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National Labor Relations Act (Wagner Act)
- 1.Right to organize and join labor unions
- 2. Gave union the right to be the bargaining agent.
- 3.Created the NLRB-listens to unfair labor practice.
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Taft Harley Labor Act ( Labor Management)
- 1. Outlawed the closed shop
- 2. Government can obtain injunction against strikes that endanger national health or safety
- 3. Limited union shop to 1 year
- 4. specified unfair labor practices of the union
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Landrum-Griffin (Labor Management Reporting and Disclosure Act)
Bill of rights for union members
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Fair Labor Standards Act
- 1. sets minimum wage
- 2. Overtime must be paid time and one-half
- 3. child labor laws regulates work hrs.
- -16/17 yr can work in non-hazard
- -in food service can handle knives only if in related program
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Family and Medical Leave Act
- 1. If >50 worker
- -Up to 12 workweeks of unpaid, job protected leave during any 12 months for birth, adoption, to care for immediate family member
- 2. equal job, not same job guaranteed.
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Americans with disabilities Act
- 1. If >15 workers
- 2. must provide reasonable accommodations
- 3. "essential" job functions must be specified
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Job Description
- Reflects required skills and responsibilities.
- -Orientation, training,
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Job specification
- 1. Duties involved, conditions, qualifications
- 2. no detailed info on what to do or time involved
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work schedule
hour-by-hour, training, tasks and time
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job breakdown
What to do and how to do it-no time limits
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Job enlargement
more similar tasks to alleviate boredom
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Structured interview
- minimizes personal biases
- same info for all
- checklist of pre-planned strategy
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unstructured interview
- more participation
- no checklist
- " tell me about your last job"
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Statutory benefit
Payment required by law to ensure income in event of unemployment, injury or death
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Compensatory benefit
benefits or pay for time not worked
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supplementary
life and health insurance
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Unionization
collective bargaining
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Check-off
deduction of union dues from pay
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Union shop
must join union
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open shop
can join union or not
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Closed shop
must be member of union first
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agency shop
all workers must pay agency fee, but are not required to join
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Right to work law
Illegal to fire an employee who refuses to join a union even if contract has a union shop clause
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protection against unfair union practices
Cannot refuse to bargain collectively with employer, engage in secondary boycotts, charge excessive fees, or cause an employer to pay for services not performed.
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union steward
an employee who represents fellow employee as the union representative (not paid extra for this)
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collective bargaining
one person represents a group of people to bargain with the employer
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if bargaining fails?
- mediation
- arbitration- hearing to dissolve a dispute during an impasse; decision usually binding (FINAL STEP IN BARGAINING)
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Injuction
court order to prevent someone from doing something
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Steps taken to correct undesirable behavior
- 1. Oral warning (temp in record)
- 2. written warning (permanent)
- 3. suspension (w/o pay) (permanent)
- 4. dismissal
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Operating budget
forecast revenue and expenses then budget
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Cash budget
projects revenues and expenses, showing inflow and output of cash
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Capital budget
plant facilities, equipment, cost of improvements and repairs
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Traditional (incremental) line item budget
- uses existing budget as a base and project changes for the ensuing year in relation to the current budget
- b. usually begins with this year's expenses plus an inflation factor
- c. control oriented
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zero-based budget
- a.NOT this year's expenses plus inflation factor
- b. begins at zero. must justify each expense
- ex PPBS-Planning, programming, budgeting system
- c. planning oriented
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flexible budget
adjust to various levels of operation with varying levels of sales or revenue
ex. closing for renovation
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performance budget
details what it costs to perform an activity such as supervise the cafeteria.
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Indirect (fixed) costs
not affected by sales volume
a. rent, taxes, interest on debt, insurance, depreciation
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direct (variable) flexible cost
varies directly with sales (revenue)
a. china, silverware, food
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semi-variable cost
both a fixed and variable component
a. labor costs
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sunk costs
already incurred and cannot be recouped by a new decision or alternative.
a. cost involved in studying merits of a new computer
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differential costs
amount of increase or decrease in costs when you compare alternatives.
a. difference in costs between two delivery system
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General ledger
summary of all expenses and revenues for the month by category
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Profit and loss statement (income statement)
shows operating results over a period of time
also known as a revenue and expense statement
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Balance sheet
- shows financial condition as of a particular date.
- a. assets
- b. liabilities
Assets = liabilities + capital (equity)
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Liquidity ratios
assess ability to meet short term debt
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net worth ratios
assess ability to meet long term debt
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turnover ratios (asset management)
inventory of turnover rate
- cost of sales (food cost)
- _____________________
- average inventory cost
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inventory turnover rate
measures how often an inventory is consumed and replenished. ( 2-4 times is desirable)
- high ratio= limited inventory
- low ratio= money tied up in stock
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Gross profit
profit before expenses
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Net profit
profit after all expenses deducted
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work simplification procedures
to eliminate unnecessary part of the job and those that add no value ( i.e hand movements, steps taken
increases productivity and decr. costs
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Pathway chart or flow diagram
scale drawing showing path of a worker during a process
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operation charts
movement of hands, reduces transportation and replan work areas.
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Process charts
steps involved in process using symbols
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Cross charts
efficiency of equipment placement, studies work motions, shows number of movements between pieces of equipment
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Marketing analysis and strategies
process of identifying a need, assisting potential clients in recognizing that need and filling that need
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Marketing channel
exchange of ownership: producer, processor, distributor, supplier, customer
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Marketing process and Plan steps
- 1. IDENTIFY a need (niche)
- 2. marketplace
- 3. market segmentation- divide market into groups based on needs
- etc...
