Lecture 7 Flashcards

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1
Q

What countries are included in the Balkan peninsula?

A

Greece, Albania, Bosnia-Herzegovina, Montenegro, Serbia, Republic of Macedonia, Croatia, Slovenia, Bulgaria, & Romania

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2
Q

What are the countries included in the Middle East?

A

Bahrain, Egypt, Iran, Iraq, Israel, Jordan, Kuwait, Lebanon, Oman, Saudi Arabia, Syria, Turkey, United Arab Emirates, Yemen

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3
Q

How many continents are included in the Middle East?

A

3

-Middle East, Europe, Asia

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4
Q

What. are the main religions in the balkans?

A
Greek Orthodox 
Eastern Orthodox 
Roman Catholicism
Protestantism 
Islam
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5
Q

What are the main religions in the Middle East ?

A
Eastern Orthodox
Latin rite Maroniate, Melkie, Chaldean
Islam
Judaism
Anglican
Protestant
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6
Q

What is the worldview of the balkans on family?

A

Strong patriarchal family structure (Philotomo)

Extended family common

Elders highly respected

Education equally valued

Biculturalism and assimilation common in
North America

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7
Q

What is the worldview of the Middle East on family?

A

Strong patriarchal family

Honor and modesty

Conformity and subordination to family

Largely based on religious beliefs

Interethnic marriage discouraged

Younger generations may become acculturated with North American culture

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8
Q

What are the traditional health beliefs of the balkans?

A

Exercise important for health and development of character

Team sports common

Nutritious diet, sleep hygiene, relaxation, positive attitude

Matriarch referred to for health advice

Herbal supplements common

Evil Eye believed among some

Cupping using razors

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9
Q

What are the traditional health beliefs of middle east?

A

Cleanliness, hygiene, staying warm & dry

Illness may be due to bad air

Bodily humours – mainly hot and cold

Disorder of the blood may lead to illness

Herbal remedies extremely common

Cupping

Belief in “God’s will”

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10
Q

What are the traditional food habits common across balkan and Middle East?

A

Origination not always known

Dates, wheat, olives indigenous

Largely based on religious practices

Influence based on geographical location

Pork consumption varies
-Croatia, Serbia, Slovenia, Greece

Alcohol consumption varies
Mainly avoided by Muslims

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11
Q

What are the common foods eaten across the balkans and Middle East?

A

Wheat-based bread consumed daily
-Leavened loaves vs flat breads

Pastries very common using phyllo

Desserts typically contain nuts or dried fruit

Beans, lentils, rice large staples

Yogurt and fermented dairy
Mint, parsley, onions, lemon for seasoning

Olive oil main fat source

Variety of vegetables and fruit

Coffee and tea are beverages of choice

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12
Q

What is the most common. drink in these areas?

A

Coffee and tea

-Frequently flavoured with cardamom and sugar

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13
Q

Where is it believed coffee originated?

A

Believed to have originated in Ethiopia, but the beverage founded by Arabs

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14
Q

What are the 2 main active ingredients in coffee?

A

Caffeine and chlorogenic acid

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15
Q

What are the pros and the cons of. consuming coffee?

A

Pro: Consumption associated with decrease in MetS, CHD, type 2 diabetes, Alzheimer’s, etc.

Cons: Adverse effects related to hypertension, children, elders, pregnant women

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16
Q

Is alcohol consumed in the Middle East and Balkans?

A

Widely prohibited in Muslim nations

More embraced in Balkan nations, Turkey, Israel, Iraq

17
Q

What are the eating patterns int he Balkans?

A

3 meals per day; midday meal largest

Snacking common

Light breakfast and dinner

18
Q

What are the eating patterns in the Middle East?

A

Breakfast consists of breads, cheeses, beans, eggs, olives, jam + bread, yogurt with coffee

Lunch main meal of day

Dessert with meals common

Some regional differences

19
Q

What is proper etiquette in the balkans and Middle East?

A

Hospitality is a duty

Refusal of food considered an insult

Head of household/dignitary served “best” portion first
-Head of table or middle of table

Washing of hands important prior to meal

Prayer prior to eating

Interactions with men and women may differ or be prohibited

Licking of fingers acceptable

Pour another’s drink

20
Q

What are the Greece celebrations?

A

Easter is most important holiday

Post-Lenten meal - red-dyed Easter eggs and mayeritsa

Easter Sunday – lamb, rice, vegetables, cheese, yogurt, lambropsomo, sweet pastries

Greek Independence Day – March 25

21
Q

What are the celebration in Croatia?

A

Easter meal commonly lamb/ham and pogaca

Christmas Eve cod + stuffed cabbage + sauerkraut

22
Q

What are the celebrations in Serbia?

A

Krsna Slava = Patron Saint’s Day

Krsni kolac consumed on this day

St. Martin’s Feast, St. Nick’s Feast

23
Q

What are the islamic holidays?

A

Lunar calendar observed

Iftar – meal that breaks the fast during Ramadan

Ramadan foods:

  • Cheeses, soups, fruit, sweets, rose-flavoured pudding, etc.
  • Salty foods avoided due to inability to drink water during fast

Eid al-Fitr

  • End of Ramadan
  • Large festival in some areas
  • Sweets and sugary treats consumed

Eid al-Adha = Feast of Sacrifice
-Held in conjunction with annual pilgrimage to Mecca

Kurban Bayram

Muharram

24
Q

What are the jewish celebrations?

A

The Shabbat (Sabbath)

  • Ashkenazi – challah, roast chicken, kugel, dessert, tea
  • Ethiopia – chicken doro wat with dabo bread

Slow-simmered stews post-morning service
-Cholent

Yom Ha-Atzma’ut – Independence day

Yom Kippur – Day of Atonement

Hanukkah – The Festival of Lights

25
Q

What diet do the balkans or Middle East typically follow?

A

Mediterranean diet

-High in omega-3 FAs, low in saturated fat

26
Q

What is starting to influence the balkans and Middle East/.

A

Large Western influence in many Balkan & Middle East countries
-Increase in MetS, diabetes, hypertension

Undiagnosed chronic disease common among Arab men

CHD, diabetes, hypertension, and cancer main health concerns in Arab countries

27
Q

What should we remember when counselling these people?

A

Cultural differences may be very apparent
Most difficulties are due to misunderstandings
Refugees are increasingly prevalent in healthcare
High-context cultures
-Getting to know healthcare provider important
Direct eye contact important
Contact between same sex appropriate; opposite sexes to avoid contact
Large respect for biomedicine
May not ask questions unless prompted
Prayer during medical visit may be requested
Understanding of fasting and religious practices will aid relationship and treatment