Part A.   We take our digestive system for granted. As long as it is working well, we seldom think                 about it. Have you ever wondered what the inside of your GI tract looks like? Explore                 the following websites to see what happens when things go                 wrong inside the GI tract. Instructions: 1) Choose any 4 of the following websites to explore. 2) Summarize what you found at each of the 3 sites. Be sure to identify each site.     What did you find interesting? surprising? confusing? 3) Give specific examples of what you found. Assume I have never seen these sites      Go to:     www.gihealth.com Click on "Patient Pamphlets" Click on "Photos and videos" Explore the still pictures and video clips of the GI tract taken during endoscopy examinations. Click on "Patient Pamphlets". Be curious and investigate something of interest to you under the headings: Digestive Health, Upper Digestive Health, Lower Digestive Health, or Liver-Pancreas. Go to:   http://www.mayoclinic.com a)  Use the Search keyboard to find the following: gallstones,  Gas and Gas Pains, belching, bloating, intestinal gas, irritable bowel,  ulcerative colitis, Crohn’s disease, GERD, heartburn, colon cancer, esophageal cancer, stomach cancer, celiac disease, constipation, vomiting b) Search for any other conditions affecting the gastrointestinal tract Chronic heartburn seems to be a recurring theme of drug commercials on TV. Heartburn can be due to simply overeating or the more serious gastro-esophageal reflux disease (GERD). Before using over-the-counter medications or asking Docs for prescriptions, we should be aware of these disorders. Go to the Intelihealth website at and take the GERD quiz: http://www.intelihealth.com/IH/ihtIH/WSIHW000/23722/23788/275343.html?d=dmtContent Visit the American College of Gastroenterology for information about various GI problems:   http://www.acg.gi.org/patients/ Search for "choking", "vomiting", "diarrhea", "constipation", "heartburn", "indigestion", and "ulcers", at the U.S. Government health information site:    (just click "ok" and you'll get into the site"  http://www.healthfinder.gov Visit the Digestive Diseases section of the National Institute of Diabetes, Digestive, and Kidney Diseases at: http://www.niddk.nih.gov./health/health.htm   Learn more about H. pylori (the bacterium that causes stomach cancer) from the Helicobacter Foundation  (be patient, this site takes a moment to come up):   http://www.helico.com Learn about celiac disease. Approximately 2 million people in the USA have this condition.  Be patient; it takes a moment to load this page. http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/celiac.pdf iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii

Part B.                                              3-Day Diet Study a) Record what you eat and drink for 3 days. Any 3 days will suffice. We tend to eat differently     during the weekend, so why not keep a food record for a Saturday or Sunday.    This 3-Day Diet Analysis should reflect how you actually eat not how you wished you ate. b) Be thorough in your description of the foods eaten. Was the food fried, breaded, from frozen     concentrate, etc.? c) For home cooked meals, separately list each ingredient in mixed dishes, for example if you ate a     salad, list the ingredients: 1 c. ice burg lettuce, 2 TBSP celery, 1 TBSP green onion, 3 TBSP sunflower    seeds, etc.  d) Estimate the serving sizes of the foods/beverages eaten. Was what you ate: 1 cup/ 8 oz. of Pepsi,      3 oz. of ground beef, 1/2 c. rice, etc.?                   NUTRITION CALC PLUS INSTRUCTIONS It is easier to wait until you have filled out your food records to begin entering your data. Turn off any pop-up blockers on your browser, or the site will not work properly.  Also, please make copies of all your reports for your own records.   Access the Nutrition Calc Plus website at: http://nutritioncalc3.mcgraw-hill.com   Under 'Need to Register?' select 'Register as a Student'. Enter the registration code printed on the card that came with your textbook. Or purchase the code right there. Or use it at the LRC at ARC. Once you have successfully logged on, create a profile by entering your personal information under 'Profiles' and click on 'New'. Make sure you select the correct Activity Level from the pull-down menu and the click on 'Save Profile'.     5.  You can create up to 3 profiles, and the profile in use will be displayed on the right      side of the screen, above the calendar.   6.  To start entering your food intake information, click on “Intakes”.   7.  Select the appropriate day for the food record that you are entering by clicking the      date on the calendar.  Type the name of the food and click “Find”.  All the foods      that are listed in the software’s database that have the word(s) that you typed in      will appear.  To add a food to your list of foods eaten, click on the ‘+’ sign to the      left of the food.  Clicking on the name of the food will display its nutrient content.  If you cannot find a certain food, you can obtain more help by clicking on “Search Tips”.  Sometimes typing in the singular form of a food will give you different results than if you were to use the plural form, i.e. ‘egg’ versus ‘eggs’.   