Health for Living- University of Iowa- Semester Notes
Health for Living- University of Iowa- Semester Notes 169:045:AAA
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Health For Living Teague MISS 08262014 August 26th 2014 Notes LearnSmart use for exams also getting EBook look in syllabus Fourth Edition Your Health Today Panopto lectures are being taped recapture lecture check ICON Be active in discussion sections to get participation points DO NOT Office Hours 9301015 39ITH 130 to 3 39ITh 336 FH TAs handle adddrop courses direct questions or issues to TAs August 28th 2014 Notes Spinal muscular atrophy number one killer under the age of 2 If parents both carriers 25 chance of passing on Envelope Scenario Huntington s Disease How long living future planning insurance and work discriminationsick and not employed red or dropped lifestyle changes anxiety no cure Family health pedigree family health tree helps predict risk and family health and risks Genetic fundamentals Types of Genetic Disorders Polygenic takes more than one gene 0 Multifactorial you may have a gene but it will not be triggered without help of the environment MOST GENES Single Gene 0 Autosomal 122 Dominant if on one chromosome it will be expressed xx or xy it is expressed Autosomal 122 Recessive has to be on both 25 of time its passed 25 not passed 50 carriers SURPRISE GENETIC DISORDER XLinked 23rCI chromosome KNOW THIS Sex chromosome Women XX MenXY Y chromosome struggles to compensate with failures on x chromosome ex color blindness 2526 chromosomes Pass within a week Genetic Testing Presymptomatic nonprobability single gene disorder autosomal dominant will express 100 of the time Predispositional probability may be on chromosome unknown whether or not it will be expressed may be very severe or very light ex spinal bi da cerebral palsy cystic fibrosis genes may not be fate Workplace Two Ways 0 Health Cost will not want to pay for work insurance with disease 0 Performance will not make investment if someone may have a disorder 0 American Disabilities Act protects if already expressed itself if not expressed no protection 0 Medical History protects from employers seeing 0 Past Insurance Claims protects so insurance cant see 0 Medical Absenteeism can not re you if you cant be there 0 Advanced Medical Exam Health Insurance Companies NOT FAIR they have the power Adverse Selection Underwriting process of what is covered 0 Preexisting condition insure you except for certain conditions Exclusion we cover everything but 0 Disclosure your medical information is authorized to be sent to said health insurance company must sign before any coverage can also send to medical bank 0 Health Insurance Banks other health insurance companies pharmacists employers life insurance companies can access if you lie they don t pay claim don t have them pay for genetic test or they have EVERYTHING Protective Legislation 0 American Disabilities Act see above be expressed 0 Genetic Information Act 2007 cracks down on employers prohibits employmenthealth insurance employers nd ways around very easily 0 Eligibility no info requests for genetic services of individual or family Not change rates based on genetic info Not purchase genetic information before enrolled Employers not hire or re based on genetic information Employers cannot disclose genetic information except court order or toxic substances 0 Violators legal action 0 Health Insurance Portability amp Accountability Act HIPAA 0 Waiting Period Cobra transitional insurance EXPENSIVE 0 Copy Medical Records right to get a copy of records within 2 3 working days must do in writing 0 Correct Medical Records can change if awed 0 Prohibit Disclosure going to data banks allow information to be released you can choose OOOO o Prohibit Marketing can not be shown without approval 0 Health Affordability Act Obama Care increase Cobra period 27 longer time 0 Bottom three provide Whole Genome Sequencing 0 Bene ts 0 Child Rare Disorders call out 0 Cancer Treatment target a more effective one o Vulnerability Anesthesia Macular Degeneration shows value of having them aware of what type you could be allergic to o umina o 1K cost 0 1600 Genes 1200 Conditions 0 23ANDME DNA Analysis 0 99 0 200 Genetic Diseases Dementia Parkinsons September 2nd 2014 Notes Stress o What is stress feeling weight on shoulders overwhelming both real and a perception o Is it a thing Isitanidea Remember this 0 quotUntil you decide that an event is actually a threat andor beyond your ability to cope it remains merely a potential stressorquot Teague 9925 Working de nition of stress Psychological stress is quota particular relationship between a person and the environment that is appraised by the person as taxing or exceeding his or her resources and endangering his or her well beingquot Stress Stressorsevents or agents in the environment that cause us stress 0 Stress response the reaction to events or agents 0 Stress a general state of the body mind and emotions when an environmental stressor has triggered the stress response 0 KNOW HOW TO TELL ALL THREE APART Everyone varies in how we respond to stress 0 Stress is a transaction between an individual you and the environment exam argument break up fears Personal variables mediate the transaction Mediators include your perceptions and appraisal of the event 0 When you encounter the event you evaluate it and then respond 0 Often it is not the actual stressor that is debilitating but the feeling that stress is constant and unrelieved by the opportunity to relax Stress Response 0 Stress Response a series of physiological changes that occur in the body when faced with a threat 0 Fight or ight snake KUBIC 0 Autonomic nervous system is in control 0 Involuntary 0 Breathing heart rate digestion Stress resnonse in the body example more for seeing a bearknow section Cerebral cortex l hypothalamus l pituitary gland l ACTH to adrenal glands l cortisol hormone adrenaline hormone l norepinephrine hormone into the blood stream 0 Liver releases glucose and fats energy Hormones in body increase heart rate breathing rate muscle tension metabolism blood pressure Types of Stress Responses 0 Acute short lived in duration Ok if infrequent and you can relax and recover after exposure to the stressor 0 Chronic stressful conditions are ongoing stress response continues without breaking o Prolonged stress will kill you Theories of Stress and Health need to know these and stages 0 General Adaptation Syndrome GAS 0 Description explanation of the physiological changes as responses to stressors I Ill You have diverse tools at every stage of the model to relieve the stressor from your life Post Traumatic Stress Disorder Battle Fatigue Rape victims Campus shooting Car crashes Witness or participants in events that cause undue amounts of stress Can be acute or chronic exposure PTSD Treatment Safety Remember and Mourn Reconnect Empower Acknowledgement and Social Support Desensitization individual reexperiences the event or continue to talk about it until it no longer causes any stages 0 Counseling Health Effects of Stress Takes out your immune system due to autonomic system 0 Increases your heart rate and blood pressure 0 Chronic hypertension high blood pressure atherosclerosis narrowing of blood vessels heart attack or stroke 0 Acid re ux indigestion in ammatory bowl stomach pain diarrhea IBS Anxiety disorders depressions Diminishment of wellness Reduce ability to function at highest level lrritability impatience excessive worry insomnia forgetfulness Stress Mediators to get in between 0 Personality factors How can we cope 0 Cognitive Style Adjustment 0 Have a more realistic attitude 0 Take things in stride 0 Find a realistic balance 0 Avoid distorted things focusing on the negative catastrophizing thinking in black and white personalizing everything 0 Instead focus on the positive expect the best or the middle ground think in gray and from different angles don t take things personally 0 Be Hardy o Perceive the demand as a challenge an opportunity instead of a threat 0 Be careful in how you talk to yourself exopportunity Manage that Stress 0 Social support 0 Healthy lifestyle 0 Diet Exercise Sleep Wellbeing Encompasses several aspects of overall health Emotional Psychological Cognitive Interpersonal Spiritual A mentally health person is able to deal with lifes adversities without becoming impaired or overwhelmed by them Human well being is at once about the mind and the body and their interconnections Human well being is an issue of engagement in living and involving expression of a broad range of human potentialities intellectual social emotional and physical The human body is different when the mind is fully engaged in living and loving this most fully captures the essential meaning of positive human health OOOOOO Types of Psychological wellbeing quotHedonicquot or quotpositive effect 0 Characterized by feelings of happiness or enjoyment quotEudaimonicquot o Relates to purposeful engagement with life 0 The realization of human potential 0 Human actualization Positive Psychology Recent growth of interest in positive psychology and in the role of positive emotional states on health and quality of life Positive Wellbeing Positive wellbeing has health protective biological correlates including low cortisol output reduced cardiovascular stress responsively and heightened antibody responses to vaccinations Positive wellbeing predicts 0 Reduced risk of stroke 0 Functional disability 0 Mortality September 3rd 2014 Discussion Notes Projects pros and cons get the class to talk own opinion 57 page paper due with presentation on day that you present PROJECT TOPIC SOME STATES ARE CONSIDERING BANNING YOUTH BELOW THE AGE OF 18 FROM SUNLESS TANNING FACILITIES USING UVA WAVES WHAT DO YOU THINK due September 17th September 4th 2014 Lecture Notes SKIP DAY Sleep What are the bene ts of sleep Energy conservation Tissue repair Growth Immune system repair Improve coordination This is where your memories are created and fastened into your neural circuitry Weight maintenance if you are chronically sleep deprived you will gain weight Regulate your mood Safety if you are sleep deprived you are more likely to make safety errors driving Leptin hormone makes us feel full 0 When we get enough sleep our body increases the amount of leptin we secrete making us less hungry 0 When we are sleep deprived our body decreases the leptin output making us feel more hungry and eat more Sleep Stages NREM non REM 0 Stage 1 falling asleep not asleep yet perception of sleep is difference between stage 1 and 2 0 Stage 2 light sleep perception of sleep is difference between stage 1 and 2 0 Stage 3 deep sleep 0 Stage 4 deep sleep 0 You arrive at REM after you go on the elevator ride 0 Sleep Cycle 123432REM23432REM23432REM Repeat this cycle until you wake If sleep cycle is broken you have to start the whole cycle over REM length doubles each sleep cycle 14 quotelevator Sleep Stages Architecture Keys quotElevator Ridequot stages 123432 takes 90110 minutes 1st REM cycle is 510 minutes quotElevator Ridequot again 2nCI REM cycle doubles 1st REM cycle 1020 mins quotElevator Ridequot again 3rCI REM cycle doubles 2rml REM cycle 2040 in During REM sleep 0 Muscle tone loss 0 Deep sleep 0 Long term memory 0 New ideas stored New concepts stored Men vs Women Sleep Structure Essentially the same structure 0 Women 0 More slow wave deep sleep 0 Fewer awakenings 0 Dif culty sleeping during pregnancy 0 Men 0 More REM sleep 0 Less deep sleep Sleep Predicts a lot Troubled sleep is predictive sign and symptom of many illnesses 0 Associated with substantial decrements in quality of life Chronic sleep Disturbances Chronic sleep disturbances are associated with 0 Increased work absenteeism and accidents 0 Signi cant decrements in viatility social functioning physical and mental health 0 General quality of life College and Sleep Results 0 Poor sleep is associated with 0 Signi cantly higher selfreported negative moods Higher levels of stress during the week and weekends More physical illnesses Increased missing of class Increased instances of falling asleep in class Increased skipping of class Increased use of prescription OTC and recreational drugs to regulate sleep and wakefulness 0 Drinking for alcohol per day Stress and Sleep in College 1 Perceived stress can predispose precipitate and perpetuate factors for sleep difficulties 0 Erratic schedules high stress periods Stress and Sleep in College 2 0 Developmental changes in HPA axis during adolescence result in increased cortisol secretion 0 This neuroendocrine hyperactivity contributes to hyperarousal as well as increased feelings of anxiety and depression Stress and Sleep in College 3 0 Don t have sufficient coping strategies for stressful events 0 Internalizing rumination and worry Stress and sleep in college 0 Take home message 0 Biological factors of hyperarousal of autonomic nervous system and HPA axis over activation provide a predisposition for stress induced sleep difficulties biologically environmentally and socially o Stressful events are common in the population which precipitate bouts of sleep difficulties OOOOOO o Rumination and worry perpetuate sleep difficulty Components of Sleep 0 Timing of sleepwake cycle in uenced by 0 1 Endogenous factors circadian pacemaker hormones of body SCN things with in you that tell you to go to sleep and wake up within you 0 2 Exogenous factors work and school schedules social commitments outside of you non biological things that help you sleep and wake up 0 Born with sleeping schedule if morning or evening person 0 Relatively early circadian phase quotmorning typesquot Relatively late circadian phase quotevening typesquot 0 Morning and evening individuals differ in the phase of their endogenous circadian rhythms o The physiological markers of endogenous circadian rhythmicity are earlier in morning type individuals than in evening types Components of Sleep Endogenous Circadian Rhythm Pacemaker Contributes to daily variations is physiological variables 0 Subjective alertness 0 Core body temperature 0 Heart rate 0 Blood pressure 0 Hormone secretion Behavioral and psychological rhythms Endo circadian pacemaker rhythmicity are earlier in morning types Components of Sleep 0 Morning types are phase advanced showing a marked preference for waking at an early hour and nd it difficult to remain awake beyond usual bedtime 0 Evening types show preference for sleeping at later hours difficult to get up in the morning 0 Architecture between morning and evening types are the same 0 Evening type risks 0 Increased risk for mental disorders ADHD substance abuse bulimia sleep disorders mood disorders inattention aggressive behaviors social problems and schizophrenia o Risks may be modulated by certain personality traits 0 Feel a great need for more sleep extend weekend sleep duration naps on school days 0 lrregularity of sleepwake schedules produces insufficient sleep and excessive daytime sleepiness Morning Types 0 Tend to lead healthier lifestyles o More agreeable conscientious and more active 0 Positive correlation with satifacation and general well being Tuesday September 9th Lecture Disordered Sleep Snodng Observed sleep apnea episodes Morning headaches Morning dry mouth Daytime sleepiness Mood swings Dyssomnias disorder sleep lsomnia inability to fall asleep Sleep Apnea Restless Leg Syndrome feel like you are always moving or kicking your legs Hypersomnia need a lot of sleep more than the average 8 Hyposomnia need a lot less sleep than average