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moderat e alcohol consumpt ion Women: 1 drink/day; Men: 2 drinks/day
25 - 30 g/day or kids' age + 5 g/day
What are t he benefit s of fiber? nut rit ion screening
nut rit ional assessment
marasmus kwashiorkor Diagnosed by characteristic physical findings and abnormal lab tests
waist -t o-hip rat io
waist measurement 1 - 15% have evidence of malnutrition
4.1% of population sometimes or often does not get enough food to eat More than 1/2 of adult population is overweight (BMI 25+)
1/4 adult Americans are obese (BMI 30+) 5% in 1 month or 10% in 6 months. ant hropomet rics
t riceps skin fold t hickness albumin Corresponds to the degree of protein catabolism and therefore protein requirements.
funct ional assessment Produced from muscle metabolism and urinary values reflect muscle mass. Tuesday, October 18, 2005 Coulehan: p. 195 - 219. Somat iz at ion How t o deal wit h angry pat ient Count er-t ransference Usually gradual Selective, intermittent, episodic, or transient Usually persistent, often progressive Degree of impairment Partial: may respond to strong erotic
stimulation or change of partner or situation Partial in earlier stages; absolute later Generally present Associat ed feat ures Chance of a smoker dying a death 1 in 3
caused by smoking
Chance of a smoker dying due to 1 in 10
1. Alkaline pH causes increased absorption through oral mucosa (inhaling not necessary).
Effect s of pipe cigars
2. Increased risk of upper airway cancer
3. Increased risk of peptic ulcer
4. Increased risk of heart disease (but not nearly as much as cigarettes do) Organic Usually abrupt Course Noct urnal or morning erect ion CHAPTER 9: TOBACCO AND
Handout : T obacco or Healt h
5 reasons why has smoking
1. Mass production of cigarettes (1884)
become a major health concern in 2. Invention of paper and wood matches (1890s)
the 20th century?
3. Shift in the purpose of advertising from information to persuasion
4. Fear of TB led to curbs on spitting tobacco, favoring cigarettes
5. Dramatic increase in life expectancy
8 organs in which smoking
increases the risk of cancer.
2. Upper airways
8. Bone marrow (leukemia)
5 non-neoplastic diseases that are 1. Coronary heart disease
affected by smoking.
3. Chronic obstructive pulmonary disease (COPD)
4. Peripheral vascular disease (PVD)
5. Infant mortality
Smokers are at increased risk of 1 . Spontaneous pneumothorax
2. Eosinophilic granuloma
3. DIP (desquamative interstitial pneumonia)
4. Macular degneration
5. Abdominal aortic aneurysm
% of smokers beginning before
% of smokers beginning before
1 pk/day for 1 yr
years of potential life lost by
Cancer deaths attributed to
1 in 3
All deaths attributed to smoking 1 in 5 Psychogenic Onset Onset temporally related to specific
psychosocial stress Generally absent or reduced in frequency and
Onset temporally related to organic disease...
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This note was uploaded on 09/19/2013 for the course MEDICINE All taught by Professor Johnsmith during the Fall '12 term at Eastern Virginia Medical School.
- Fall '12