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Develop a marketing mix
- 1.Product
- 2. place
- 3. price
- 4. promotion
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Strategic marketing
long term overall view of marketing in the organization in which resources are allocated and objectives set after defining the market
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Social marketing
use of marketing principles to advance a social cause, idea or behavior
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Business marketing
filling customers needs or desires
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SWOT
Strengths, weakness, opportunities, threats
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Factor method
traditional
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Prime cost method
considers raw food cost and direct labor
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Promotion Pricing
done for short period for a sale or special price to increase sales during slow times
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Cost of profit pricing
price the product to ensure a predetermined percentage of profit
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Management functions
- Planning
- Organizing
- Directing/coordinating
- Controlling
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PLANING function
- Basic function of management, provides direction, policies, procedures, and
- time span- long, short planning
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Strategic Planning
focuses of decision not plans
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ORGANIZING function
Identify tasks and activities, divide tasks into positions.
Establish relationship among all other functions of management.
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Organizational Chart
- shows how the employee fits into the organization.
- a.positions and functions
- b. lines of authority -solid lines
- c. advisory positions- dotted lines
- NOT SHOWN- degree of authority at each level, informal relationships
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Concentric model of organization
- (Circular)
- Improves representation of personnel relationships. Functions centered around individuals, not above and below.
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Master schedule
serves as overall plan; days on and off, vacations; basis for developing weekly schedules
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Shift schedule
staffing patterns for a particular operation; positions and hours worked, number or days worked per week, relief assignments
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Production Schedule
time sequencing of events required to produce a meal; employee assignments and menu items; quantity to prepare and the timing
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Directing and coordinating function
delegating to qualified personnel
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Halo Effect
judge on most noticeable positive trait
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Leniency of error
rate everyone higher then they deserve
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error of central tendency
rate all as average
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Labor turnover rate
uses number of NEW employees at end of period
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Maslow's hierarchy of needs
determinants of behavior
basic needs/ human needs
when basic needs are met, higher needs become motivators
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Hersberg's theory
- motivation and maintenance approach
- ( satisfiers/disatisfiers)
- physical conditions, wages
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Satisfiers
if present perceived as good
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disatisfiers
if lacking perceived as negative and will interfere with work. Can prevent motivation from occuring
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McClelland's achievement-affiliation theory
- 3 needs
- 1. achievement
- 2. power
- 3. affiliation
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MacGregor
attitude of the manager towards employees has an impact on job performance
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MacGregor Theory X
- People dislike work and will avoid if possible.
- authoritarian, and work centered.
- workers prefer control and pressure.
- Directed by fear.
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MacGregor Theory Y
- Work is as natural as play or rest.
- Management should arrange conditions so workers can achieve goals by directing own efforts.
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Hawthorne Studies
- If you involve people in the process, they become productive.
- productivity increased by good treatment and work breaks.
- Placebo effect
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Expectancy Theory- Beer
Rewards serve as motivators under certain circumstance.
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Leadership styles
- 1. Autocratic
- 2. Consultative
- 3. Bureaucratic
- 4. Participative- workers involved in decision making. uses quality circles of employees to meet and solve problems.
- 5. Free rein (Laissez-faire)
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Blake and Mouton Leadership Grid
Plots concern for people vs. concern for production
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Likert-management of conflict
basic systems of organizational leadership
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4 Basic systems of organizational leadership
- 1. exploitive, autocratic (Job centered)
- 2. Benevolent, autocratic (Job centered)
- 3. consultative- (employee centered)
- 4. Participative - (employee centered) (most effective)
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Johari's window
a. Analyzes interpersonal conflict; identifies interpersonal styles. To improve communication
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Human relations theory
Employee participation in decision making
Improves morale and productivity
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Theory Z (Ouchi)
- The value of the company is the people.
- Everyone who will be affected by a decision is involved in making the decisions ( consensus decision-making)
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Systems approach
- Two part system
- a. an open system interacts with external forces (customers, suppliers etc.)
b. a change in one part affects other parts
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Contingency or situational leadership
- responds to EXTERNAL environment.
- Results differ because situations differ.
- Management must identify which techniques will work in a particular situation.
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Path goal Theory
- Consider what motivates the individual
- -Motivation to behave in a particular manner is the result of an expectation that a behavior will result in a particular goal and how strongly a person desires the goal.
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Scientific Management-TAYLOR
- Work- centered- Workers must work fast and at max efficiency.
- -structure work situation to minimize motivation needed.
- -focus on physical aspects of the job and and find the best way of performing a task.
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Management by Objectives MBO -DRUCKER
- -Type of democratic management that provides control from within.
- -Establish performance goals with employees, gives higher incentives
- -PARTICIPATIVE -leadership
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Transactional leadership
- -engage in bargaining with followers
- -leader and follower not in pursuit of common goal.
- -leader tells employee what they need to do to obtain rewards and takes corrective action when employee fails to meet goals
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Transformational leadership
- inspire followers to become motivated
- cultivation of employee acceptance of group mission
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Organizational Change Theory
- conditions necessary to change a department.
- -leader recognizes need for change
- -followers are shown that present situation does NOT meet their needs.
- -Leader defines a vision that appeals to follower's needs and values.
