Knowledge Check: Module 6
Student Response
Only Edit “Type your response here”. Do your best please.
This Knowledge Check reviews the topics in Module 6 and is formative in nature. It is worth 20 points where each question is worth 1 point. You are required to submit a sufficient response of at least 2-4 sentences in length for each question.
Scenario 1: Schizophrenia
A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.
Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.
Question 1 of 4:
Describe the positive symptoms of schizophrenia and relate those symptoms to the case study patient.
<Type your response here>
Question 2 of 4:
Explain the genetics of schizophrenia.
<Type your response here>
Question 3 of 4:
The APRN reviews recent literature and reads that neurotransmitters are involved in the development of schizophrenia. What roles do neurotransmitters play in the development of schizophrenia?
<Type your response here>
Question 4 of 4:
The APRN reviews recent literature and reads that structural problems in the brain may be involved in the development of schizophrenia. Explain what structural abnormalities are seen in people with schizophrenia.
<Type your response here>
Scenario 2: Bipolar Disorder
A 34-year-old female was brought to the Urgent Care Center by her husband who is very concerned about the changes he has seen in his wife for the past 3 months. He states that his wife has had been depressed and irritable, has complaints of extreme fatigue, has lost 10 pounds and has had insomnia. He has come home from work to find his wife sitting in front of the TV and not moving for hours. In the past few days, she suddenly has become very hyperactive, has been talking incessantly, has been easily distracted and seems to “flit from one thing to another.”. She hasn’t slept in 3 days. The wife went on an excessive shopping spree for new clothes that resulted in their credit card being denied for exceeding the line of credit. The wife is unable to sit in the exam room and is currently pacing the hallway muttering to ...
Name Case Study Title Briefly What happened Provi.docxpauline234567
Name:
Case Study Title:
Briefly What happened? Provide the article title, URL and a one sentence summary of the case.
Key Stakeholders and how were they negatively impacted: [This does not need to be a complete list, just several major stakeholders (not stockholders, though the stockholders may be stakeholders). Briefly explain the relationship with the company – why they are stakeholders
What was the final outcome? [prison, fines, termination, and for how many individuals]
Describe why you feel the actions were morally wrong? [Be sure to use keywords describing your moral base (consequentialist, care, duty, act utilitarian, prima facie duties, etc.) and why your compass would justify classifying the action as morally wrong. Alternatively, discuss why you may feel the action was morally acceptable.]
Put yourself in a position of leadership and describe what you would put in place that would have prevented this in the first place or keep it from happening again. Or, alternatively what rules would you implement to justify the action:
NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template
Assignment Instructions:
Answer with minumun 2 paragraphs each the following questions based in the bellow clinical case:
1. What other additional differential diagnosis is applicable based on the presention symptoms? explain
2. What additional history is required to confirm the diagnosis?
3. What other medications would be applicable in her situation?
** At least 2 references per question**
Subjective
CC (chief complaint): “I need help, I feel empty and overwhelmed by sadness”.
HPI: Client MM is a 33-year-old Caucasian female who was referred from the women center after she lost a term pregnancy of twins 13 months ago. She presented for a psychiatric evaluation with her husband in attendance. They both looked very sad. She reported that the reason for referral was because she was very depressed after losing her pregnancy and was having suicidal thoughts. She was started on Zoloft 50 mg pod once a day at the women center. She currently denies any suicidal or homicidal ideation. She is feeling intense sadness. Admits to having rumination thoughts. She is still grieving the loss of her pregnancy. Admits that she has not been able to get back to work after the burying her babies remain. She said she has lost interest in doing things she enjoys doing. Admits to have lost her appetite and is skipping meals. She has poor memory and concentration. Denies any distractibility. She has poor sleep, sleeps 4 to 5 hours per night. Patient endorse hopelessness, helplessness and worthlessness, however, she said she is not suicidal at this time. Reports to be anxious. Admits to racing thoughts and mood swing. Admits to nightmares. Denies paranoia, delusions and hallucination. PHQ-9 score 24.
Past psychiatric history: Denies any previous psychiatric history.
Social histor.
NURS-6501N-21-Advanced Pathophysiology
Question 1
1.
Scenario 1: Schizophrenia
A 22-year-old female student was brought to her college student health department by her boyfriend. He was concerned about the changes in her behavior. The boyfriend noted that she has been hearing voices, and seeing things that are not there. She also thinks that there are people that want to harm her. She told her family that she cannot finish college as the voices told her to quit because she is “dumb”. The boyfriend relates episodes of unexpected rage and crying.
PMH: noncontributory
FH: positive for a first cousin who “had mental problems”.
