A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 1 of 2:
What is ALL?
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1 points
QUESTION 2
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 2 of 2:
How does renal failure occur in some patients with ALL?
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A ten-year-old boy is brought to clinic by his mother who stat.docxmakdul
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 1 of 2:
What is ALL?
--
QUESTION 2
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 2 of 2:
How does renal failure occur in some patients with ALL?
QUESTION 3
A 12-year-old female with known sickle cell disease (SCD) present to the Emergency Room in sickle cell crisis. The patient is crying with pain and states this is the third acute episode she has had in the last nine months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made. Appropriate therapeutic interventions were initiated by the APRN and the patient’s pain level decreased, and she was transferre.
This document contains a knowledge check for a nursing course. It includes 14 scenarios covering various medical conditions and asks questions related to each scenario. The scenarios cover topics like acute lymphoblastic leukemia, sickle cell disease, hemophilia, myelomeningocele, patent ductus arteriosus, lead poisoning, sudden infant death syndrome, Kawasaki disease, asthma, cystic fibrosis, idiopathic scoliosis, hemolytic uremic syndrome, pituitary dwarfism, and osteogenesis imperfecta. For each scenario, students are asked 1-2 questions testing their understanding of the condition's presentation, pathophysiology, diagnosis, or management. Responses of at least 2-4 sentences in length are required.
The key features that connect the hint to Shwachman-Diamond syndrome are:
- Steatorrhea and short stature in a child
- History of frequent infections from a young age
- Neutropenia
- Low levels of pancreatic enzymes like amylase, lipase and trypsin
- Radiological findings of skeletal abnormalities and pancreatic infiltration
- Genetic mutation involving SBDS gene
So based on the clinical features and investigation findings, along with involvement of the SBDS gene, this case is consistent with Shwachman-Diamond syndrome.
This document outlines 20 stations for a pediatric OSCE exam, including questions on resuscitation, physical exams, teaching a mother about insulin administration, history taking, reviewing videos, x-rays, EEGs, growth charts, hematology slides, reflex exams, and more. Exam topics assess candidates' abilities in areas such as diagnosis, treatment, clinical findings, drug choices and contraindications, inheritance patterns, and statistical analyses. Stations involve written questions, photographs, videos, and physical exams to comprehensively evaluate pediatric medical knowledge and skills.
This document contains 20 self-assessment questions submitted by junior medical students on their Pediatric Clerkship rotation. The questions cover topics like rheumatic fever, Kawasaki disease, asthma severity classifications, otitis media, Down syndrome, HIV in mothers and newborns, Wilson's disease, and more. The questions are provided "as is" by the clerkship director as a study aid for subsequent students.
In collaboration with the New England Regional Genetics Network, the Weitzman Institute aims to improve access to genetics services for underserved populations by offering primary care provider educational support through a free five-part webinar series that aims to enhance provider knowledge, practice, and attitudes regarding genetic services.
The document contains a knowledge check for a pathophysiology course consisting of 9 multiple choice questions covering various disease processes and patient cases. The questions assess understanding of topics like the roles of different cholesterol levels, the development of atherosclerosis, causes of pericarditis, how strep throat can lead to rheumatic heart disease, risk factors for deep vein thrombosis, effects of pulmonary embolism, and early and late asthmatic responses.
1. Findings in this x-ray: Bilateral coalesced opacities in upper and mid zones.
2. Two important conditions which produce similar findings: Pulmonary tuberculosis, pneumonia.
3. To differentiate radiologically: In tuberculosis, opacities are more dense and cavitation is seen. In pneumonia, opacities are less dense and consolidation is seen.
4. Hematological problems that can occur: Anemia due to chronic disease, thrombocytopenia.
A ten-year-old boy is brought to clinic by his mother who stat.docxmakdul
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 1 of 2:
What is ALL?
--
QUESTION 2
A ten-year-old boy is brought to clinic by his mother who states that the boy has been listless and not eating. She also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. Child’s past medical history negative and he easily reached developmental milestones. Physical exam reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. The APRN orders complete blood count (CBC), and complete metabolic profile (CMP). The CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The APRN recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his mother. The diagnosis of acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question 2 of 2:
How does renal failure occur in some patients with ALL?
QUESTION 3
A 12-year-old female with known sickle cell disease (SCD) present to the Emergency Room in sickle cell crisis. The patient is crying with pain and states this is the third acute episode she has had in the last nine months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made. Appropriate therapeutic interventions were initiated by the APRN and the patient’s pain level decreased, and she was transferre.
This document contains a knowledge check for a nursing course. It includes 14 scenarios covering various medical conditions and asks questions related to each scenario. The scenarios cover topics like acute lymphoblastic leukemia, sickle cell disease, hemophilia, myelomeningocele, patent ductus arteriosus, lead poisoning, sudden infant death syndrome, Kawasaki disease, asthma, cystic fibrosis, idiopathic scoliosis, hemolytic uremic syndrome, pituitary dwarfism, and osteogenesis imperfecta. For each scenario, students are asked 1-2 questions testing their understanding of the condition's presentation, pathophysiology, diagnosis, or management. Responses of at least 2-4 sentences in length are required.
The key features that connect the hint to Shwachman-Diamond syndrome are:
- Steatorrhea and short stature in a child
- History of frequent infections from a young age
- Neutropenia
- Low levels of pancreatic enzymes like amylase, lipase and trypsin
- Radiological findings of skeletal abnormalities and pancreatic infiltration
- Genetic mutation involving SBDS gene
So based on the clinical features and investigation findings, along with involvement of the SBDS gene, this case is consistent with Shwachman-Diamond syndrome.
This document outlines 20 stations for a pediatric OSCE exam, including questions on resuscitation, physical exams, teaching a mother about insulin administration, history taking, reviewing videos, x-rays, EEGs, growth charts, hematology slides, reflex exams, and more. Exam topics assess candidates' abilities in areas such as diagnosis, treatment, clinical findings, drug choices and contraindications, inheritance patterns, and statistical analyses. Stations involve written questions, photographs, videos, and physical exams to comprehensively evaluate pediatric medical knowledge and skills.
This document contains 20 self-assessment questions submitted by junior medical students on their Pediatric Clerkship rotation. The questions cover topics like rheumatic fever, Kawasaki disease, asthma severity classifications, otitis media, Down syndrome, HIV in mothers and newborns, Wilson's disease, and more. The questions are provided "as is" by the clerkship director as a study aid for subsequent students.
In collaboration with the New England Regional Genetics Network, the Weitzman Institute aims to improve access to genetics services for underserved populations by offering primary care provider educational support through a free five-part webinar series that aims to enhance provider knowledge, practice, and attitudes regarding genetic services.
The document contains a knowledge check for a pathophysiology course consisting of 9 multiple choice questions covering various disease processes and patient cases. The questions assess understanding of topics like the roles of different cholesterol levels, the development of atherosclerosis, causes of pericarditis, how strep throat can lead to rheumatic heart disease, risk factors for deep vein thrombosis, effects of pulmonary embolism, and early and late asthmatic responses.
1. Findings in this x-ray: Bilateral coalesced opacities in upper and mid zones.
2. Two important conditions which produce similar findings: Pulmonary tuberculosis, pneumonia.
3. To differentiate radiologically: In tuberculosis, opacities are more dense and cavitation is seen. In pneumonia, opacities are less dense and consolidation is seen.
4. Hematological problems that can occur: Anemia due to chronic disease, thrombocytopenia.
This document contains multiple choice questions from a board review exam covering genetics and dysmorphology. It includes questions about patterns of inheritance for connective tissue disorders, recurrence risks for cleft lip and palate, appropriate tests and evaluations for various clinical presentations, and diagnoses for infants with certain physical findings. The questions cover topics like chromosome analysis, birth defects, genetic counseling, and evaluating newborns with possible genetic syndromes.
This document contains 15 multiple choice questions about child health nursing. Each question is followed by an answer and rationale section. The questions cover topics such as causative organisms, newborn assessments, congenital heart defects, malnutrition grading, advantages of delayed cord clamping, signs of hypocalcemia, teething, nursing care of IV fluids, Mantoux test interpretation, Bell's palsy eye care, and encopresis. The questions, answers and rationales provide information to help test knowledge of child health nursing concepts.
This document presents a case of neonatal thrombocytopenia caused by maternal immune thrombocytopenia (ITP). The mother had a history of ITP diagnosed in 2015. The newborn was delivered at 37 weeks gestation via normal spontaneous delivery with good APGAR scores. Initial workup showed thrombocytopenia but no bleeding. The neonate was treated supportively with antibiotics and observed, with platelet counts improving before discharge on day 3. Maternal ITP can cause neonatal thrombocytopenia in 10-15% of cases via transplacental transfer of antiplatelet antibodies. The pathophysiology, differential diagnoses, and management of neonatal thrombocytopenia are discussed.