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CONTROLLING/EVALUATING Function
- Measure present performance against standard performance
- 1. Establish standards
- 2.Measure performance
- 3. Compare to standard
- 4. Take corrective action
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Types of Evaluation
1. Outcome-oriented-ultimate indicator of quality health status of the client
2. Process-oriented- did the process produce desired results
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Types of Evaluation Measurements
- 1.Norm-referenced
- 2. Criterion-referenced
- 3. Comparative
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Norm-referenced
Compares with others or with norm of group.
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Criterion-referenced
Compare with an objective standard of what the learner is supposed to know.
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Comparative
Examine characteristics or qualities to discover similarities or differences.
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Informational role-Monitor role
Constantly searching for information
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Informational role-Disseminator
Transmits info to subordinates
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Informational role-spokesman
Transmits info to people inside and outside the organization
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Decision-making/Problem solving
- Recognize/Analyze problem
- determine solutions
- gather data
- choose solution
- take action
- follow up the action
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Nominal group technique-Delbecq
- structured and controlled
- authoritative leader
- sit in horseshoe formation
- silent generation of ideas by participants
- -group RANKS items, vote for final decision
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Delphi techinique
- 1. Designed to probe EXPERT minds in a series of interviews from which some CONSENSUS is sought
- 2. Participants DO NOT MEET
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cause and effect (fish) diagram
- -focus on different causes of problem categorize
- -drawn to organize thoughts for analysis of a question
- -technique to increase worker involvement in decision-making
CAUSES--->EVENTS-->EFFECTS
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Pareto charts
- Illustrates the relative importance of problems.
- 1. problem that occurs more frequently
- 2. 80-20 rule, 80% of a given outcome results from 20% of an input
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queuing theory-queue
1. develops the relationship involved in waiting in line.
- 2. analyzes flow of customers in cafeteria
- -balance cost of waiting lines with cost of preventing wait lines through increased service.
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Integrative problem solving
a. conflict is converted into a joint problem solving situation.
b. parties openly try to find a solution they can all accept
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Reward power
ability to reward another for carrying out an order.
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coercive power
- punish another for not doing task
- maintains minimum standard of performance
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Position (legitimate) power
subordinate acknowledges that the influence has to right to exert influence
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expert power
belief that influencer has some relevant expertise that the subordinate does not.
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Referent power (personality, charisma)
based on desire to identify with or imitate the influencer
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PPR
- Periodic performance review-
- online assessment for all applicable standards performed by your hospital every 12 months. This is submitted along with corrective action plans for any standard evaluated as non-compliant.
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ESC
Evidence of Standards Compliance
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MOS
a numerical or other measure related to an audit that validates that an action was effective and sustained.
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RFI
Requirement for Improvement
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TQM
Total Quality Management
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TQM (Process and Implementation)
involves continuous improvement of organizational processes, resulting in high quality products and services.
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TQM 3 elements
- 1.Customer-true judge of quality
- 2. Culture- Environment created that establishes quality as a top priority.
- 3. Counting-Measurement of what constitutes a high quality service or product and what needs improvement
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TQM
PDCA cycle
Plan, Do, Check, Act-Problem solving techniques.
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CQI
- Continuous Quality Improvement-Integral part of TQM.
- -emphasizes organization and systems rather than individuals.
- -ideal that systems and performance can always improve.
- -Uses outcome assessment
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Process criteria
- procedures used, assessment, documentation, distribution of food.
- -if clinical-uses medical record
- -must include time frame
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Outcome criteria
- measures success or failure of process of care provided.
- anthropometric, biomedical data
- includes time frame
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RUMBA
- Characteristics of criteria
- Relevant, Understandable, Measurable, Behavioral, Achievable
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Indicators
- Measuring tool that monitors and evaluates important aspects of patient care and management functions.
- -serve as flags to direct attention to specific issues.
- -not a direct measure of quality but describes events, complications or outcomes
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Rate-based indicator
- comparative rate indicator
- a. what will happen with the BEST care
- b. 95% of high risk patients are assessed within 24 hrs
- c. thresholds- 1-99%
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Sentinel event indicator
- serious event that requires further investigations each time it occurs; undesirable but avoidable
- -0% food poisoning
- -100% of oncology patients are fed within 5 days
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Nutrition Protocol
- definition of how you deliver care and service
- predetermined set of orders
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Table D' Hote
A complete meal offered at a fixed priced
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Du Jour Menu
"menu of the day" planned and written one day at a time
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Ala Carte Menu
includes items priced separately and chosen by the customer
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FOB at shipping
(free on bord) buyer assumes responsibility once food is on board
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COD
cash on delivery. Payment is required at delivery
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Storage temp for all frozen foods except ice cream?
0 deg
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Ice cream Storage temp
6 to 10 deg
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Fresh meats/chicken, dairy, cut melons refrigerated processed foods Temp?
40 deg or lower
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fresh shellfish, fresh eggs temp
45 deg or lower
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fresh eggs
received at 45 stored at 40 or lower
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All hot food temp
140 deg
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Dry Storage areas
50-70 deg with 50% humidity
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Humidity range for foods requiring refrigeration?
80-95 % recommended
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Maximum Level (Mini-max system)
is the number of units used during the order period plus the safety level
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Minimum level
is the point to reorder
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safety level
minimum stock required to be on hand
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Usage rate
amount of product used per day per month
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Lead time
time it takes to receive an item after placing order.
