You have an appointment in the cancer prevention clinic with GC a 32-year-old Caucasian male. He is concerned about his health since he has been told that cancer runs in “the family”. He knows he needs to make some changes in his lifestyle therefore he has an appointment with you today for some suggestions. He played basketball in high school and club sports in college but now feels like there is never enough time to exercise regularly. He describes his job as very stressful causing difficulty with sleep and additionally reports that he has frequently heart burn. However, he states, “it’s time to make some changes”. Ht: 6′ 3″    Wt: 250 lb. (stable)     Blood Pressure: 142/82 Labs: BMP: normal labs     Lipid panel: T cholesterol: 240    LDL: 132    HDL:  42    TGs: 155 Family History: Dad: stage 1 prostate cancer; Mom: osteopenia   Brother: age 48: stage 1 colon cancer Dad’s family: Uncle with colon cancer; Grandfather: prostate cancer and heart disease; Grandma: unknown Mom’s family: Aunt with pancreatic cancer; Grandfather: heart disease; Grandmother died young Diet history: B: Large bowl of corn flakes with whole milk (~1.5 c); 2 large cups of black coffee (~20 oz. total) L: Fast food typically – burgers, Subway, Pizza Hut, etc., Coke (64 oz.) D: Hamburgers, chicken, casseroles, pizza, French fries, 2-3 of beers with dinner on most nights Snack before bedtime: large bowl of ice cream, chips or popcorn and 6 oz. red wine (helps relieve stress) List 4 integrative medicine modalities that you might recommend for him and why? (5 points)

Individuals taking proton-pump inhibitors for many years should consider taking which of the following?

You are meeting with Mr. Adams in the medical oncology outpatient clinic today. Mr. Adams is a 49-year-old Hispanic male who is currently receiving chemotherapy and radiation for lung cancer. He received a PEG for tube feedings when diagnosed 6 weeks ago because of dysphagia as the tumor was pressing on his esophagus. He has had 3 weeks of radiation and 2 rounds of chemo, which has resulted in the tumor shrinking enough for Mr. Adams to start taking some oral nutrition. He and his wife have an appointment with you today because they would like to know how to best manage his nutrition now. He will have radiation for at least 3 more weeks and will have his last chemo treatment in 4 days – he has been tolerating chemo well. He reports tolerating his tube feedings ok; no problems with nausea, diarrhea or constipation. He doesn’t really get hungry in between feedings. Ht: 5′ 7″     Current Wt: 125 lb.     Wt before starting treatment: 148 lb. (2 months ago) Labs: Reportedly WNLs Meds: none besides the chemo. PEG feedings: 4 cans per day providing ~1420 calories & 50 grams of protein; he flushes his feeding tube with 60 mL of water before and after each feeding. The formula is 76% free water. He also drinks about 3-4 oz. of juice in the morning without too much difficulty – it just takes him about 10 minutes to get it all down. He is not experiencing any coughing or difficulties with swallowing when he drinks the juice. He is just cautious because if he drinks it too fast he thinks he might aspirate. Labs: not available but reportedly WNLs. Write 2 PES statements (10 points) P:                                                                                 E:                                                                                  S:      P: E: S:                                                                             

According to the National Center for Complementary and Integrative Health, art and music therapy would be classified as

During a nutrition assessment, the client indicates that she uses a particular dietary supplement. At a minimum, what aspects of the supplement should be researched and reviewed prior to making a recommendation for continued use?

List 5 cancers that are related to obesity (5 points):

Macroeconomics is a branch of economics that deals with _____.

La ______________________ es la técnica opuesta a la reducción y ocurre cuando se usan más palabras que en el texto original.  Signos para que copien si no tienen teclado en español:   á  é  í  ó  ú  ñ [BLANK-1]

En cuáles cuatro grupos se dividen las técnicas de traducción? 4 Pts. [BLANK-1]______________________________________________ [BLANK-2]______________________________________________ [BLANK-3]______________________________________________ [BLANK-4]______________________________________________ Signos para que copien si no tienen teclado en español:   á  é  í  ó  ú  ñ

Encargo de traducción: Traduce al inglés este texto. Una piscina pública de una municipalidad turística de Costa Rica quiere traducir el siguiente documento para los usuarios de habla inglesa que utilizan estas instalaciones (10 Pts.). Pueden usar la siguientes página: www.wordreference.com Reglamento de uso de la piscina   La piscina es para el uso máximo de 1 hora. Ingresar a la hora en punto. Después de 10 minutos no se permitirá el ingreso sino hasta la siguiente hora. Vestirse únicamente en los camerinos. Usar únicamente traje de baño y gorra de natación. Ingresar sin ningún tipo de cosmético, crema, bronceador o bloqueador solar. Signos para que copien si no tienen teclado en español:  á  é  í  ó  ú ñ