This document provides an outline for a basic neonatology course. It includes:
1. Seven intended learning outcomes covering topics like job description, components of the NICU, common cases, and history taking.
2. Descriptions of the resident's job, components of the NICU, most common cases, and how to take a patient history.
3. Suggested complementary topics like fluid balance, procedures, and normal lab values to learn.
Congenital AML with ocular menifestation-Case presentation Dr. vijay pratap
The patient is a 5-year-old male who presented with fever, cough, vomiting, and protrusion of both eyeballs for 2-10 days. Examination found proptosis, papilledema, and a shifting left on blood work. Imaging showed an extraconal orbital mass. The provisional diagnosis is congenital acute myeloid leukemia with extramedullary manifestation (possible myeloid sarcoma) and sepsis. Biopsies and additional testing are needed to confirm this involves orbital infiltration by myeloblasts from AML.
This document provides question and answer summaries from an OSCE exam in pediatrics. It includes 20 stations covering topics like lung lobe and segment identification, developmental screening tools, interpreting blood gases and X-rays, diagnoses for various clinical presentations, and questions on management of conditions like anaphylaxis, scurvy, pulmonary vasculitis, cystic fibrosis and more. Treatment, investigations, genetic causes are discussed. The last few stations address questions on secondary prophylaxis for rheumatic fever.
A 30-year-old man presented with a right testicular mass and bilateral gynecomastia. Radical right orchiectomy showed a Leydig cell tumor on histopathology.
A 55-year-old man with resting tremors, rigidity, and bradykinesia was diagnosed with Parkinson's disease. After 2 months on Levodopa therapy with no improvement, the most likely diagnosis is multiple system atrophy. Neuropathological examination would show alpha-synuclein and ubiquitin deposits.
A 9-month-old boy with poor weight gain, bulky stools, and Bitot spots was found to have a mutation in the microsomal triglycer
Chapter 19 Nursing Management of Pregnancy at Risk Pregnancy.docxwalterl4
Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications
Case 1
Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared
1. Why is Teresa’s pregnancy considered a high-risk pregnancy
Incorrect answer.
Teresa’s pregnancy is considered high risk pregnancy because most of IVF pregnancies require induced labor or caesarean section.
Also, most babies conceived through IVF are born prematurely or with a low birth weight. Incorrect.. there is a higher incidence of preterm birth due to multiple gestation, IVF itself does not increase the risk factor
IVF increases the risk of Down syndrome as well. Incorrect as IVF allows for early genetic testing.
2. Discuss potential pregnancy-related complications for Teresa.
What else?
Some of the potential pregnancy –related complications for Teresa are late miscarriage, She is 26 weeks pregnant.. this is no longer a complication.
ovarian hyper stimulation syndrome, She is 26 weeks pregnant.. this is no longer a complication.
This is for IVF not the pregnancy
high blood pressure, pre-eclampsia, premature delivery, low birth weight,
birth defects, Fetal not maternal
and stress.
3. Discuss the potential risks to the babies.
You only discuss problems of prematurity.. what else?
The babies are at a higher risk of being born with breathing problems because mostly twins who are conceived through in vitro fertilization are born prematurely and therefore it means that their respiratory system and organs like lungs are not fully developed. They are also at risk of jaundice or sepsis.
Case 2
Sarah is 19-year-old G1P0 at 36 weeks' gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 5)
1. Develop a plan of care for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome.
this is a definition not a care plan
The best way to treat Sarah for preeclampsia is to deliver the baby because at 36 weeks’ gestation, the baby is full grown and it will be safer to deliver the baby and avoid further complications. In some cases, this c.
Chapter 19 Nursing Management of Pregnancy at Risk PregnancyMorganLudwig40
Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications
Case 1
Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared
1. Why is Teresa’s pregnancy considered a high-risk pregnancy
Incorrect answer.
Teresa’s pregnancy is considered high risk pregnancy because most of IVF pregnancies require induced labor or caesarean section.
Also, most babies conceived through IVF are born prematurely or with a low birth weight. Incorrect.. there is a higher incidence of preterm birth due to multiple gestation, IVF itself does not increase the risk factor
IVF increases the risk of Down syndrome as well. Incorrect as IVF allows for early genetic testing.
2. Discuss potential pregnancy-related complications for Teresa.
What else?
Some of the potential pregnancy –related complications for Teresa are late miscarriage, She is 26 weeks pregnant.. this is no longer a complication.
ovarian hyper stimulation syndrome, She is 26 weeks pregnant.. this is no longer a complication.
This is for IVF not the pregnancy
high blood pressure, pre-eclampsia, premature delivery, low birth weight,
birth defects, Fetal not maternal
and stress.
3. Discuss the potential risks to the babies.
You only discuss problems of prematurity.. what else?
The babies are at a higher risk of being born with breathing problems because mostly twins who are conceived through in vitro fertilization are born prematurely and therefore it means that their respiratory system and organs like lungs are not fully developed. They are also at risk of jaundice or sepsis.
Case 2
Sarah is 19-year-old G1P0 at 36 weeks' gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 5)
1. Develop a plan of care for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome.
this is a definition not a care plan
The best way to treat Sarah for preeclampsia is to deliver the baby because at 36 weeks’ gestation, the baby is full grown and it will be safer to deliver the baby and avoid further complications. In some cases, this c ...
This document provides instructions for participants taking a simulated exam for a medical licensing exam. It explains that the exam will take place over two sessions, from 8am to 2pm for the first part and 4pm to 8pm for the second part. It provides an example case study and question to demonstrate the exam format. It also includes a response sheet for participants to record their answers. The document aims to clearly explain the format, timing and expectations for the simulated exam.
20150918 E. Pompilii - Microarray in diagnosi prenatale: la complessità della...Roberto Scarafia
Eva Pompilii, MD
Genetic Counselor , TOMA Advanced Biomedical Assays, S.p.A.,
Gynepro Medical Bologna, Policlinico S.Orsola Malpighi Bologna
• OBJECTIVES:
At present, a precise guideline establishing chromosome microarray analysis (CMA) applications and platforms in the prenatal setting does not exist. The actual controversial
question is whether CMA technologies can or should shortly replace the standard karyotype in prenatal diagnosis practice
• CONCLUSIONS:
Presently CMA analysis can be considered a second-tier diagnostic test to be used after a standard karyotype in selected group of pregnancies, such as those with single
(apparently isolated) or multiple US fetal abnormalities, with de novo chromosomal rearrangements, even if apparently balanced, and those with supernumerary markers chromosomes
This document discusses common neonatal problems including congenital heart disease, neonatal jaundice, neonatal abstinence syndrome, and neonatal sepsis. Some key points include:
- Murmurs noted on the first day of life are usually pathological and indicate potential congenital heart disease.
- Neonatal jaundice that is early-onset, high bilirubin levels, late-onset, or prolonged may indicate an underlying pathological cause that needs investigation.
- Neonatal abstinence syndrome can occur in babies exposed to opioids in utero and may require treatment and monitoring for withdrawal symptoms for up to 14 days of life.
- Neonatal sepsis can present non-specifically and it is important
Take Test Module 2 Knowledge CheckTest InformationDescripti.docxperryk1
Take Test: Module 2 Knowledge Check
Test Information
DescriptionInstructionsMultiple AttemptsNot allowed. This test can only be taken once.Force CompletionThis test can be saved and resumed later.
Question Completion Status:
QUESTION 1
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
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Path: pWords:0
2 points
QUESTION 2
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
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This study prospectively examined 128 infants born to 112 mothers with anti-Ro antibodies to determine the incidence of neonatal lupus erythematosus (NLE) features. They found that 2 infants (1.6%) had complete congenital heart block, 21 infants (16%) had cutaneous NLE, 27% had hematologic abnormalities, and 26% had elevated liver enzymes. The risk of complete congenital heart block was highest (10.5%) for infants born to mothers who previously delivered a child with NLE. Other NLE features were common but risks were not significantly influenced by the mother's autoimmune diagnosis.
2nd Pediatric On Squares Pediatric Board Review.pdfMEWBORG
This document provides an overview of a pediatric hematology oncology board review presentation covering several topics:
- Pediatric hematology topics include febrile neutropenia, bleeding disorders, treatment of thalassemia and iron overload, sickle cell disease, thrombocytopenia, and anemia in children.
- Pediatric oncology topics include leukemia and lymphomas, solid tumors, and oncology emergencies such as tumor lysis syndrome, superior vena cava syndrome, and mediastinal mass.