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ABC method of inventory control
classifies products according to their value.
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A- Class item
most expensive. inventory kept low ( wine, lobster, meat)
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B-Class items
lesser value, about 20% of food cost ( canned apricots)
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C-Class items
lowest value (rice)
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Moist cooking techniques
boiling, blanching, parboiling, simmering, poaching, steaming.
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Dry cooking techniques
baking, roasting, sauteing, stir-frying, pan-frying, deep-frying, grilling, broiling.
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Convection cooking
circulates air current. Faster cooking.
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Factors affecting BP
- -BP varies by altitude. Low pressure@ high altitude, High pressure @ low altitude.
- -BP drops with higher altitude
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SOL
Solid-in-liquid. colloidal dispersion in liquid form ( gelatin before cooling)
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GEL
liquid-in-solid, when a sol assumes a rigid form (cooled gelatin)
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Syneresis
when liquid seeps from a gel ( meringue topping on pie)
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Paired Comparison Test
two samples are judged and the difference between the two are determined.
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Triangle Test
3 samples, two are identical. Judge must identify the identical samples. Useful when there are small differences between samples.
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Duo-Trio Test
a control sample is identified. Two other samples must be compared to the control.
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Sterilization
process used during canning to destroy organisms
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Clostridium Botulinum
- prevalent in low acid environments such as canned foods, honey, garlic-in-oil mixtures
- -diarrhea, vertigo, severe nervous system damage, respiratory failure, paralysis, 4-36 hr onset
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Conventional Cook and Serve system
items are help hot or cold until served. Production may take place on site or somewhere else.
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Commissary
a centralized facility transports food to satellite areas for service
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Ready Prepared System
items are purchased already cooked and chilled or cooked and frozen on site in preparation for reheating prior to service.
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Assembly serve
items procured in a ready to serve form
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Cook Chill
Food is prepared in advance and chilled, often for transport.
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Bacillus cereus
- Diarrheal/emetic 1-15hr onset
- Rice, starchy foods
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Anisakiasis
- Fish, raw seafood
- -Tingling in the throat, abdominal pain, vomiting and coughing small worms
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Campylobacter jejuni
- Unpasteurized milk, raw poultry and meat
- -Diarrhea, nausea, vomiting, cramps, fever
- 1-10 days onset
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Clostridium perfrigens
- Cooked meat, poultry, reheated food, improperly cooled foods.
- -Diarrhea, severe abdominal pain, 8-22 hr onset
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E. coli
- Raw/under cooked ground beef ( cook to 155), milk or chicken. Contaminated water, unpasteurized juices, melons.
- -Cramps, diarrhea, fever, may be dysenteric, 2-6 days onset
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Giardia
- Water, salads
- -Fatigue, cramps, nausea, wt loss, gas
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Listeria monocytogenes
- Prepared and chilled, ready to eat food, dairy,lunch meat
- -headache, fever, diarrhea, meningitis, often affects fetus and prg women, 1-weeks onset
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Salmonella
- Raw/under cooked poultry products, eggs
- -fever diarrhea, cramps, chills, vomiting, systemic infection, dehydration 6-48 hrs onset
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Shigella
- Protein-rich salads, moist mixed foods, some raw produce
- -fever, diarrhea, may be dysenteric 1-7 days onset
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Staphylococcus aureus
- Meat, poultry, ham, egg products
- -nausea, vomiting, diarrhea, cramps 1-7 hrs onset
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Streptococcus pyogenes
- Raw milk, deviled eggs
- -Fever, tonsillitis, scarlet fever, rheumatic fever 2-60hrs onset
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Trichinella spirallis
- under cooked pork or wild game, ground meats
- -nausea, diarrhea, fever, thirst, sweating, chills, fatigue 2-28 days onset depending on # of larvae ingested
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Vibrio bacterias
- Raw fish and shellfish
- -Diarrhea, cramps, fever, headache, vomiting 4-96 hrs onset
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Yersinia enterocolitica
- Meats, raw milk, poultry, tofu and non-chlorinated water
- -various symptoms of gastroenteritis, may mimic appendicitis 2-7 days onset
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Xerophthalmia
Night blindness
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Hypovitaminosis
cessation of bone growth, tooth or bone deformities, anemia, keratin in follices
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Vit A deficiency
Xerophthalmia and hypovitaminosis
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Vit A toxicity
Hypervitaminosis- dec clotting time, fatigue
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Vit D deficiency
Rickets in children and osteomalacia in adults-bowed legs
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vit D toxicity
Withdrawal of calcium from bones, calcification of kidneys
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Vit E deficiency
- Red cell breakage, anemia; unlikely except in children with cystic fibrosis
- alpha tocopherol most active form
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vit E toxicity
interference with anticlotting meds
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Vit K deficiency
Hemorrhaging, prolonged blood-clotting time
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Vit K toxicity
Megadose interfere with anticoagulant drugs; RBC hemolysis, jaundice
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Thiamin deficiency
B1 ,Beriberi, common in alcoholics
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Riboflavin deficiency
B2, Ariboflavinosis-cheilosis (fissures at corner of the mouth),sore magenta red tongue
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Niacin deficiency
B3, Pellagra, common in low protein diets, disease of 4D -Diarrhea, dermatitis, dementia, death
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Folate deficiency
Macrocytic anemia
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Vit B12 deficiency
Pernicious anemia (macrocytic anemia)
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Biotin
seen with excessive consumption of raw eggs since they have a biotin blocker AVIDIN
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Iron deficiency
- anemia-hypochromic, microcytic
- Pica
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Ketonuria
ketones in the urine due to fatty acid metabolism due to high levels of glucose in the blood of DM
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Glucosuria
glucose in the urine
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Somogyi effect
hypoglycemia followed by an episode of hyperglycemia
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Dawn phenomenon
early morning hyperglycemia (between 4-9 am). eat more food at bedtime.