need 24 hours Dyssmonias Circadian Disorders Hypersomniaclock is off Hyposomnia clock is off Night owlslarks Jetlag 0 Moving east losing an hourtime zone 0 12 to 1 day to recover per zone traveled 0 Don t drink alcohol 0 Rehydrate Sleep Apnea Two Types 0 Obstructive air is not able to get in and out of the lungs Upper airway sleep apnea Muscle tone loss n Tounge n Throat n Pharynx Airway slowly collapses Sputter snort Upper airway resistance syndrome 0 Central neurological Diaphragm stops working Failure of the neurological automatic pilot Oxygen depletion Carbon dioxide increase Gasping and sputtering Enter a hypoxic state when you cant breathe gasping for air 0 Health Hazards 0 Stroke 0 Heart Attack 0 Chronic intermittent hypoxia long term occasional lack of oxygen stop breathing Sleep Apnea Symptoms Daytime fatigue 0 Morning headaches due to lack of oxygen Snoring Hoarse voice Sleep Apnea Risk Factors 0 Old age 0 Pregnancy 0 Neck size men175 inches women14 inches Obesity Sleep Apnea Treatment Behavioral 0 Weight loss O O O O Decrease alcohol consumption Decrease use of sedatives Use a rm mattress and pillow Do not sleep on your back 0 Adjustable Mouth Pieces forces air into lungs and body naturally exhales Continuous Positive Airway Pressure Machines CPAP Parasomnias Near Sleep 0 Sleep walking 0 O O O OO 17 of children 4 of adults Peak age for sleep walking age 1112 Occurs during NREM sleep Deep sleep stages 3 amp 4 No memory of sleep walking Awaken disoriented Risk factors Genetics 65 Migraines Head injuries Seizures Strokes Alcohol or ambien starts the sleep walking Sleep deprivation Treatment Door alarms 1st oor No weapons Selfhypnosis Denzodiazepines 30 to 75 mins before sleepdrug Somnambulistic Dissociative Analgesia do CRAZY things in this state Alligator swimming Suicide Murger n POINT Subconscious State 0 REM Behavior Disorder acting out dream 0 Characteristics Compromised Atonia don t move No daytime fatigue 90 remember dreams Reactive aggressive 85 men older Progressive 0 Causes Narcolepsy fall right asleep Parkinsonslead to it deterioration of brain related to memory Dementialead to it deterioration of brain related to memory 0 Treatment Drug Clonazepam Sleep Related Binge Eating Disorder 0 Characteristics Anytime of night REM or NREM Some with amnesia some without Frenzied consumption Not an eating disorder Primarily females in 205 0 Risk Factors Ambmn Stress Substance abuse cessation withdrawal of some sort Depressant medications sedatives Family history Sexsomnia O O O 0 Examples Masturbation fondling intercourse Cognitive disorder Memory none Decision ability impaired NREM sleep Risk factors Alcohol Chronic sleep deprivation Treatment Medication Sleep behaviors 0 Environment Noise light temp O O O 0 Bed Bugs 14 inch long Sweet smelling Leave welts on your body red welts Hide in bed board Do NOT spread disease Hard to kill Dust Mites 10 of your pillows weight in 2 years Used mattresses 100K to 10 million in 2 years Kill Wash warm kills over 90 Cold wash kills 80 Recluse spider Characteristics n Yellowish tan to dark brown a Black violin or ddle on back a 1 to 3 inches long a Nocturnal n Nonaggressive Concerns a Small red marks lesions In Systemic reaction fever chill blisters nausea Prevention n Shake clothing shoes I Enclose boxes check for spider n Dust vacuum a Seal garments make sure you shake it out Stimulants Sleep Behaviors ADHD Stimulants 0 Types Ritalin Adderall Provigil 0 Why grades recreation weight control Alertness Memory Grasp dif cult ideas Social Appetite suppressant thermogenic 0 Obtain Friends Prescriptions POINT FELONY off labe felony 0 General comments Culture Moral academic performance vs social 0 Intervention Medical Community Education Health risks legality Mass campaign Freshman orientation Academic curricula Sleep Key Points Caffeine lntake know the numbers Power Naps o 45 minutes Gender differences in sleep LOOK THIS UP Thursday lecture Sleep Apnea types Sleep Related Binge Eating Disorder Sleep Cycle Sleep Stages Maggies Law September 10th Discussion Notes Paper bring it all togetheroverview Conclusion conclusion 10 points Grammarlengthorganization 20 points h Group presentation 100 points Intro Discuss topic basic facts and overview Procon debate like session where both sides discuss the issue with evidence to back it do a debate 40 points Bring it all togetheroverview Conclusion Facilitate discussion which should be 1020 minutes 40 points Include opinions on the topic Should last the discussion period Organization 20 points FOUR CORNERS September 11th 2014 Electronic clearing house can access electronic medical records DANGEROUS Fat tissue high level of fat in throat area encourages air pipe to collapse concern for athletes who build up neck size obstructive sleep apnea USDA reccomendations 0 Protein 0 10 to 35 Calorie intake 0 08 gramskg Health 0 12 to 146 gramskg Endurance Active 0 16 grams to 20 gramskg Power Carbs o 45 to 65 Calorie intake 0 10 simple carb of all total calories children 1516 0 Women recommended WHO wants to cut in half 100 cals added sugarday 65 teaspoons 25 grams 0 Men recommended WHO wants to cut in half 150 cals added sugar 95 teaspoons 38 grams Glycemic Index 0 High levels insulin release facilitates movement of blood sugar in muscle tissues may coagulate in arteries if body reacts differently toinsan Glycemic index outdated doesn t take food size portion into consideration ranks 1100 based on effects of blood sugar levels 0 Low below 55 0 Intermediate 55 to 69 0 High 70 or above Glycemic Load classi cation of carbs that measure impact on body and blood sugar 0 Low below 10 0 Intermediate 1119 0 High 20 or up POINT ADA and AHA recognize for weight loss Not approved Video 0 Sugar is a toxin how people are eating it today public health crisis 0 75 preventable Darwinian signal that something sweet is good 0 130 lbs of sugar per year per person Fueling heart disease and stroke 0 People who consume high fructose corn syrup have higher blood sugar and increase risk for cardiovascular disease liver transports sugar to fat 0 Limit sugar limit change of developing cancer 0 Sugar is cocaine pleasure center activated with consumption of sugar FAT 20 to 30 calorie intake 0 Omega 3 8 to 12 ozweek o No tile sh shark sword sh king mackerel 0 Tuna Max 6 ozweek high level of mercury 0 Fish oil supplement Max 180 to 200 mgdaily good if you don t eat sh Trans fatty acids oil in solid at room temperature 0 05 g Mandate does not have to be labeled if 05 or less worse than saturated fats starting to be eliminated nationally must be labeled 0 Think of popcorn o 1 large box wo butter 12001500 melt the fat to pop the popcorn Sodium 500 to 2300 mgramsdaily 1500 mgramsdaily most people Don t want to be under 500 mg important for nerve conduction Cant be over 2300 mg Male 3800 mg per day Female 3600 mg per day 15 of people are sodium sensitive CUT THE SODIUM no test to determine at higher risk if African American over the age of 50 0 Salt substitutes Magnesium chloride or potassium chloride 0 Not raise BP 0 Kidney concerns kidney stones 0 Herbs and spices better option Water 0 8 to 12 glasses a day never proven that this is necessary lBWAReverse Osmosis international bottle water association certi cation that water has certain ingredients RO coming from menicimal water systems boil and then cool it down 0 Fluoride no uoride in bottled water 0 Plastic Ban plastic water bottles are environmental hazard increasing bacteria use when reusing water bottles only use three times 0 Conservation around aquifers taking water and selling causing sinkholes and increased risk of earthquakes Types 0 Spring Natural Earth Surface Mineral Spring 250 mg Dissolved Sparkling Spring C02 Purified Municipal Distilled Boiled Enhanced Herbs minerals electrolytes sugar 00000 September 16th 2014 Lecture Coconut Water Celebrity Health Fad Types ONE Vita Coco o Zico Natural Pure Premium Electrolyte Claims 0 Sodium Magnesium Potassium 35 to 80 of label claim expect for zico Potassium500 mg One banana 0 Musclenerve function maintenance 0 Low calories sweet low fat 0 One hour sweat or more moderate exercise Most water content from fruits and vegetables When you are looking at soda the water content that comes from soda 60 to 70 is water Celiac Disease and Gluten Free Diet Celiac Disease Auto Immune disorder Gluten protein found in wheat barley rye Not absorb food nutrients Small intenstine damage 0 1 in 100 have 0 Nonceliac gluten sensitivity a lot more people have on threshold 0 70 female Cause 0 Genetic o Triggers stress pregnancy high grain consumption Women Symptoms KNOW DIFFERENCE WITH MALES On exam 0 Women less likely notice common symptoms 0 Diarrhea fatigue weight loss bloating men more likely to have Menstrual cycle disorders 0 Infertility Test if unexplained infertility Pregnancy concerns if undiagnosed Miscarriage Severe anemia Gestational hypertension 0 Still Birth Male Symptoms Common GI Distress diarrhea fatigue weight loss bloating more severe Celiacrelated re ux 0 Itchy skin March test 0 to 4 scale small intestine damage Doctor Questions 0 Test nutrition de ciencies Scan for osteoporosis osteopenia accelerated bone something 0 Take Nutritional supplements 0 Recommend Nutritionist Specialist 0 Eat Dairy Products Followup expectations 0 Family tested Probiotics Panacea or Fad no one knows Probiotics Live Active Good Bacteria Indigenous to healthy digestive system Yogurt granola bars juices Prebiotics non digestible foods stimulating probiotic growth and activity 0 Dietary Fibers Point American Academy of Pediatrics Lack of Quality Research Point Breast Milk Sparse Evidence asthma eczema allergies Stronger evidence GI distress relief antibiotic associated diarrhea prevention ENERGY DRINKS Caffeine 300 mg maximum caffeine intake half life on caffeine is 46 hours when young adult actual range is 68 when older Caffeine crash opposite effects 1000 mg irritability lack of concentration racing heart 5000 mg 7000 mg will kill you 95100 cokes Sodium high 5002300 mg 1500 mg 0 Electrolytes need if sweating a lot sugar comes with it to cancel out taste of electrolytes o Glucose energy source sugar Taurin cardiac muscle stimulants can cause cardiac muscle causing a spasm Guarana ginseng 200 mg headaches stimulant 200 mg lead to severe headaches and miganes Vitamin B12 heart throb tremors too high dosage causes heart muscle to throb Ephedrine stimulant illegal to be purchased in country increases heart rate and constrict blood vessels causing blood pressure to skyrocket constrict blood vessels on peripheral areas of body traps body heat GoGo Stimulants o Yerba Green tea Ephedra Usnic Acid like ephedrine o Bitter Orange like ephedrine Sibutramine Thermogenic impact body heat production shivering jittery nausea heating or cooling body Danger Summer Heat index 105 when body heat trapped very unhealthy Crowded places Under age 18 Over age 65 Recommendations 2 cansday or 40 oz max No more than 20 ozhour Avoid minimum 60 minutes post excersize Avoid 0 Heart problems Elderly Adolescents Sleep deprivation Pregnant 0 Galucoma OOOO Phytochemicals Anti Oxidants LISTEN TO PONOPTO 3 radicals do not combine with another electron causes damage to the mitochondria in the cell kills the cell which makes up tissue which if broken down will damage body organs AO helps ght off the three radicals empirical evidence isn t there but that s not to say it doesn t work Phyto Estrogens Soy Iso avones Phyto Nutraceutifucals herbs botanical Functional Food nutrients nutraceutifcals non nutrients NO HEALTH BENEFIT JUST TO GET MONEY 1994 Dieatary Supplement Health and Education Act Legal De nition Dietary Supplement loosely regulated if dietary supplement highly regulated if medical supplement Consumer Free Information Flow when they have the supplements they have to say how they work Choose Supplements as part of health plan prescription is there an alternative with a herbal supplement falls under insurance plan ginger antiin ammatory 46 weeks before affect Structure Health Claim dietary supplement vs health bene t in the US we have health supplements cant make a disease claim they can make an organ claim Ex helps brain fuction Third Party Literature New FDA Dietary Supplements Regs 0 Identify ingredients say what is in it o Pur y Strength 0 Composition Adverse Effects Report should we recall guinea pigs September 18th 2014 Lots of calcium supplements makes you at higher risk for kidney stones must take with meals Testosterone replacement increased risk of clots stroke and heart attacks liver cancer pancreatic cancer testicular cancer don t do unless under physicians care Additives cancerous MultiVitamins Before You Buy Not All Well Made Centrum Chewables 2x Vitamin A 0 Hero Nutritional Yummie Bears Vitamin A Zinc healing power cuts toxic if above recommended dosage levels False Cholesterol Claim False Energy Claims False Whole Food Better Claims False Clinical Claims Quality Assurance Seal US Pharmacopedia No more than 10 centspill not doing anything better than cheap Alternate Days take every other day Food Poisoning Food lntox Toxins Few Hours symptoms appear Stomach Cramps No fever may be minor Diarrhea Food Infections Pathogens 24 Hours see symptoms 24 hours afterwards Severe Stomach cramps o Fever 0 Severe Diarrhea Food Infection Examples Samonea embedded in eggs and chicken ovaries makes you very sick superbug Listeria water based superbug not death cause makes very ill 0 E Coi superbug multiple strains we have 154 Europe much more deadly contact with feces into human organism if contaminated can be mild or severe HUS Hemolytic Uremic Blood Syndrome blood in kidneys responsible for ltration destruction of red blood cells 1015 24 will die 20 have severe permanent affects blindness brain damage amputations heat kis 165 degrees Shiga cruises nora virus very similar 0 V Vulnificus south east oysters blocking bays Concern Superbug o Penacillin is not as effective or not effective at all Causes Hygiene cleaning hands 80 women wash hands men 5 Industrialization food in California increased risk of pathogens organic Storage and Preparation 4 days 2 hours oven to fridge 0 Agricultural Disparagement Laws 0 Infrastructure CDC helps not as big of an issue in US safety 0 Food imports huge concern COOL ex Sushi not the same protection laws Country of Origin LawCOOL Why 0 Safety Choice 0 Tracking Food Contamination where it comes from Label Where It Fits labe says where it came from Exceonns Processed Food 0 Cooked o Ingredient in bigger dish 0 Substantially changed Butcher shops and sh markets exempt Food Allergy Symptoms Mouth Tingling 0 Lip Swelling 0 Face Swelling Tounge swelling 0 Throat swelling 0 Wheezing o Dizziness o Fainting Food Allergen Labeling amp Consumer Protection Act must be more speci c 0 8 Allergens 90 Food Allergies 0 Milk Fish Egg Shell sh Peanuts Soy Treenuts Wheat 0 List by common names 0 Flavoring agents 0 Speci c type of nut Exception restaurants Organic Food Less pesticides or no pesticides no chemicals Fruits and veggies less food pathogens 0 Not Known More Nutritious Not Known Beef Poultry Dairy 0 Less contaminants Except food pathogens Imports 40 from China not the same safety regulations as US Franken sh o USDA amp FDA Concerns 0 Food allergy not labeled 0 Religion 0 Agricultural Domination 0 Cross Breed genetic farming taking the seeds and crossbreed Question Voluntary v Mandatory Labeling Nutrition Key Lecture Points Macronutrients 0 Protein 10 to 12 CALS Adults Carbs 5565 CALS 105 simple sugars 65 Teaspoons sugar