- The document also provides example questions that would be discussed during the board review covering topics like febrile neutropenia, hematologic manifestations of COVID-19, diagnoses of anemia
Mrs. L.M. is a 24-year-old African American woman who was admitted for a fall and delivered her baby via cesarean section due to being HIV positive. She has a medical history of bipolar disorder, anxiety, and HIV. A nursing assessment found the patient to have acute pain from her c-section incision and anxiety. Lab results showed she was immune to rubella and negative for syphilis, GBS, hepatitis, chlamydia, and gonorrhea. The newborn is doing well and received medication to prevent HIV.
This document summarizes the medical history and examination findings of a 28 hour old female newborn admitted for yellowish discoloration of the skin. The baby was delivered at home at 39 weeks gestation with no complications. On examination, the baby appeared sick and jaundiced. Laboratory results found blood group incompatibility likely due to Rh factor. The baby received phototherapy, IV fluids, antibiotics and a blood transfusion. The jaundice and symptoms improved and the baby was discharged after 9 days in good condition.
This document discusses several case scenarios related to neuroblastoma. It begins with the case of a 4-month-old girl brought to the pediatrician for projectile vomiting. An abdominal ultrasound reveals an adrenal mass, and further workup is suggested. The second case involves a 3-year-old boy presenting with hip, leg, and back pain who is found to have a large abdominal mass and decreased breath sounds. The third case is a 4-year-old boy with fever, fatigue, and weight loss, who is found to have a large adrenal mass and widespread lymphadenopathy. Molecular studies confirm MYCN-amplified high-risk neuroblastoma. The document then reviews treatment strategies, complications, and
A 75-year-old female patient presented with weakness, dizziness, and feeling unwell for 8 weeks. Blood tests showed abnormal cell counts and a urinalysis found dark yellow urine with elevated proteins and cells. Blood cultures were negative but serology tested positive for fungal infections including Histoplasma. Over two weeks, prolonged coagulation times and ongoing abnormal blood work supported disseminated histoplasmosis and cellulitis diagnoses. The patient was treated with antifungal medications and discharged on day 19.
AFRICAResearch Paper AssignmentInstructionsOverview.docxSALU18
AFRICA
Research Paper Assignment
Instructions
Overview
In developing your expertise in transnational
organized crime (TOC) you will be writing a series of research papers. All
together the writing contained in all these papers combined would be quite
significant project! You will find that in some modules, the research papers
mimic our readings with respect to subject matter and some modules, the
research papers do not mimic the reading. Again, the goal of these research
papers is to stretch the depth and breadth of your knowledge. You should feel
well prepared to teach a course in TOCs after completing this course. The
research papers and PowerPoints you create could serve as the basis for such
class. Additionally, you will find that this course and the course CJUS701
Comparative Criminal Justice Systems complement each other very well.
Instructions
·
Each
research paper should be a minimum of 6 to 8 pages.
·
The
vast difference in page count is because some countries and/or crime/topics are
quite easy to study and some countries and/or crime/topics have very limited
information.
·
In
some instances, there will be a plethora of information and you must use
skilled writing to maintain proper page count.
·
Please
keep in mind that this is doctoral level analysis and writing – you are to take
the hard-earned road – the road less travelled – the scholarly road in forming
your paper.
·
The
paper must use current APA style, and the page count does not include the title
page, abstract, reference section, or any extra material.
·
The
minimum elements of the paper are listed below.
·
You
must use a
minimum
of 8 recent (some
countries/crimes/topics may have more recent research articles than others),
relevant, and academic (peer review journals preferred and professional
journals allowed if used judiciously) sources, at least 2 sources being the
Holy Bible, and one recent (some countries/crime/topics have more recent than
others) news article. Books may be used
but are considered “additional: sources beyond the stated minimums. You may use
.gov sources as your recent, relevant, and academic sources if the writing is
academic in nature (authored works). You may also use United Nations and
Whitehouse.gov documents as academic documents.
·
Again,
this paper must reflect graduate level research and writing style. If you need to go over the maximum page count
you must obtain professor permission in advance! Please reference the Research
Paper Rubric when creating your research paper.
These are minimum guidelines – you may expand the
topics covered in your papers.
1)
Begin
your paper with a
brief
analysis of the following elements:
a.
Country
analysis
i.
Introduction
to the country
ii.
People
and society of the country
iii.
What
is the basic government structure?
2)
Analyze
the nature of organized crime in the assigned area (you may narrow the scope of
your analysis through your introduction or thesis stat.
Adversarial ProceedingsCritically discuss with your classmates t.docxSALU18
Adversarial Proceedings
Critically discuss with your classmates the claim that adversarial proceedings can be distinguished as relying more on the government’s ability to prove guilt (following specific rules of criminal procedure the defendant’s guilt whereas the inquisitorial process spends more time on investigations to determine if the defendant truly committed the crime).
.
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Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications
Case 1
Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared
1. Why is Teresa’s pregnancy considered a high-risk pregnancy
Incorrect answer.
Teresa’s pregnancy is considered high risk pregnancy because most of IVF pregnancies require induced labor or caesarean section.
Also, most babies conceived through IVF are born prematurely or with a low birth weight. Incorrect.. there is a higher incidence of preterm birth due to multiple gestation, IVF itself does not increase the risk factor
IVF increases the risk of Down syndrome as well. Incorrect as IVF allows for early genetic testing.
2. Discuss potential pregnancy-related complications for Teresa.
What else?
Some of the potential pregnancy –related complications for Teresa are late miscarriage, She is 26 weeks pregnant.. this is no longer a complication.
ovarian hyper stimulation syndrome, She is 26 weeks pregnant.. this is no longer a complication.
This is for IVF not the pregnancy
high blood pressure, pre-eclampsia, premature delivery, low birth weight,
birth defects, Fetal not maternal
and stress.
3. Discuss the potential risks to the babies.
You only discuss problems of prematurity.. what else?
The babies are at a higher risk of being born with breathing problems because mostly twins who are conceived through in vitro fertilization are born prematurely and therefore it means that their respiratory system and organs like lungs are not fully developed. They are also at risk of jaundice or sepsis.
Case 2
Sarah is 19-year-old G1P0 at 36 weeks' gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 5)
1. Develop a plan of care for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome.
this is a definition not a care plan
The best way to treat Sarah for preeclampsia is to deliver the baby because at 36 weeks’ gestation, the baby is full grown and it will be safer to deliver the baby and avoid further complications. In some cases, this c.
Chapter 19 Nursing Management of Pregnancy at Risk PregnancyMorganLudwig40
Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications
Case 1
Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared
1. Why is Teresa’s pregnancy considered a high-risk pregnancy
Incorrect answer.
Teresa’s pregnancy is considered high risk pregnancy because most of IVF pregnancies require induced labor or caesarean section.
Also, most babies conceived through IVF are born prematurely or with a low birth weight. Incorrect.. there is a higher incidence of preterm birth due to multiple gestation, IVF itself does not increase the risk factor
IVF increases the risk of Down syndrome as well. Incorrect as IVF allows for early genetic testing.
2. Discuss potential pregnancy-related complications for Teresa.
What else?
Some of the potential pregnancy –related complications for Teresa are late miscarriage, She is 26 weeks pregnant.. this is no longer a complication.
ovarian hyper stimulation syndrome, She is 26 weeks pregnant.. this is no longer a complication.
This is for IVF not the pregnancy
high blood pressure, pre-eclampsia, premature delivery, low birth weight,
birth defects, Fetal not maternal
and stress.
3. Discuss the potential risks to the babies.
You only discuss problems of prematurity.. what else?
The babies are at a higher risk of being born with breathing problems because mostly twins who are conceived through in vitro fertilization are born prematurely and therefore it means that their respiratory system and organs like lungs are not fully developed. They are also at risk of jaundice or sepsis.
Case 2
Sarah is 19-year-old G1P0 at 36 weeks' gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 5)
1. Develop a plan of care for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome.
this is a definition not a care plan
The best way to treat Sarah for preeclampsia is to deliver the baby because at 36 weeks’ gestation, the baby is full grown and it will be safer to deliver the baby and avoid further complications. In some cases, this c ...
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Eva Pompilii, MD
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Gynepro Medical Bologna, Policlinico S.Orsola Malpighi Bologna
• OBJECTIVES:
At present, a precise guideline establishing chromosome microarray analysis (CMA) applications and platforms in the prenatal setting does not exist. The actual controversial
question is whether CMA technologies can or should shortly replace the standard karyotype in prenatal diagnosis practice
• CONCLUSIONS:
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Test Information
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Question Completion Status:
QUESTION 1
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
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His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
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Path: pWords:0
2 points
QUESTION 2
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
-- Font family ---- Font size ---- Format --HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code-- Font family --Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings-- Font size --1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt).
