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According to the textbook "Lifespan Development" , in 2012, 15% of American households experienced food insecurity, meaning they lacked consistent access to food to support an active healthy lifestyle for all family members. Why do you think this can happen in America?

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5 Jan 2019

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Need 150 word response to the below discussion post

The heart is the most important muscle in your body. The heart is just like a pump that moves the blood throughout the body. This action is what keeps us alive. We are typically taught about the danger of a heart attack, and what we must change in our lives to prevent it; but just like many people, I am at a high risk for heart disease because of family history as well as because of my firefighter career, as heart disease is the number one killer of firefighters (Fire Engineering, 2012). According to the American Heart Association, “both the risk of heart disease and risk factors for heart disease are strongly linked to family history” (American Heart Association, 2016). However, even though your family history provided a picture or marker for possible issues, it is up to us to lower the risk by making changes in our lifestyles.

Heart attacks are caused by blockage that stops blood flow to the heart. A heart attack is when there is damage or death to the heart muscle tissue due to loss of blood supply and this does not necessarily result in an individual's death. A heart attack can show symptoms, such as radiating chest pain or discomfort, dizziness or nausea, sweating, anxiety, stomach pain and shortness of breath. Women have the same symptoms, but they do show some difference in that they describe the pain in their stomach and shoulder blades. In the field we treat heart attack by treating the symptoms; we use IV fluids, baby aspirin, as well as nitroglycerin.

There is another silent killer that most people do not hear much about or they think it is the same thing as a heart attack. As a medic, I deal with this life and death situation all the time, and it interesting to see how many people are not aware of the difference of a heart attack and a sudden cardiac arrest. Sudden cardiac arrest is the abrupt loss of heart function in a person who may or may not have diagnosed heart disease. This can happen at any time, its unexpected and occurs instantly, or seconds after symptoms occur. Cardiac arrest is caused when the heart’s electrical system malfunctions. This causes the heart to go into and irregular heart rhythm (ventricular fibrillation). When this happens, the hearts lower chambers suddenly start quivering and this stops the pump of blood in the heart. The only thing that can reverse cardiac arrest is early defibrillation and CPR. Most people think that a defibrillator can be used on heart attack patients, but this is not the case. The defibrillator is used to shock the heart and restore the normal heart rhythm, if the heart stops, then CPR has to be performed.

Unlike a heart attack, sudden cardiac arrest can happen to anyone, no matter how health or fit they are. According to the American Heart Association “cardiac arrest is a leading cause of death, nearly 360,000 out-of-hospital cardiac arrest occur annually in the United States” (American Heart Association, 2016).

Based on “Morgan: A case of Diabetes” by Lisa Rubin and Clyde Freeman Herreid (National Center for Case Study Teaching in Science)

The Patient:

Morgan Water is a 27-year old Native American that lives on a reservation in Oklahoma. Nearly ¼ of Morgan’s tribe has diabetes but she has no direct family history of diabetes, heart disease, or other serious conditions. She is however obese (BMI = 32) and leads a sedentary lifestyle. Morgan has been suffering from an increasing persistence of symptoms including unusual thirst, dizziness, blurred vision, and numbness in her right foot. The symptoms have been developing over several months but as she is planning her wedding she attributed them to nerves. She is finally persuaded to see her family doctor. Her non-fasting blood glucose level was elevated so the doctor has her return the next morning for a fasting blood sample so they could more accurately measure her blood glucose and insulin. Her blood results are below:

Test

Morgan’s values

Normal range

Pre-Diabetic range

Diabetic range

Plasma glucose, mg/dl

260

70 -139

140 - 199

≥ 200

Fasting glucose, mg/dl

140

≤ 99

100 - 125

≥ 126

A1C, %

7.6

~ 5

5.7 – 6.4

≥ 6.5

Fasting Insulin, mIU/ml

34

2 - 10

10 - 20

≥ 20

The recommendation of Morgan’s doctor was to improve her exercise, good nutrition, and weight loss. He recommends meeting with a nutritionist to assist Morgan in her weight loss goals. When Morgan got home and told her family the diagnosis they however had LOTS of suggestions on how she can lose weight. Below is a description of the advice given to her by three family members.

Best friend Savannah:

“You know how I’ve been losing weight? Well, I’ve been on the Atkins’ Diet. I heard about it on TV. It’s great! You get to eat steak, chicken wings, and all the good stuff. All you have to do is limit carbohydrate intake. You should definitely give it a try. This diet has been around for years and it has worked for lots of people, including me.”