SH: Denies current drug abuse but states he smoked marijuana every day during junior and senior years of high school. Admits to drinking heavily on weekends at various fraternity houses.
PE: thin, anxious disheveled female who, during conversations, stops talking, tilts her head and appears to be listening to something. There is poor eye contact and conversation is disjointed.
DIAGOSIS: schizophrenia.
Question:
What are known characteristics of schizophrenia and relate those to this patient.
ANSWER
Question 2
Scenario 1: Schizophrenia
A 22-year-old female student was brought to her college student health department by her boyfriend. He was concerned about the changes in her behavior. The boyfriend noted that she has been hearing voices, and seeing things that are not there. She also thinks that there are people that want to harm her. She told her family that she cannot finish college as the voices told her to quit because she is “dumb”. The boyfriend relates episodes of unexpected rage and crying.
PMH: noncontributory
FH: positive for a first cousin who “had mental problems”.
SH: Denies current drug abuse but states he smoked marijuana every day during junior and senior years of high school. Admits to drinking heavily on weekends at various fraternity houses.
PE: thin, anxious disheveled female who, during conversations, stops talking, tilts her head and appears to be listening to something. There is poor eye contact and conversation is disjointed.
DIAGOSIS: schizophrenia.
Question:
Genetics are sometimes attached to schizophrenia explain this.
ANSWER
Question 3
Scenario 1: Schizophrenia
A 22-year-old female student was brought to her college student health department by her boyfriend. He was concerned about the changes in her behavior. The boyfriend noted that she has been hearing voices, and seeing things that are not there. She also thinks that there are people that want to harm her. She told her family that she cannot finish college as the voices told her to quit because she is “dumb”. The boyfriend relates episodes of unexpected rage and crying.
PMH: noncontributory
FH: positive for a first cousin who “had mental problems”.
SH: Denies current drug abuse but states he smoked marijuana every day during junior and senior years of high school. Ad.
Case#1A 24-year-old male graduate student without prior medical .docxtroutmanboris
Case#1
A 24-year-old male graduate student without prior medical or psychiatric history is reported by his mother to have been very anxious over the past 6 months, with increasing concern that people are watching him. He now claims to “hearing voices,” telling him what must be done to “ fix the country.” Important workup ? thyroid-stimulating hormone TSH, rapid plasma reagain (RPR), and brain imaging.
Questions:
1. What is the diagnosis of this patient?
2. What is the age onset of this disorder?
3. What socioeconomic group suffers from this disorder?
4. What is the subtype of this disorder in this patient ?
5. List five positive and negative symptoms that we can find in schizophrenia disorder>
6. What is the treatment?
7. What are five characteristics associated with better prognosis?
Case#2
Ms. Torrez is a 17-year-old Caucasian woman without prior psychiatric history who is brought to the Emergency room by ambulance after her parents called 911 when they found her having a seizure in their living room. She was admitted to the medical intensive care units in status epilepticus and was quickly stabilized with intramuscular lorazepam and fosphenytoin loading. Her heigh is 5 feet 6 inches, she is of medium build, and her weight is 101 lbs. (BMI16.3kg/m2). She does not suffer any medical conditions, and this is her first seizure. Laboratory workup shows an electrolyte imbalance as the most likely cause of the seizures. Although initially reluctant, she admits to purging with the use of ipecac several times this week. She reports that although she normally restricts her daily caloric intake to 500 calories, she regularly induces vomiting if her weight is above 100 lbs. Her last menstrual cycle was 1 year ago. Psychiatric consultation is requested in order to confirm the diagnosis
The on-call psychiatry notes in Terry’s chart
Patient appears underweight and younger than her stated age. She is mild distress, has a nasogastric tube in place, and exhibits poor eye contact. She reports feeling “sad” and admitted to experiencing constant preoccupation about her physical appearance and says, “I am fat; I hate my body.” She also reports insomnia, low energy levels, and history of self-harm behavior by cutting her forearms. She reports that she is careful hiding her symptoms from her parents, whom she describes as strict disciplinarians. She also expresses concerns that she will disappoint them.
Ms. Torrez’ parents describe her as a perfectionist. They say that she is involve in multiple school activities, takes advanced placement classes, and has been recently concerned about being accepted at her college of choice. They report that she maintains a 4.0 grade point average in high school, and they are expecting her to become a lawyer. Her parents have noticed that she is underweight and rarely see her eat but attributed this to stress from her many academic pursuits. Ms. Torrez’ mom was diagnosed with obsessive-compulsive disorder.
Qu.
Name Case Study Title Briefly What happened Provi.docxpauline234567
Name:
Case Study Title:
Briefly What happened? Provide the article title, URL and a one sentence summary of the case.