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AFRICAResearch Paper AssignmentInstructionsOverview.docxSALU18
AFRICA
Research Paper Assignment
Instructions
Overview
In developing your expertise in transnational
organized crime (TOC) you will be writing a series of research papers. All
together the writing contained in all these papers combined would be quite
significant project! You will find that in some modules, the research papers
mimic our readings with respect to subject matter and some modules, the
research papers do not mimic the reading. Again, the goal of these research
papers is to stretch the depth and breadth of your knowledge. You should feel
well prepared to teach a course in TOCs after completing this course. The
research papers and PowerPoints you create could serve as the basis for such
class. Additionally, you will find that this course and the course CJUS701
Comparative Criminal Justice Systems complement each other very well.
Instructions
·
Each
research paper should be a minimum of 6 to 8 pages.
·
The
vast difference in page count is because some countries and/or crime/topics are
quite easy to study and some countries and/or crime/topics have very limited
information.
·
In
some instances, there will be a plethora of information and you must use
skilled writing to maintain proper page count.
·
Please
keep in mind that this is doctoral level analysis and writing – you are to take
the hard-earned road – the road less travelled – the scholarly road in forming
your paper.
·
The
paper must use current APA style, and the page count does not include the title
page, abstract, reference section, or any extra material.
·
The
minimum elements of the paper are listed below.
·
You
must use a
minimum
of 8 recent (some
countries/crimes/topics may have more recent research articles than others),
relevant, and academic (peer review journals preferred and professional
journals allowed if used judiciously) sources, at least 2 sources being the
Holy Bible, and one recent (some countries/crime/topics have more recent than
others) news article. Books may be used
but are considered “additional: sources beyond the stated minimums. You may use
.gov sources as your recent, relevant, and academic sources if the writing is
academic in nature (authored works). You may also use United Nations and
Whitehouse.gov documents as academic documents.
·
Again,
this paper must reflect graduate level research and writing style. If you need to go over the maximum page count
you must obtain professor permission in advance! Please reference the Research
Paper Rubric when creating your research paper.
These are minimum guidelines – you may expand the
topics covered in your papers.
1)
Begin
your paper with a
brief
analysis of the following elements:
a.
Country
analysis
i.
Introduction
to the country
ii.
People
and society of the country
iii.
What
is the basic government structure?
2)
Analyze
the nature of organized crime in the assigned area (you may narrow the scope of
your analysis through your introduction or thesis stat.
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Adversarial Proceedings
Critically discuss with your classmates the claim that adversarial proceedings can be distinguished as relying more on the government’s ability to prove guilt (following specific rules of criminal procedure the defendant’s guilt whereas the inquisitorial process spends more time on investigations to determine if the defendant truly committed the crime).
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Advances In Management Vol. 9 (5) May (2016)
1
Generation Gaps: Changes in the Workplace due to
Differing Generational Values
Carbary Kelly, Fredericks Elizabeth, Mishra Bharat and Mishra Jitendra*
Management Department, Grand Valley State University, 50 Front Ave, SW Grand Rapids Michigan 49504-6424, USA
*[email protected]
Abstract
The purpose of this study is to discuss the
generational gaps that are found in the workplace
today. With multiple generations working together,
and the oldest generation having to work longer and
retire later, generational changes are occurring in the
workplace and for management. There is a lack of
communication and understanding between the
different generations caused through differing values
and goals. Younger generations are also entering
different fields than those that were popular for older
generations. There is a serious new problem in the
workplace, and it has nothing to do with downsizing,
global competition, pointy-haired bosses, stress or
greed. Instead, it is the problem of distinct
generations — the Veterans, the Baby Boomers, Gen
X and Gen Y — working together and often colliding
as their paths cross.
Individuals with different values, different ideas,
different ways of getting things done and different
ways of communicating in the workplace have always
existed. So, why is this becoming a problem now? At
work, generation differences can affect everything
including recruiting, building teams, dealing with
change, motivating, managing, and maintaining and
increasing productivity All of these ideas are
explored, discussed, and evaluated, through looking
at current research on the topic and case studies that
have been conducted not only in the United States but
around the world.
Keywords: Generation gap, workplace, values.
Introduction
Throughout the years, as the population has continued to
both grow and age, it has caused generational changes to
take place in the various aspects of life. With the changes in
the demographics of the world’s population, there have also
been changes in how each group thinks and what they
value. This not only affects the way people behave in their
personal lives, but it also affects the workplace. As
generational changes occur in the workplace, a lack of
communication has caused adisconnect to occur between
the values and goals present among the different age groups
along with newer generations choosing different career
paths.
* Author for Correspondence
In order to understand where these differences stem from,
you need to analyze how each generation is different when
it comes to their beliefs and values. So, it is best to identify
the different groups present in workplace which range from
those born in 1922 to those born in the early 1990’s.
Moving chronologically, the fi.
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Advocacy & Legislation in Early Childhood Education
Advocacy & Legislation in Early Childhood Education
Advocating for Early Childhood Education
Rasmussen College
COURSE#: EEC 4910
Doreen Anzalone
July 15, 2019
Advocating for Early Childhood Education
· What is advocacy?
Advocacy is how we support our children. We as teachers give advice for our children or we listen. We let the children and families know that we believe in them and we will be there for them. Teachers, admin, staff can advocate for children as long as they are in school. Advocates are also trained people and they are not lawyers. One of their responsibility is to stay up to date with the regulations of the educational laws.
· Why is advocacy important to early childhood education?
Its important to help the families because they might be vulnerable in society. We as teachers need to make sure our children and families are being heard. We as teachers need to make sure their wishes and views are being considered when it’s about their child or family. Its because we are helping the family make life decisions about their children and even their family life. Its also important to make sure we are not judging the family or having or our own personal opinions about what is going on when we are helping advocate for the family, we need to make sure we are stating the facts for the family.
· What is your role as an early childhood educator in making legislative changes?
Our role is to be able to email them or decide how to get a hold of them and let them know our questions, comments or suggestions on things that need to be changed, updated. We need to let them know so we can support our school, children, and families. It is our role as educators to stay aware of the laws. The Federal laws we need to make sure we are aware of the
· Family Education Rights & Poverty Act
· The No Child Left Behind
· Individuals with Disabilities Education Act
With these laws and many more they need to hear from schools in the United States. The federal laws mean we need to address the issues. These issues usually involve infringement of the student’s rights and they are to protect the rights. The state laws depend on the state you are in. The state laws this is where you would go if you have a problem or need to voice about
· Teacher Retirement
· Teacher evaluations
· Charter schools
· State Testing requirements
· The required learning standards
· Much more
Your school board is also a great place to help with policies and regulations and any revisions that need to be done.
· What ethical issues must early childhood education professionals consider related to advocacy and why do those issues exit?
In NAEYC the code of Ethical Conduct and in their it describes how any educator is required to act and what they do and not to do. At times as an educator as staff we tend to do what is the simplest or sometimes, we want to please others but when it comes to this, we must remember to follow our responsi.
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Advertising is one of the most common forms of visual persuasion we encounter in everyday life. The influence of advertising in our society is persuasive and subtle. Part of its power comes from our habit of internalizing the intended messages of words and images without thinking deeply about them. Once we begin decoding the ways in which advertisements are constructed, once we view them critically, we can understand how, or if, they work as arguments. We may then make better decisions about whether to buy products and what factors convinced us or failed to convince us.
What are the different forms of advertising?
Modern media comes in many different formats, including print media (books, magazines, newspapers), television, movies, video games, music, cell phones, various kinds of software, and the Internet. Each type of media involves both content and also a device or object through which that content is delivered.
TEAM TASK:
As a team you are going to Review Chapter 4: Visual Rhetoric: Thinking About Images as Arguments. You will
be assigned a Section of the Chapter (written, visual, unfit, political, caricature, photography-maps graphs charts ) and as a Team you willResearch
the content of that Chapter Area (you will see topic page overlap ) and implement the following:
You will look at and interpret a media campaign or advertisement. Focus on social or ethical aspects * Seek to find one or more of the FALLACY TYPES identified Chapter 9 pages 363- 380. Include this information in your findings. Consider and incorporate as many of the following 16 categories :
The objectives: What role does the ad play in the economy?
The audience: Is it targeted to a group that could be considered vulnerable?
Effectiveness: Does it promote something that is socially desirable?
Role in marketing mix: What role does the ad play in the economy?
Image, product differentiation and branding: Is the ad misleading?