women 100 extra calories 0 95 teaspoons sugar men150 extra cals Fructose Fears Glycemic Index vs Glycemic Load 0 ADAAHA not recommend for weight loss Fiber 28 G women 38 G men Fat 25 to 305 cals o 4 types 0 Saturated and Trans fat limitations 0 Omega 36 Water 812 glasses IBWA Reverse osmosis Fluoride Caffeine 60 to 70 of consumption Food Poisoning versus food intoxication symptoms 0 Hours before onset Stomach cramps o Fever o Diarrhea E Coli Fecal matter HUS Causes of Food Pathogens Food Protection Strategies Phytothera py 0 Bene ts 0 Types and food color diagram 0 Warnings o 1994 DSHEA De nition Organ function Heterocyclic Amines HCA o Phip and prevention September 23rd 2014 Lecture Obesity rates are rising along with diabetes rates obesity between 14 and 17 high Body weight and composition 0 Muscle fat arms 0 Liver fat concerning fatty liver Visceral Fat stomach surrounds body organs Subcutaneous fat outside fat Fat Location Hormones o Testosterone apple shape high amounts of visceral fat testosterone puts fat in the stomach o Estrogen pear shape thighs hips and butt for girls built in biological protection estrogen menopause makes fat go to the stomach pure menopause slow turning off of estrogen 35 years before Waisttohip ratio 0 Men 9 0 Women 85 o Principle Not more than 12 height in inches higher risk of heart disease if bigger Concern for diabetes 28 BMI Type II Central Obesity visceral fat why it s a concern 0 Low growth hormone High cortisol major hormones that causes damage with stress 0 Fatty acids to body organs liver In ammatory compounds 0 LDL produced low density liver proteins causes insulin insensitivity Triglycerides Insulin resistance Rolling Snowball Effect 0 Health risks 0 Lipids LDL cholesterol triglycerides 0 Blood sugardiabetes 0 Blood pressure heart Insulin resistance 0 Reduced muscle sensors when resistant to insulin blood does not have say way to go through muscle cells will turn into plaque If you are inactive insulin insensibility increases Pancreas increases insulin Anabolic hormones released Promote fat formation In ammation Increased blood pressure Cardiac enlargement Unbalances other hormones OOO Health organization waist circumference measurements Organization de nition AHA NHLBI IADA 355 WHO Used measurement Central Obesity Women 35 Men 40 Women 315 Men Waist circumference Waist circumference Waist to hip ratio Women 085 Men 09 Energy balance equation Input Output Diet Exercise Surgery Surgery Diet drugs Diet drugs thermogenic drugs Culture labeling Culture encouragement Why Diets Don t Work Video 0 Set point what you believe you should weigh actually a range hypothalamus go up but rarely go down 0 Changing environment is the best solution to solving obesity 0 Eat when you re hungry that s the best diet 0 Use the BMI only semiokay program Know sugar coating Atkins diet yes people lose weight but there isn t a difference after awhile Theory no carbs diet 0 Water lose water weight losing muscle tissue 0 Fullness protein makes you feel full less calories 0 Insulin response glycemic index less insulin released 0 Ketosis Protein amino acids glucose Carbs glucose Fat fatty acids ketones Use fat as an energy source Long time use has build up of ketones ketoacidosis can result BAD Health concerns 0 Blood pressure heart saturated fat Diarrhea Headache Fatigue Kidney stones Brain hypoglycemia Recommendation 0 Physician consultation 5 weeks or longer extreme diet 0 Vitamin supplement OOOOO Protein Amino acids glucose Carbs glucose Fat fatty acids ketones diet Paleo caveman diet popular not any more effective than any other Lean meats sh fresh fruits nonstarchy vegies Eliminates diary grains legumes Paleolithic period Benefits cardio disease blood pressure in ammation acne weight loss athletic performance Concerns whole grains dairy deletion certain cancers heart disease vitality Volumetrics Low energy density foods High volume Low cals Fruits and veggies Cals one serving Weight in grams High nutrients low calories foods with high water content Rule of thumb 0 Less than 1 excellent 0 Soup 0 1 to 2 good 0 3 or higher limit 0 Ice cream American Heart Association American Diabetes Association say its healthier choice Diet Drugs Anorexiant feel good chemical o Serotonin blocks absorption goes to the brain reduces hunger sensation more serotonin in the brain discourages cravings o Hunger Thermogenics stimulants dangerous if at high doses bad news none are considered safe BMR rev Metabolite ephedrine Redux Usnic acid Bitter orange 0 Fat blockers fat broken down fat enzymes repackage and redistribute to the body the fat blocker has the enzymes not recognize it simply excretes it o Olestra o Orlistat o 30 fat ca block 0 pass gas explosive fecal release must reduce fat in diet to minimize these effects OOOOO Metabolic Rate 0 RMR BMR cals x activity Activity level Men Women Sedantary 2540 2535 Moderate 6580 4060 Heavy 90120 80100 Exceptional 130145 110130 Calories Burned RMR l 60 to 70 cas by resting 0 Exercise I 15 to 25 Thermogenesis l 2 to 10 core body temperature coldshiver warmbody tries to cool itsef going to burn more calories Post exercise impact 30 minutes to 2 hours 10 workout total cals Aerobics burning fat 0 Resistance exercise builds muscle tissue Last on rst off how fat goes away starvation diet gets away a little bit of ab spot reduction will not work Cellulite Endermologie o 14 to 20 sessions 75100 0 Monthly follow up Cellanese 0 Soft gel 30 30 capsules 0 Mix Potent herbs 0 720 micrograms rec 150 0 Theory Strength connective tissue Blood ow decrease Fluid decrease Obesity Paradox Three questions o Is obesity an emotional loaded word 0 Post 100 years Civil War 0 BMI 15 10 lbs 0 1980 to 2000 23 BMI 16 lbs 0 Why obesity increase 0 Calories 523 0 Fats grains sugar 0 Technology we are becoming more sedentary 0 Food marketing 0 What is impact of obesity 0 2646 men 0 4879 Women 0 25 pay Men 0 6 pay women Point Obesity classi ed as a disease The Heavy Heart 0 Stand Up 0 BP drops blood rushes from brain to extremeities o Aorta carotid arteries ght or ight signal to vagus nerve 0 Heart rate increase 0 Blood vessels constrict 0 BP eventually rises blood to brain 0 24 hours heart function 0 100K contract relax 0 56 quarts of bloodmin cardiac output 2k gallonsday 0 point How long last Mechanical heart 18 months Obesity impact 0 Extra blood pumped 0 Cardiac remodeling left ventricle hypertrophy Main pumping chamber Thicker walls Loss of elasticity Less force 0 Fat cells release in ammatory chemicals 0 Point Obese 68 years earlier heart attack 0 40 BMI 12 years 0 Point structural functional biochemical changes 0 Know between mild moderate and morbid obesity Other Health Concerns Cancer Esophagus pancreas colon breast rectum kidney thyroid endometrium o lmbalanced hormones o Estrogen expose 0 Increase insulin like Growth factor lGFl 0 Altered immune response and in ammation Osteoarthritis fat tissue emits substances hormones attack joint cartilage o 10 extra pounds 3060 lbs knee pressurestep o lose 11 lbs 50 risk reduction 0 Sleep apnea electrical glitch Asthma low grade body in ammation Kidney disease 1 in 9 Americans 0 High BP 0 Type 2 diabetes will tell you to lose weight then Premature aging Creactive protein and free radicals o Harden blood vessels 0 Damage cell membranes 0 Cripple chemical reactions Type II Diabetes 0 Sugar 0 Health less one teaspoons in blood 0 Diabetes 14 teaspoon more 0 Roller Coaster 0 Low blood sugar 0 Pancreas secretes insulin 0 Cell insensitivity 0 Low blood sugar hungry o Recycle o Pancreas malfunctions no insulin release 0 High blood sugar lose control Point 0 Pancreas not time to adjust to high grain and sugar diet 0 Pancreas not adjust for sedentary activity 0 Bonking Brain uses 25 glucose while up 60 at rest 0 Gray matter starvation Pursue muscle for glucose 0 Insulin resistance causes weight gain not vice versa Fat Conundrum BMI Classi cation Category BMI Underweight Under 185 Normal 185 to 245 Overweight 25 to 30 Obese 30 Societal Impact 0 Healthlife insurance 0 Child Endangerment Laws 0 Diet Drugs 0 Diet Supplements Point 25 normal weight have metabolic disorders 33 obese metabolically healthy Managing U Curve Questions 0 Should adult with cardio problems lose weight 0 Does tness totally negate fatness effects 0 Does fat location matter if t U Curve O o o 0 BMI Point 0 o O O 0 it 0 Less 185 40 and TOFU Thin Outside Fat underside people look healthy cause they re thin 185 BMI Athlete triad chronic energy drain BMI 35 cardiovascular disease BMI 28 diabetes Either extreme health hazardous Still can be healthy if fat and t 27 BMI may replace ideal 23 BMI shift conversation to metabolically t can look skinny but not be metabolically t we have taken a dem view of being overweight and misrepresented just be metabolically t September 30th 2014 Lecture How to Improve Metabolic Health Diet 0 o O O O O o O o O 0 Percent calorie intake 10 sugar WHO has 5 Know grams per day for men and women for sugar Reduce sugar consumption Reduce grain food consumption Used a lot in processed foods Reduce processed food consumption Moderate Activity Sex not count Mean 6 minutes 21 cals v 7 TV14 cals Healthy Sleep Point How t are you Climb several ights of stairs without dif culty Walk mile or two at a decent pace 15 mins Weight Management Exam Review 0 Atkins Diet 0 Ketosis insulin feel full 0 Cautions o Volumnetrics 0 Low to high ed foods 0 Low below 3 0 Fruits veggies o Ephedrine RMB calories 60 to 70 0 South Beach Diet Paleo Diet 0 Types of Diet Drugs anoerexiat thermogenic fat blocer Energy balance equation Weight Gain 0 Drugs 0 Anabolic steroids testosterone boosts muscle tissuetrue quicker recovery time not as well proven fall under Federal Control Substance Act category 3 intent to use laws fears breast enlargement bitch tits testicular shrinkage women get hair grown in undesirable places hoarse voice exponential impact Roid rage Cancer 0 DHEA dietary supplement not an anabolic steroid o HGH human growth hormone be concerned elongation effect increases length of ngers and toes and angular shape must test with a blood test 0 ANDRO precursor of anabolic steroids increases muscle mass and has similar pathway 0 Dietary Supplements 0 Creatine Phosphate instant energy system quick recovery will not increase muscle mass by itself you can do more work in a shorter period of time Downside need to increase uid intake or you will be dehydrated and be vulnerable to cramps deanimation unlikely stress in the kidney breaks it down and excretes it 0 Protein and Resistance training 0 Muscle mart 0 Protein shakes Protein and Muscle Tissue USDA Recc 1012 calorie intake One pound of muscle 100 grams RDA Maintenance 08 gramskg 036 lbs 1214gkg if endurance Assume Daily Maintenance 58 grams Goal One Pound of Muscle maintenance is 1lb a week 0 O 0 7x56 392 grams 1 lb of muscle 100 grams protein total week 492 grams protein Essential Fat Storage Men 3 to 7 Women 12 to 15 Below 4 hazardous men Below 8 hazardous women Below 13 risk for women Athlete Triad De ned Chronic Energy Drain Three Components THE TRIAD Risk pro le causing bone demineralization O 0 0000000 Aesthetic sports gymnastics swimming body appearance Endurance sports increasing protein not enough calorie intake Body fat 16 below Vegetarian not enough calcium Body weight changes 10 lbsyear Runner 65 miles week or higher 10K 40 mins or less 7 day training stress fractures 0 Prevention 0 O 0 Energy imbalance test BMR and activity HRT Calcium 1k15 mg How Sitting Wrecks the Body 0 As Soon as You Sit After 2 hours 0 HDL drops 20 0 Typical American sits 9105 After 24 hours 0 Insulin effectiveness drops 24 increased risk of type 2 diabetes Sitting Increases risk of death up to 40 O O O 0 6 hours 40 increased risk die 15 years versus 3 hours or less sitting Obese people sit 25 more hours than thin people Walking burns 35 times more calories than sitting People with sitting jobs have 2x risk of cardiovascular disease that people with standing jobs High Intensity Interval Training 0 Protocol 0 O O O O 30 seconds hard 8090 MHR 306090 seconds easy 4050 MHR Know Target Heart Rate Recovery Formula Comfort Zone 42 to 44 mph walk one block 35 mph walk one block Claims 20 minutes 40 minutes continous training Sensor Workout Clothes Wearable technologies The Move System stretch ex sensors 0 Ab tightening 0 Back Straight 0 Hip displacement Smart phone via Bluetooth Washable v non washable 0 They tell you if you are doing it in a correct manner or not get shock Others 0 Shoe inserts 0 Wrist watches 0 Clipons o Lumnobelt 0 Invisible bike helmet Future 0 Zappers for golf pitchers yoga Altitude Sickness lmpact 9K feet and above 0 Respiration 0 Heart rate 0 Symptoms o Nausea headache GI distress 23 days before recovery 0 Muscle weakness 0 Causes 0 Dehydration o Glycogen depletion 0 Brain uid leakage Gender 0 F 22 o M 7 0 Practical impact O O O BMR30 fat doesn t burn when there is less oxygen burn more at resk than before Appetite carbs brain wants most of carbohydrates Increase carbohydrate intake to avoid PREVENT IT Thursday October 2nd 2014 Lecture Exercise Biochemistry Metabolite vitamin derivative that Metabolism control Methylation Chemical compounds of methyl group O O O O 0 Attach outside genes to alter gene function Changes how messages received and sent May explain why one develops metabolic disorders and others do not Stimulates antipathways in ammatory Enhances lung capacity 0 Points 0 O O O 0 Liver Paradox external healthy internal unhealthy Thin outside fat inside TOFU 1 MET increase 15 decrease allcause mortality Muscular tness important as cardio tness Loss of tness better health predictor than being skinny Exercise Walking a Fine Line Strenuous Bene t Zone 45 to 55 minutes 0 0 Not more bene ts Potential harm Prolonged intense high endurance o Enlarged heart chambers o Thickened walls 0 Electrical signal changes 0 Extreme exercise 0 Troponin creatine phosphokinase brain natriuretic peptide 0 Impact Dilate heart chambers Weaken cardiac contraction o Sitting pump 5 liters min Running 25 to 35 liters min Point 1350 longtime marathoners have scarring of heart 0 ACSM study 15 milesweek Lowest mortality 20 milesweek Slightly higher mortality 25 milesweek Highest mortality 8 mph6 7 daysweek Less bene t vs slower 2 to 5 days Exercise Bene t Zone 0 45 to 55 minutes no bene ts after only consequences Alcohol Culture 0 Binge drinking 4 to 5 one setting 2 hours BAC 10 or higher frequent 1 every two weeks 0 45 occasional o 25 frequent o 32 unplanned sex 0 20 injuries 0 Extreme Drinking 0 15 men 10 or more 0 110 women 8 or more 0 8 men 15 or more o 2 women 12 or more Alcohol Health Bene ts Stress relief HDL increase HDL level dose related Blood Thinner less vulnerable to clots Bad parts Fatty liver Alcohol Hepatitis Cirrhosis of the liver Alcohol Pharmacology Type of alcohol stronger content stronger affect Amountrate metabolize 1 drinkhour goes up if drinking expenence Ethnicity Native Americans at higher risk in terms of alcohol effects ushing effects 12 of Asians for ushing effect Body size Age turn age 50 cut alcohol in half not metabolizing as quickly Gender 0 Gender pharmacology Alcohol DehydrogenaseADH primary enzyme for metabolizing alcohol in the liver women have less Body Fat higher body fat content in women quicker release of alcohol metabolites in bloodstream Body water content goes down Menstrual cycle Liver volume until body weight up Food if you eat food before going out it absorbs alcohol barrier against wall of the stomach slows release of alcohol Tolerance