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Complications of DM
- Retinopathy
- Peripheral neuropathy
- Autonomic neuropathy
- Vascular disease
- Gastropathy
- Nephropathy.
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Galactosemia
- inability to convert galactose into glucose.
- -Treatment-eliminate galactose from diet
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PKU
- amino acid phenylalanine cannot be metabolized to tyrosine.
- -Treatment- foods are monitored
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Addison's disease ( adrinocortical insufficiency)
- Atrophy of the adrenal cortex with a loss of hormone production.
- Treatment-high protein, moderate carb, high salt.
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Hyperthyroidism
Over production of thyroid hormone. Goiter. Treatment is medical not nutritional
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Kwashiorkor
- prolonged protein insufficiency in the presence of adequate calories results in loss of visceral protein. Distended abdomen, fatty liver and failure to resist infections.
- Treatment- High PRO, high KCAL
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Marasmus
- Prolonged lack of calories and protein insufficiency results in loss of muscle and fat stores. Low wt, wasted muscles, reduced hormones and low body temp.
- Treatment- High PRO, high KCAL
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Dumping syndrome
- Food mass (especially simple carbs) enter the jejunum and cause cramping, a full feeling, weakness, dizzy nausea, vomiting a few hours after meal.
- Treatment- Five/six small meals, relatively high in fat to slow passage of food and high protein to rebuild tissue.
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IBD (Inflammatory Bowel Disease)
-Medications interfere with nutrient metabolism. (Cholestyramine with fat-soluble Vit. , coticosteroids with calcium, and suslfasalizine with folate)
- Treatment- Maintain adequate protein and kcal intake and vitamins.
- Complication-Fistulas, bowel perforation, obstruction and abscess.
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Ulcerative Colitis
Chronic inflammation of the mucosa of the large intestine.
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Crohns disease
Chronic inflammatory disease of distal ileum, colon and anorectal area.
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Cystic Fibrosis
High PRO (30-35), high KCAL (200) with liberal fat and sodium.
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CHF
- Congestive hear failure
- -results in sodium and fluid retention
- -sodium restricted diet and K+ replacement is necessary.
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Aldosterone
sodium conserving hormone that operates in the renin-angiotensin mechanism to conserve sodium in exchange for potassium causing re-absorption of water to maintain body fluids.
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Glomerulonephritis
- inflammation of the glomeruli of the kidney.
- -control fluid intake. Provide sufficient kcal and control protein, sodium.
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Nephritis
- inflammation of the kidney.
- -Provide adequate kcal. 70 high biologic value PRO to ensure positive nitrogen balance. Restrict PRO, sodium or potassium when there is edema, hyperkalemia or uremia.
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Uremia
- toxic condition produced by the retention in blood of nitrogenous substances. Terminal manifestation of renal failure.
- -Provide adequate kcal and control PRO, fluid and electrolytes according to lab data and renal function.
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Nephrotic syndrome
- set of symptoms applied to renal disease. edema, heavy albuminuria and proteinuria.
- -sufficient PRO (35) for + N balance. 3g Sodium to reduce edema
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Acute renal failure
- Nutritional priorities-
- -Preserve body cell mass.
- -Providing enough KCAL to permit maintenance of vital functions
- -Providing enough PRO to replace amino acids lost from catabolism and dialysis.
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Acid ash diet
high in meat, poultry, fish fish, whole grains to promote acidity in urine
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Calcium Oxalate stone
- accounts for most kidney stones.
- -High Calcium diet limiting oxalate sources ( fruits, veg, cocoa, tea, beer)
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Metabolic acidosis
- ketosis of diabetes
- -increased respiration
- -decreased hydrogen ions excretion
- treat- correct bicarbonate level, combat hyperkalemia
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respiratory acidosis
- low serum pH, high serum CO2.
- Hyperventilation
- -increased bicarbonate reabsorption
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Metabolic alkalosis
- increased HCO3 and pH, Low Cl and K.
- -decreased ventilation, renal bicarbonate, K excretion
- -Treat-KCl, isotonic saline
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Respiratory alkalosis
- increased pH,low pCO2,H2CO3
- -Hyperventilation
- -Bicarbonate excretion
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Tuberculosis
hypermetabolic state diet should contain adequate kcals and liberal PRO
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Cirrhosis
use liberal protein, high kcal that is high in vitamins and mod fat
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Hepatic encephalopathy
- reduce protein and nutrients requiring hepatic processing.
- -Give lactulose to inhibit GI absorption of ammonia and other toxic nitrogenous sources.
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Pnacreatitis
- NPO in acute phase with hydration.
- -progress at tolerated with low fat, frequent small feedings with med chain TG oil with pancreatic enzymes
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Epilepsy
Ketogenic diet- VERY HIGH IN FAT used sometimes to treat
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CVA
Cerebral vascular accident (stroke)
-Treatm.- primarily preventive, BP control, dietary restrictions of cholesterol, SAT fats and sodium. Incr. fruits, veg, fish, and aspirin.