Other promotion factors
The unique selling proposition.
The basis for the appeal(s).
How would you make improvements?
The creative philosophy
The slogan
Secondary or supporting points or claims
The tone or mood and manner: Is the ad misleading?
Type of presenter
The motivational appeal: Does it promote something that is socially desirable?
Executional style
Each TEAM will develop a
15 minute class presentation
about their researched area. You have
options to use
power points, maps, videos, and other resources that will help educate your audience about your research.
Your Presentation should include:
A Power Point, the media piece or some type of visual presentation~~
A Question and Answer {Q & A} & Interactive session, quiz,.
Adult Health 1 Study GuideSensory Unit Chapters 63 & 64.docxSALU18
Adult Health 1 Study Guide
Sensory Unit
Chapters 63 & 64
Remember that assigned textbook readings should be supplemental to reviewing & studying the Powerpoint presentations. Answers to these study guide questions can be obtained from the textbook chapters, Powerpoint presentations, as well as class lectures & in-class activities.
Chapter 63: Assessment & Management of Patients with Eye & Vision Disorders
Conditions to Know
: Glaucoma, Cataracts, Retinal Detachment, Macular Degeneration, Conjunctivitis, Eye trauma
· Know the basic structures & functions of the eye – lens, pupil, iris, cornea, conjunctiva, retina, and sclera
· Questions to ask patients regarding issues with the eyes/vision – Chart 63-1
· Snellen Chart is used to assess visual acuity – 20/20 is considered perfect vision (patient can read line 20 of chart while standing 20 feet away) – this is tested in each eye
1. What are some of the most common causes of blindness?
2. What is responsible for the damage to the optic nerve in patients diagnosed with glaucoma?
3. Glaucoma can lead to what primary complication if not treated properly?
4. What are the differences between open-angle & closed-angle glaucoma?
5. What are the primary signs & symptoms of glaucoma?
6. What are the primary treatment goals for patients with glaucoma?
7. What is the first line treatment of glaucoma? What medication teaching points would you want to include in your patient education?
8. What are some common risk factors for the development of cataracts? See Chart 63-7.
9. What are the primary signs & symptoms of cataracts?
10. The most common treatment for cataracts is outpatient surgery, in which the lens affected by the cataract is replaced with a man-made one. Explain the pre and post-operative nursing management & education that is needed for patients undergoing cataract surgery. See Chart 63-8.
11. Retinal detachment is considered a medical emergency. What happens during retinal detachment?
12. What are some symptoms of retinal detachment?
13. Macular degeneration is the most common cause of vision loss in people > 60 years old. What is macular degeneration?
14. What are some risk factors for dry macular degeneration?
15. What are some signs and symptoms of macular degeneration?
16. Nursing management for patients diagnosed with macular degeneration focus on safety & supportive measures. What are some accommodations we should make or educate patients on regarding how to help improve their vision & ADLs when they have this condition?
17. Conjunctivitis is also called “pink eye”. What are the different types of conjunctivitis and what are some symptoms of this condition? Are any of these types considered contagious?
18. What are some teaching points to include when educating a patient diagnosed with viral conjunctivitis? See Chart 63-11.
19. Explain the emergency nursing treatment needed when a patient presents with eye trauma.
Chapter 64: Assessment & Manag.
Advertising Campaign Management Part 3Jennifer Sundstrom-F.docxSALU18
The document discusses parameters for effective advertising campaigns, including goals, media selection, slogans, consistency, duration, and the creative brief. It provides details on each parameter and explains that carefully planning these elements is important for successful campaigns. It also covers implications of advertising management globally and working with external agencies.
Adopt-a-Plant Project guidelinesOverviewThe purpose of this.docxSALU18
Adopt-a-Plant Project guidelines
Overview:
The purpose of this project is for you to choose a plant, conduct online research into the biology of the plant, and communicate what you have learned. You will be preparing an annotated bibliography on the plant you choose. The entire project is worth 50 points
Annotated Bibliography (50 points)
You will prepare an annotated bibliography with a list of the top 10 most interesting facts about your plant.
· Each fact should be paraphrased (i.e. written in your own words, no quotations allowed).
· Then tell me why this is interesting to you – make connections to your life or to currents issues in our world.
· Finally, give a full citation and tell me why you think this is a reliable, trustworthy source. Use this libguide to help you come up with reasons why your source is trustworthy.
· At least one of your sources should be from a peer-reviewed, science journal article.
Here is an example:
Fact 1: Taxol is a chemotherapy agent derived from the bark of the Pacific Yew Tree. The chemical itself is derived from a fungal endophtye within the bark. I thought this was very interesting, because the Pacific Yew tree is native to the state of Washington, and my aunt Jane received Taxol while undergoing chemotherapy for ovarian cancer. I also thought it was interesting because of the mutualistic relationship between the plant and the fungus.Citation: Plant natural products from cultured multipotent cells
Roberts, Susan; Kolewe, Martin. Nature Biotechnology28.11 (Nov 2010): 1175-6.
This is a reliable source because it is published in a peer-reviewed science journal article, written by two PhDs that are providing a review of the current literature on the topic
To complete the assignment, you should first choose a plant, gather articles discussing your plant, read the articles sufficiently enough to discuss the plant, and finally write the annotated bibliography. You are expected to produce original work, and any plagiarism will receive a zero. The paper should be double-spaced, and typed in 12 point font size, with normal margins. The instructions for how to properly cite your sources are at the end of this handout.
*** Reminder: The scientific name of a plant should always be typed in italics, with the first letter of the Genus capitalized. For ex.: Digitalis lanata. When you search for information on your plant online, make sure to use the scientific name, which will bring back a wider variety of results
The bibliography is worth 50 points and will be graded on:
1. Effort
• Quality of references
•Depth/breadth/quality of material covered
2. Following directions/ requirements
I will use the following rubric to grade your bibliography:
Research, Critical Reading and Documentation
Balanced, authoritative sources; correctly cited sources; effectively integrated outside sources. Most sources from science journals
10 pts
Effective sources, correctly cited, Could have a few more.
ADM2302 M, N, P and Q Assignment # 4 Winter 2020 Page 1 .docxSALU18
ADM2302 M, N, P and Q Assignment # 4
Winter 2020 Page 1
Assignment # 4
Decision Analysis and Project Scheduling
ADM2302 students are reminded that submitted assignments must be typed (i.e. can NOT be hand
written), neat, readable, and well-organized. Assignment marks will be adjusted for sloppiness, poor
grammar, spelling, for technical errors as well as if you submit a PDF file.
The assignment is to be submitted electronically as a single Word Document file via Brightspace by
Friday April 3rd prior to 23:59. Front page of the Word document has to include title of the assignment,
course code and section, student name and student number. Second page is the individual/group
statement of integrity that must be signed.
E-mail questions related to the assignment should be sent to the Teaching Assistant or posted on the
Brightspace course website “Discussion page” (viewed by all).
Section M: Parisa Keshavarz ([email protected])
Section N: : Niki Khorasanizadeh ([email protected])
Section P: Makbule Kandakoglu ([email protected])
Section Q: Afshin Kamyabniya ([email protected])
Problem 1: Payoffs/Decision Table (13 points)
A small building contractor has recently experienced two successive years in which work opportunities
exceeded the firm’s capacity. The contractor must now make a decision on capacity for next year.
Estimated profits (in $ thousands) under each of the two possible states of nature are as shown in the
table below.
NEXT YEAR’S DEMAND
Alternative Low High
Do nothing
Expand
Subcontract
$50**
20
40
$60
80
70
** Profit in $ thousands.
Which alternative should be selected if the decision criterion is:
a. The optimistic approach? (3 points)
b. The conservative approach? (3 points)
c. Minimize the regret? (7 points)
Problem 2: Payoffs/Decision Table (15 points)
Dorothy Stanyard has three major routes to take to work. She can take Tennessee Street the entire way,
she can take several back streets to work, or she can use the expressway. The traffic patterns are,
however, very complex. Under good conditions, Tennessee Street is the fastest route. When Tennessee
is congested, one of the other routes is preferable. Over the past two months, Dorothy has tried each of
route several times under different traffic conditions. This information is summarized in minutes of
travel time to work in the following table:
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
ADM2302 M, N, P and Q Assignment # 4
Winter 2020 Page 2
No Traffic Congestion
(Minutes)
Mild Traffic
Congestion
(Minutes)
Severe Traffic
Congestion
(Minutes)
Tennessee Street
Back roads
Expressway
15
20
30
30
25
30
45
35
30
In the past 60 days, Dorothy encountered severe traffic congestion 10 days and mild traffic congestion
20 days. Assume that the past 60 days are typical of traffi.
