Neovascular Age-Related Eye Disease Study

Neovascular Age-Related Eye Disease Study
The effect of omega–3 long–chain polyunsaturated fatty acid intake (LCPUFA) on neovascular age–
related macular degeneration (NV AMD) and central geographic atrophy (CGA) over a 12 year
intake was studied through a prospective cohort study. The cohort was from the Age–Related Eye
Disease Study (AREDS), which is a large phase 3 clinical trial that has tested nutrient and vitamin
supplement formulations as prevention methods for AMD. Categories of AMD and risk of
progression were determined by the size and extent of drusen and abnormalities of the retinal
pigment epithelium (RPE) in each eye, the evaluation of stereoscopic photographs, and visual acuity
(SanGiovanni et al., 2009). AREDS supported that individuals with the highest intake of ... Show
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In the Blue Mountain Eye Study, one serving of fish per week was associated with reduced risk of
early AMD onset among patients with less than the median baseline alpha–linoleic acid
consumption (Krishnadev, Meleth, & Chew, 2010). In a prospective study of participants in the
Nurses' Health Study (NHS) and Health Professionals Study, diets that were high in omega–3
LCPUFAs were inversely associated with risk of AMD when intake of linoleic acid was low at
baseline (Semba, 2007). The NHS and Health Professionals' Follow–up Study, consisting of 72,000
participants, indicated that individuals with the highest DHA intakes are at a reduced risk for AMD.
In an intervention trial, participants with a high intake of DHA showed increased macular pigment
optical density (MPOD), which is an indicator of healthy retinas (Schleicher, Weikel, Garber &
Taylor, 2013). Data was compiled from meta–analyses, population–based cohort studies, and case–
controlled trials from Medline, Pubmed, The Cochrane Library, and Google Scholar shows that
patients with intermediate risk of AMD or advanced AMD benefit from omega–3 fatty acids (Sin,
Liu & Lam, 2013). The effects of lutein, zeaxanthin and other carotenoids intakes
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Friendly And Related Child Case Study
Matthew presented as a friendly and related child. Separation was not attempted; however, he
separated from him mom and sat on a child size chair. He was easily engaged and initiated
interactions with the examiners. Matthew displayed the ability to engage and interact with all the
individuals in the room (i.e., mother; two examiners). Matthew exhibited use of flexible eye gaze
and joint attention throughout the evaluation. In addition, he demonstrated adequate attention to
speech, as he localized to his name and sounds of toys, as well as responded to direct requests
accompanied by gesture cues (e.g. "look!"); however, his attention to speech decreased when he
appeared fatigue. Additionally, Matthew demonstrated positive affect during moments

Nt1310 Unit 1 Review Of Related Studies
In the eighth week peer students was requested to provide for their discussion assignment some
written material that would entail material for Smartphone with, which would have software
embedded upon it for Data Warehousing and operational data that has access control and integrity
controlling for their user and/or users. The usage of the Smartphone would be handle by user
acknowledged as sales people and/or sales persons for informational query of data that may either
be deleted, updated or just to place an order for fulfillment. The supporting evidence needed to
properly have functional operational for security and it may come in several operational factoring of
factors such as information Integrity, Personal Integrity, Company Integrity and just the normal
notion the device integrity acknowledged as Android or Blackberry. The two devices that function
may have their information in harm's way by data usage on both devices. This information can be
damaged in one or more ways named as risk or attack. The Personal Integrity that is considered to
relate to the information posed by Smartphone, can have many reference selections ... Show more
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The Access Control prevention can be built from a standards standpoint that can enable a great
number of protective methods in its existence .As www.nyu.edu reminds us "Software Updates:
System must be configures to automatically update operating system software, server application
(webserver, mail server, database, server, etc),client software(web–browsers, mail–client, offices
suites, etc),and malware protection software(anti–virus, anti–spyware, etc).For Medium or High
Availability System, a plan to manually apply new updates within a documented time period is an
acceptable

AIDS-Related Dementia Case Study
For a patient with AIDS–Related Dementia it is important to look for an outpatient community
center to help them find the appropriate treatment. There are several outpatient community centers
in Broward County; however, Comprehensive Care Center at Broward House offered a better
service for Maura who is diagnosed with AIDS–Related Dementia. Comprehensive Care Center at
Broward House is an outpatient community center located in 1726 SE 3rd Avenue Fort Lauderdale,
FL 33316. Hours of Operation are Monday –Thursday from 8:00 a.m. to 4:30 p.m. and Friday: 8:00
a.m. to 12:00 p.m. Comprehensive Care Center at Broward House has provided primary care for
individuals who are infected with HIV and AIDS. They provided education to the patients in other

Sickle Cell-Related Disease: A Case Study
Madsen et al. developed this classification to asthmatic, cardiac, lymphatic, and sickle cell–related
disease states(10, 13, 14). Madsen et al.(10, 13) defined this classification depending on the analysis
of prior case studies. Cardiac patients mentioned by them consist of eight Fontan patients, one
Glenn shunt patient and three Blalock–Taussig shunt patients. The casts can be immediately
expectorated and sometimes patients will cough up large amount from their tracheobronchial
tree(14). If the patients do not expectorate, it may delay the diagnosis(14). Patients often need
bronchoscopy for the expulsion of cast(14). It is a rare condition that is mentioned in asthma and
sickle cell disease patients and has higher mortality in patients with congenital heart disease(10, 13)
and death is not unusual due to the occlusion of airway from a cast(14). The pathophysiology and
management of plastic bronchitis is not clear due to insufficient clinical data. Over the years, plastic
bronchitis has been labeled by various names as Hoffman's bronchitis, cast bronchitis, fibrinous ...
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Brogan et al. used acetylcysteine, urokinase, tPA and DNase to incubate a cast from a Fontan patient
in vitro(13). It indicated that acetylcysteine had the huge impact to soften the casts. The practice of
inhaled DNAse has produced the favorable outcome(11, 18). Use of corticosteroid was also
favorable to treat an 8–year–old patient who had Fontan circulation with casts and mild eosinophilic
infiltration(46). Based on limited data, it seems that the use of anti–inflammatory therapy may
primarily benefit eosinophilic–type

