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Answer:
Many factors influence health and well-being in a community, and many entities and individuals in the community have a role to play in responding to community health needs. The committee sees a requirement for a framework within which a community can take a comprehensive approach to maintaining and improving health: assessing its health needs, determining its resources and assets for promoting health, developing and implementing a strategy for action, and establishing where responsibility should lie for specific results. This chapter describes a community health improvement process that provides such a framework. Critical to this process are performance monitoring activities to ensure that appropriate steps are being taken by responsible parties and that those actions are having the intended impact on health in the community. The chapter also includes a discussion of the capacities needed to support performance monitoring and health improvement activities.
In developing a health improvement program, every community will have to consider its own particular circumstances, including factors such as health concerns, resources and capacities, social and political perspectives, and competing needs. The committee cannot prescribe what actions a community should take to address its health concerns or who should be responsible for what, but it does believe that communities need to address these issues and that a systematic approach to health improve-
The nurse should tell him the try to shorten the time of each hand wash
The problems the girl exhibits when eating fruit is most likely due to elevated levels of fructose-1-phosphate in liver cells
Define Hereditary fructose intolerance (HFI).
Fruit sugar fructose and its precursors cannot be digested in people with hereditary fructose intolerance (HFI). The accumulation of fructose-1-phosphate in the liver, kidney, and small intestine is caused by a lack of activity of the enzyme fructose-1-phosphate aldolase.
The patient has HFI, which is due to a mutation in aldolase B. Sucrose would still be cleaved by sucrase, thus it would not increase in the stool. Fructose would not be metabolized normally, therefore it would be elevated in the blood and urine. Aldolase B would not cleave fructose 1-phosphate, thus its levels would be elevated and the product, glyceraldehyde, would not be produced.
HFI patients frequently grow to dislike fruit and sweets intensely. After consuming fructose-containing foods, they may experience symptoms like excruciating stomach pain, vomiting, and low blood sugar.
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