experience Mood smoking Ingestion Fads smoking alcohol Vaporize Dry Ice Vaportini 0 Heat Glass Ball Tea Lightsuck Straw 0 Why 0 Less Cals Quick Drink Alcohol Enema 0 Party Enema Jackass Movie 0 Rubber Tubing Anal inserted o By passes stomach o Funnel o Dosage dif culty 0 University of Tennessee Frat Student 0 Issues rectum damage get drunk way too fast poisoning Acute intoxication Weak rapid pulse 100 plus Shallow breathing 1 per 4 seconds Skin Extremities pale blush Blue tint under nails not enough blood ow to the brain 0 Vomiting First Aid 0 No arousal Place on side If vomiting lower head Monitor regularly Nail blue tint 3540 BAC Drown in vomit while asleep Over 405 BAC No signal sent to breath die in sleep In Iowa if you have an individual that is so drunk no punitive measures will be taken against you Good Samaritan policy Drunkorexia lncongruous Alcohol excess exercise 000 0 Skip meals save calories Purge Starve get drunk faster Skinny girl cocktails o Pregaming preparty prebar frontloading 0 High risk behavior 0 Age 19 O 0 Female male difference more for women Energy drinks mask behaviors make you feel sober Alcohol and Federal Law 0 Age 21 drinking laws passed in mid 19705 when you can drink Diana s Bill 0 O O BAC for driver under the in uence used to be 10 dropped to 08 save 50000 lives a year realisitic is 40006000 Drunk Limo Driver Mothers Against Drunk Drivers lobbied for this Taxation 0 Minimum Legal Drinking Age Alcohol State Laws 0 Drunk Driving 0 O O 00 Per se lntoxication one beer and under 21 you were driving under the in uence if under the age of 21 Administrative License Suspension Zero Tolerance Criminalization you are 02 for the rest of your life if you have been convicted Mandatory Jail Sobriety Checkpoints Alcohol Sensors sensor for alcohol content checks for metabolites in the air License Tags NY rst one to do it tag on license so that law enforcement can stop you anytime without cause to give sobriety test 0 DRAM Law Server s Liability 0 DRAM Criminal If you serve drunk people if they go out and harm someone else that liquor establishment is not responsible to that patron but the person that was injured the bar has a civil liability 1st offense 500 30 Days 2nCI offense 5000 2 Years License Suspension and Revocation Civil Bar Employee Depends on state if an individual has a right If there is a charge for anything and something happens it is a felony and goes under civil liability law If you kill someone while drunk it is voluntary homicide 20 to 30 years in prison lgnition lnterlock Senate Bill State Highway Funds 0 High Risk Offenders person who has been convicted more than one time 0 Repeat Offenders o 15 BAC New Mexico 1st Time rst to pass Must have ignition airlock once you have been convicted Parents How Works 0 Random Breath 60 Second Notice 10 Second Analysis Horn Lights Power CutOff Law Enforcement Records 00000 Culture Enforcement cops Ban in Residence Halls kicked out void preregistration Parental Noti cation Letters Alcohol Free Events should be bottom up student centered Friday Classes limit Thursday partying Community Liason task force bars cops etc October 7 2014 Lecture Politickets underage drinking tickets More than 2 kegs at a party Need a permit and need to say where it is gonng Nucance Law noise ordinance if they hear a noise they can go inside and check to see if you are legal age to consume alcohol Tobacco Health 0 Cancer 0 Lung most deadly not more frequent skin 88 are due to tobacco 0 Breast o Pancreatic Heart Disease Osteoporosis COPD Chronic Obstructive Pulmonary Disease Bronchinosinosis Asthma Key Tobacco Chemicals 0 Tar Carbon Monoxide Nicotine addictive toxic Tobacco Speci c Nitrosamines TSN number one ingredient associated with cancer Tobacco Absorption o Porosity ingredients leaching into the bloodstream or in cell membranes 0 Alkaline Acidic more acidic deeper inhale Swallowing snuff cancer of mouth throat esophagus stomach Dose Threshold Electronic Cigarettes o What is it 0 Battery powered avored cartridges 0 Nicotine inhaled doses heated vapor o No tobacco or combustion o Reusable replaceable Claims 0 Safer no light no tar 0 Smoke anywhere no air pollution o No teeth discoloration 0 Virtually odorless o Cheaper 05 to 1 pack of cigarettes Forbidden pregnant addicted lung problems under 18 o Preemptive legislation rst city to ban smoking in bars was Ames IA ordinance IA had preemptive legislation a legislation or ordinance can not be more stringent than state law 0 FDA WHO legal fight e cigs are not safer form no change in addiction pattern 0 Insufficient data no health warnings Smoke 0 Primary the individual who inhales the smoke who is smoking ETS environmental tobacco smoke o ThirdHand Smoke metabolites on clothes risk for kids in upholstery Why People Smoke Nicostat habit forming Dopamine feel good chemical in brain 0 Stress 0 Cognitive stimulant helps you remember things Cuereactivity some people just need something to do or certain environmental stimuli Weight if you are a smoker you lose weight BMR goes up so you burn more calories relieves craving symptoms changes the taste of food not as good 78 lbs for women weight gain if they stop smoking 0 Alcohol pleasure pathway 0 Pulmonary Eroticism scratching effect theory causes release of dopamine Social October 8 2014 Discussion Superbug resistant to penicillin salmonella listeria and e coli are examples no longer effective KNOW HUS Hemolytic Uremic Syndrome volumetricsonly diet recognized by AHA and ADA high volume low calories fruits and veggies with water content HIPPAA waiting period for Cobra see your records but others cant without written consent disclosure health assurance portability Accountability Act Diana s Bill blood alcohol level has to be 08 lower from 1 to 08 Four Stages of PTSD Hyperarousal alarm lntrusion ashbacks Constriction freezing use of drugs alcohol to cope lifestyle changes 0 Disconnection internalization of event safety suicide concerns General Principal of Greenberg Model higher up you are the better you are Maggie s Law 2003 driving while sleep deprived no sleep within 24 hours Countrv of Origin Law COOL labeling from what country a food came from make choices based on location if food infection they can track it PaleoCaveman Diet only eat natural things popular with celebrities no dairy no processed foods concern no dairy Glycemic lndex outdated bases food on how much sugar measure how quickly the body converts to blood sugar after eating something load is more accurate because it takes portion size into consideration Maximum amount of caffeine one should have in one day 300 mg Sleep related binge eating sleeping disorder or eating disorder sleeping Food intox toxins few hours symptoms appear stomach cramps no fever minor diarrhea infection pathogens fever longer time to show up side effects more severe Rapid Eye Movement REM eyes move dreams occur elevator ride cycle 46 times a night takes about 90 minutes Type A personality organized easily stressed out impulsive done quickly time schedules achievement oriented competities American Disabilities Actprotects from expressed issues see week 1 notes Other term for a stress response ght or ight Three stages of General Adaptation Syndrome Alarm resistance exhaus on Sleep apnea periods of sleeping where you stop breathing central and obstructive know symptoms SelfactualizationMaslow s hierarchy of needs realizing full potential Predispositional vs presymptomatic predisp probability on the gene may not show Presy if you have it its there and is going to express itself Binde Drinkind drinking more than a few drinks in one sitting 45 drinks in 2 hours Main purpose of Dietary Supplement Health Education Act de nes dietary supplement cant say your product is better than another product cant mark it towards a particular disease but you can say that it is good for a certain body part de nes a dietary supplement vs medicine Amount of calories added by sugar a man should have in one day max 150 g women 100 g Thermogenic Drugs Anorexia Bulimia Genetic Information Act Bene ts of Alcohol Know review sheets October 9th 2014 Lecture Key Smoking Questions 0 One Year Cessation Heart Attack Coronary artery 50 most of bene ts in rst 36 months oETS Sensitivity they are sensitive to smoke headache or cold falling under ADA oHerbal Cigs o Harm inconclusive 0 Not FDA regulated o Bidis Not Safer no evidence for or against 0 Weight o Something in mouth o Most under 10 pounds weight loss increase BMR doesn t taste as good NRT Nicotine Replacement Therapy taper down determine nicotine in blood base product on nicotine level 0 Carcinogens o Inhalers v sprays o 2 x success o nicotine cream if really addicted gets nicotine in blood Smoking Categorical Reasons see above Preemptive Legislation see above Federal Controlled Substance Act Classi es drugs 54321 Divided on potential in terms of bene t and harm addiction Top high potential harm and no medical bene ts marijuana is suprising Category 4 and 5 drugs look at federal and state laws if you have a certain amount you can be considered a dealer felony Weed 400 ingredients THC hallucinogenic properties 8 85 potency some 3538 CBD medical bene t ingredient in marijuana pain and nausea relief High THC Low CBD v Lower THC High CBD medical BHO methane gas on other side of holder increases potency in the holder honey wax super potent Edibles fudge cookies suckers ice cream use BHO strong effects Crack marijuana 80 higher THC Adults 9 addiction teens 18 Least addiction potential studying with THC less than 8 K2 Imitation Pot Spice Genie Zohai Herbs Spices Sprayed with THC DEA Chemical of concern Banned in Europe Permanent damage deaths synthetic marijuana Ecstasy Energetic empathetic peaceful Post Randy good for sex Date Rape Drug Concerns 0 Fake lots of fake on the market 0 Core Body Heat Date Safe Increases core body temp possible heat stroke Meth Iowa used to be second largest producer now 4 Potent speed intense rush 6 to 7 hours high agitation followup Prolonged use paranoid delusions Melting face your face will droop look like a skeleton Crystal meth gang bangs crystal dick parties drug of choice among homosexuals high sexual potency Knock and Talk Laws knock on the door smell meth right to come in and conduct a search Bath Salts White Lightning Hurricane Charlie Snorted smoked injected Comparable Meth Abuse Hallucinations Paranoia Rapid Heart Rate Suicidal Thoughts MDPV Brain Neurotransmitters Legal convenience stores internet State laws Krokodil Desomorphine Codeine Iodine or bathroom cleaners or hydrochloric acid 0 Cheaper than Heroin Zombie Look 0 Black or green color skin 0 Vein damage and soft tissue infections 0 Gangrene and necrosis death of tissue Health impacts sleep Sleep Deprivation Memory problems Exhauonn Whipping lt Nitrous Oxide Sources 0 Whip Cream Fluff o Balloons bags 0 Glue VCR Cleaners o Walmart 0 Deprives brain of oxygen 0 Dark holes kills brain cells huf ng Side Effects 0 Nausea vomiting dizziness vitamin B12 numbing 0 Lung collapse BV Hemorrhage Heart Attack Seizure Coma Scopolamine Devil s Breath o Ru es 0 Alert and Articulate o Hypnotic Voodoo Swipe Blow into face PCP Water Angel Dust Cigarette or marijuana dipped in liquid PCP O Phencyclidine Embalming uid laced with PCP Wet wave black dust happy sticks Hallucinogen superman strength see it in eyes 34x stronger on dust War on Drugs 0 Supply Reduction 0 0 Attack production pay countries to not produce drugs lnterdiction if you cant stop the drugs from being produced can you stop them from coming into the United States Good Favored Nation Status stop drugs from crossing border get foreign aid dogs and humans keep in stomach Prevent distribution transaction recorded by the FBI Rockefeller Laws if 18 or older and you were caught distributing drugs 2030 years felony no probation zero tolerance Demand Reduction 0 O O lncarcerate imprison or con ne Reagan quotJust say noquot Treatment and education DARE quotI Have a Futurequot Harm reduction 2 phases needle exchange infectious disease and use of drugs clean and how to shoot up safely and legalization marijuana medicinal and recreational TEST October 14th 2014 October 16th 2014 Lecture Impotence Drugs Drug Effect Lasts Side Effects Viagra 1 Hour 4 Hours High Levitra 16 mins 6 Hours Low Cialis 16 mins 36 hours Low 0 Effect time means how long it will take for it to kick in Alcohol and Stimulant Individuals who pills were designed for are not primary users college males using they don t last as long whiskey dick 0 Alcohol is a depressant impotence drug is a stimulant stresses the heart BIG CONCERN Women and Viagra Condoms Polyurethane o Expensive 0 Break more frequently 0 Slip off 0 More error usage Polyisoprene skyn newer o Nonlatex 0 Strong 0 Stretchy Lamb Skin 0 Worst not advised whatsoever 0 Used by gay men anal o Breaks off frequently HIV 0 Failure Rate 216 23 if properly used 0 Why Not Use 0 Passion 0 Sensitivity no longer an excuse Prostate Back Pressure 0 One reason men don t like to use condoms o Uncomfortable some condoms are being designed to deal with this 0 Bursting o L 7 12quot 48quot o W 8quot 30quot 0 Parameters for testing Types of Condoms 0 Night Light 0 Light Exposure 30 seconds 0 Two latex layers 0 Pigment inside layer Flavored o Lubricant contained or directly on condom 0 Mint grape orange vanilla chocolate 0 FDA approved 0 Sugar free Vagina PH counter potential of vaginal infections 0 Studded o Studs or ribs top and base 0 Wider contoured bulb like tips prostate back pressure 0 Check for FDA approval most are 0 Warming 0 Thinner latex heightened sensation o Warming lubricant activated by body moisture Edible 0 Novelty o No protection Pleasure Shaped o Looser o Enlarged pouchlike tips 0 More friction increases sensitivity 0 Some have twisting shape vigorous action 0 Heightened sensitivity both partners Colored o Diverse 0 National colors for 36 countries 0 Holiday colors Halloween 0 Read label FDA approved Sengs o Bandaidlike strips helps so it is put on properly 0 Ridges o Contoured Kiss of Mint 0 Nonlubricated 0 Mint powder coated o Wider ared tip reservoir tip 0 Oral sex favorite French Ticklers 0 Soft rubber tip or soft jelly 0 Styles nodules ridges nubs shapes 0 Novelty 0 Regular condom underneath or woman contraceptive 0 Doesn t work by itself Tingling Pleasure 0 Safe spearmint tingling lubricant Miniature Disc 0 Europe 0 Disc in condom record favorite strong 0 When the guy strokes the song plays Going Green 0 Environmentalists degrades Selfenhancement Selfenlargement Rape aXe AntiRape Condom not in US Jagged hooks Attach to penis Doctor removal Cannot urinate or walk Downgde 0 False security 0 Violence 0 Enslavement Rape in African nations Oral Sex 23 s on nal exam HPV human papilloma virus and Oral Cancer THE NUMBER ONE STI WORLDWIDE IS HPV THE NUMBER ONE STI AMONG COLLEGE STUDENTS IN CLAMIDIA men have symptoms THE NUMBER ONE INFECTIOUS DISEASE IS TUBERCULOSIS Oral Cancer Dormant decades Symptoms 0 Dif culty swallowing 0 Persistent sore throat 0 Ear pain 0 Lump in neck Blood and saliva test detect HPV infections Blood test will not detect oral cancer 0 Oral Sex Recs 0 O O O O No brushing teeth ossing teeth 1 hour post You create minute ssures STls can penetrate in rst hours Antibacterial mouthwash or peroxide Rinse mouth Oral latex condom Glide dam women Don t swallow ssures in the throat STls can penetrate can cause throat cancer 0 Ga rdasil vaccination Hooking Up 0 28 10 or more 0 Party Themes 0 O O O O Pimps and Hos Politicians and prostitutes Superheroes and supersluts