A Study On The Midwifery Related Subject Of My Choice
Introduction
The aim of this essay is to describe a piece of research on a midwifery–related subject of my choice.
The subject that I have chosen to look at is teenage pregnancy and poverty and whether or not there
is a correlation between them. I have chosen this because I have an interest in teenage pregnancy as
it is a major public health concern with in the United Kingdom and would therefore like to develop
my knowledge and understanding of the topic. In 2008 there were 38,750 under–18 conceptions, a
rate of 40.5 per 1,000 females aged 15–17. Nearly half (49.7 per cent) of the pregnancies were
terminated and 7,123 under–16 conceptions, a rate of 7.8 per 1,000 females aged 13–15. Over half
(61.8 per cent) of the pregnancies ended in abortion. (The Family Planning Association. (2011).
Teenagers: sexual health and behaviour factsheet. Available: www.fpa.org.uk/factsheets/teenagers–
sexual–health–7behaviour. Last accessed 23rd March 2015.) Firstly I am going to explain my
research methods and how I chose the research paper that I have used. I am then going to summarise
my findings and finally assess what I have learnt from this assignment.
Body
Teen pregnancy is an important issue for several reasons. For example, there are health risks for the
child born to teenage mothers and the child is more likely to suffer health, social, and emotional
problems than children born to older mothers. It is also a possibility for teenagers who become
pregnant to be at an increased risk for

Summary Of Work-Related Injury: A Case Study
DOI: 6/16/2015. Patient is a 61–year–old female quality control who sustained a work–related
injury to her lower back while lifting a box. MRI of the lumbar spine dated 8/13/15 revealed mild
levoscoliosis; multilevel degenerative disc disease with the most significant disease at the levels of
L4–5 and L5–S1. Per orthopedic report dated 05/12/16, the patient has recurrent left L5
radiculopathy and left L4–5 posterolateral disc herniation. She reports proceeding with a course of
acupuncture therapy. She said that in doing so, she began to have increased left lower extremity
symptoms in the lateral thigh and lateral calf associated with numbness and weakness. She reports
pain and discomfort with walking, lumbar leg extension and numbness even at night time with lying
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The pain has been worsening over the left buttock area associated with tingling and numbness down
to the left leg. Medical treatment to date notes physical therapy and Nonsteroidal Antiinflammatory
Drugs (NSAIDs) with limited improvement. Medical history and review of system notes that the
patient is significant for hypertension. Examination of the lumbar spine revealed slight loss of
lumbar lordosis. On palpation, there is moderate–to–severe guarding with reproduction of deep
myofascial pain on deep palpation, mostly on the left side. Pain level is 7/10 at the time of
examination. Range of motion revealed forward flexion of 50 degrees, extension of 10 degrees, right
lateral flexion of 20 degrees, and left lateral flexion of 20

Diabetes Self-Related Study Examples
CHAPTER 5: Discussion A gap in knowledge exists in the understanding of the influence of risk
perception on adherence to treatments related to diabetes. The purpose of this explanatory,
descriptive study was to address the perceptions of risk and its relationship with self–care adherence
in those with T2DM. This discussion is structured to address the major findings found within the
results of the three aims of this study, which were the following: Aim 1: To quantitatively describe
risk perception in persons with T2DM. Aim 2: To describe levels of adherence for diabetes self–care
behaviors, including medication use, diet, exercise, foot care, smoking, and self–monitoring of
blood glucose. Aim 3: To examine the relationship between ... Show more content on
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Risk perception was separated into those opposing constructs for this study because of previous
research on the topic (Fischoff et al., 1978; Slovic et al., 2007) and the desire to have study
questions that the general public could comprehend. Moreover, optimism bias has been noted in
previous risk perception research (Walker et al., 2003), and the harm and benefit perception
questions asked in this particular study could elicit similar biases. Previous research has indicated
risk perception differed between different races/ethnicities (Slovic, 2007). It was decided to not
include race as a control variable in this study because of the location of the sample, which would
yield such a small proportion of non–white respondents as to render responses meaningless and/or
difficult to interpret. Therefore, future research could explore both if race and if location influences
risk perception and adherence to treatments.

Anxiety Related Disorder Case Studies
Primary Diagnosis: Affective/Mood disorder. Secondary Diagnosis: Anxiety related disorder. 54–
year–old female alleged depression, anxiety, high blood pressure, diabetes, digestive problems.
Reporting health issues: Claimant did not agree with pervious determination to cease her SSA
benefits. Stated her condition had not improved. She continued to see her psychiatrist every month
and thought she could not function without medications. The information that her last medical
appointment was in 12/2014 was erroneous. She reported gallbladder surgery on 12/05/2014, had
difficulty controlling bowel/bladder, uncontrolled diabetes, "deadly allergic reaction to Lisinopril."
Knee pain, mobility difficulty, problems with memory, concentration, understanding and following
directions, completing tasks, and getting along with people. Difficulty handling stress and changes
in routine. Insomnia, depression/anxiety attacks, crying spells, suicidal thoughts/attempts, ... Show
Comments: It seemed that there was no significant improvement in the claimant's condition. Notes:
Agoraphobia is an abnormal and persistent fear of public places or open areas, especially those from
which escape could be difficult or in which help might not be immediately accessible. Persons with
agoraphobia frequently also have panic disorder. People with mild agoraphobia often live normal
lives by avoiding anxiety–provoking situations. In the most severe agoraphobia, the victims may be
incapacitated and homebound. Agoraphobia tends to start in the mid to late20s, and the onset may
appear to be triggered by a traumatic event. Electroconvulsive therapy (ECT), formerly known as
electroshock therapy and often referred to as shock treatment, is a standard psychiatric treatment in
which seizures are electrically induced in patients to provide relief from psychiatric

Review Of An Article Related To A Study On APA
1. Cite an article relating to your study using APA format. How does the techniques used in this
article relate to the techniques used in your group project? Was the metabolic cart they used in the
study the same or different from the one you used? What variables did the article analyze compared
to your study? (~2 paragraphs)
The article that I found that correlates to my group project, assesses and measures the VO2 by
looking at 7 indirect tests for aerobic power. This article also used the Bruce treadmill test (Bruce
protocol) which was the same protocol we used in our project. The metabolic cart that this study
used was the Beckman Metabolic Measurement Cart. However, they used Astrand Ryhming
submaximal CE protocol (4, 5), Le´ger ... Show more content on Helpwriting.net ...
The Journal of Strength & Conditioning Research, 13(4), 346–352.
2. If you had the ability to change your group project, how would you alter it and why? (1
paragraph)
I would alter the project by using the formula of VO2max=15x(HRmax/HRrest), and have each
participant perform a VO2Max test, by using the metabolic cart. I would then compare the results
from the metabolic cart and the VO2 equation, and them compare the results for comparison. I
would make this change, because our group had to alter the formula of
VO2max=15x(HRmax/HRrest), in order to perform a submaximal test. What we did was calculated
the max heart rate, and multiplied that value by 85% of VO2 which would be considered a
submaximal test.
I would have liked to have seen the comparison to the equation and the metabolic cart, to see if there
was an increase or decrease in the values of each of the measurements of maximal oxygen
consumption. This would be interesting to analyze, because the population will not always have a
metabolic cart around to measure VO2. If the equation showed similar values to the metabolic cart,
the equation would be a good tool to use for estimation if the metabolic cart was not available.
3. For your project, were the test procedures provided in the "Metabolic Cart/VO2 Testing" lecture
followed? Which steps were followed and which were not? If steps were not followed, why? (2
paragraphs)
Listed below are the steps that were used as test procedures