Adlerian-Based Positive Group Counseling Interventions w ith.docxSALU18
This summarizes an Adlerian-based positive group counseling program for emotionally troubled youth that integrated positive psychology interventions. The 12-week program used interventions from positive psychotherapy curriculum to increase positive emotion, engagement, and meaning by emphasizing strengths. Sessions focused on identifying signature strengths, cultivating strengths through goals, developing gratitude, processing good and bad memories, and expressing forgiveness as a way to increase social interest. The positive interventions aligned well with Adlerian principles of emphasizing strengths, social interest, and encouragement to help youth overcome problems.
After completing the assessment, my Signature Theme Report produ.docxSALU18
After completing the assessment, my Signature Theme Report produced the following results: Communication, Relator, Individualization, Consistency, and Strategic. When I first saw the themes presented, I was a little skeptical at first but after reading the detailed descriptions I felt like it made a lot of sense and mirrored a lot of what I had already thought about myself.
A core value that I would like to continue to strengthen would be the value of acceptance. One of my top five themes was relator which explained that I have a comfortability with gravitating towards people I already know and building relationships from there. I don’t have issues with making new relationships, but I can see that sometimes I close myself off initially to embracing new ones. With acceptance, you have to understand that there are some situations you can control and some that you can’t but embracing the latter can lead to new experiences that could be beneficial (Riley, 2021). Another core value that I would like to improve upon would be calmness. This fits in well with my theme of consistency. While I am a firm believer of things being fair and consistent, I can get easily upset when things don’t balance out like they are expected to. I know that working on being calm in tense situations will help me adapt easier when things don’t always work out as they should.
One of the strengths that I would like to embrace fully and continue to improve upon is communication. It was no surprise to me that communication was at the top of my list for my themes. When I am in a position of leadership at work, I make it a priority to keep my staff updated on everything that is going on for that night and it is something I expect from my charge nurse when I am working the floor also. A communicator is only effective when they are aware of their style of communicating and how others perceive or respond to it (Marshall & Broome, 2021). As a communicator I know that I can always work on how I communicate non-verbally and with body language especially. The other strength that I would like to continue to work on is of being strategic. The report explained that the strategic theme fit me because I am able to sort through the clutter and find the best route when I am trying to accomplish something. I really believe this about myself because when I have a task I need to accomplish, whether I am in a leader position or not, I will break everything down and reorganize it to make sure I have come up with the best solution. I feel like the best way to do something is the way that makes it concise and without a lot of excess getting in the way.
A characteristic of mine that I would like to strengthen would be that of instinct. My theme of individualization points out that I have an instinct about others and how they work and function. I have always felt that I easily read people and can get a sense of who they truly are and for example in the workplace how they are as a staff member. S.
After careful reading of the case material, consider and fully answe.docxSALU18
After careful reading of the case material, consider and fully answer the following questions:
1. What were the primary reasons for changing the current system at Butler?
2. What role did Butler's IS department play?
3. List the objectives of the pilot. Were there any problems?
4. Do you think Butler made the right decision to utilize this new technology? What implications does this decision hold for Butler's IT department in the long run?
NOTE: Butler refers to it's IT department as IR. You may consider these two acronyms as synonymous (i.e. IT = IS = IR for purposes of this assignment)
.
Affluent
Be unique to
Conform
Debatable
Dominant
Enforce
Ethnic
Internalize
Rank
Restrict
You will write your own sentences using each of the vocabulary words. The sentence
must be an
original sentence
created by you, AND it must use the vocabulary word correctly.
Your sentence
MUST
demonstrate that you understand the meaning of the word.
.
Advanced persistent threats (APTs) have been thrust into the spotlig.docxSALU18
Advanced persistent threats (APTs) have been thrust into the spotlight due to their advanced tactics, techniques, procedures, and tools. These APTs are resourced unlike other types of cyber threat actors.
Your chief technology officer (CTO) has formed teams to each develop a detailed analysis and presentation of a specific APT, which she will assign to the team.
.
Your report should use
The Cybersecurity Threat Landscape Team Assignment Resources
to cover the following five areas:
Part 1: Threat Landscape Analysis
Provide a detailed analysis of the threat landscape today.
What has changed in the past few years?
Describe common tactics, techniques, and procedures to include threat actor types.
What are the exploit vectors and vulnerabilities threat actors are predicted to take advantage of?
Part 2: APT Analysis
Provide detailed analysis and description of the APT your group was assigned. Describe the specific tactics used to gain access to the target(s).
Describe the tools used. Describe what the objective of the APT was/is. Was it successful?
Part 3: Cybersecurity Tools, Tactics, and Procedures
Describe current hardware- and software-based cybersecurity tools, tactics, and procedures.
Consider the hardware and software solutions deployed today in the context of defense-in-depth.
Elaborate on why these devices are not successful against the APTs.
Part 4: Machine Learning and Data Analytics
Describe the concepts of machine learning and data analytics and how applying them to cybersecurity will evolve the field.
Are there companies providing innovative defensive cybersecurity measures based on these technologies? If so, what are they? Would you recommend any of these to the CTO?
Part 5: Using Machine Learning and Data Analytics to Prevent APT
Describe how machine learning and data analytics could have detected and/or prevented the APT you analyzed had the victim organization deployed these technologies at the time of the event. Be specific.
Part 6: Ethics in Cybersecurity.
Ethical issues are at the core of what we do as cybersecurity professionals. Think of the example of a cyber defender working in a hospital. They are charged with securing the network, medical devices, and protecting sensitive personal health information from unauthorized disclosure. They are not only protecting patient privacy but their health and perhaps even their lives. Confidentiality, Integrity, Availability - the C-I-A triad - and many other cybersecurity practices are increasingly at play in protecting citizens in all walks of life and in all sectors. Thus, acting in an ethical manner is one of the hallmarks of cybersecurity professionals.
Do you think the vulnerability(ies) exploited by the APT constitutes an ethical failure by the defender? Why or why not?
For the APT scenario your group studied, were there identifiable harms to privacy or property? How are these harms linked to C-I-A? If not, what ethically si.
Advanced persistent threatRecommendations for remediation .docxSALU18
Advanced persistent threat
Recommendations for remediation of the threat
Research the use of network security controls associated to your threat and industry
Do Not use topics network security,VPN,FIREWALL,ETC
10-12 pages. Double spaced APA style
At least 10 REFERENCES
5 ATLEASt PEER REVIEWED SCHOLARLY
.
Adultism refers to the oppression of young people by adults. The pop.docxSALU18
Adultism refers to the oppression of young people by adults. The popular saying "children should be seen and not heard" is used as a way to remind a child of his or her place and reaffirm the adult's power in the relationship. The saying suggests that children's voices are not as important or as valid as an adult's and they should remain quiet. Children are often relegated to subordinate positions due to socially constructed beliefs about what they can or cannot accomplish or what they should or should not do; this in turn compromises youth's self-determination. This oppression is further highlighted when considering the intersection of age with race, ethnicity, socioeconomic status, and sexual orientation. You will be asked to consider all of these when reviewing the Logan case and Parker case.
By Day 3
Post
an analysis of the influence of adultism in the Logan case. Then, explain how gender, race, class, and privilege interact with adultism to influence the family's discourse related to Eboni's pregnancy as well as other family dynamics.
.
ADVANCE v.09212015
•
APPLICANT DIVERSITY STATEMENT IN FACULTY SEARCH PROCESS
FREQUENTLY ASKED QUESTIONS
1) How does University of California define “diversity?”
A: The academic senate adopted in 2009 the following broad definition of diversity:
Diversity - defining features of California past, present and future - refers to a variety of
personal experiences, values, and worldviews that arise from differences of culture and
circumstance. Such differences include race, ethnicity, gender, age, religion, language,
abilities/disabilities, sexual orientation, socioeconomic status, geographic region and more.
2) Why does UC Irvine expect a diversity statement from applicants for faculty positions?
A: UC Irvine’s commitment to inclusive excellence is integral to our ascendancy among globally
preeminent universities. It provides applicants with an opportunity to discuss how their past or
future contributions will advance this enduring campus commitment. For more information,
please see the Provost’s memo on Inclusive Excellence.
3) Is the diversity statement consistent with University of California policy?
A: Yes. APM 210.1-d, which governs appointment, appraisal and promotion, recommends that
faculty be both encouraged and rewarded for activity that promotes inclusive excellence:
“The University of California is committed to excellence and equity in every facet of its mission.
Teaching, research, professional and public service contributions that promote diversity and
equal opportunity are to be encouraged and given recognition in the evaluation of the
candidate's qualifications. These contributions to diversity and equal opportunity can take
a variety of forms including efforts to advance equitable access to education, public
service that addresses the needs of California's diverse population, or research in a
scholar's area of expertise that highlights inequities.”