Key Stakeholders and how were they negatively impacted: [This does not need to be a complete list, just several major stakeholders (not stockholders, though the stockholders may be stakeholders). Briefly explain the relationship with the company – why they are stakeholders
What was the final outcome? [prison, fines, termination, and for how many individuals]
Describe why you feel the actions were morally wrong? [Be sure to use keywords describing your moral base (consequentialist, care, duty, act utilitarian, prima facie duties, etc.) and why your compass would justify classifying the action as morally wrong. Alternatively, discuss why you may feel the action was morally acceptable.]
Put yourself in a position of leadership and describe what you would put in place that would have prevented this in the first place or keep it from happening again. Or, alternatively what rules would you implement to justify the action:
NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template
Assignment Instructions:
Answer with minumun 2 paragraphs each the following questions based in the bellow clinical case:
1. What other additional differential diagnosis is applicable based on the presention symptoms? explain
2. What additional history is required to confirm the diagnosis?
3. What other medications would be applicable in her situation?
** At least 2 references per question**
Subjective
CC (chief complaint): “I need help, I feel empty and overwhelmed by sadness”.
HPI: Client MM is a 33-year-old Caucasian female who was referred from the women center after she lost a term pregnancy of twins 13 months ago. She presented for a psychiatric evaluation with her husband in attendance. They both looked very sad. She reported that the reason for referral was because she was very depressed after losing her pregnancy and was having suicidal thoughts. She was started on Zoloft 50 mg pod once a day at the women center. She currently denies any suicidal or homicidal ideation. She is feeling intense sadness. Admits to having rumination thoughts. She is still grieving the loss of her pregnancy. Admits that she has not been able to get back to work after the burying her babies remain. She said she has lost interest in doing things she enjoys doing. Admits to have lost her appetite and is skipping meals. She has poor memory and concentration. Denies any distractibility. She has poor sleep, sleeps 4 to 5 hours per night. Patient endorse hopelessness, helplessness and worthlessness, however, she said she is not suicidal at this time. Reports to be anxious. Admits to racing thoughts and mood swing. Admits to nightmares. Denies paranoia, delusions and hallucination. PHQ-9 score 24.
Past psychiatric history: Denies any previous psychiatric history.
Social histor.
NURS-6501N-21-Advanced Pathophysiology
Question 1
1.
Scenario 1: Schizophrenia
A 22-year-old female student was brought to her college student health department by her boyfriend. He was concerned about the changes in her behavior. The boyfriend noted that she has been hearing voices, and seeing things that are not there. She also thinks that there are people that want to harm her. She told her family that she cannot finish college as the voices told her to quit because she is “dumb”. The boyfriend relates episodes of unexpected rage and crying.
PMH: noncontributory
FH: positive for a first cousin who “had mental problems”.
SH: Denies current drug abuse but states he smoked marijuana every day during junior and senior years of high school. Admits to drinking heavily on weekends at various fraternity houses.
PE: thin, anxious disheveled female who, during conversations, stops talking, tilts her head and appears to be listening to something. There is poor eye contact and conversation is disjointed.
DIAGOSIS: schizophrenia.
Question:
What are known characteristics of schizophrenia and relate those to this patient.
ANSWER
Question 2
Scenario 1: Schizophrenia
A 22-year-old female student was brought to her college student health department by her boyfriend. He was concerned about the changes in her behavior. The boyfriend noted that she has been hearing voices, and seeing things that are not there. She also thinks that there are people that want to harm her. She told her family that she cannot finish college as the voices told her to quit because she is “dumb”. The boyfriend relates episodes of unexpected rage and crying.
PMH: noncontributory
FH: positive for a first cousin who “had mental problems”.
SH: Denies current drug abuse but states he smoked marijuana every day during junior and senior years of high school. Admits to drinking heavily on weekends at various fraternity houses.
PE: thin, anxious disheveled female who, during conversations, stops talking, tilts her head and appears to be listening to something. There is poor eye contact and conversation is disjointed.
DIAGOSIS: schizophrenia.
Question:
Genetics are sometimes attached to schizophrenia explain this.
ANSWER
Question 3
Scenario 1: Schizophrenia
A 22-year-old female student was brought to her college student health department by her boyfriend. He was concerned about the changes in her behavior. The boyfriend noted that she has been hearing voices, and seeing things that are not there. She also thinks that there are people that want to harm her. She told her family that she cannot finish college as the voices told her to quit because she is “dumb”. The boyfriend relates episodes of unexpected rage and crying.
PMH: noncontributory
FH: positive for a first cousin who “had mental problems”.