Case Study: Work-Related Injury
DOI: 2/14/2011. The patient is a 52–year–old female clinical nurse who sustained a work–related
injury to her low back from carrying a baby to the mother.
As per the medical report dated 8/13/15, the patient complained of pain in her back. She has had two
prior surgeries on her back, a laminectomy/discectomy in 1996, and an instrumented fusion, single
level, in 2012. She reports that the surgery helped but she still has ongoing sciatica. Her medications
include Percocet, Ibuprofen, Neurontin, Norco, Gabapentin, Valium and Prednisone. Review of
systems is positive for fatigue, depression and joint swelling. Examination is unchanged.
Based on the progress report dated 08/27/15, the patient has consulted with neurosurgery, and
reports that no surgery was ... Show more content on Helpwriting.net ...
Current medications include gabapentin, ibuprofen, Norco and Lunesta.
She was assessed to have lumbar disc herniation L4–L5, status post microdiscectomy, with
recurrence and left L5 lumbar radiculopathy.
The patient has persistent low back pain complaint managed with narcotic and nonnarcotic
medications. She completed neurosurgical reevaluation and is referred to physical medicine and
rehabilitation (PM&R) specialist.
She was given a refill prescription for Ibuprofen 600 mg 1 tablet 3 times daily as needed, ranitidine
150 mg 1 tablet twice daily, gabapentin 600 mg 2 tablets in the morning and afternoon and 1 tablet
at noon and Norco 10/325 mg 1 tablet twice daily as needed.
Treatment plan includes continuation with "MOM" as needed and referral to pain management, Dr.
Salazar who has recommended neurosurgery consultation prior to her treatment which has been
completed. No further follow–up with neurosurgery is recommended.
Current request is for 60 Tablets of Norco 10/325 mg; 60 Tablets of Ranitidine 150 mg with 5
Refills; 90 Tablets of Ibuprofen 600 mg with 5 Refills; and 150 Tablets of Gabapentin 600 mg with
5 Refills between 9/2/2015 and

Age Related Macular Degeneration Case Study
3.7 Age–related macular degeneration 3.7.1 Cause of disease and treatment AMD is the most
commonly seen age–related ocular disease in the western world, is most prevalent in those over 55
years of age, and results in visual deficits [81, 92–94]. AMD can be divided into two categories:
atrophic (as known as dry AMD, 90% prevalence) and exudative (wet AMD, more severe) AMD.
Dry AMD is a consequence of drusen accumulation, and the wet form is associated with abnormal
angiogenesis (Figure 3). Currently, no effective treatment exists for dry AMD, and wet AMD may
be treated with anti–vascular endothelial growth factor (VEGF) drugs with injections directly into
the eye once a month, with no approach to recover lost vision [95–97]. Similar to DR, ... Show more
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The block polymers are synthesized in 3 step reactions, and the hydrogels may be biodegradable in
vitro and have minimal cytotoxicity in a human retinal pigment epithelial cell line [100]. The
histomorphology and electrophysiology was studied in rabbits and the neuroretina was preserved
after 2 months of intravitreal injection. In another instance, the administered intravitreal release
profile of bevacizumab from poly(ethylene glycol)–poly–(serinol hexamethylene urethane) (ESHU)
hydrogel was also studied for 9 weeks, and averaged 4.7 times higher than in eyes that received
bolus bevacizumab injections. No significant elevation in the IOP was noted after injection, nor any
severe inflammatory reaction [45]. Compared to the conventionally used PEG–PCL–PEG or PEG–
PLA–PEG hydrogels, the ESHU hydrogel and its degradation products were more biocompatible
(absence of lactic acid), and the structure may have a stronger affinity for protein and peptide
structures. Thus, the development of such suitable materials may proceed in the treatment of wet
AMD. Moreover, the four–arm PEG were crosslinked via the maleic and thiol end groups of the
PEG chains in situ, and this type of biocompatible hydrogel may be used for Avastin delivery in
vivo. A sustained released was obtained within 14 days, and over 70% of the drug was released
during a release test. Further investigation of the long–term release and hydrogel

Opioid Related Overdose Case Study
A family member, friend, or other individual who is in a position to assist an individual who is
apparently experiencing or at risk of experiencing an opioid–related overdose, is not subject to
criminal prosecution for a violation of section 4731.41 of the Revised Code or criminal prosecution
under this chapter if the individual, acting in good faith, does all of the following:
(1) Obtains naloxone pursuant to a prescription issued by a licensed health professional or obtains
naloxone from one of the following: a licensed health professional, an individual who is authorized
by a physician under section 4731.941 of the Revised Code to personally furnish naloxone, or a
pharmacist or pharmacy intern who is authorized by a physician or board of