Horny housewives and Randy Handymen Santa and his Reindeer Ho Ho Hos 0 Point submissive role for women 0 Alcohol Xfactor O Increases sexual assaults Web Sites 0 0 University of Chicago started this Askmencom Onbootycallcom Plentyof shcom Craiglsitorg Dissatisfaction Sexting Provocative Images 0 Cell phone 0 Internet 0 20 Ages 13 to 19 0 Child Pornography Act federal law 0 Felony Possession Distribution can be doing time 0 Sex offender registry 1420 years 0 Why Controversial 0 State Laws Mandate being revisited o Promiscuity Promotion 0 Misperception not at risk relationships nude pictures of celebrities Consumer fraud act as long as they do not pursue advertising for these sites it is not consumer fraud Cyber bullying act Revenge Porn Ex s Sexting graphic pictures or videos 0 Upload location employer friends address Facebook phone 0 Currently not illegal lsanyoneup 0 4th Amendment 0 idea of privacy invasion of privacy argument 0 if you hit the click button you did it voluntarily not invasion of pnvacy 0 does not work as defense 0 Civil or Criminal Recklessness V Fair Use Doctrine Advertising Abstinence Anscombe Yale and Harvard 0 Programs started in Golf IL 0 Do they prevent pregnancies and STIs NO 0 Reverse 2 primary strategies 0 bake cookies play monopoly if you have sexual desires quotstop at the lipsquot not realistic 0 Human and the Love Revolution Harvard and Yale Love and delity network 0 Point antihooking up cIubs Human Computer Sexual Interaction Technology for Sexual Communication 0 Texting emails video 0 sexting Creating Sexual Opportunities 0 Social networks dating websites hooking up websites 0 Real life sexual activities 0 Computer sex role play 0 Sexual education 0 Web sites 0 Sexual entertainment 0 Internet video games sexual v physical assault violence Teledildonics o ComputerMediated software hardware Remote sex toys Vibrators that you can program remotely control from far distances Virtual reality sex use goggles and experience having sex with another person Lecture October 21 2014 DID NOT LISTEN TO LECTURE TED TALK Fetus development studies MRls JuicyCampuscom 0 Matt lvester Duke University 0 Open Forum 0 Free speech 0 Anonymous No registration No email address lpcloaking 0 Examples Top freshman sluts Which frats have the best roo es Rape confession Homophobic rage Point spread vicious rumors and gossip Claims blocks posts from Google but not Facebook etc 0 Employer Access Legal hire and re 0 Ban JuicyCampuscom Sexual Health Exam Questions Viagra Levitra Cialis potency time sideeffects Chlamydia HPV 0 Oral Cancer Herpes Blood Saliva Test Gardasil Reproductive Issues 0 Parental Noti cation o quotsqueal lawsquot under the age of 18 notify parents of abortion without permission Roe v Wade 0 0 Federal law 1970s De nes laws of abortion based on trimesters lst right of individual to make choice 2 d joint decision with state 3rd not in the hands of the individual PRVEN Kit Plan B 75 72 Hours 0 Child Endangerment Laws 0 O O O O Mandatory Report Laws State Variance Must report to legal authorities consuming alcohol while pregnant Wisconsin if the child dies the mother can get in trouble Question about smoking exotic pets Make it a crime to endanger the health of life of a child through an adult s recklessness or indifference Unborn Victims of Violence Act Laci Connor Bill 0 O Laci pregnant murderd by husband found guilty If homicide involves unborn child capital punishment more than one murder California two felony acts Humpty Dumpty Years 0 Critical Periods O O O 0 Window of time brain open to development after which closure forever Lift start at conception or when fetus takes human form 12 weeks Vision Spoken Languages 0 to 30 movement months 0 Sensitive Period O 0000 Less precise time in which key functions in uenced but may not last forever Cataracts 4 months to x or baby is blind Born in Wild Age 10 never learn language Second Languages Math and Logic Roots of Health Fetal Programming 0 Diabetic Mother 0 High glucose levels 0 Control weight 0 Dramatically increases her risk of having diabetes 0 Under nutrition First trimester 0 Higher obesity risk for life 0 Stress o Cortisol o Raise BP 0 Stress hormones most damage can create harm for baby in womb 0 Adult Hypersensitivity more prone to arousal Fire and Water Teratogens chemicals that cause structural functional birth defects 0 Alcohol most not planned births 0 Chromosomal aberration Nutrition impairment Immune system Organ damage Brain cognitive emotion FAS FAE FAS fetal alcohol syndrome cognitive and emotion key FES fetal alcohol effects not severe more likely to see 0 12 Drinks 0 2X low birth weight 0 2X miscarriage 2nCI term 0 3 or o retarded physical growth 0 brain impairment 0 FASt Episodic 6 OOOO 0 General development de cits 0 Speech 0 Skeletal abnormalities Alcohol and Stress o Aggression Alcohol and Father 0 Delayed sexual maturation Sperm production Sperm content Ovum impact Impotence 0 Not well researches area 85 FAS o ADHA Where sperm content comes in man consumes alcohol and impregnates woman more likely for ADHA 1 in 5 are planned pregnancies o o 0000 Tobacco and Nicotine Low Birth Weight less than 55 lbs increase heart disease Premature birth 0 Lung disorders 0 ADHD 0 Point Most impact in last four months 0 18 women dependent 1 in 6 will continue to smoke while pregnant 0 Lead 0 Lost motor development big is paint and pipes 0 Old pipes problem in poverty areas IQ 0 Old paint lmpulsivity Lead paint on walls peel down kids put mouth on 0 Gas emissions Learning disability Caffeine 0 Low body weight 0 Arousal disorders 0 Attention de cit disorders Caffeine Elimination Women who are pregnant or breast feeding have lower caffeine intake because the time to metabolize is long 0 Population Hours 0 Adult 50 half life 25745 hours 46 hours 0 Older Adult 24 hours 0 Preterm infant 65103 hours Breastfed 82 hours Other Teratogens 0 Illegal Drugs Effect 0 Crack Emotional impairment Marijuana Verbal memory focus Heroin Cerebral palsy ADHD Children born addicted to cocaine is known immediately can t stop crying sign of withdrawl Substance Sodium Motor control retardation Prescribed Drugs Cognitive Behavior Disorders Need sodium for electrical impulses must make sure you get proper amount no more than 1500 mg Classi ed A well studied no side effects Classi ed 8 effective some side effects Classi ed D might not be as bene cial Classi ed F black box drug kiss of death can kill only desperate measures Effect Most drugs are classi ed as C don t know if bene cial or side e ects Reproductive Advice Avoid Avoid Avoid alcohol Folic Acid 400 micrograms prevent spinal de ciencies Deli food soft cheese more likely to have food pathogens Moderate exercise avoid belly trauma exercise Game Fish high level of mercury consumed as larger sh Prenatal vitamin Vitamin D3 Sensory stimulationread to child relaxes mother and child Secondhand Thirdhand smoke AVOID Reproductive Body Weight has changed 0 25 to 35 lbs 0 1st trimester 2 to 8 pounds 0 2nCI to 3rd trimester 1 poundweek 0 higher BMI less weight recommended to be gained 0 BMI Weight 0 Below 198 28 to 40 lbs 0 198 to 26 25 to 35 o 26 to 29 15 to 25 0 Above 29 No more than 15 Preemies Trend 0 De ned before 37 weeks in utero 10 world population 80 to 98 survive US 26B Children after Age 35 IVF in vetro fertilization Caesarian section fetal distress Lifestyle behaviors caffeine alcohol smoking Bacterial infections sudden Genetics children of premie are likely to be premies o Cervix shortening less 25 mm late 2nCI trimester Golden week 34 weeks Keep child from being born Before 34 major concerns if born before oxygen deprived to brain disorder when lose white brain matter never replaced 34 is golden week After age 35 coritoic vilosampling tension paid to testing OOOOO Plagiocephaly Flat Head Back to Sleep Campaign Risk 1300 v 160 Helmet 3K falling or molding head Not effective after age 1 Flat heads x themselves normally Not rolling the child over in early care centers Infertility 12 months of not being successful Prevalence 0 Early 205 10 0 Early 40s 30 Causes 0 Age 0 STI 0 Stress anxiety 0 Obesity 0 Smoking Optimal fertility zone 20 to 24 BMI 16 couples are infertile Diet 0 Slow v fast carbs 0 Plant proteins 0 Caution low fat reduces sex hormones 8 12 serving full dairy products Reproductive Lecture Exam Review Unborn victims of violence Act Lacy Cowner Bill Alcohol and pregnancy no alcohol in US Caffeine excretion not 24 hours for fetus 84100 to 105 half life excretion Tobacco last four months 16 mothers are pregnant and tobacco pregnant 16 of them smoke during pregnancy most important time to stop is last 4 months 16 pregnant smoking rate moderate exercise no belly trauma sensory stimulation babies heart rate models mothers optimal birth age 18 to 35 tummy time KNOW when the baby is born during the first 3 to 6 months make sure that the child gets on their hands and lifts their head 510 minutes 34 times a day Stabilizes the neck muscles and helps eye movement and tracking critical for motor agility plagiocephaly optimal fertility zone 20 to 24 Diet slow carbs plant diet 0 Low fat hormone depletion women should not be on low fat diet can curb development 0 Plant protein Preemies o 37 weeks 0 After age 35 0 Bacterial infections Thursday October 23rd 2014 Lecture Power of Immunity Natural 0 Skin 0 Lymphatic 0 Antibodies o POINT Early expose Innate Born Active arti cial Passive maternal antibodies 0 Know B Cells and T Cells CHECK BOOK Outbreak Alert 0 Travel and Commerce 0 Tourism 0 Dinner Plate 0 E Coi food pathogens 0 Changing Demographics 0 Age 0 Urban 0 Migration o Hanta virus migrating will eventually reach MidWest Human Behaviors 0 Drugs IV drug use 0 Sex unprotected 0 Child Care 0 LTC Long Term Care Centers 0 Hepatitis Deforestation o Ebola Overuse of Drugs 0 Ear infection medication ammoxycicilin penicillin becomes uneffective becoming resistant trying to make a new penicillin o Microbial Evolution o MRSA 0 Public Health Infrastructure Sick and receive a drug penicillin not good against virus gt children stop once feel better and do not nish the prescription gt leftover bacterium creates a new colony that is another mutation evolvesgt shotgun drugs looking for every cell receptor in sight attacks healthy cells and creates different mutation gt DNA switch between cells between host and the vector Non resistant bacteria exist mutates multiplies and creates a colony Most infectious diseases when they mutate become less potent 5 Riskiest Superbugs RESISTANT TO PENICILLIN Staphyloccus Aureus Clostridium Difficile and Acinetobacter E Coli Salmonella and Listeria Food Pathogens Gonorrhea and Chlamydia Tuberculosis Drug Resistant TB new form may be drug resistant 0 Air Borne o Coughing sneezing talking o Immune System Bacterium o No symptoms 0 Unresponsive to meds o 30 cure rate high fatality rate 0 difficult to diagnose Bacterial Meningitis infectious 13 die Spinal Cord and Membranes Swell o 3000 cases each year 0 10 to 20 die 0 20 longterm disabilities amputations blindness etc 0 late winter early spring 0 Common Sources crowded areas 0 Residence halls o Boarding schools 0 Sleepaway camps Meninges Coverings of the Brain o 70 to 83 effective 0 70 college students vaccinated close to 100 in Iowa 0 AntiBacterial Med Fatality under 15 Difference in Symptoms MUST KNOW 0 Few hours 12 hours 0 High fever Nausea o headache bright light sensitivity 0 stiff neck rash exhaustion 0 May think u BE TREATED QUICKLY o Vaccination Age 11 to 55 415 stains Community Based MRSA Methicillin Resistant Staphylococcus potent Sources 0 Towels hot tubs jail exercise equipment pedicure Most common cases are still in the hospitals made its way into the community Prevention 0 Hand wash cover wounds monitor skin abnormalities don t share personal hygiene items shower slippers sit on towels Hepatitis Hepatitis A 30 day latency incubation period food and water passage 0 Foodwater primary contamination 30 day latency international travel drug injections sex with infected person child careltc prevention vaccination hygiene and sanitation bottled water with international travel Hepatitis B 7 day latency o Infected blood transfusion OOOOOO 0 Risk pro le Multiple sex partners Maternal International travel Drug users Homosexual o 7 day latency o prevention vaccination safe sex abstinence Hepatitis C several months latency no vaccination 0 Risk pro le Blood transfusion Blood to blood contact Snorting cocaine sharing ssures in nose help transmit o No vaccination o Latency 7 to 9 weeks 0 Other Hepatitis o D usually infected by B o E same risk factors as A o G infected blood 0 General Hepatitis Prevention 0 Personal hygiene items Avoid tap water developing countries Vaccination A amp B 95 to 97 effective HEP booster Lifestyle behaviors Tattoos OOOOO Lecture October 28th 2014 General Hepatitis Prevention Personal hygiene items no sharing clippers toothbrushes razors Avoid tap water developing countries Vaccination A amp B 95 to 97 effective HEP booster makes vaccination stronger 1 injection instead of 3 not as effective but its pretty darn good Lifestyle behaviors Tattoos ink not needle Avian Flu Bird Flu Projections not airborne 19 m to 74 m deaths bird to pig to humans Fatality Rates 50 Warning Shot Asia No Age Discrimination Health Impact Pneumonia o Encephalitis 0 Organ Failure 105K Ventilators in US need to survive Pandemic 21 Days to deal with this 0 Livelihood 0 Health infrastructures o lndonesia not playing fair with monitoring refusing the WHO to come into the countries to confront it Strategies 0 Quarantine 0 Surveillanceglobal o Vaccines birds not for humans o If airborne it would mutate and not be as potent as current 0 Tracking migratory birds H1N1 Pig Flu o Pig Genes Europe Asia North America 0 High Risk 0 Underage 25 0 Pregnant Women 0 Infants 0 Respiratory Disorders 0 Policy 1 day Postfever O 0 Spread 1 Day before symptoms 5 to 7 days after symptoms return to class spreads the infections Contaminated Objects 2 to 8 hours infectious microbes last 0 Prevention 0 00000 0000 O Vaccination against u predict by strains Wash hands Avoid touching eyes nose mouth Shaking hands Restrict travel Tami u relenza 70 to 90 effective prescriptions OTC decrease symptoms but won t stop that type of u N95 Mask only effective mask Heat kills virus Disinfectants Laundry Keep separate Don t hold close No risk Eating pork Swimming pools spas HIV AIDS TCell Under 200 O 0 Normal 1200 or so Below 500 Danger threshold 0 Looking back programs seeing if they have a contaminated blood supply 0 Risk Pro le 0 00000 0 Blood transfusion 1 in 15k risk blood donations Organ transplant can be passed through organs IV drugs Unprotected sex Bare back club Homosexual anal Crystal meth Gang bang parties Immune system suppression Testing Elisa enzyme test not the actual virus Western Blot Con rmatory Test test positive on Elisa if you test positive here it is 100 Polymerase Test tests for actual virus currently being tested OTC cotton swab in gums turns purple you might have HIV Survival Rates Most likely will never develop aids Greatly increasing now focus on managing 20 to 30 years Medical Costs Expensive getting cheaper Flesh Eating Disorder Necrotizing Fasciitis Decaying Skin Skin Fat Tissue Covering Muscle 12 to 24 hours A Beta Hemolytic Streptococci covering skin 25 fatality normally end up with amputations to stop it from spreading Tumors or gunshot wounds Muscle strain or bruise Would contact salt water sea animals Weakened immune system Chronic heart disease lung disease liver disease