SH: Denies current drug abuse but states he smoked marijuana every day during junior and senior years of high school. Ad.
Case#1A 24-year-old male graduate student without prior medical .docxtroutmanboris
Case#1
A 24-year-old male graduate student without prior medical or psychiatric history is reported by his mother to have been very anxious over the past 6 months, with increasing concern that people are watching him. He now claims to “hearing voices,” telling him what must be done to “ fix the country.” Important workup ? thyroid-stimulating hormone TSH, rapid plasma reagain (RPR), and brain imaging.
Questions:
1. What is the diagnosis of this patient?
2. What is the age onset of this disorder?
3. What socioeconomic group suffers from this disorder?
4. What is the subtype of this disorder in this patient ?
5. List five positive and negative symptoms that we can find in schizophrenia disorder>
6. What is the treatment?
7. What are five characteristics associated with better prognosis?
Case#2
Ms. Torrez is a 17-year-old Caucasian woman without prior psychiatric history who is brought to the Emergency room by ambulance after her parents called 911 when they found her having a seizure in their living room. She was admitted to the medical intensive care units in status epilepticus and was quickly stabilized with intramuscular lorazepam and fosphenytoin loading. Her heigh is 5 feet 6 inches, she is of medium build, and her weight is 101 lbs. (BMI16.3kg/m2). She does not suffer any medical conditions, and this is her first seizure. Laboratory workup shows an electrolyte imbalance as the most likely cause of the seizures. Although initially reluctant, she admits to purging with the use of ipecac several times this week. She reports that although she normally restricts her daily caloric intake to 500 calories, she regularly induces vomiting if her weight is above 100 lbs. Her last menstrual cycle was 1 year ago. Psychiatric consultation is requested in order to confirm the diagnosis
The on-call psychiatry notes in Terry’s chart
Patient appears underweight and younger than her stated age. She is mild distress, has a nasogastric tube in place, and exhibits poor eye contact. She reports feeling “sad” and admitted to experiencing constant preoccupation about her physical appearance and says, “I am fat; I hate my body.” She also reports insomnia, low energy levels, and history of self-harm behavior by cutting her forearms. She reports that she is careful hiding her symptoms from her parents, whom she describes as strict disciplinarians. She also expresses concerns that she will disappoint them.
Ms. Torrez’ parents describe her as a perfectionist. They say that she is involve in multiple school activities, takes advanced placement classes, and has been recently concerned about being accepted at her college of choice. They report that she maintains a 4.0 grade point average in high school, and they are expecting her to become a lawyer. Her parents have noticed that she is underweight and rarely see her eat but attributed this to stress from her many academic pursuits. Ms. Torrez’ mom was diagnosed with obsessive-compulsive disorder.
Qu.
Classroom Observation Form
Observer:Instructor:Date:Grade:Subject:Size of Class/ Arrangement:Directions: In the Observation section, record your observations of the instructors' instruction and classroom environment. Record what you see and hear and link your observations to a component of teaching. Avoid statements of opinion. When the classroom instruction is complete, take a few moments to complete the Feedback section of the form. In this area, write two compliments about the instruction and two suggestions for improvement of his or her instruction. You may also find it useful to write an overall reflection of the classroom instruction. Please talk to the instructor being observed for specific guidance about particular elements of teaching for which he or she would like to receive feedback.
Observation
Creating an Environment of Respect and Rapport
Communicating Clearly and Accurately
Instructor interaction with learners; learner interaction.
Directions and procedures; oral and written language.
Establishing a Culture for Learning
Using Questioning and Discussion Techniques
Importance of the content; learner pride in work; expectations for learning and achievement.
Quality of questions; discussion techniques; learner participation.
Managing Classroom Procedures
Engaging Learners in Learning
Management of instructional groups, transitions, materials, and supplies; performance of non-instructional duties; supervision of volunteers and paraprofessionals.
Representation of content; activities and assignments; grouping of learners; instructional materials and resources; structure and pacing.
Managing Learner Behavior
Providing Feedback to Learners
Expectations; monitoring of learner behavior; response to learner misbehavior.
Quality, accurate, substantive, constructive, and specific; timeliness.
Organizing Physical Space
Demonstrating Flexibility and Responsiveness
Safety and arrangement of furniture; accessibility to learning and use of physical resources.
Lesson adjustment; response to learners; persistence.
Based on the framework for teaching, developed by C. Danielson.
Danielson, C. (1996). Enhancing professional practice: A framework for teaching. Alexandria, VA: ASCD.
Observer:Instructor:Date:Grade:Subject:Size of Class or Arrangement:
"2 + 2" Feedback
Compliments
1.