Sport-Related Concussions: A Case Study
According to SCI, a concussion is defined as a complex pathophysiological process that affects the
brain (SCI, 2016). A concussion is commonly known as a mild traumatic brain injury, often
sustained in sports, falls, motor vehicle accidents, assault, and other incidents (Cornell, 2015). A
blow or jolt to the head that disrupts the normal function of the brain (Brainline, 2015).
Adult brains typically weigh approximately three pounds. The brain floats inside of the skull
surrounded by cerebral spinal fluid. The cerebral spinal fluid acts as a shock absorber when the brain
undergoes miner impacts (Nordqvist, 2015). The signs of a concussion can be subtle. Patients,
family members, and doctors sometimes overlook problems or misdiagnose concussion ... Show
Although most people have a decent recovery, how quickly one improves depends on many factors.
These factors include how severe their concussion was, what part of the brain was injured, their age,
and how healthy, they were before they sustained a concussion (Brainline, n.d). While a majority of
athletes suffering from a concussion are asymptomatic within a week or two, some suffer prolonged
symptoms lasting weeks to months according to Straus, author of "Risk Factors for Concussion and
Prolonged Recovery" (Straus, 2016).
A recent study was carried out comparing healthy athletes to those of the same age who suffered
from a concussion 30 years ago. The results showed that those who experienced head trauma had
symptoms similar to those of early Parkinson's disease – as well as memory and attention deficits
(Nordqvist, 2015). There are not many major long–term effects of a concussion according to Batjer's
article Long–term Concussion Symptoms: What's My Child's Risk?" (Batjer, 2016).
In conclusion, brains are difficult to read and concussions impact the brain in ways that doctors and
medical professionals are not even aware of. Many studies have shown people how concussions can
affect the brain and how each brain acts and reacts during and after trauma. As previously stated,
concussions can be mild or severe, or somewhere in the middle. No two brain injuries are

Work-Related Injury: A Case Study
DOI: 10/12/2011. The patient is a 53 –year–old female laborer who sustained a work–related injury
to her low back and left elbow when she slipped on cardboard.
According to the orthopedic QME on 7/9/13, future medical care includes inflammation medicine,
occasional pain medication, muscle relaxants, occasional injections, left shoulder surgery, physical
therapy and occasional orthopedic doctor visit. Additional physical therapy has been included in the
patient's future medical care on 11/6/14 evaluation.
Based on progress report dated 08/06/15, the patient complains of increasing low back and right
lower extremity pain. Pain is rated as 6/10 with medications and 10/10 without medications.
The numbness has increased. She is now experiencing numbness in the pelvic floor and bilateral
anterior thighs. She complains of weakness in her right leg. She has difficulty with walking and
standing. She has been experiencing bowel and bladder incontinence. ... Show more content on
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Unfortunately, the epidural injection also increased her blood sugars significantly. The patient
reports history of a single treatment of acupuncture, which she found beneficial.
MRI of the lumbar spine done on 07/09/15 revealed at L2–L3, there is a 2 mm right foramen disc
protrusion with right neuroforaminal narrowing. At L3–L4, 3 mm disc bulge is noted with
borderline right neuroforaminal narrowing. At L4–L5, 2 to 3 mm disc bulge is seen with central
stenosis on bilateral neuroforaminal narrowing, left greater than right. At L5–S 1, 3 mm broad base
disc bulge bilateral facet arthrosis is noted with bilateral neuroforaminal

Review Of Related Literature And Studies
CHAPTER II REVIEW OF RELATED LITERATURE AND STUDIES Various publications and
studies related to the topic being studied were read and analyzed by the researcher to support the
claims presented by this study. 2.1 Mobile Robot According to Al–Sahib (2015), the term robot is
derived from the Czech word "robota" which means forced labor. Goris (2004) also said that a robot
can be defined as a device that can execute automated tasks, either with the influence of direct
human control, or a set of general procedures by means of artificial intelligence techniques. Almost
all of the robots that are used in the industry are stationary. They operate from a fixed position and
have restricted operating range. The area which surrounds the robot is typically designed for the sole
purpose of securing it from external influences for it to be able to do its tasks. These robots are
usually efficient in completing tasks such as welding, drilling, packaging, assembling and also
painting. Still, in some applications it can be very advantageous if a robot can function with larger
mobility. Unlike stationary robots, the surrounding area need not to be adjusted just to suit the
mobile robots because they are programmed to be the one to adapt their behavior towards their
surroundings. Rather than performing a fixed system of actions, mobile robots need are actually
those robots that can transfer from place to place across the ground. Mobility gives robot more
flexibility and ability to move in a

Case Study Age Related Macular Degeneration
If you were a retina specialist, how would the data in this case affect your drug procurement
processes, your clinical practices, and your recommendations to patients? Would that decision be
affected by the fact that Medicare allows a markup of 6% on outpatient injectable?
It is no secret that health care delivery is impacted by economic factors and physicians are face each
day with the dilemma of how to enhance their practice bottom–line. However, my practice will be
concern with my patients' choice of treatment. Even, when the use Lucentis would increase my
practice profits my approach will be patient choice through educating them regarding both available
medicines and have access to both drugs.
If you had Age–related Macular Degeneration(AMD)–acronym

Gang Related Violence Case Study
Gang related violence is rising in England and Wales moreover gangs are becoming more aggressive
in their attempts to control large parts of cities across the country. Efforts to control their territory
are blamed for the rise in gun and knife related crime which has risen by 14 per cent in recent years.
The Office for National Statistics (ONS) reported a 27 per cent increase in all violent crime in 2016.
Young people are more likely to carry knives and resort to violent behaviour. However, the
Conservative Government cut front line police by 17,000 which has seen fewer police on the streets
of cities across England and Wales (Morris, 2016).
Elias suggested that shaming was an important factor in controlling crime in civilized society

Case Study Pain Related To Hip Fracture
1. Pain related to hip fracture. 1. Patient will verbalize relief from pain during my shift on
02/05/2017
Administer pain medication as indicated.
Medicate before an activity to decrease the level of pain.
.
Consider cultural influences on pain response.
Monitor patient's vita sings for signs of pain including heart rate, blood pressure, and respiratory rate
every 2 hours.
Assess pain level every 2 hours and administer pain medication as needed. Pain medication will help
to reduce produce by the fracture and tissue damage.
Turning and ambulation after activities will be enhanced if pain is controlled or tolerable because
promotes muscle relaxation.
Each person experiences and expresses pain in an individual ... Show more content on
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Risk for Infection related to invasive procedure. 1. Patient will remain free from infection during my
shift on 02/05/2017.
Monitor white blood cell (WBC) count
Administer IV antibiotics as prescribed.
Assess temperature every 4 hours and report temperature of > 38.5 C.
Assess and monitor nutritional status, weight loss, and serum albumin.
Encourage use of incentive spirometer, coughing and deep breathing exercises. Low WBC count
may indicate a severe risk for infection. In older patients, infection may be present without an
increased WBC count.