Contact with someone who has disease Chickenpox dormant y Symptoms Altered mental state Severe pain Heart palpitations Local skin warmth Swemng Blisters Foul order Ulceration Malaise High fever 0 Dizziness 0 Treatment 0 Surgery 0 Antibiotics Sinus Infections 0 Viral no drug effect hard to determine long period of time means it may be viral Bacterial 0 Speci c target receptor drugs 0 Prevention 0 Allergen covers 0 Closed bedroom windows 0 Dusting 0000000 0 Ear OOOOOOOOOO o Moist naval cavities 0 Shoes off entering dwelling children play outside and then on the oor 0 Pollen changing DNA and becoming more potent 0 Global warming 0 Plant DNA 0 One day earlier each year 0 Urban areas warmer by 35 degrees Naegleria Fowleri Brain Eating Amoeba Neti Pot Sinus Symptoms 5 days post exposure 0 99 fatality stomach kills nasal breeds o prevention 0 distilled wter o boil 3 to 5 minutes 0 water lter 0 dry clean pot Ebola o Quarantine no symptoms v isolation symptoms 0 2002 SARS acute respiratory disorder Syndrome mobile organs body wide never US bats 0 First quarantine ADS 19805 to 2010 if you had AIDS you were not allowed in the US on 8th or 9th strain of AIDS 0 Liberty v Public Health 0 State controlled have to right 0 5070 fatality o honor system not working people are still going out so they are being forced to be quarantined o 40 days mathematical model when you look at 221 days after 21 days wont express 19705 now 40 days 0 virus cant be passed before showing symptoms 0 14 in categories from high to low risk Discussion October 29th 2014 Health Portfolio Page 1320 Sleep Analysis 1 week answer critical thinking questions Diet Analysis 3 day critical thinking questions Physical Activity 1 week 68 pages total not including charts of information for each category Due December 3rd Can email before November 21st Lecture October 30th 2014 Contagion Biological plausibility 0 International travel 0 Viral traffic ex SARS HIV Ebola 0 Can it adapt rapidly in humans Fear Adapt rapidly in humans f Ebola becomes airborne be scared Pandemic 3 factors 0 Virus organism infects human causes disease 0 Population susceptibility compromised immune system 0 Person to person transmission airborne not direct contact Point not hopeless Vaccination o H1N1 o Hygiene 0 Firing u they can re you if you don t get vaccination o Pediatrician Service u do not have to service a child if a child has not been vaccinated for a certain disease 0 They think we will able to make an Ebola vaccination Ebola and Enterovirus D68 respiratory treatment is more intense for Ebola Enterovirus is more like a cold virus Ebola is intense u symptoms Enterovirus D68 or EVD68 100 different types 0 Upper Respiratory From GI tract Contamination o Saliva nasal stool Summerfall 0 Most Mild Cold 0 Rare Myocarditis in ammation of heart Paralysis Encephalitis No vaccine Underlying disorders Asthma 0 Red Flag Breathing Dif culty Wheezing Treatment Supportive Care 0 Hydration 0 Pain relievers 0 Oxygen ventilator 0 Prevention 0 Wash Hands 0 Sneeze on elbows o No touching eyes or mouth 0 Flu shot 0 WE ARE IN A PANDEMIC STATE WORST THAN EBOLA every state has it and it is wide spread Middle East Respiratory Syndrome MERS Coranavirus Animal Source 0 Camels o Bats Symptoms o Fever 0 Cough o Breath shortness o Fatality 30 lncubation 2 to 14 days o No case in USA Saudia Rabia and Dubai if you are in contact with someone there you will be evaluated when you come back to this country Quarantine until determined you aren t symptomatic Infectious Disease Key Exam Terms 0 Avian Flu O O 21 days pandemic 2021 No age discrimination you are in a generation that was likely not exposed as you get it you build up an immune system response to it 0 Hosts migratory birds 0 Pig vector pig has a shared physiological system between birds and humans 0 Quarrantine Surveillance vaccine pig u not bird 0 MRSA 0 Community based most hospital moving to community 0 Sources 0 Prevention 0 Bacterial Meningitis quick and deadly 0 Symptoms 0 Prevention Vaccination Hepatitis 0 Sources incubation period all types 0 Risk pro les Cardiovascular Lecture HCM Hypertrophic Cardiomyopathy Gene dominant form of enlarged heart 0 What happens O 0000 Abnormal septum thickening Blood 02 collects left ventricle Water breaches Air Sac Drowns Tecacardia arythmia feel like chest is crushing 3 types 0 athletic very physically active pump more blood bigger heart stroke volume increases quit and become sedentary and they heart gives out 0 associated with heart attacks malfunction in the valves in the hearts where in order to provide sufficient blood ow it has to enlarge in size dangerous be concerned if dizzy after exercise but make sure you got sufficient carbs o HCM hypertrophic cardiomyopathy Examples 0 Ryan Shay 2 Olympics ago crashed on track and passed away HCM cannot be corrected by surgery 0 Ed Curry 0 Chicago Bear Gaines Facts 0 1600 Americans 0 6000 Die Each Year 0 Most common death young athlete o Echocardiogram 1000 to 2000 Treatment 0 Medication prevent arrhythmia o No vigorous physical activity Symptoms 0 Fatigue fainting breath shortness Deep Vein Frombosis Seat cushion pushes against vein gt clot forms and travels through bloodstream gt clot can move from right side of heart into lung causing pulmonary embolism gt or Clot can move through defective heart to the brain causing a stroke We have a valve that prevents the back ow of blood pressed against when sitting clot travels once it hits the pulmonary you re in trouble pulmonary embolism Deep Vein Thrombosis Economy Class Syndrome ying decrease leg space and butt padding in airplanes stationary and no stretching humidity Process 0 Seat cushion pressure 0 Blot in bloodstream o Embolism Prevention 0 Hydrate o Periodically move o No alcohol 0 One aspirin before travel thins the blood take 3 to 4 days before hand 0 Compression socks get blood from feet to heart 0 Daniel Bloom reporter who died during Iraq War 0 Facts 0 200000 Deaths Year 0 10 Die 1st hours 0 High Risk 0 Age 60 and up Obesity Birth control Smokers HRT Surgery and broken leg Women who cross their legs with their knees touching for an extended period of time 0 Urgent Symptoms Chest pain Breath shortness Skin warm to touch Rapid pulse Profuse sweating Bloody cough Fainting dizzy o Cramp behind knee Heart Attack Symptoms Sudden death 23 days preventable get treatment within one hour 0 Men 50 0 Chest pressure 0 Jaw pain few minutes 0 Breath shortness 000000 0000000 Radiating pain Dizziness Fatigue Nausea Profuse sweating 0 Point response 45 minutes 0 Women experience later in life women are more likely to ignore their symptoms and increase their risk of death 6065 0 Breath shortness 0 Fatigue 0 Jaw pain 4 hours Total points for all risk factors 55 of heart attacks prediction factor 0 Age number one factor that predicts heart attacks uncontrollable 0 Men 50 0 Women 60 to 65 0 Total cholesterol HDL cholesterol 0 Blood pressure 0 Smoking 0 Diabetes 0 Enlarged heart 0 Total What s Your Pressure 0 Blood pressure that increases the risk of disease 0 High 140 or above or 90 or above Highnormal 130 to 139 or 85 to 89 0 Normal 120 to 129 or 80 to 84 0 Optimal below 120 and below 80 0 Risk depends on the higher category numbers apply to adults who aren t taking drugs to lower their blood pressure Systolic heart is beating rst number best measure if you have a problem Diastolic heart is relaxed 2nCI number best measure of the severity of that problem OOOOO Tuesday November 4th 2014 Lecture Optimal range in terms of high blood pressure has dropped 130 instead of 140 concern with hypertension Optimal range under 120 and under 8085 Metabollic Screening Tests Type of fat Amount in Bloodstream Cholesterol 200 mgdl deciliter should know early college193 Threshold 20 LDL 130 mgdl know absolute count HDL 40 mgdl M 50 mgdl W know absolute count Triglycerides 140 mgdl inverse relationship with HDL New Statin Guidelines not as expensive side effects people don t want to be on them normally 190 LDL Heart Disease Statin Drugs 75 Risk10 Years Diabetes SideEffects 0 Muscle pain 0 Liver 0 Memory Not All Plaques are Created Equal The most common time of artery deposits often go undetected But these nonstenotic plaques which don t bulge into the artery are just as likely to cause heart attacks How plaque forms 0 Excess particles of LDL cholesterol enter the artery walls lmmune cells engulf them and settle in as plaque deposits Nonstenotic Plaques o More common bulge out undetected by angiograms 0 Thin caps can rupture causing clotting that blocks arteries 0 May be managed by reducing LDL Stenotic Plaques 0 Less common bulge inward detectable 0 Protected by thick cap can cause angina treatable with angioplasty stents to widen artery BP 1 controllable risk factor Age 1 uncontrollable risk factor Other Factors Points Cigarette smoking 4 0 Diabetes 0 Male 3 0 Female 6 o Enlarged Heart 9 Enlarged left ventricle diagnosed by electrocardiogram 0 physical activity not included to determine independent contribution to heart disease and heart attacks obesity will be there pretty soon Other Heart Attack Markers Homocysteine 0 Blood borne irritant 0 Fatty substance occlusion o 14 micromoles 1 liter blood CReactive Protein 0 Artery in ammation 0 6 to 8 year predictor o 25 mgdl blood 0 way of measuring the vulnerability for a clot to break off 0 Pattern A amp B LDL most hazardous can break into two different categories A and 8 based on size smaller means higher risk Strokes Types 0 lschemic 87 clot 15 speech impairment 13 walking difficulty 14 LTC long term care 0 Hemorrhage 13 bleeding in the brain 30 stroke deaths 0 Transcient lschemic Attack TIA Dementia 0 Silent strokes no symtoms 0 Prevention 0 Exercise 0 No smoking 0 Limit alcohol 0 Potassium Tissue Plasminogen Activation thins blood and helps remove clot 0 Goal 1 hour 0 3 to 45 hours 0 Signs of a Stroke 0 Face drooping Arm weakness Speech dif culty Weakness or numbness on one side of face arm or leg Trouble seeing in one or both eyes Trouble walking Sudden headache of no known cause OOOOOO Aspirin 1 baby aspirin or 12 adult aspirin CHEW IT 0 Parents and grandparents should be doing 1 a day 0 men heart attack 0 women stroke 0 if current problem recommended for heart sideeffects o bruising o nose bleed o gum bleeding 0 GI bleeding 0 Chest pain onset o Chewed or crushed 6 to 12 hours at onset 0 Emergency 1st call Cardio Exam Questions Homocysteine amino acid irritant o DVT prevention and idea of DVT o Hydrate o No alcohol 0 Aspirin 0 Exercise 0 Most noncontrollable risk factor age 0 No risk factors for BP LDL and HDL triglycerides Types of strokes and symptoms 0 Know aspirin women stroke men heart attacks 0 Most controllable risk factor hypertension 0 Metabolic syndrome 0 Insulin resistance 0 Hypertension 0 High lipids 0 Central obesity 0 Optimal BP less than 120 systolic less than 80 diastolic Thursday November 6th 2014 Vaccinations Immunity o lnnate Acquired lnnate immunity 0 Born with it 0 Given from mother to child 0 Genetic o Birthing process 0 Rapid response Catches foreign particlesvirusesbacteria Nonspeci c in manner 0 Can handle many types of foreign particles 0 Responds generally 0 Response 0 Acute in ammatory response Increase blood ow to the site Redness Swemng Wa rmthheat Pain Think of how your lymph nodes feel when you re quotsick or ghting a cold or your sore throat o Fighter cells of the body 0 Neutrophils o Macrophages 0 Natural killer cells Acquired Immunity You GAIN this from LIFE Getting dirty Exposure to pathogens Eating dirt Exposure to germs 0 IMPORTANT 0 Highly specialized Recognizes speci c targets Develops via exposure to speci c pathogen OOOO Creates a memory 0 Memory mounts a rapid response the next time you are exposed to the pathogen The only way to acquire immunity is exposure Fighter cells 0 T cells Monitor insides of cells Attacks and kills foreign cells Decelerates the immune system response once the threat has been addressed 0 B cells Monitor blood and tissue uid Encounter an antigen gt produce antibodies to ght 0 These cells create the quotmemory cellsquot to ght the pathogen the next time it appears 0 Remember 0 Pathogen creates an infection 0 Body addresses infection with B and T cells the rst time 0 Next time pathogen appears Memory cells are READY 0 You now have acquired immunity Immunization quotThe immune system is exposed to part of an infectious agent so that an immune system response is triggered Thus on subsequent exposures the immune system mounts a rapids response preventing diseasequot Teague 2014 0 Notice the word quotpartquot 0 It s a lesser dose of the pathogen eg u shot Vaccinations 0 Edward Jenner 1796 Cowpox prevented against smallpox Vaccine preparations of weakened or killed microorganisms or parts of microorganisms that are administered to confer immunity to various diseases 0 What do vaccines do 0 Protect the individual Stimulate immune response Think of u vaccination 0 Protect society quotherd immunityquot shrinks reservoir of potentially infectious agents Fewer people susceptible for infection Antibiotic resistance Bacteria become resistant How does bacteria become resistant to antibiotics o Bacteria create naturally resistant genes Bacteria reproduce rapidly Reproduction includes evolution and change Reproduction includes mutations in DNA Expose bacteria to antibiotic some bacteria will survive The bacteria that survives reproduces This bacteria is thus not killed by the antibiotic o Overuse of antibiotics Inappropriate use Over prescription Bacteria get quotused toquot the antibiotic and mutate ie bacteria mutate and if they survive exposure to antibiotic they come back stronger Every wasted use of antibiotic only strengthens bacteria and weakens human immune response Vaccination Diseases we currently vaccinate against 0 Measles o Mumps o Polio o Diphtheria o Rubella Most effective if 90 or more of population is participating As rate of vaccination drops likelihood of recurrence or infection increases 0 Controversy o Worry Vaccines cause autism 1998 British study try to link thimerosol mercury based preservative to autism 2010 is retracted Autism rates continued to rise even after thimerosol was phased out POINT NO empirical link 0 Worry too many vaccines Try to link to autism Strategy break up shots space out o Worry Vaccines contain toxins Preservatives and aluminum Strategy request aluminum free vaccines Con rmed Potential Side Effects 0 Fever Discomfort lrritability Allergic reaction Swemng o Soreness Vaccine Adverse Events Reporting System 0 CDC centers for disease control 0 FDA food and drug administration 0 Collects and analyzes adverse events information o Priorities 0 Hepatitis A and B Pneumococcal Polysaccharide Vaccine PPR Lyme Tetanus and Diphtheria Chickenpox RubeHa Measles 0000 000000 o Mumps 0 Bacterial meningitis 0 HPV Most common STI 80 exposed in lifetime 50 of people who are sexually active will experience Body can naturally clear HPV Many people have HPV and don t even know Linked to cervical cancer and genital warts Gardasil vaccination El El El El 99 effective at preventing HPV 3 injections over 6 months men and women Side effects 0 Death Seizure Paralysis Bene ts 0 Prevent HPV Vaccinations and the Law 0 Police and Government Power Mandatory school Child care Welfare College 0 Waivers Medical a Temporary n Permanent Religious Philosophical Key Points Thimerosol Waivers Vaccination controversies o Autism Tuesday November 11th 2014 Thursday November 13th 2014 Cancer Lecture Video 0 What is cancer 0 Result of process when one cell in