If you still cannot find your food, substitute for something similar.  Another option is to add that food to the software’s database, and you would do this by selecting “My Database” at the top of the screen and then click on “Add New Food” to enter the nutrient content for that food item.  If you’re using the Nutrition Facts Food Labels, the information will not be as thorough since food labels don’t list all the nutrients.  You also have the option of adding your own recipe by selecting “Create a Recipe”. 8.  Once you add a food, change the meal and amount and click on “Save Intake”.  If      you need help selecting a serving size, click on “Serving size samples” below the      calendar.  A dialog box will open that will help you estimate portion sizes.  Make      sure that you are selecting the right amounts! Click on “Save Intake” after each entry you make. 9.  To enter your food intake for the next two days, just choose the next date on the      calendar.   10.  After you are finished entering all your food records, click on “Reports” at the top        of the screen to analyze your data.    11.  On the next screen, select “All Daily Reports” (last option on left margin).  Please       make sure that the days that you’ve entered data for are selected, as well as all       meals and snacks.  If you make any changes to these selections, click on “Update       Preview” before generating your reports.  Then under “Format”, select “PDF” from       the pull-down menu and either click on “Print” or “Save Report”.  You also have the option of emailing a copy of the reports to yourself, and if you choose to, click on “Email”.  Enter your email address.   Do NOT email the reports to me.  12.  To confirm that you have a true 3-Day Average Report, make sure that the        3 dates you selected are listed on the first page of your reports, as shown below:     13.  What you should get in the 3-Day Average Report are:   Recommendations This shows you what your nutrient recommendations are, based on age, gender and activity level Bar Graph Report This tells you how much of your nutrient requirement you met during this 3-day period.  Spreadsheet Report Provides the total amount of each nutrient consumed for each day Calories and Fat This shows the distribution of kcalories from CHO, protein and fat and calculates what % of your total kcal is provided by each type of fat. Calorie Assessment Provides information on energy balance (kcal consumed vs kcal expended) and also shows the distribution of kcals from CHO, protein and fat Activity Summary Should be blank unless you have also kept track of your activities for each day Nutrition Facts A summary of your diet analysis in a Nutrition Facts format MyPyramid Analysis   14.  Print the 'Intake Spreadsheets' for each individual day. These reports will show       the complete nutrient content for each food that you consumed for that day.         To print these reports, under “Reports”, select “Spreadsheet”.        In order to get the nutrient content for each food, you will have to generate       the spreadsheet reports for each individual day.        So select the first day (make sure all meals and snacks are selected), and click on       “Update Preview”.  Save or Print your report in PDF format, and do the same for       days 2 and 3.        Part of an intake spreadsheet is shown below:   Instructions for sending your Nutrition Calc Plus reports to me: The following needs to be sent to me via the US Postal Service (yes, snail mail) or left at my campus mailbox.  This is due by 6 p.m. on  Wednesay, March 10, 2010. Late notebooks  will be assessed a 50% penalty. Instructions: 1. Place the print-outs in the order shown below. 2.  Put them in the front pocket of a 2-pocket, paper folder. 3.  Do not staple nor paper clip the pages.     4.  Use tabs to identify each section. The tabs should be neatly & securely placed on the      right-hand edges of the pages. The tabs should not fall off when tugged...      Be sure to label the tabs. 5.  -10 points for not following instructions. Print-outs and the order they should appear in the notebook: 1. Recommendations 2. Bar Graph Report 3. Spreadsheet Report 4. Calories and Fat Report 5. Calorie Assessment Report 6. Activity Summary Report 7. Nutrition Facts 8. MyPyramid Analysis 9. Intake Spreadsheet Reports for Day 1, 2, and 3 Make a copy of everything you send me. I will send my comments/grade to you via D2L. I will NOT return your notebook. I will keep your notebook and refer to it as you send subsequent assignments. There will be ~ 5 more Diet Analysis-related assignments after this one. Send your notebook to: American River College c/o Professor Alejandre, Health & Education Division 4700 College Oak Drive Sacramento, CA 95841 Make sure you address your package completely and correctly . . . Put your name and email subject line information on everything. If you deliver your notebook in person, know that the Health & Education Division Office closes at 6:45 p.m. Monday-Thursday. No one is here after 6:45 p.m. to accept your notebook. Leaving it outside my office door is not an option. If you deliver your notebook, it should be put into a large envelope that's addressed to me; your name and email subject line information should be also written on the envelope.