The use of prophylactic antibiotics will aid in the prevention of infection.
Increase temperature is usually the first sign of infection.
Patients with poor nutritional status may be anergic or unable to elicit a cellular immune response to
fight infection. Low albumin levels is an indicative of decrease nutritional status.
Helps reduce stasis of secretions in the lungs and the bronchial tree. When stasis occurs, pathogens
can cause upper respiratory tract infections and pneumonia. The incentive spirometer aids to prevent
atelectasis of the alveoli. Patient's WBC were on the normal parameter (11.6). Patient did not
present signs and symptoms of

Surgery Related Negligence Case Study
A jury recently reached its decision in a case that involved allegations of surgery–related negligence.
The case was the 2nd largest medical malpractice verdict in Pennsylvania history. The case was
against William Norwood, the world famous cardiothoracic heart surgeon, who performed an
unauthorized surgical procedure on Stephen Gault, leaving him severely brain damaged and in
permanent need of long–term care. Stephen had a small narrowing in the aorta, "the blood vessel
that leaves the heart and goes to all organs of the body." This condition is known as a "Coarctation
of the Aorta" and it required a simple operation through the rib cage to correct it. He also had a
small hole in his heart which was closing on it own and the his doctor reported

Work Related Injury: A Case Study
DOI: 2/12/2014. The patient is a 67–year–old female janitor who sustained a work–related injury to
her bilateral feet, lower extremities, hands, and wrists due to constant walking and cleaning.
Per AME dated 04/14/2016, the patient had reached Maximum Medical Improvement and was noted
to be Permanent and Stationary.
Based on the progress report dated 09/13/16, the patient reports unchanged intermittent moderate
left foot pain. Patient also notes of intermittent moderate low back pain and left hand pain, that
bothers her most. The patient went to a foot specialist last week, who administered an injection that
increased pain and seems to have not taken effect yet.
Examination of the left hand reveals diffuse tenderness to palpation. Grip

Work Related Trauma Case Study
DOI: 7/2/2010. The patient is a 57–year old female claims examiner who sustained a work–related
cumulative trauma injury to multiple body parts that include head/cervical spine, shoulders, arms
knees, and left hip. As per progress report dated 7/11/16, the patient reports neck and low back pain.
IT was noted that the pain is associated with left lower extremity numbness, tingling, and weakness.
The patient has tried and failed multiple anti–inflammatories, which causes gastrointestinal upset,
except for Celebrex. Her psychiatrist, Dr. Nehoryan has recommended her current regimen
including Cymbalta and Restoril intermittently for sleep. It was mentioned that the patient had a fall
in early 2/2016 due to left lower extremity numbness and is continuing ... Show more content on
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Conservative treatment notes included aquatic physical therapy, acupuncture, narcotic pain
medications, Transcutaneous electrical nerve stimulation (TENS or TNS), psychologist, and
hypnosis. The patient also has tried and failed multiple over–the counter and prescription remedies
for her opioid induced constipation including diet modification, stool softeners, and laxatives
including Miralax, Senokot, Metamucil. Ducalax. It was noted that Movantik is being provided to
help her with this situation. As per interval changes, the patient complains of ongoing neck and left
upper extremity pain, and an increase in low back and left lower extremity pain. Patient states that
she fell at home 2 weeks ago. She states that she injured her right arm and it has been swollen for 2
weeks. The pain score is 10 without medications and 2 with medications. The medications
prescribed are keeping the patient functional, allowing for increased mobility, and tolerance of
activities of daily living, and home exercises. Current medications incldue Nucynta, Percocet,
Restoril as necessary for insomnia, Cymbalta, Neurontin, Cselebrex, Robaxin, Prilosec, Singulair,
Vagifem, and

Psychological Perspectives And Related Research Studies
An outline and evaluation of three psychological perspectives and related research studies
Introduction
The behaviourist approach transformed psychology in 1913 when John Watson put forward the
theory that psychology should be about the study of observable behaviour ignoring all mental
processes such as thoughts and emotions (Malim 1998). He viewed introspection as not being a
reliable and objective method for psychological study and believed the aim of psychology should be
to understand and control behaviour (ibid). He proposed that psychology should be seen as a science
using controlled variables within experimentation (McLeod 2007a). This scientific approach made
for a dependable method of assessing behaviour, however, critics of this approach argued that this
method created artificial situations holding little ecological validity (ibid). Behaviourists also
believe we are all born a blank slate and that all behaviour is determined from learning from a
person's own environmental experiences either through classical conditioning, associating an
external stimulus and a behavioural response, or through operant conditioning, association via
consequences where behaviour is shaped through reward or punishment (Malim 1998). However
this belief doesn't take into account a person's spontaneity, creativity or their ability to solve
problems without the time consuming trial and error process that behaviourists believe is necessary
(ibid). Furthermore it fails to take into

Age Related Dysphonia Case Study
The aging process impacts the vocal mechanism as it does any other system of the body. In one of
the few studies that reviewed vocal disorders in the geriatric population, the incidence of vocal
disorders in people 65 years or older was between 12% and 35%. (Davids, Klein, Johns, 2012). Of
that population, 25% had vocal fold atrophy as the cause of their disorder. (Davids, et al., 2012). A
2006 study conducted on 100 assisted–living residents found the incidence of age–related dysphonia
to be around 20% (Golub, Chen, Otto, Hapner, Johns, 2006). It further found that the impact of this
disorder had a percieved negative impact on quality of life in 13% of the test poplutation (Golub et
al., 2006). An inability, or a limited ability to ... Show more content on Helpwriting.net ...
One such program, designed by Joseph Stemple, Ph.D., SLP, is a "series of voice manipulations that
were designed to strengthen and balance the laryngeal musculature and to balance airflow to the
muscular effort." (Stemple, JC., Lee, L., D'Amico, B., Pickup, B., 1994). In 2011, Tay et al., (2012)
conducted a study on the efficacy of VFE on 22 members of a community choral. Participants were
between 68 and 83 years of age and divided in to a control and VFE groups evenly. After the 5–
week study was complete, the VFE group had greater MPT that the control group. The VFE group
showed post–VFE training decreases in mean jitter, shimmer and nose to harmonics ratio
percentages as evaluated using a series of two–way repeated measures analysis of variance (Tay et
al, 2012). The participant's perceived effectiveness of the VFE (as reported in a post–training
survey) was that the program had a positive effect on their voices (Tay et al, 2012). Phonation
resistance training exercises (PhoRTE) is treatment adapted from the Lee Silverman Voice
Treatment (Ziegler et al, 2014). PhoRTE uses Silverman's "loud voice" approach while using "high–
intensity phonatory exercises to overload the respiratory and laryngeal systems." (Berg, E., Hapner,
E., Klein, A., Johns, M., 2008). In their 2008 study,