an organ or tissue becomes damaged or altered in a way that causes it to break free from the normal controls that allows are cell to work together in harmony How are cancer cells different from noncancer cells 0 Normal cell divides if it gets a chemical signal telling it to do so as well as stop dividing interpreted in nucleus and reproduce genetic information cancer cells don t obey rule and will divide without signals and are not told to stop dividing causes masstumor How do tumors form 0 Cells won t stop dividing and add up Nucleus brain of cell organelle information contained in chromosome which hold genes DNA if a change occurs to the nucleotide substance there is a mutation Messages from tumors send messages to get food and oxygen blood vessels serve as passageway for tumor cells to distance parts of the body movement of tumor cells to other parts of body metastasis Apoptosis death of defective cells suicide breakdown of key cell parts cancer cells lose this capability causes accumulation of abnormal cells Tumor Types 0 lndolent slow growing tumor Ductal Carcinoma In Situ grows within an organ or the lining of an organ 0 Aggressive fast growing tumor aggressive move rapidly Metastases tumor starts one place and then moves to a different part of the body 0 Stage 1 Inside Organ Stage 2 Organ Lining Stage 3 Regional within the cavity of affected organ ex if lung cancer moves to heart 0 Stage 4 Distal far away ex start in lung and move to colon American Cancer Society Informed Decisions DON T WORRY ABOUT Cancer Model Lifestyle Causes Major Cancer Killers Goal most deadly 60 mortality reduction Pollution 2 Occupational 5 Reproductive 5 to 10 Organic Compounds 2 to 3 Key Cancer Causes 0 Smoking 0 89 lung cancer diagnoses most deadly o Radon also contributes Diet obesity incidents quality in diet higher in fat and sugar are linked to cancer 0 Activity 0 Radiation Diet 0 Fruits and veggies at least 5 servings 14 ounces 0 Limit Red Meat 0 Colon Cancer 0 18 ouncesweek 0 Avoid processed meat ham bacon hot dogs Nitrates chemical added to body 0 Limit Salt 1500 mg stomach caner 0 Limit alcohol Magnetic Resonance Screening MRI 0 CT Scan looking for injuries A LOT OF RADIATION 0 Quick painless 0 3D image 0 every CT scan is 20x radiation of XRay Emergency rooms 0 Trauma o Concussions o Kidney stones 0 Point 20 times radiation of chest xray Point several CTs atom bomb exposure level 0 Point obese requires more radiation exposure more radiation to penetrate fat layer to see organ frequent tightly packed CT scans not recommended Breast Cancer Screening 0 SelfExam men and women 0 Mammogram 10 FP false positive 0 Comes with radiation if breast cancer in family get mammograms earlier 0 Ultrasound 399k o More expensive 0 MRI 33 FP o Lease effective don t recommend false positive 0 Digital Mammorgraphy 3x cost Imaging for Breast Cancer 0 White Black Glands should see Breast Fat 0 Tumor what they are looking for abnormal white groupings Connective Tissue should see A Bra That Could Detect Cancer 0 First Warning System 0 90 speci city accurate sensitivity 0 12 hours wear company algorithm 0 Breast tissue abnormalities 0 Thermogram work using heat 0 Tumors need nutrients to grow 0 Metabolic work increases temperature Not prime time ready tissue gradient difference marginal Too early for treatment Per 1 need treatment 3 get nonneeded treatment Photo Aging SKIN CANCER o UVB 0 Main cause skin cancer intense sunburn compound and layer 0 Summer more intense 0 Higher altitudes o Equator 0 Deep skin penetration o Wrinkling leathering o Constant consistent rays year round 0 Skin cancer inducement Melanoma s ABCD type of skin cancer know these four o A Assymetry B irregular edge border 0 C changing mole color 0 D diameter pencil eraser no larger Sun Lotions Sunscreen absorb Sunblock de ect want sunblock SPF 15 93 UV rays SPF 3097 UV rays SPF 50 98 UV rays Playing it Sun Safe 0 1000 AM2 PM stay out of sun in Iowa 0 SPF 15 UVA UVB must hit at least SPF 15 anything below has no bene t 0 Don t skip spots Timing Pre 30 mins Don t trust waterproof reapply frequently Hat Scrutinize your hide UV index o15 Sunglasses UVA Blockers Avobenzone most effective Octycrylene Benzophenone Zinc Oxide most effective Effective post 2 hours long lasting Micronized Titanium oxide ParaAminobenzoic Acid wwwbesunsensibeorg SelfTanners watch out for allergic reactions try for SPF topping DHA Chemical or metallic odor simple side effect SPF topping good Allergic reaction Topical medication Tanning booths UVA rays 7x melanoma skin cancer 1 session all day UVB Sunless tanning topical applications instead of beds State laws 0 Parental permission 0 Restraint Vitamin D Claim 0 Vitamin d mood lifts energy 0 Some might get prescription for tanning Tanorexia addicted to tanning Reward and Addiction Brain Path 30 million tan indoors 1 million daily tan even if skin cancer 0 Outdoor addiction 0 Like someone addicted to smoking crave it Heliocare Herbal supplement topical applications 0 Inside bloodsteam 0 1 per pill sunburn protection from the inside out 0 Avoid 0 Pregnant 0 Children Prostate Cancer 0 Risk 0 Age older you get the more you are at risk 0 Family genetics 0 Diagnosis 0 Digital think digit feel prostate with ngers not online by doctor or nurse 0 Ultra sound 0 PSA 0 Biopsy Treatment catch early you can hopefully treat it 0 Surgery very common especially stage 3 and 4 0 Radiation o Chemotherapy o Watchful waiting prostate cancer has high rate of occurring again need to watch for it Colon Cancer large intestine affects both men and women KNOW RISK FACTORS Floating cancer 0 One of most common men and women 0 African Americans at greatest risk of dying 0 Poverty not a lot of access to health care 0 Reluctance to get screened Who should get screened o 90 occurs in men and women over the age of 50 0 family history live in family with color cancer get screened earHer 0 poor diet and exercise if carrying excess weight this disease becomes more deadly people classi ed as obese Screening Methods 0 Digital digits ngers o Fecal Occult stool sample looking for blood or anything that isn t normal 0 Colonoscopy New option of Colonography like a virtual colonoscopy send scope up a Not as effect and would still need colonoscopy if detected o If detected early 5 year survival rate 90 prostate cancer is more deadly harder to detect Avoiding Colon Cancer 0 Maintain a healthy weight 0 Frequent exercise 0 Limit amount of alcohol 0 Healthy diet fruits and veggies Testicular Cancer 0 Risk 0 Male 0 Undescended testicle high risk need to be aware 0 Any age 0 Worldwide US is highest Africa Asia lowest rate of TC Screening 0 Self exam wifegirlfriend might notice 0 Physical 0 Blood tests 0 Ultrasound 0 Imaging to see if spread xray CT scan MRI 0 Treatment three treatment options for most cancers 0 Surgery 0 Radiation o Chemotherapy Cancer Exam Review 0 HIV testing 0 Elisa 0 Western Blot con rmatory test 0 Cell analysis UVA and UVB rays UVB more linked to cancer 0 Types of Skin Cancer 0 Basal o Squamous o Melanoma Radon linked to lung cancer 0 Evaluating Moles 0 Border 0 Color 0 Diameter 0 Asymmetry Tobacco Lung cancer 0 Breast cancer risk factors 0 Skin cancer ABCD 0 CT Scan Thimersoral Tuesday November 18th 2014 Lecture Campus Violence Vulnerability 0 Open community many of the buildings are open not secured other than residence halls 0 Open debates universities are places where there is an exchange of ideas ideas can be hated making vulnerable 0 Cultural diversity people from all genders ethnicities and races 0 Response 0 Enforcement visibility cops on bikes see the law enforcement 0 Zero tolerance violent act committed kicked off campus right away can be suspended for a year threaten 0 Conduct codes identi es the behaviors that lead to suspension probation HATE SPEECH IS NOT HATE VlOLENCECRIME a Chief from lllinois hate speech civil law a Hate crime criminal acts a Hate violence fall under federal law not just state much more severe punitive action Hate violence falls under federal law not just state law 1st amendment rights of students Speech codes people think it violates rst amendment Warning systems Virginia Tech shooting reverse 911 0 Armed campus security debate on campus only have been armed for last couple of years training and hostile relationship 0 Armed students has to have state law that allows on college campus then college deals with it 0 Training how to respond to case shooting Nebraska players under the judicial system and still playing 0 Lawrence Phillips 19905 All American got broken up with then dated the quarterback two years later scaled wall broke through glass and punched her and dragged her down three ights of stairs and smashed her head through the wall Terms 0 Sexual assault wo consent touching or penetration without consent what exactly is consent Aggravated more severe measure doesn t have to be all three 0 Multiple individuals 0 Weapon 0 Injury sustained Rape forced intercourse without consent 00 Statutory rape state laws not federal laws states vary when they allow sexual intercourse O 0 Age 3 year difference a person may be of legal age but if she is having sex with someone three years older it is statutory rape Coercive sexual assault hard to prove O 0 Pressure pressure to have sex sexual harassment using oral sex to diagnose conditions give A s etc Position of in uence Campus Violence Student Right To Know and Campus Security Act 1990 amended AKA CLERY ACT discrimination O O O O O Clery freshman at residence hall sexually assaulted and killed parents were stonewalled when they wanted to know what happened Any misdemeanor or felony onby campus universities must have a proactive response in alerting Must be reported to secretary of education If violence incident must alert campus that this has taken place Report must be released to public students parents media staff prospective students etc Grades for campuses based on violence Iowa has a B Campus Sexual Assault Victims Bill of Rights Act 1992 O O O O O 0 Amended stalled in Congress to be approved again victim legal system or survivor being treated rights must be known both ways 1 Rights Notification have right to an attorney for perpetrator and survivor 2 Policies must be well displayed 3 Dignity all parties must have 4 Responsive right to have someone represent you in any median based upon this incident 5 Medical Coverage state laws any type of physical assault 6 Disciplinary Action Buckley Amendment FERPA deals with privacy quotescape routequot schools state that they can t share info due to FERPA cant share disciplinary action against perpetrator not the case can t release to media and general public but the survivor has the right to know Rights Under Clery Act and Title IX EQUALITY power against Feel safe on campus Informed of reporting options know formal report to local law enforcement or not Informed of counseling and supportive services o Informed of options for changing academic and living situations special circumstances to accommodate students girl raped and failing this class Informed of the outcome of any disciplinary proceedings CPI Report Culture of Secrecy on US Campuses Clery Act Campus Security Act 0 U of I 62 students faculty staff completed or attempted rape most attempted assaults are not reported more like 300 or400 0 Only 1 in 5 sexual assaults are reported on a college campus 0 Issues 0 Data polling multiple agencies collect data and report no common de nition of what is rape or sexual assault 0 Misclassifying rape 0 Confidentiality policies can t release information o Mediation does NOT take place no such things violation of Clery act NO SUCH THING AS MEDIATION IN SEXUAL ASSAULT 0 Certi ed privacy exemption FERPA colleges and universities cannot hide behind FERPA not a violation to release information Cnncomkyra Debbie Smith DNA Backlog Grant 2004 for sexual assaults Rape Kit 0 Goal Process 400K untested rape kitsyear o 2006 Expanded all criminals homicides 0 FBI Data bank 0 Homicides more likely 12 states not spend all 0 rain proposal mandate 30 rape testing Sexual Violence Cases 0 NY Alcohol Rape 0 Drunk women raped in an outside bathroom at convenience store by 5 men from a bar rape in the bar in front of witnesses Weren t guilty at rst because she gave consent with alcohol involved couldn t say no retried got misdemeanor change consent laws 0 Texas Woman and Condom rape woman knew she was getting raped and asked him to use a condom was it rape view that as giving consent so it doesn t become rape West Liberty Pop Bottle split community of West Liberty in half Drunk girl clothes off man used pop bottle for rape 4 got off on technicality incorrectly read rights so did the fifth some think she got what she deserved others said it was sexual assault 0 Michigan Oral Rape Affirmative Consent Saying no at times means consent is not given must bite scream etc last state to drop law was Nebraska Judicial system won t go to this some colleges will This idea is from Christian college If you want to kiss someone you must ask them reverse for approval quotMay I hold your hand kiss you etcquot Perpetrator has to prove they were given consent would ip our legal system Rape Shield Law If women sexually assaulted and go to judicial system going to be quotrapedquot a second time by judicial system information about private life will be brought front and center Information about victimsurvivor that is not directly relevant to the case cannot be used Perpetrators also falls under rape shield law info must be relevant If attorney brings up something irrelevant court doesn t dismiss Not a fair game people don t hesitate to bring up irrelevant info Deals with mainstream media the picture and the identi cation can not be released once it gets to trial you can t prevent it but it is restricted before Progression of Sexual Assault nothing done until 1972 feminist movement changed it all Thursday November 20th Lecture Sexual Law Protects Age statutory laws Sleeping hospitals comatose and then magically pregnant Mentally lncompetent person can not consent to sex Unaware of Sex Act alcohol person intoxicated cannot give consent inconsistently applied people think they got what they deserved Trial Strategies Stranger Rape20 Acquaintance Rape 80 Not Happen X Mistaken Identity X Victim Consented X Acquaintance less likely to be reported 14 are prosecuted too difficult Snapshop Environment use to build a platform Setting location ex apartment hard to prove rape alley easy Prior Relationship sexual relationship before 0 Size and Strength of perpetrator Time 0 Dress Central Parkjogger case attacked by ve individuals and sexually assaulted African Americans all got life sentence two years ago they learned that they misidenti ed them don t know who actually committed the assault 0 Point Implicit Threat to capacity to harm Point court demands contextual parameters well de ned o1 Power o2 Deception o3 Af rmation Important Concerns of Rape Victim Blamed by others 0 Family knowing Others knowing Pregnancy 0 Names made public 0 STDS HIV After the Assault Actions o Immediately After Assault Safety Cothingbathbathroom if assaulted shouldn t pee take off clothes or shower need evidence Sexual response team rst in Memphis task force until settled case increase in successful prosecution more response teams HIV prophylactic if you think you have been exposed it reduces the load strain and minimizes chance of contraction o Reporting Assault Evidentiary Evidence Forensic rape kit Diary collect evidence 2 to 3 years before it goes before