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VMA test
urine test used to diagnose tumors in case of unexplained hypertension.
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Leanest cuts of meat
loin and round
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Elastin
connective tissue unaffected by heat or moisture
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Primal cut
also known as WHOLESALE
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Fabricated cuts
also known as retail cuts
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Meat standards packaging labels include
kind of meat, cut name and specific retail name
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Federal Meat Inspection Act
- regulates interstate.
- -examines live animals
- -Parts of animal susceptible to disease
- -packing plant
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U.S Inspection Stamp for meats ensures
- wholesomeness
- -does not relate quality or tenderness only that its fit for human consumption.
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Wholesome Meat Act
made inspection mandatory
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Agency which implemented HACCP
USDA
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Quality rating of meats
- voluntary
- -Marbling, firmness, color and texture
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Color of meat is due to
- pigment Myoglobin and Hemoglobin
- -color indicates freshness
- -When exposed to air meat is bright red
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Least tender cuts
lower leg muscles, flank and neck
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Effect of Acid on meat
makes meat more moist not tender
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Storage temp of meats
- Fresh @ 41 or lower.
- Frozen @ 0 or lower.
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Maillard Reaction
- Causes a browning effect.
- -sugars+PRO+Heat= Browning
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Fresh Poultry Storage Temp
16-32 deg (deep chill method)
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White Stock
Bones and veg in cold water, skim top.
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Brown Stock
same as white but bones are browned first
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Baking soda
- -Speeds tenderization.
- -In large amount makes beans mushy, destroy thiamin and soapy taste.
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Legume Grading
USDA 1 (highest quality),2,3
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Aflotoxin
Cancer causing agent produced from mold or fungi in beans
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Miso
fermented soybeans and grains
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Tempeh
soy-based aged meat substitute
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Soymilk
soybeans ground with water. Little calcium unless fortified.
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Most seeds are low in amino acid
lysine
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Chesnuts
only nuts that contain Vit C. Low fat and kcals
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Tahini
ground sesame seeds. Have of calcium is bound by oxalates
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Egg white contains
albumin, riboflavin, PRO
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egg yolk contains
fat, cholesterol, vitamins, iron
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Egg white coagulates at what temp
Greater than 130
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whole eggs coagulate at what temp
156
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Function of eggs in baking and cooking
Emulsification, structure, color, flavor, aeration,
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Components of milk
- PRO- Casein, lactoglobin, albumin
- CHO- Lactose
- Fat- mainly TG
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Milk and other dairy lack
iron and Vitamin C
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Buttermilk
made from low-fat milk and lactic acid bacteria
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Evaporated milk
60% of moisture removed
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Condensed milk
has about half of moisture removed and sugar added.
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Filled milk
fat replaced with veg oil
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Acidophilus Milk
has live cultures of Lactobacillus acidophilus- part of human GI flora and produce vit B
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Rennin
animal enzyme used to coagulate milk to make cheese
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Primary grains that feed the world
Rice, wheat, corn
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Bran
- hull or outer coating of the grain
- -cellulose, hemicellulose, vitamins (thiamin, niacin, riboflavin)
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Endosperm
- central portion of grain
- -contains starch and protein
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Germ
small part containing unsaturated fats, protein, iron and vitamins (thiamin, niacin, riboflavin)
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Short Grain Rice
most starch, sticky and tender ( good for risotto)
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Medium Grain Rice
firm when hot, sticky when cools
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Long Grain Rice
grains separate easily, less amylopectin (branched starch)
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Dried grain is found in two forms
- -CORNMEAL ( for breads)
- -Hominy or Polenta ( dried corn kernel)
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Cereal grains are deficient in
lysine and tryptophan
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Tricale
- higher protein and lower gluten than wheat
- -high in lysine
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Enrichment
restores nutrients lost during processing
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Fortification
- Adds nutrients not originally found in product.
- -such as with folic acid to reduce neural tube defect
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Phytic acid
- contained in whole grain products.
- -Binds calcium and iron and reduces absorption.
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Gluten
- traps CO2 as it forms during leavening and gives volume and structure.
- -Water and Fat prevent gluten from forming
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Durum Wheat
high gluten content used for pastas
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Softer summer wheat
weak gluten and used for cake flour
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Liquid
- releases CO2 from powder and activates yeast
- -gelatinizes starch, moistens, dissolves sugar and salt.
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Fat
tenderizes, improves texture and aids in levening
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Sugar
- flavors, browns and tenderizes
- -softens gluten and raises the coagulation point of eggs
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Eggs
emulsifying, color, flavor, leavening agent
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Leavening
- incorporates air, CO2 or steam.
- -air leavening is done by whipping, beating, sifting.
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CO2
- added by chemical reactions or microorganisms
- -adding an acid and a soda will release CO2
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Steam leavening
- Products have high water content and use high heat
- -Yeast produces CO2
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Muffin problems caused by
- over mixing- Tunnels, peaked top, pale slick crust
- under mixing (undissolved soda)- low volume, flat top, brown specs
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Cake problems
- 1. Tough crust- too little fat or sugar2. Hump in middle- oven too hot3. uneven texture- incomplete mixing
- 4. Bitter flavor- too little cooking time, or too much baking powder
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Produces clear thickening
Amylopectin
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Produces organic gels
Amylose
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Modified starch
used to thicken frozen products, processed foods and baby foods
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Gelatinization
what happens to starch when mixed with water, granules swell
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Dextrinization
- partial starch hydrolysis caused by an acid, heat and enzymes. Dextrins are release as in bread making.