4) Is UC Irvine alone among UC campuses in adopting this statement?
A: No. UC San Diego adopted this statement in 2010.
5) How will applicants learn about the diversity statement expectation?
A: Per Provost Gillman’s memo of June 2014, all ads for faculty positions will include the following
sentence: “Applicants are encouraged to share how their past and/or potential contributions to
diversity, equity and inclusion will advance UC Irvine’s commitment to inclusive excellence.”
6) How do applicants provide their diversity statement?
A: There is a dedicated field in UC Recruit for applicants to submit their diversity statement.
7) If an applicant does not provide a diversity statement, will his or her application be considered
incomplete?
A: Yes
http://www.provost.uci.edu/news/InclusiveExcellence.html
http://www.ucop.edu/academic-personnel/_files/apm/apm-210.pdf
http://www.provost.uci.edu/news/Diversity-Statement-June-2014.html
ADVANCE v.09212015
8) What are the components of a diversity statement?
.
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
-------------------------------------------------------------------------------
Find out more about ISO training and certification services
Training: ISO/IEC 27001 Information Security Management System - EN | PECB
ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
General Data Protection Regulation (GDPR) - Training Courses - EN | PECB
Webinars: https://pecb.com/webinars
Article: https://pecb.com/article
-------------------------------------------------------------------------------
For more information about PECB:
Website: https://pecb.com/
LinkedIn: https://www.linkedin.com/company/pecb/
Facebook: https://www.facebook.com/PECBInternational/
Slideshare: http://www.slideshare.net/PECBCERTIFICATION
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Walmart Business+ and Spark Good for Nonprofits.pdf
A ten-year-old boy is brought to clinic by his mother who states t.docx
1. A ten-year-old boy is brought to clinic by his mother who states
that the boy has been listless and not eating. She also notes that
he has been easily bruising without trauma as he says he is too
tired to go out and play. He says his bones hurt sometimes.
Mother states the child has had intermittent fevers that respond
to acetaminophen. Maternal history negative for pre, intra, or
post-partum problems. Child’s past medical history negative and
he easily reached developmental milestones. Physical exam
reveals a thin, very pale child who has bruises on his arms and
legs in no particular pattern. The APRN orders complete blood
count (CBC), and complete metabolic profile (CMP). The CBC
revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet
count of 80,000/mm3. The CMP demonstrated a blood urea
nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The
APRN recognizes that the patient appears to have acute
leukemia and renal failure and immediately refers the patient to
the Emergency Room where a pediatric hematologist has been
consulted and is waiting for the boy and his mother. The
diagnosis of acute lymphoblastic leukemia (ALL) was made
after extensive testing.
Question 1 of 2:
What is ALL?
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1Sub Heading 2ParagraphFormatted Code-- Font family --
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MSCourier
NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New
RomanTrebuchet MSVerdanaWebdingsWingdings-- Font size --
2. 1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)
Path: pWords:0
1 points
QUESTION 2
A ten-year-old boy is brought to clinic by his mother who states
that the boy has been listless and not eating. She also notes that
he has been easily bruising without trauma as he says he is too
tired to go out and play. He says his bones hurt sometimes.
Mother states the child has had intermittent fevers that respond
to acetaminophen. Maternal history negative for pre, intra, or
post-partum problems. Child’s past medical history negative and
he easily reached developmental milestones. Physical exam
reveals a thin, very pale child who has bruises on his arms and
legs in no particular pattern. The APRN orders complete blood
count (CBC), and complete metabolic profile (CMP). The CBC
revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet
count of 80,000/mm3. The CMP demonstrated a blood urea
nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. The
APRN recognizes that the patient appears to have acute
leukemia and renal failure and immediately refers the patient to
the Emergency Room where a pediatric hematologist has been
consulted and is waiting for the boy and his mother. The
diagnosis of acute lymphoblastic leukemia (ALL) was made
after extensive testing.
Question 2 of 2:
How does renal failure occur in some patients with ALL?
3. -- Font family ---- Font size ---- Format --HeadingSub Heading
1Sub Heading 2ParagraphFormatted Code-- Font family --
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QUESTION 3
A 12-year-old female with known sickle cell disease
(SCD) present to the Emergency Room in sickle cell crisis. The
patient is crying with pain and states this is the third acute
episode she has had in the last nine months. Both parents are
present and appear very anxious and teary eyed. A diagnosis of
acute sickle cell crisis was made. Appropriate therapeutic
interventions were initiated by the APRN and the patient’s pain
level decreased, and she was transferred to the pediatric
intensive care unit (PICU) for observation and further
management.
Question 1 of 2:
What is the pathophysiology of acute SCD crisis and why is
4. pain the predominate feature of acute crises?
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QUESTION 4
A 12-year-old female with known sickle cell disease
(SCD) present to the Emergency Room in sickle cell crisis. The
patient is crying with pain and states this is the third acute
episode she has had in the last nine months. Both parents are
present and appear very anxious and teary eyed. A diagnosis of
acute sickle cell crisis was made. Appropriate therapeutic
interventions were initiated by the APRN and the patient’s pain
level decreased, and she was transferred to the pediatric
intensive care unit (PICU) for observation and further
management.
Question 2 of 2:
Discuss the genetic basis for SCD.
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QUESTION 5
The parents of a 9-month boy bring the infant to the
pediatrician’s office for evaluation of a swollen right knee
and excessive bruising. The parents have noticed that the
baby began having bruising about a month ago but thought the
bruising was due to the child’s attempts to crawl. They became
concerned when the baby woke up with a swollen knee. Infant
up to date on all immunizations, has not had any medical
problems since birth and has met all developmental
milestones. Pre-natal, intra-natal, and post-natal history of
mother noncontributory. Family history negative for any history
of bleeding disorders or other major genetic diseases. Physical
exam within normal limits except for obvious bruising on the
extremities and right knee. Knee is swollen but no warmth
appreciated. Range of motion of knee limited due to the
swelling. The pediatrician suspects the child has hemophilia and
orders a full bleeding panel workup which confirms the
diagnosis of hemophilia A.
6. Question 1 of 2:
Explain the genetics of hemophilia.
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QUESTION 6
The parents of a 9-month boy bring the infant to the
pediatrician’s office for evaluation of a swollen right knee
and excessive bruising. The parents have noticed that the
baby began having bruising about a month ago but thought the
bruising was due to the child’s attempts to crawl. They became
concerned when the baby woke up with a swollen knee. Infant
up to date on all immunizations, has not had any medical
problems since birth and has met all developmental
milestones. Pre-natal, intra-natal, and post-natal history of
mother noncontributory. Family history negative for any history
of bleeding disorders or other major genetic diseases. Physical
exam within normal limits except for obvious bruising on the
7. extremities and right knee. Knee is swollen but no warmth
appreciated. Range of motion of knee limited due to the
swelling. The pediatrician suspects the child has hemophilia and
orders a full bleeding panel workup which confirms the
diagnosis of hemophilia A.
Question 2 of 2:
Briefly describe the pathophysiology of Hemophilia.
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QUESTION 7
During a routine 16-week pre-natal ultrasound, spina
bifida with myelomeningocele was detected in the fetus. The
parents continued the pregnancy and labor was induced at 38
weeks with the birth of a female infant with an obvious defect
at Lumbar Level 2. The Apgar Score was 7 and 9. The infant
was otherwise healthy. The sac was leaking cerebral spinal fluid
and the child was immediately taken to the operating room
for coverage of the open sac. The infant remained in the
neonatal intensive care unit (NICU) for several weeks then
8. discharged home with the parents after a prescribed treatment
plan was developed and the parents were educated on how to
care for this infant.
Question 1 of 2:
What is the underlying pathophysiology of myelomeningocele?
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QUESTION 8
During a routine 16-week pre-natal ultrasound, spina
bifida with myelomeningocele was detected in the fetus. The
parents continued the pregnancy and labor was induced at 38
weeks with the birth of a female infant with an obvious defect
at Lumbar Level 2. The Apgar Score was 7 and 9. The infant
was otherwise healthy. The sac was leaking cerebral spinal fluid
and the child was immediately taken to the operating room
9. for coverage of the open sac. The infant remained in the
neonatal intensive care unit (NICU) for several weeks then
discharged home with the parents after a prescribed treatment
plan was developed and the parents were educated on how to
care for this infant.
Question 2 of 2:
Describe the pathophysiology of hydrocephalus in infants with
myelomeningocele.