Unit 5 Research-Related Study In Nursing
Synthesis Chronic diseases, such as T2DM and CVD, require significant lifestyle modifications that
may be perceived as undesirable to some patients. A loss of autonomy and control over their chronic
disease, as well as negative relationships with CM doctors, were two major influences for seeking
other treatment options. Warren (2012), addressed the attitudes of doctors as dismissive and
disbelieving, and patients found that they did not partner with them in the treatment of their disease,
but instead reinforced their superiority. In addition, it was stated that the regimens prescribed by
their doctors were highly disruptive to their lives and forced them to comply with regular treatment
and monitoring of their disease. CAM users also felt ... Show more content on Helpwriting.net ...
A knowledge deficit is revealed in the five research studies and indicates there is a need for further
education in regards to CAM therapies. Nurses play an active role in patient care, and understanding
the positive and negative effects of CAM use will benefit them greatly. According to Shorofi and
Arbone (2010), knowledge of CAM is important to the future development of nursing practice
because an increasing use by the public creates a challenge to nurses who must manage this aspect
of care. As CAM grows in popularity, it will become more prevalent in the health care system and
will have an effect on, nurse–patient relationships. In addition, a solid foundation of the adverse
reactions between alternative therapies and medications is crucial to delivering safe treatment.
Patients who are diagnosed with T2DM and CVD require extensive therapy and lifestyle
modifications to manage their disease process. Fatal reactions and mortality can result from misuse
of the two treatments concurrently. For this reason, it was stressed in all studies that further
education programs for CAM need to be implemented with a focus on nurses who are the primary
educators in the health care

Firearm-Related Events: Case Study
to get new people to own guns, firearm related events are clearly the go to choice as the target
audience comes to us. There is a proposed timeline of events to hopefully achieve our goal. By
month 3–4 we want to have a clear and better idea of the target audience through outside sources
such as polls and help with the NRA. We will also have a well organized website and social media
outlets.By month 6, the goal is to have a well structured base, with email lists and staff to work on
flyers and 499's. By month 9 to year one we want to have more outside funders. This will mainly be
firearm companies and wealthy donors. From year one to one year and 6 months we hope to have
significantly more donors and hit a milestone of 1.5 million dollars

Parent-Related Study Of Marijuana Essay
There has been an extensive amount of research done on risk factors and marijuana use. Among
adolescents the vast majority of the research has identified five major risk factors associated with
adolescent marijuana use, family relations (parent–child attachment), peer associations, substance
abuse programs, gender, and race. Some researchers have found that the family is the best predictor
of adolescent marijuana use, while others claim that peer associations are predictors of adolescent
marijuana use. Others believe that substance abuse programs are the key to deterring adolescent
drug use. The final groups of researchers believe gender and race are the underlining predictors. The
following studies will give a quick overview of the prior research on risk factors and adolescent
marijuana use.
Parent–Child Attachment According to Hoffmann (1993) adolescents who suffer from a parental
death or divorce are likely to turn to marijuana to help cope with the stress that has been created. A
death or divorce is extremely detrimental to adolescents because it hinders them from creating or
continuing a bond with their family. A strong family relationship rarely affects adolescent behavior
after a negative event like this occurs. Because attachment has been weakened by a big event, it is
very difficult to regain the family ... Show more content on Helpwriting.net ...
Family disruptors such as divorce and remarriage also have particular influences on drug use. Older
adolescents are greatly affected by divorce and remarriage because the family structure has changed.
This tends to make older adolescents look for support systems outside the home. The effects of the
change can cause adolescents to seek out positive or negative relationships with peers. Younger
adolescents are less affected by family disruptors because they do not have the same opportunities or
freedom to look outside the home for support, as do older adolescents

Cardiac Related Fatigue: A Case Study
"The usual clinical manifestation of heart failure is left ventricular dysfunction that occurs after
some index event, such as myocardial infarction" (Chapa et al., 2014, p. 16). With the aging adults,
like S.P., we have to be concern when they have presenting signs of heart failure, especially if they
have not been diagnosed with one. Questions I may have to ask S.P. are what time of the day her
fatigue and swollen ankles are worse. This is to determine if her fatigue and edema are cardiac
related. Cardiac related fatigue is "worse in the evening, whereas fatigue from anxiety or depression
occurs all day or is worse in the evening" (Jarvis, 2016, p. 472). Does her fatigue is accompanied
with shortness of breath on exertion? Patient education

Alcohol-Related Disorders: A Case Study
Alcohol– related disorder is a major public health issue that has attracted the attention of mental
health professionals worldwide (Gureje 1999)(Medicine(ASAM) 2015)(World Health Organization
2004). In fact, in the recent WHO rating of disease burden, Alcohol related disorder is second only
to Depression among mental health diseases(Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V
2011)(Loncar 2006).
The lifetime prevalence of alcohol use among adolescents ranges from 6–39% in Africa(Adamson T,
Ogunlesi A, Morakinyo O, Akinhanmi A, Onifade P 2012)(Gureje O, Degenhardt L, Olley B,
Uwakwe R, Udofia O 2007).(Obot 2006)(WHO 2009) to an estimated 39–78.2% in South America
(Hynes–Dowell M, Mateu–Gelabert P, Barros HM 2011).
According to WHO

Age-Related Macular Degeneration Case Study
Age–related macular degeneration (AMD) can take two possible forms. Neovascular AMD (wet–
AMD) or non–neovascular AMD (dry–AMD) as discussed in the introduction. The available
treatment involved in curing patients suffering from AMD differs between the two types of the
disease. Neovascular AMD has previously been treated by coagulation therapies of the blood vessel
present in the fovea (part of the retina where the ability of vision is the highest). These therapies
involve the use of infrared laser light to destroy any additional or new vascular cells in the fovea
with the objective of avoiding the leakage of blood vessels. This would prevent photoreceptors from
further being damaged and so won't deteriorate vision any further. However, ... Show more content
on Helpwriting.net ...
However, according to Giacalone et al, the use of anti–VEGF agents is more effective for the
treatment of wet AMD. This method of treating wet AMD both slows, and in some cases, even stops
the progression of photoreceptor damage (Kashani, 2015).
As stated by both Giacalone et al and Nazari et al, Non–neovascular AMD is the main type of AMD
responsible for the majority of AMD–related conditions in patient usually aged fifty or above which
corresponds to almost 80–90% of people with AMD (Nazari et al, 2015). As described in the
introduction, wet and dry AMD have different characteristics and therefore require different
treatments. The picture below shows the difference between wet and dry AMD respectively.
The use of pluripotent stem cells are used by allowing the damaged RPE cells or molecules to be
replaced by the differentiated stem cells to allow their function to reinstate. However, the use of
these pluripotent stem cells require months of time to be studied, differentiated and eventually being
transplanted into the target area under the macula (Kashani, 2015). However, according to Giacalone
et al, the use of pluripotent stem cells for the non–neovascular AMD condition has not shown in an
effective treatment strategy compared to the use of pluripotent stem cells in neovascular AMD.
As said before, the RPE layer, near the retina, has the purpose in maintaining photoreceptor