- -Dextrins thicken less than most starch
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Solanine
A toxin release from potatoes from exposure to light
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When cooking green vegetables
leave uncovered
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When cooking red vegetables
cover to preserve color
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To release sulfur compounds from veg
cook uncovered
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Ethylene gas
Causes ripening of fruits
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Sulfur dioxide (Sulfites)
- used to prevent browning, color or flavor changes of products such as dried fruits or wines
- -treating fresh produced is banned. Must be indicated on other products label.
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Chlorophyl
- Fat soluble pigment in F/V
- -Green
- -Magnesium is the center of the porphyrin ring
- -replaced with hydrogen, dulls color in an acid.
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Carotenoids
- Fat soluble pigment
- -Carotenes
- -Xanthophylls
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Retain color when heated or acid
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Flavonoids
- Water soluble
- -Anthocyanin-blue-red, purple
- -Anthoxanthin-Colorless, pale yellow
- -Phenols or tannins- clear, white, brown
- -an acid will prevent color change
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Winterization
Produces oils that will stay clear when solid
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Interesterification
Makes fat less coarse and grainy such as lard
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Antioxidants
added to fats to prevent rancidity
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BHA and BHT
Antioxidants added to prevent lipid oxidation
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Highest temp for cooking fat
390
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Fatty Acids in fat
will lower the smoke point
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fat suspended in large amount of water
milk, cream, salad dressing
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Water droplets suspended in large amounts of fat
diet margarine
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air trapped as an emulsion in fat
butter cream icing, whipped butter
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sweetener used in candy making
sucrose- forms crystals
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Main sugars in Honey
Fructose and Glusoce
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Anti-caking agents
calcium silicate, iron ammonium citrate, silicon dioxide, sorbitol
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Antimicrobial agents
Calcium proponate, sulfur dioxide
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Bleaching and Maturing agents
hydrogen peroxide
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Emulsifiers
Lecithin, mono and diglycerides
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Flavors and flavor enhancers
MSG, hydrolyzed vegetable proteins
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Gelling agents
gelatin, pectin
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Humectants
glycerol monosterate, propylene glycol
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Leavening agents
yeast, baking powder
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Stabilizers
pectins, guar gum, xanthan gum, gelatin, carrageenen
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Monosaccharides
- -Glucose
- -Fructose (levulose)
- -Galactose ( from lactose digestion)
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Dextrose
is glucose from the hydrolysis of cornstarch
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Polysaccs
- Glycogen-Storage CHO in the body
- Starch-Storage CHO in plants
- Dextrins-intermediates of starch hydrolysis
- Fiber-structural carb
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insoluble fibers
- celullose
- hemicellulose
- lignin
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Essential amino acids
- Histadine
- Isoleucine
- Leucine
- Lysine
- Methionine
- phenylalanine
- Threonine
- Tryptophan
- Valine
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Transamination
- transfer of one amino group from one compound to the next
- -Requires Vit B6
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Deamination
- Removal of an amino group from an amino acid
- -the liver convert amino acids into non-nitrogen compounds to be used for energy
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High sources of Polyunsaturated oils (high to low)
- -Safflower
- -sunflower
- -Corn oil
- -Soybean
- -Peanut oil
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highest source of monounsaturated oil (high to low)
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highest source of Saturated oil (high to low)
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cholesterol is hydrolyzed by
pancreatic esterase
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all the carbons in cholesterol come from
acetyl coA
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cholesterol is a precursor of
hormones, vit D, glucocorticoids, estrogen,androgens, progestins
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reduced form of iron
ferrous
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What is required for the hydroxylation of cholesterol for bile acid synthesis
Vitamin C
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Biotin
Involved in CHO and lipid metabolism
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Vitamin C
Involved in protein, neurotransmitter and hormone metabolism
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Cobolamin
- B12
- -involved with folate in the synthesis of DNA/RNA
- -myelin sheet of nerves
- -Fat, CHO metabolism
- -RBC maturation
- -Keeps folate in its active form
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Intrinsic Factor
Necessary for B12 absorption
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Folate
-needed for the synthesis and catabolism of amino acids
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Niacin
- Nicotinic acid
- -NAD/NADP (NADH/NADPH reduced forms)- needed for energy production in krebs cycle, CHO oxydation, fatty acid synthesis
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Niacin can be synthesized from what amino acid
Tryptophan
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Pantothenic acid
- Constituent of Coenzyme A (CoA)
- -CoA needed for fatty acid synthesis.
- -oxidation of CHO, PRO, and fat for energy.
- -Utilization depend on folate and biotin
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Riboflavin
necessasy for the conversion of B6, Folate, Niacin and Vit K to their active forms
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Thiamin
- -regulates muscle tone of GI tract.
- -Co enzyme is CHO metabolism, decarboxylation of keto acid
- -transketolase reaction in pentose shunt.
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Highest concentration of thiamin
lean pork, ham, Brazil nut
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Vitamin B6
required for amino acid metabolism and conversion niacin to tryptophan
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Calciferol
- Vit D
- -promotes mineralization of bones by promoting absorption of calcium.