judicial system State Crime Victim Compensation Funds include all assault Men Raping Men 0 510 Victims Report down Homosexual Act 0 Embarrassed less receptive from judicial system Ejaculation o When so painful men can ejaculate ex hanging Anal Sodomy Pnsons o Punkskids o Suckers pitchers o Queenies Prison Breeding Ground o Denial deny problem o No condoms o Minorities populations in prisons state o 920 in federal system will be raped in the state its 2430 local jails 710 there is a problem here STOP Prisoner Rape o Homemade condoms o Lubricants how to make o Negotiate how to not get gang raped oJudicial Michigan two prisoners sued because prison didn t prevent FEDERAL RAPE PREVENTION ACT 2003 deals with rape in federal state and county jail systems demand sexual assault prevention 1 age group that wont negotiate sex 3040 there is a high divorce rate and individuals are starting new dating and are more hesitant to negotiate 0 Use lighted cigarette park under lighted area plastic lemon heavy rings umbrella make sure car is not near passenger side of van look under car before getting in whistle self defense skills Da 0 te Rape Drugs Over 50 drugs o Alcohol number one date rape drug o Rhohypinol number one date rape drug in 605805 o GHB o Ketamine works as exponential effect with other date rape drug o Versed works as exponential effect with other date rape drug o Special K o Ecstasy o Now there are 6570 date rape drugs sedatives used by vets Perfect Crime Drug inhibited no memory hard to detect Detection o 24 hours cannot detect unless within 24 hours 0 3 urinations not gunna nd it o speci c drug Smell cant smell 0 Taste cant taste Visibility cant see Memory amnesia effect lmpact o Sexual inhibitions sex pleasure amnesia motor control slurred speech ashbacks coma 612 hours effect 515 minutes oPrevention o Bottled drinks watch drinks get made mutual protection security cameras drink coasternapkins turns color if there is a date rape drug tests for 4 drugs rhophynol turns brown Drinkdetectivesusacom card 0 Over 60 drugs 0 Credit card size o 3 card locations o 495 trying to get universities to sell for less than a dollar olntent to use laws rohiphynol look at drugs and if you have in possession it is a felony whether or not you use it Impact 0 Sexual inhibitions Sex pleasure o Amnesia 0 Motor control Slurred speech Flashbacks pictures being taken when you went out of the bar photographic evidence of who someone left with now videos Coma 6 to 12 hours see a grainy face when they wake up just know that something is happening Effect 5 to 15 minutes Violence Between Couples Epidemic Social Problems o 0 Simpson 0 Mandatory Report Law Nicole Simpson if call to law enforcement about domestic abuse mandatory arrest no escape from law Iowa 0 Abuse 0 Physical o Emotional 0 Sexual Spouse Violence 0 Rule of thumb never existed urban legend 0 Stitch rule no domestic abuse unless 3 stitches no longer existing Types of Domestic Abuse Pit Bulls Violence Cycle 0 Person that hangs on and doesn t let go o 80 0 stress strike honeymoon phase can be treated Cobras 0 Quick strike 20 o Psychopaths strikes at any time heart rate and blood pressure drop because they love it can t be treated Common couples 0 Pushing each other during ght shouldn t be domestic violence Sex offender Laws Megans Law 1500 feet 0 Schools library parks 0 Can t live by children Jessica s Law 2000 feet 0 Kidnapped assaulted murdered extended where they could live Lauren s Law 2500 feet 0 Mandatory HIV testing 0 Longer imprisonment registration 0 Miami father state senator leaves with no people to live 0 Adam Walsh Child Safety Protection Act 0 Penalty Enhancement 0 Tightened Registration 0 Felony not register 0 American most wanted beginning of sex offenders list 0 Campus Sex Prevention Act 0 Registered offenders students volunteers publicize 0 Deals with colleges notify addresses of sex offender Sex offender classi cation 0 Low risk 20 years 0 High risk 30 years appeal to be removed 0 High risk life no appeal Federal model states vary must register resaprosidy if someone moves from one state to another the state must follow other laws Exclusionary Law 0 Why 0 Rather determine where someone lives during the day they cannot oiter around playgrounds schools children amusement parks etc No evidence other laws work Destabilizes offenders homeless family jobless Stability control counseling treatment Constitutional Adam Walsh Child Safety Protection Act 2007 Penalty enhancement 0 Tightens registration 0 Felony Campus Sex Prevention Act 0 Registered offenders students volunteers 0 Publicize Entertainment Violence KNOW ALL FOUR Fear 0 Socially toxic environment Mean world syndrome Real life vs fantasy PTSD Resiliency traits emotive 0000 0000 Desensitization o Compassion fatigue 0 Bystander effect 0 Empathy down 0 Apathy and ignorance up 0 Failure to thrive Appetite for violence 0 Toys Cdrom Video games Arousal up Tolerance down 0 Coordination Aggression o Selfcontrol 0 Respect o Empathy stabbing the soul Solutions can t violate rst amendment rights of adults to protect children censorship is not going to work 0 Censorship Boycotts Nanny technology 0 Rating systems 0 Literacy Health advocates Point generation differences Gun Debate 0 Rights and responsibilities 0 2nCI amendment well armed militia private citizen has the right to bear arms 0 recreation o deterrent if citizen has gun in home is it less likely for someone to invade home 0000 0 Public health 0 Accidents society good should trump individual rights 0 Suicides o Societal good 0 Storage and gun education Students for concealed guns on campus 0 Virginia tech Northern Illinois university University of Texas tower Right to carry states 0 University policies Stand your ground laws 0 Trayvon Marin killed by George Zimmerman 2012 0 Castle Law quotmake my dayquot laws legit threatened can use gun Pros low con dence justice 2001 terrorism backlash Cons license to kill emboldened Shall Issue Laws 0 Four Categories 0 1 unrestricted permit not required concealed guns 0 2 shall issue permit concealed handgun state criteria no good cause criteria age residency ngerprints background check certi ed safety class 0 3 may issue required handgun permit local law enforcement discretion criteria no good cause all tied to gun education 0 4 No issue Washington DC 0 Limitations 0 Type of gun and caliber 0 Magazine clip 0 rearms 0 Training classroom and live re Reciprocity Restricted premises federal buildings state governments buildings education institutions political venues sporting events amusements parks fairs parades carnivals alcohol establishments hospitals churches mass transit sterile airport areas 0 Opt out statutes gun free zones Safe Carry Protection Act 0 Guns Everywhere Bill 0 Schools airports government buildings bars churches prohibited signs must be clearly stated that no guns are allowed 0 America for Responsible Solutions 0 TSA lines 0 School debates o Concealed guns 0 Short guns and age 18 Others 0 Stop and Frisk o Racial pro ling 0 4th amendment 0 behavior pro ling plastic guns 0 wire taps drones Intentional Injury Exam Review 0 Campus Sexual Assault Victims Bill of Rights Act 0 Campus Security Act 0 Campus Sex Prevention Act 0 Alcohol 0 Male Rape 0 510 0 least likely to report 0 homosexual act Megan s Law Jessica s Law 0 Second Amendment Rape Shield Law Pit Bull Cobra Lauren s Law 0 2500 feet Minors felonies Exclusionary laws Thursday December 4th 2014 UNINTENTIONAL INJURY LECTURE Loud Music and Hearing Decibels Max Exposure Time 85 8 hours 91 2 hours 97 30 minutes 103 75 minutes 109 2 minutes 115 30 seconds 0 Point 90 potential harm 0 Point 125 above pain threshold 0 Point 140 permanent harm Noise Examples 0 Rock Music 110 to 130 0 Bars 110 to 129 Headphones 90 to 99 o Walkman 100 to 110 Earplugs reduce noise by 19 Db Problem Symptoms o Clicking sound 0 Whistling sounds 0 Ear ringing or buzzing Emergency Room Survival Snap Finger 3 ER 0 Accident Survival Formula 0 Age after 20 o Vital Signs BP Respiratory Rate 0 Injury Extent 0 Sole of Feet shock internal bleeding 0 Point Survival scale 1 to 75 Survival Strategies for Planes Memorize exits Within 5 rows of exit Aisle seat Avoid bulkhead seats Smoke hood No high heels stockings synthetic bers burnmelt Competitive behavior Concussion Aggravation High Stress make it worse 0 Heat make it worse 0 Repeated Concussions 0 Chronic traumatic encephalopathy reoccurring violent brain 0 O swelling once the brain is swelling it doesn t go back down Parkinson s Disease ALS Dementia Depression Suicide PTSD Metabolicchemical brain disruption SemperMaxcom Traumatic Brain Injury and PTSD SYMPTOMS 0 000000 Vision memory speech problems Dizziness Depression Anxiety Seizures Headaches Sleep problems Concussions NFLSponsored Studies 0 Impact Test computerized neurocognitive Memory and concentration Working memory MRI 80 GS concussion potential a Soccer heading 20 GS a Football helmet to helmet over 100 GS Blackouts o Prefrontal cortex front v side hits 0 Diagnostic Tests 0 Subjective 0 MRI 0 Protein SBDP145 and 120 o ApoE4 0 Lecture Tuesday December 9th 2014 Unintentional Injury 0 De nition 0 Injuries that were unplanned 0 Injuries that occur in a short period of time 0 Injuries where the harmful outcome was not sought 0 Acute car crash drowning Leading Unintentional Injuries 0 Fatalities 0 Motor vehicle crashes 3 0 Falls elderly fall the most 2 o Poisoning anything that makes the body becomes toxic alcohol drug overdose C02 Children 0 9143 child deaths causes 0 4564 motor vehicles 0 1160 suffocation roll over in their sleep blanket 151 falling 983 drowning 2 and under most likely 391 re 824 poisoning 0000 Most Common Unintentional Injuries 0 Motor vehicle crashes Falls 0 Fires 0 Burns 0 Drowning Poisonings Aspirations break it in smoke ventilation Home Safety 0 Prevention of 0 Falls 0 Scald burns children in hot bath tub o Playground 0 Unintentional poisoning Traffic Safety 0 Child restraint seat laws 0 Safety seat programs 0 Seat belt laws 0 Texting and driving laws OWI DUI laws 0 Distracted Driving Laws Mortality Vehicles o All unintentional injury deaths120859 Deaths per 100000 391 0 Cause of death rank5 Unintentional Fall Deaths usually old people and kids 0 Number of deaths 2012 26009 0 Deaths per 100000 84 o KNOW WHICH AGE GROUP SUFFERS INQUIRES KNOW MOTOR VEHICLES HIGHEST Motor Vehicle Traffic Deaths 0 Number of deaths 2012 33687 0 Deaths per 100000 109 Unintentional Poisoning Deaths 0 Number of deaths 2012 33041 0 Deaths per 100000 107 Emergency Room Visits 0 Number of emergency department visit for unintentional injuries every year 0 293 million 0 MOST ARE UNINTENTIONAL PROBLEM Age 1524 leading cause of death 0 Unintentional injury MOTOR VEHICLE Water Safety 0 Make sure pools and spas are enclosed on four sides with a fence at least 5 feet high with a selfclosing and latching gates Drains in pools and spas should have antientrapment drain covers 0 Learn infant and child CPR and always have a phone near the pool for emergency use 0 Children should always swim under the supervision of a grown up Every child over the age of 3 should have swimming lessons 0 Children using air lled swimming aids should always be supervised by an adult within arms reach 0 A US Coast guard approved lifejacket should be worn for water sports such as tubing skiing orjet skiing Air lled aids such as inner tubes water wings and in atable rafts are not substitutes for approved lifejacks Children are most likely to drown Scald Prevention Scald burns can be caused by any hot liquid uid or vapor including hot tap water overheated beverages steam and hot oil 0 Facts and gures 0 There were 58400 scald non re burn injuries reported to hospital emergency rooms in 2007 down from 62200 in 2006 o Scald burns accounted for almost 13 32 of all non re burn injuries reported to hospital emergency rooms in 2007 Poisoning Prevention 0 Post the nationwide Poison Contor Center phone number 800 222 1222 near all phones Service for all ages 0 Children should be taught never to accept medicine from anyone except a trusted adult and to tell a grown up if they nd a poisonous substance 0 Keep household cleaning products and medicines in their original container locked up and out of childrens sight and reach 0 Purchase child resistant packaging Dispose of unused and old medications 0 Install carbon monoxide detector alarm inside home Every level outside sleeping area Tested monthly 0 Have furnaces water heaters and other fuel burning appliances inspected and cleaned yearly Have your home tested for lead paint Children can be poisoned by ingesting dust from lead paint Bike and Pedestrian Safety 0 Children under 10 should ride on sidewalks or safe areas only on a bike path Teens may ride in the street riding with traf c after they have learned the rules of the road Require children and adults to wear a helmet every time you ride a bike scooter skateboard inline skate ice skate snowboard ski Make sure children ride bikes in safe areas and never at night 0 Teach children to always come to a complete stop before entering a driveway path or sidewalk Look left right and left again Discussion Wednesday December 10th 2014 FINAL REVIEW Lauren s Law2500 feet mandatory HIV testing sex law longer imprisonment and registration period took place in Florida know difference from Jessica s law Most prevalent date rape drug alcohol Roe vs Wade abortion case rst trimester mother second trimester women and state third trimester federal law not in hands of individual 1 noncontrollable factor of heart disease age controllable hypertension high blood pressure Deep vein thrombosis sit on the airplane too long type of blood clot seat cushion pushes on vein 3 hours cuts off blood ow to legs cramp behind the knee cap 3000 die a year prevent hydrate exercise aspirin compression socks Latency periods for three types of hepatitis A 30 days B 7 days C 79 weeks or several months Unborn victims of violence if you hurt the mother you hurt the child as well double felony Lacey Cowner Bill Two types of Hepatitis have vaccine A B Melanoma worst type of skin cancer ABCD asymmetry border color diameter Campus Security Act schools release information if don t follow lose federal funding 1 infectious disease worldwide tuberculosis 1 STD for college students HPV Rape Shield Law protects victims and accused no unnecessary info mainstream media cant print the name of the victim Bacterial meningitis symptoms high fever stiff neck exhaustion headache bold means rst few hours Avian Bird Flu transferred from bird to pigs to humans no vaccine only for birds not for humans Change smoke detector batteries every 612 months MRSA most common in hospitals community based exercise equipment don t share hygiene items if you want to prevent it Which amendment is the gun ght aboutgt2nOI amendment Hate speech college mascot know hate crime too crime felony gender is not a part of hate crime Which group has highest rate of injuries from falls old people Premies babies born early 37 weeks or eaier 80 in US survive 10 worlds population Acute In ammatory Response is a part of what immune system innate Know natural innate active or passive AIDS comes from HIV know testing enzyme and eliza con rmatory western blot how advanced polymerase Radon basements can lead to cancer Last four months for pregnant women most critical for smoking COBRA and pitbull domestic violence know difference Homocysteine amino acid high levels can lead to cardiovascular disease
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