note 

2004年09月01日(水) 5時07分
MK 159976 The "A" Cut Jean 8 1 $19.99 black
MK 172818 Double strap slip-on sneaker 6 1 $16.99 lavender suede
IV 172982 Duster sweater M 1 $29.99 j19-powder
IV 173988 Two-piece silk chiffon wrap top S 1 $19.99 231-floral

MK 172947 Ankle-tie jean 8 1 $19.99 dark stonewash
IV 166439 Wide-leg chino, 29" inseam 8 1 $16.99 d88-chocolate
MK 171579 Summer tee M 1 $7.99 white
MK 171945 Drawstring cropped pant 8 1 $14.99 pool (j21)
MK 172079 Floral cami M 1 $9.99 blue print


IV 169329 Bra Top tank S 1 $9.99 Bk 10/30 purple (p55)
MK 172079 Floral cami M 1 $9.99 Backordered pink floral
MK 159976 The "A" Cut Jean 8 1 $19.99 stonewash
IV 143418 Rio pant, 29 1/2" inseam 8 1 $12.99 093-black
IV 143418 Rio pant, 29 1/2" inseam 8 1 $12.99 092-white


ORDER TOTALS $222.86 + $23.90
SHIP TOTALS $156.91 + $16.83

ORDER TOTAL $246.76
BILL TODAY $173.74

II. Nutrition through the Life Cycle 

2004年05月16日(日) 6時24分
A. Pregnancy & Lactation(gravida refers to pregnancy)
1. Weight Gain Guidelines
a. 25-35 lbs. for normal weight females; BMI 19.8-26.0
b. 28-40 lbs. for underweight female; BMI <19.8
c. 15-25 lbs. for overweight female; BMI 26.0-29.0
d. at least 15 lbs. for obese female; BMI >29.0
e. Target: at least achieve lower limit

2. RDA
Pregnant female: +300 Kcal; +10g Pro
Lactated female (1st 6 MO): +500 Kcal; +15g Pro
Lactated female (2nd 6 MO): +500 Kcal; +12g Pro

3. Minimum Recommended Levels; hemoglobin 11g/dL; hematocrit 33%

4. Weight Gain - 1 lb/MO for 1st 3 months; 1 lb/week thereafter

5. At Risk Population
a. Failure to gain 4 lbs (1.8Kg)/MO in last half of pregnancy
b. Age <15 y/o or >35 y/o
c. <12 months between pregnancies

6. No alcohol

7. Supplements: ferrous sulfate 30 mg; folic acid 400 mcg (added to 200 from foods = 600)

8. AI (Adequate Intakes) of Calcium needs for pregnancy & lactation: < 18 & 18 y/o 1300; >18 y/o 1000

I.Guidelines -3 

2004年05月15日(土) 12時17分
G. Meal planning and budgeting
1. Clientele - most important
2. Adequacy of food - according to standard guides
3. Traditions & customs
a. Kosher - no pork, shellfish; no meat & dairy at same
meal; U Kosher designation; pareve (neutral) - okay with
meat & dairy
b. Mormons - no caffeine, no alchohol
c. Muslim - no pork, gelatin made from pork, alcohol
d. Chinese & Mexicans - no milk, little cheese (limited
availability, expensive)
e. Mexicans - most foods are fried, liberal fats
f. Indochinese - calcium intake from dairy low; get calcium
from tofu, fish pastes
g. Middle Easterners - bulgur, rice
4. Economics
5. Individual likes & dislike
6. Unify menus for staff & patients

H. Vegetarianism
1. May be low in iron, vitamin D, zinc, B12
2. Advantage - low fat, high fiber
3. Ovolactovegetarian - allows eggs, dairy products;
provides 80% of need for zinc; may be low in iron
4. Veganism - no animal protein (meat, fish, eggs, poultry, dairy); lacks cyanocobalamin
5. Zen macrobiotics - advances to 100% cereal
6. Consume complementary proteins to obtain complete
protein (beans + rice) over the course of the day

I. Definitions
1. Pagophagia - to eat ice foods; form of pica Fe dif.
2. Polyphagia - eating abnormally large amounts of food
3. Hypogeusia - diminution of taste
4. Phytochemicals - non-nutritive compounds in plants thought to influence the process of tumorigenesis
a. Found in edible fruits & vegetables, grains, legumes, seeds
b. Benefits are best obtained through the consumption of a varied diet

I.Guidelines -2 

2004年05月14日(金) 5時38分
D. Food Guide Pyramid
1. Shows how to turn Dietary Guidelines into real food choices
2. Grains (6-11 servings), fruits (2-4 servings), vegetables (3-5 servings), lean meat (2-3 servings), dairy (2-3 servings), limit sweets & fats

E. Healthy Eating Index -- USDA's overall measure of diet quality
1. Measures how well Americans follow the Guidelines & Pyramid
2. 10 components: 5 food goups, 4 nutrients (fat, saturated fat, cholesterol, sodium), variety

F. Healthy People 2010: National Health Program & Disease Prevention Objectives - Surgeon General
1. Outgrowth of report "Healthy People"; HHS
2. Identified broad goals & specfic objectives for improving the health of the American Public
3. Focuses on disease PREVENTION by changing behaviors
4. Examples of goal: 35% fewer dealths in infants; reduce disability..... increase life expectancy....
5. Example of objective: Reduce iron deficiency among women ages 20-44 to less than 3%

I.Guidelines 

2004年05月13日(木) 9時35分
A. Recommended dietary allowances (RDA)
1. Food & Nutrition Board of the NRC; estimates of nutrient allowances that protect practically all healthy persons against nutritional deficienceis
2. Being replaced by DRI (Dietary Reference Intakes)

B. Tables of food composition
1. Calculate intake of nutrients; data comes from USDA
2. Helpful in dietary surveys to compare intakes with recommended levels
3. Bowes & Church's Food Values of Portions Commonly Used

C. Dietary Guidelines for Americans
1. Designed to PREVENT chronic disease
2. Written by USDA & HHS

1995
Balance the food you eat with physical activity; Maintain or improve your weight

Eat a variety of foods
Choose a diet with plenty of grains, vegetables, & fruits

Choose a diet low in fat, saturated fat, cholesterol
Choose a diet moderate in sugars

Choose a diet moderate in salt & Sodium

If you drink alcohol, do so in moderation



2000
Aim for fitness
Aim for a healthy weight
Be physically active each day

Build a helahty base
Let the Pyramid guide your choices
Choose a variety of grains daily, especially whole grains
Choose a variety of fruits & vegetables daily
Keep food safe to eat

Choose sensibly
Choose a diet that is low in saturated fat, cholesterol; moderate in total fat
Choose beverages & foods to moderate your intake of sugars
Choose & prepare foods with less salt
If you drink alchohol, do so in moderation



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