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QUESTION 9
A preterm infant was delivered at 32 weeks gestation and was
taken to the NICU for critical care management. Physical
assessment of the chest and heart remarkable for a continuous-
machinery type murmur best heard at the left upper sternal
border through systole and diastole. The infant had bounding
pulses, an active precordium, and a palpable thrill. The infant
10. was diagnosed with a patent ductus arteriosus (PDA).
Question:
Discuss the hemodynamic consequences of a PDA.
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QUESTION 10
A 7-year-old male was referred to the school
psychologist for disruptive behavior in the classroom. The
parents told the psychologist that the boy has been difficult to
manage at home as well. His scholastic work has gotten worse
over the last 6 months and he is not
meeting educational benchmarks. His parents are also worried
that he isn’t growing like the other kids in the
neighborhood. He has been bullied by other children which is
contributing to his behaviors. The psychologist suggests that the
11. parents have some blood work done to check for any
abnormalities. The complete blood count (CBC) revealed a
hypochromic microcytic anemia. Further testing revealed the
child had a venous lead level of 21 mcg/dl (normal is
< 10 mcg/dl). The child was diagnosed with lead poisoning and
it was discovered he lived in public housing that had not
finished stripping lead paint from the walls and woodwork.
Question:
How does lead poisoning account for the child’s symptoms?
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QUESTION 11
Emergency Medical Services (EMS) was dispatched to a
home to evaluate the report of an unresponsive 3-month-
old infant. Upon arrival, the EMS found a frantic attempt by the
12. presumed father to resuscitate an infant. The EMS took over and
attempted CPR but was unable to restore pulse or respiration.
The infant was transported to the Emergency Room where the
physician pronounced the child dead of Sudden Infant Death
Syndrome (SIDS). The distraught parents were questioned as to
the events surrounding the discovery of the baby. Parents
state the child was in good health, had taken a full 6-
ounce bottle of formula prior to being put down for the evening.
The child had been sleeping through the night prior to this.
Parents stated the baby had had some “sniffles” a few days
before and was taken to the pediatrician who diagnosed the
child with a mild upper respiratory tract viral syndrome. No
other pertinent history.
Question:
What is thought to be the underlying pathophysiology of SIDS?
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13. QUESTION 12
A 4-year-old female is brought to the pediatrician by her mother
who states the child has been running a fever to 102.0 F, has
“pink eye”, and that her tongue looks very bright red and
swollen. The mother states the fever has been present for 5
days, noticed the child had developed a rash and that the child’s
legs look “puffy”. No other symptoms noted. Past medical
history noncontributory. All immunizations up to date. Physical
exam remarkable for current fever of 102.8
F, bilateral conjunctivitis without purulent material, oral
mucosa with bright red erythema, dry, with fissuring of the
lips. Legs noted to have peripheral edema and are also
erythematous. Palmar desquamation noted. There is
fine maculopapular rash and + cervical adenopathy. The
presumptive diagnosis currently (pending laboratory data) is
Kawasaki Disease.
Question 1 of 2:
What is Kawasaki Disease and what is the pathophysiology?
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QUESTION 13
A 4-year-old female is brought to the pediatrician by her mother
who states the child has been running a fever to 102.0 F, has
“pink eye”, and that her tongue looks very bright red and
swollen. The mother states the fever has been present for 5
days, noticed the child had developed a rash and that the child’s
legs look “puffy”. No other symptoms noted. Past medical
history noncontributory. All immunizations up to date. Physical
exam remarkable for current fever of 102.8
F, bilateral conjunctivitis without purulent material, oral
mucosa with bright red erythema, dry, with fissuring of the
lips. Legs noted to have peripheral edema and are also
erythematous. Palmar desquamation noted. There is
fine maculopapular rash and + cervical adenopathy. The
presumptive diagnosis currently (pending laboratory data) is
Kawasaki Disease.
Question 2 of 2:
How does Kawasaki
Disease cause coronary
aneurysms?
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QUESTION 14
A 9-year-old boy was brought to the Urgent Care Center by his
parents who state that the child had a sudden onset of difficulty
catching his breath, has a new cough and is making a “funny
sound” when he breathes. The parents state there is no prior
history of this, and the child had not been ill prior to the start of
the symptoms. Past medical history noncontributory. No family
history of respiratory problems. No known allergies to drugs or
food. Physical exam positive for respiratory rate of 26, use of
accessory muscles, with suprasternal retractions, heart rate of
132 beats per minute, an audible inspiratory and expiratory
wheeze noted, and the pulse oximetry is 89% on room air. After
the APRN institutes appropriate urgent treatment, the child’s
breathing slowly returned to
normal, vital signs normalize, and the pulse oximetry increases
to 97%. The APRN suspects the child has asthma and tells the
parents that they need to bring the child to a pulmonologist for
further evaluation and care.
Question:
16. What is the underlying pathophysiology of asthma?
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QUESTION 15
A 24-year-old female with known cystic fibrosis (CF) has been
admitted to the hospital for evaluation for possible lung
transplant. She was diagnosed with CF when she was 9 months
old and has had multiple hospitalizations for pneumonia,
respiratory failure, and small bowel obstructions. She currently
is oxygen dependent and has been told by her physicians that
she has end stage pulmonary disease secondary to CF. The only
recourse for her currently is lung transplant.
Question 1 of 2:
What is cystic fibrosis and discuss the pathophysiology.
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QUESTION 16
A 24-year-old female with known cystic fibrosis (CF) has been
admitted to the hospital for evaluation for possible lung
transplant. She was diagnosed with CF when she was 9 months
old and has had multiple hospitalizations for pneumonia,
respiratory failure, and small bowel obstructions. She currently
is oxygen dependent and has been told by her physicians that
she has end stage pulmonary disease secondary to CF. The only
recourse for her currently is lung transplant.
Question 2 of 2:
What is the reason people with CF are often malnourished?
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QUESTION 17
A 14-year old girl who was trying out for
cheerleading underwent a physical examination by the
APRN who notices that the girl had uneven hip height,
asymmetry of the shoulder height, shoulder and
scapular prominence and rib prominence. The rest of the
physical exam was normal and the APRN referred the girl to an
orthopaedist for evaluation for possible scoliosis. Radiographs
in the orthopaedic office confirms the diagnosis of idiopathic
scoliosis. The spinal curve was measured at 26 degrees and it
was recommended that the girl be fit for a low-profile back
brace.
Question:
What is thought to be the pathophysiology of idiopathic
scoliosis?
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QUESTION 18
A 2-year-old boy was brought to Urgent Care by his parents
who state the boy has been having large amounts of diarrhea,
been very irritable and very pale. The parents noticed there was
blood in the diarrhea and when the boy’s legs became swollen,
they sought care. Past medical history noncontributory and all
immunizations up to date. Social history noncontributory and
the child is in day care 5 days a week. No known exposure
to other sick children and the only new event the parents could
think of is the day care workers took the children to a local
petting zoo about a week ago. Physical exam revealed a pale, ill
appearing child with swollen legs, tender abdomen, and petechia
on the legs and abdomen. The APRN suspects the child may
have been exposed to a bacterium at the petting zoo and
arranges for the patient to be transferred to the Emergency
Room. There the child was found to be in renal failure, have
hypertension and was diagnosed with hemolytic uremic
syndrome (HUS).
Question:
20. What is the pathophysiology of HUS?
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QUESTION 19
The parents of a 3-year-old boy bring the child to the
pediatrician with concerns that their child seems “small for his
age”. The parents state that the boy has always been small
but did not worry until the child went to day care and they
noticed other children of the same age were much bigger. They
also note that his teeth were very late in coming in. Normal
prenatal, perinatal and postnatal history and no medical history
on either side of family regarding issues with growth and
development. Physical exam is normal except for short limbs
and small teeth. The pediatrician suspects the child has pituitary
dwarfism. A complete laboratory and radiographic work up
confirmed the diagnosis.
Question:
What is the pathophysiology of pituitary dwarfism?
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QUESTION 20
A 4-year-old boy was brought to the Emergency Room by his
parents with a suspected femur fracture. The parents state the
child was playing on the couch when he rolled off and cried out
in pain. There were no other injuries noted. Review of the
child’s chart revealed this was the 4th Emergency Room visit in
the last 15 months for fractures after low impact injury. The
parents were suspected of child abuse and Child and Protective
Services were consulted. The APRN assessing the child noted
that the child had unusually thin and translucent skin, poor
dentition, and blue sclera. The APRN suspects the child may
have osteogenesis imperfecta (OI). Laboratory results revealed
an elevated serum alkaline phosphatase and the diagnosis OI
was made based on the clinical picture and elevated alkaline
phosphatase.
Question:
22. What is the pathophysiology of OI?
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