- -Increases the absorption of calcium by the kidney and maintains normal blood levels of calcium
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Conversion of Calciferol when skin exposed to sunligh
- natural hormone in the skin
- 7-dihydry vitamin ----> Cholecalciferol when to sunlight
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Plant form of Vit D
Ergocalciferol
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Retinol
- Vit A
- -Maintains integrity of skin and epithelial tissue, required for night vision and growth.
- -Regulates structure/function of cellular/subcellular membranes.
- -Bone/tooth formation, and plays role in immune reactions.
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Transport form of Vit A
Retinol
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Active form of Vitamin A
retinaldehyde
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Vit A stored in the liver as
an ester, vitamin A acetate
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Tocopherol
- Vit E
- -protect membranes and RBC from oxidative damage or breakdown by inactivating free radicals.
- -oxidative protection of Vit A
- -protects RBC WBC and improves immune response
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Vitamin K
-required for the syntheiss of blood clotting factors such as prothrombin ond other proteins
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Phylloquinone
Found in green plants
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Menaquinone
formed by bacterial action in the GI tract
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Menadione
Synthetic form and most biologically reactive
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Calcium
- necessary for blood coagulation, muscle function, transmission of nerve impulses, regulation of cell permeability.
- -Calcium homeostasis- if blood Ca levels fall, vit D, parathrome and calcitonin aid in regulation.
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Cl, Na, K
aid in regulation of fluid balance, acid/base balance and cell membrane transfer
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Chromium
- makes insulin action more effective and aids in glucose homeostasis.
- -role in CHO and fat metabolism
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Copper
- -part of enzymes necessary for RBC syntheis
- -required for iron absorption in the form of hemoglobin.
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Fluoride
prevents dental carries by improving teeth and bone strength
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Iodine
-synthesis of thyroxine in the thyroid gland
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thyroxine
hormone that regulates cellular oxidation and basal metabolism
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In foods, iron is found in what form
ferric
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iron is stored as
ferritin
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Iron
- component of heme
- -enables tissues to utilize oxygen and eliminate CO2
- -required for cellular oxidation
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Magnesium
- stabilizes structure of ATP
- -helps maintain muscle contractibility
- -required for fatty acid , nucleic acid, and protein synthesis
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Phosphorus
- component of ATP, DNA, RNA, B vit coenzymes, lipoproteins and buffers.
- -aids in transport of fatty acids, absorption of glucose and glycerol thru phosphorylation.
- -Major part of buffer system, excretion of H ions
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Selenium
cofactor in glutathione peroxidase
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glutathione peroxidase
removes hydrogen peroxide and prevent free radical formation.
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Zinc
- needed for DNA, RNA synthesis
- -CHO, PRO, alcohol metabolism
- -for energy, growth, wound healing wounds, immune response
- -constituent of enzymes and insulin
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Water needs for healthy adults
1.5-2 liters of water/day
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Human milk protein content
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Pre-pregnancy weight gain
- 1. Normal weight- 25-35lbs
- 2. Underweight- 28-40 lbs
- 3. Overweight- 15-25 lbs
obese should gain at least 15lbs
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Digestion of CHO in the stomach
- Gastric secretions
- 1. HCl
- 2. Gastric lipase
- 3. Mucus
- 4. intrinsic factor
- 5. Gastrin
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Digestions of PRO in stomach
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Digestion of CHO in small intestine
Pancreatic amylase, maltase, sucrase, lactase
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Digestion of PRO in small intestine
Pancreatic and intestinal protease
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Digestion of FAT in small intestine
Bile, pancreatic lipase
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Digestion in Large Intestines
intestinal bacteria produce Vit K and absorbed here. Water absorption
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Active Transport
- cell concentration > lumen
- -Glucose and amino acids pumped thru membrane this way
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Diffusion
- process of free transfer of substances across membrane to reach equilibrium.
- Sodium follows water passively
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Facilitated Diffusion
movement of nutrients across membrane from high to low concentration
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Carrier mediated diffusion
a carrier shuttles nutrients across membrane
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Pinocytosis
membrane engulfs particles. some whole proteins enter this way.
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Glycolysis
- anaerobic stage of glucose metabolism
- -cell cytoplasm
- -glucose--> pyruvic acid
- -needs 2 ATP, 4 ATP produced.
- -Pyruvic acid--> lactate--> bloodstream
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TCA/KREBS cycle
- -mitochondria
- -6 CO2 molecules produced
- -needs niacin, riboflavin, thiamin
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Oxidative phosphorylation
- via the electron transport system
- -ADP--->ATP
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Urea cycle
- synthesizes urea from deanimation of amino acids.
- CO2 +NH3----> ARGININE
- -Process requires ATP
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Oxidation
- addition of O2, removal of H+, or loss of electrons
- -requires energy
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Reduction
Gain of electron
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oxidation/reduction
catalyzed by oxidoreductase
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Insulin
- -secreted by beta cell of pancreass
- -Lower BS
- -Inhibits gluconeogenesis
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Glucagon
- Produced by alpha cell in islets of lengerhans
- -hyperglycemic -glycogenolytic factor
- -Increases BS
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THYROXINE
- -raises BS
- -Regulates BMR and oxygen consumption
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GH and ACTH
- secreted by anterior pituitary gland
- -raise BS by actin as insulin antagonist
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Serotonin
release in response to nutrient consumption and produce a feeling of satiety.
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Gluconeogenesis
glucose from non-CHO courses (pyruvate)
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Glycogenolysis
breakdown of glycogen to glucose
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