Dcu Case Study Related Factors
general information about tumor vascular physiology, interstitial space volume and prognostic factor
by analyzing TIC without a complicated acquisition process.
In our study we found that DCE–MRI had sensitivity
(92.3%), specificity (81%) and accuracy (85.3%).These results were compared to that of Kul et al.
(19) who reported 75.7% sensitivity, 97.5% specificity and 88.1% accuracy. Overlap in morphologic
characteristics and kinetic features of malignant and benign lesions caused improper classifications.
In an attempt to increase diagnostic efficacy, mainly the specificity of breast MR, we evaluated the
additional role of DWI and
MRS.
We ensured that DWI was performed prior to contrast enhancement to avoid the effect of contrast
material. ... Show more content on Helpwriting.net ...
included 25 patients without restricted diffusion
(74%) and G.II. Included 9 patients with restricted diffusion
(26%). The mean ADC value was significantly lower
(0.5–0.9 10_3 mm2/s) for malignant lesion in comparison with that of benign lesions (1.7–2.7 10_3
mm2/s).
Out of 10 patients with malignant lesion of our study 6 patients showed restricted diffusion and out
of 21 patients with benign breast lesions 19 patients showed non–restricted diffusion.
In our study we found significant difference between
ADC values of malignant and benign breast lesions, assuming a threshold of 1.2 10_3 mm2/s.
Similarly an 2014 by Nogeria et al. (23) study, proved DWI with complementary ADC values to be
useful for the detection and characterization of breast lesion where mean ADCs of 1.99 ± 0.27 10_3
mm2/s,
1.08± 0.25 10_3 mm2/s, and 1.74± 0.35 10_3 mm2/s, were obtained for normal tissue, malignant,
and benign lesion respectively. Our study reported a raised specificity from 81% to 90.5% and a
slightly improved PPV from 75% to 77.8% after combining DWI to DCE–MRI without any
improvement in sensitivity (53.8%). NPV was 76% and accuracy was 76.5%.
These results agreed with Kul et al. (19) who reported an improved specificity (86.5%), sensitivity
(91.5%), PPV
(89.6%), NPV (88.9%) and accuracy (89.3%). An older study by Sonmez (24) shared nearly the
same results.
The

Related Cases: A Case Study
RELATED CASES: None
SUPPORT DOCUMENTS: None
On 02/29/2016, Anthony Tarropino contacted the Pasco Sheriff`s Office by telephone to report a
Grand Theft.
Mr. Tarrapino advised sometime between 10/1/2015 and 02/27/2016, an unknown suspect stole
three watches out of his packed personal belongings.
Mr. Tarrapino said he and his family relocated to Hudson from New York in June of 2015. He
advised a lot of property was still packed in boxes. He stated he and his wife are getting a divorce
and on 02/27/2016, he returned to New York.
Mr. Tarrapino stated while packing his belonging and loading the boxes that were still packed from
the move in June, 2015, he discovered three of his expensive watches were not in the boxes,

Critically Analyzing the Main Issues in the Case Study...
Critically Analyzing the Main Issues in the Case Study Using Relevant Theories Related to
Organization and Management This case study deals with the Oticon's organizational change, a
Danish firm specialised in hearing aids. Due to an instable environment, the firm has transformed
the organisation of the structure in order to be competitive in an international market and
consequently it has changed the work, the hierarchy, the organisational culture and patterns. The
case study shows us with the real example of Oticon how that change can affect the organisational
behaviour of the employees and how Lars Kolind manage them in order to stimulate their
motivation and increase the productivity. According ... Show more content on Helpwriting.net ...
The change process was quite long and has totally affected the organizational behaviour of the
employees. Lewin states that "the change allows three separate activities: "Unfreezing, change or
movement, and refreezing" (Hatch 1997 p.353/354). In Oticon, unfreezing did occur with the
"meetings" and negotiation with the employees in order to reduce the resistance because the change
was not "without some resistance" of the employees. Unfreezing activity took three years because
Oticon took its time to prepare the employees to the transformation in adopting a planned change.
Then occurred the change or move stage, introducing a new way of work like the use of a personal
computer at work and at home, a new organisational culture "turn down the wall to create a big open
plan office", with a different "style of management" requiring the participation of the employees.
Finally, refreezing occurs when the new patterns "stabilize or become institutionalised" like the
implement of a reward system in Oticon with the possibility to obtain "scarces resources" if
someone is "successful in the promotion" of projects. "An organisation can be viewed as a culture in
its own right, as a set of subcultures, or as an artifact through which an even larger culture expresses
itself" (Hatch 1997, p.235). We can say that Oticon has successfully completed

Substance Related Disorders Case Study
Mr. Landaverde reported that he does not have any medical illnesses and has not been prescribed
any medications. Mr. Landaverde reported that he went to the doctor in August 2016 for a regular
checkup. Mr. Landaverde stated that he normally goes to the doctor every six months. Mr.
Landaverde reported that he has never been hospitalized in the past. Mr. Landaverde reported that he
does not have any emotional or psychiatric problems. Mr. Landaverde stated that he has never been
to counseling. He stated to the best of his recollections, neither one of his parents have ever suffered
from a substance related disorder. VI. ASAM–DIMENSION 3 – Emotional, Behavioral, or
Cognitive Conditions and Complications Mr. Landaverde was on time for his evaluation. Mr.
Landaverde appeared neat and appropriately dressed for the interview. Mr. Landaverde had no
noticeable tattoos. Mr. Landaverde was able to establish good eye contact throughout the interview.
Mr. Landaverde's posture appeared to be nervous when he first sat down for the interview. He
appeared to have normal and steady psychomotor activity throughout. Mr. Landaverde's general
attitude and behavior appeared positive and cooperative. By the end of the interview, Mr.
Landaverde appeared to become more relaxed in his posture. It seemed that he was cooperative and
... Show more content on Helpwriting.net ...
Landaverde reported that he feels that he has already made some changes in his life. Mr. Landaverde
stated that he now spends a lot of time with his girlfriend. Mr. Landaverde stated that he has "cut
off" friends that consume drugs and alcohol. Mr. Landaverde reported that he has also moved away
from the drug infested neighborhood that he once lived in. Mr. Landaverde reported that his
motivation to stop consuming drugs and alcohol is going to school. Mr. Landaverde stated that he
did not think that he had a problem. He stated that peer pressure was "causing" him to consume
drugs and alcohol. Mr. Landaverde is in the precontemplation stage of