*Note: Atkin’s Diet recommends: 10% carbohydrates, 55% fats, 35% protein

Brother Alan:

“I think the best thing for you to do is exercise and stop eating all of that pizza and candy and food filled with fat. Our people never used to eat that junk. I say eat meals that are nutritionally balanced and high in fiber and low in refined sugars and saturated fats. And run a lot. Stop sitting around the house.”

Grandfather:

“Morgan, it is true that it is best to live in harmony and balance – to eat a nutritionally balanced diet that includes carbohydrates, proteins, and ‘good’ fats to meet your body’s needs. That is good. But look to your heritage. Our people were never overweight before we started eating ‘civilized’ food. Look to our native diet. I think you should look to traditional herbal remedies for help. What Alan says is true. Exercise is good. But it is sometimes not enough. Our people have always looked to natural medicine for cures. They will lift your spirits and energize you. Then you will lose weight and you will be healthy again. I hear the herbs from the diet shop are safe and good. But you must take them like the medicine label says. It can’t hurt to try them.”

*Note: these herbal supplements Morgan’s grandfather is recommending contain the herb

ephedra (ephedrine).

Question 5:

Given Morgan’s metabolic state, what is the primary fuel source for her cells currently?

A. Carbohydrates (glucose)

B. Fats

C. Proteins

D. It is a balance of all three

Question 6:

Metabolic ketoacidosis is a common problem with diabetics, which is caused by which of the following?

A. Excessive oxidation of fatty acids, leading to an accumulation of ketone bodies in the blood.

B. Excessive oxidation of glucose, leading to an accumulation of ketone bodies in the blood.

C. Excessive oxidation of proteins, leading to an accumulation of ammonia in the blood.

D. Hyperglycemia.

Question 7:

Which weight loss suggestion is designed to achieve some level of ketosis?

A. Atkins Diet

B. Exercise

C. High fiber diet

D. Herbal treatments

Question 8:

One major side effect of the herbal supplement can be hot flashes and increased perspiration due to increased thermogenesis, what is the likely cause of the heat production?

A. Increasing the activity of phosphfructokinase-1.

B. Increasing the activity of the pyruvate dehydrogenase complex.

C. Increasing the activity of citrate synthase.

D. Increasing the activity of uncoupling proteins.

Question 9:

Would substituting fiber and complex carbohydrates (larger % cellulose) for the simple sugars and starches (high sucrose and amylose/amylopectin) help Morgan lose weight, why?

A. Yes, because complex carbohydrates like cellulose are largely indigestible so they pass through

the digestive tract without being absorbed.

B. Yes, cellulose contains less glucose residues than amylose or amylopectin.

C. Yes, because the fructose in sucrose is much more responsible for weight gain than the glucose.

D. No, because cellulose, amylose, and amylopectin are all composed of glucose so it doesn’t

matter.

Question 10:

Which weight loss suggestion will lead to an increased need for gluconeogenesis?

A. Atkins Diet

B. Exercise

C. High fiber diet

D. Herbal treatments

Amy is cooking dinner for her family. She moves to pull a pot off the stove and accidently touches the burner. She reflexively pulls her finger away from the stove and immediately feels the pain. Which receptor neuron is responsible for sending information from her finger to her peripheral nervous system? Is this receptor neuron, an afferent or efferent neuron? Explain where the information from the receptor neuron is sent and how does it result in Amy moving her finger away from the stove. How many neurons are typically involved in this response? What are the names of these neurons? Evolutionarily, why do you think the human body has this system in place? What might happen if we did not have this response?

Glen, who is 45 years old, begins to notice that his hands shake (tremors) when he is performing everyday tasks such as signing his signature. His family members have noticed that he also has muffled speech and tends to shuffle when he walks. He is diagnosed with Early Onset Parkinson’s disease. What is Early Onset Parkinson’s disease? What specific cell type is affected in Parkinson’s disease? What is dopamine? What effects does dopamine have on the body? Explain the structure of a synapse and why Glen’s neurologist would prescribe him a dopamine agonist? Glen has genetic testing performed and it is determined that he does carry an autosomal dominant mutation in the SNCA gene associated with Early Onset Parkinson’s disease. Glen has three children. Would you advise his children to have genetic testing performed to determine if they also carry the disease mutation? Why or why not?

Patricia, who is 37 years old, discusses with her physician recent symptoms that she has experienced including blurred vision, numbness in her fingers and face, dizziness, fatigue and weakness. The physician performs multiple neurological tests and she is diagnosed with multiple sclerosis (MS). What is MS? Is MS a disease of the central or peripheral nervous system? What is the main cell structure affected in MS? How is the action potential of a neuron affected in MS? The origins of MS are not clear. What do scientists hypothesize to be the causes of MS?

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