………………………………………………… 2006 Application Form …………………………………………………………………………… Glossary of Terms and Abbreviations ……………………………………………………………… Preface: Organizational Profile P.1 P.2 Organizational Description...
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...BMI & PHYSICAL FITNESS PERFORMANCE OF THE BPE STUDENTS Chapter 1 Introduction to the Study Chapter one is divided into five parts; namely: (1) Background and Theoretical Framework of the Study, (2) Statement of the Problem and the Hypothesis, (3) Significance of the Study, (4) Definition of Terms, and (5) Scope of Delimitation of the Study. Part One, Background and Theoretical Framework of the Study, presents the rationale for the choice of the problem and presents the Theoretical Framework upon which this study was anchored. Part Two, Statement of the Problem and the Hypothesis, enumerates the general and specific questions answered in the study and states the hypothesis tested. Part Three, Significance of the Study, identifies the beneficiaries and benefits that could be derived from the results of the study. Part Four, Definitions of Terms, gives the conceptual and operational meanings of the important terms used in the study. Part Five, Scope and Delimitation of the Study, specifies the coverage and limitations of the study. Background and Theoretical Framework of the Study The human body is a perfect work of art for its symmetry & proportion. It can handle innumerable tasks ranging from the light to heavy up to the simple to intricate one wayback prehistoric times. The interest of man towards the “human body” was been the subject of several investigations as documented...
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...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
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