Work Related Injury Case Studies
DOI: 2/11/2014. This is a case of 37–year–old male production worker who sustained a work–
related injury to his back when he bent over to scan the rack tracking bar. As per OMNI, he was
initially diagnosed with lumbar spine sprain/strain and gastritis secondary to non–steroidal anti–
inflammatory drugs. Patient is status post left–sided L4–5 discectomy on 03/11/2015.
MRI of the lumbar spine dated 07/30/15 demonstrated interval post–surgical change with removal of
the disc extrusion at L4–5. There is residual granulation tissue versus broad–based left paracentral
disc protrusion with left lateral recess stenosis.
X–rays of the lumbar spine dated 11/6/2015 revealed mild loss of the disc heights at L4–L5 and
posteriorly at L5–S1 level, consistent with degenerative disc disease. There are also anterior
endplate osteophytes at ... Show more content on Helpwriting.net ...
Post injection, he states he had 95% improvement temporarily for several days, but since then his
pain to his lumbar spine has returned.
On examination, he has moderate pain to palpation to the lumbar spine and paravertebral muscles
over the bilateral facet joints at L4–L5–S1. He has a positive straight leg raise test to the right.
Impressions include disc displacement reherniation to the left L4–5 and history of left discectomy.
The patient has a history of discectomy to the left with temporary improvement of his lumbar pain
and lower extremity symptoms. He has reherniation to the left correlating to the L4–L5. He has had
transforaminal epidural steroid injections and facet injections with relief of his lumbar pain.
Recommendation was made for a transforaminal lumbar interbody fusion at L4–L5. The patient
would like to continue to improve his ongoing lumbar pain. He will continue with his current pain
medication regimen.
Patient has been previously denied 1 Transforaminal Lumbar Interbody Fusion at L4–L5 Level on
09/09/15 (Review

Heart-Related Disorders: A Case Study
Out of 20 randomly selected adults surveyed, 9 of these adults are diagnosed with a heart–related
problem. This is quite a big number considering that it is 45% (9/20 x 100) of the adults interviewed
(almost half of the sample size). I am now aware that heart–related problems are common amongst
adults and according to cdc.gov heart disease is said to be the leading cause of death for both men
and women – further justifying my research. According to my survey analysis these ailments are
slightly more common amongst women considering 5 adults out of the 9 diagnosed were women
while only 4 were men. However according to livestrong.com my statistics gathered were not
credible as men are at higher risk for heart disease as opposed to women as a result of their sex
hormones – estradiol and estrone were proven to be linked to ... Show more content on
Helpwriting.net ...
According to research, more than 75 percent of women aged 40 to 60 have one or more risk factors
for heart disease (nhlbi.nih.gov) this justifies my research that women may develop heart–related
problems earlier than men as the average age for men to be diagnosed with a heart–related problem
is at the age of 65 (health.harvard.edu). According to my results, 7 out of the 9 people diagnosed are
actually medicating their ailments suggesting that a lot of the people diagnosed are actually
committed to treating their problem however 2 out of the 9 people are not treating their problem due
to a lack of discipline, preference of natural remedies, fear of side effects and ignorance towards
their ailment. According to cdc.gov, many of those diagnosed are in fact treating their ailment
whoever those not treating their ailments were said to be those oppressed and unable to seek health
care. So all in all, research deduces that the majority of those diagnosed with heart–related problems
are medicating their ailments

Review Of Related Literature And Studies Essay
CHAPTER 2 Review of Related Literature and Studies This part of the study contains related
literature and studies after the thorough and in–depth research of the researcher. Related literatures
come from both foreign and local published literatures that became the basis for the researcher to
pursue this study. Related studies come from both foreign and local studies that has relationship or
in relation on her study. Foreign Literature Culture–shaping is a methodological and comprehensive
approach in helping an organization transform from top to bottom. According to Delaney (2011), a
transformation starts individually. It will become the foundation in building a healthy high–
performance organization. After which, the team is the middle group that needs behavioral changed.
These two, individuals and team, once aligned with the company's mission and vision have now
understand the thriving purpose of culture–shaping for high–performance organization. The above
mentioned methodologies of changing the behaviors individually and then team are what comprise
the so–called Human Operating System. It is a common understanding that makes interaction more
productive in healthier ways. Human Operating System has four pronged principles that premise the
process to make everyone sees the world differently. The first principle is the Energy. Managing
personal energy is a subjective yet powerful term. Positive energy poses an increase of power for
both the provider and

Strengths And Weaknesses Of The Study Of Sport-Related...
don't really notice if they have had changes, but yes time would vary. Strength and Weaknesses of
Study: A strength would be that interviews will help to get to know the individual better and see how
they behave and hopefully learn about their experiences with concussions. A weakness of the study
also includes interviews because they might be some bias or the interviewee may be hiding
something, or not saying anything. The questionnaires won't entirely demonstrate if there have been
changes in a person unless a pre–test was given. Also, they are self–report and that there could be
untruthfulness. Conclusion For many years, researchers have been looking into discovering more
about sport–related concussions and the effects it may have. There

Work Related Injury Case Study
DOI: 12/13/2012. Patient is a 64–year–old male security officer who sustained a work–related injury
to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right
knee meniscus tear. The patient had right knee replacement on 11/19/14. Per QME Dr. Murphy on
08/11/15, the patient has a 20% whole person impairment rating. Future medical care includes 4–6
visits per year for recurrent symptoms, narcotic/nonsteroidal anti–inflammatory drugs (NSAIDS) in
addition to gastrointestinal stabilizing medications, pain management specialist monitoring, office
visit with an orthopedic surgeon once a year with X–ray, revision surgery in the future and bone
scan.
Based on the progress report dated 09/14/16, the patient

Neovascular Age-Related Eye Disease Study

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