2.
Suggestions
1.
2.
Reflections
1
Capella Proprietary and Confidential
classroom_observation.rtf
Last updated: 2/14/2022 12:11 PM
Case Example A Car Wreck
Dylan, a 15-year-old high school student, was referred to a psychiatrist to deal with the stress from being involved in a serious automobile accident, Dylan was riding in the front passenger seat when, as the car was pulling out of a driveway, it was struck by an oncoming SUV that was speeding through a yellow light. The car he was in was hit squarely on the driver’s side, which caused the car to roll over once and come to rest right side ...
WEEK # 7 _ COMPLEX CASE STUDY PRESENTATIONINSTRUCTIONSAnswer the quest (1).docxkdennis3
WEEK # 7 _ COMPLEX CASE STUDY PRESENTATION
INSTRUCTIONS
Answer the question presented in the below discussion (case presentation) supporting your rationale with at least two scholarly references from the literature.
CASE PRESENTATION
Discussion questions:
What are some treatments, for example, behavioral and psychopharmacological, used in treating DMDD?
1. Are there any controversies regarding diagnosing bipolar disorder in children and adolescents?
2. What are some contributing factors and protective factors for LM that you noticed in his case presentation?
Subjective:
Patient Initials: LM. Age 13 Y/O. Gender: male
CC (chief complaint): “We are looking to get a change in medicationâ€
HPI : LM is a 13 Y/O Hispanic male who presents for an initial evaluation with his mother present for the interview. According to LM’s mother, he has had angry outbursts, seems extremely depressed, and is always sad and down, but has periods of being helpful. She states this has been going on for about 8 years. According to his mother, when LM was in the 5th grade, he verbalized suicidal thoughts stating, “I want to choke myself.â€Â LM is home-schooled and states he has one friend and that “it is hard with my ADHD to keep up, so I have to ask my friend for help.â€Â LM describes his mood as “all over the place†and states he got out of a relationship 2 days ago, and since then, he has been “a little down.â€Â LM relays that his daily energy levels are “low†and that he gets 6-7 hours of sleep, but that it takes him “a while to get to sleep. The client describes his appetite as “ok†and reports 2 meals a day with snacks. LM also describes “jerks†and “muscle spasms†that he has had “his whole life†in his arm that is getting worse. LM states that his goal for treatment is that he would like his medications to make his “moods more stable, and easier for me to control myself, and figure out the reasons why I’m mad, so I can stop behaving like I do.â€
Past Psychiatric History:
-G eneral Statement: The patient has diagnoses of ADHD (combined type), disruptive mood dysregulation disorder, and irritability and anger.
-C aregivers: Mother
-H ospitalizations: None
-M edication trials: Strattera, Prozac, Zoloft, risperidone, clonidine (per mother, “helped with ADHD a bitâ€).
-P sychotherapy or P revious Psychiatric Diagnosis: History of Therapy (mother states “he never opened up enough, although it did help somewhatâ€). The client has not resumed therapy.
Substance Current Use: The client denies current or past use of illicit substances, including marijuana. He also denies alcohol use, and cigarette or vape use.
Family Psychiatric/Substance Use History: Mother -Bipolar (currently on Effexor and used starting in 2nd trimester while pregnant with LM). Father - depression, anxiety, substance use. Maternal uncle : Schizophrenia. Maternal grandmother : Bipolar.
Medical History:
· Current Medications : Cym.
• Attention Deficit Hyperactivity Disorder (ADHD)
• Paranoid Schizophrenia
After clicking a disorder, click the Diagnostic Overview tab in the left column. This will cover the major diagnostic features of the disorder. After that, click the DSM-5 Features tab. You can then go though the Case History, Interview, and Treatment sections on the website. Finally, in the Assessment section, you can complete an optional multiple-choice quiz. You have to write a case report for each case study.
The format for the sample report is as follows:
Your Name
Instructor's Name
Class/Section Number
Background
• Outline the major symptoms of this disorder.
• Briefly outline the client's background (age, race, occupations, etc.).
• Describe any factors in the client's background that might predispose him or her to this disorder.
Observations
• Describe any symptoms that you have observed that support the diagnosis. You can include direct quotes or behaviors that you may have observed.
• Describe any symptoms or behaviors that are inconsistent with the diagnosis.
• Provide any information that you have about the development of this disorder.
Diagnosis
• Did you observe any evidence of general medical conditions that might contribute to the development of this disorder?
• Did you observe any evidence of psychosocial and environmental problems that might contribute to this disorder?
• As per your observations, what is the client’s overall level of safety regarding potential harm to self or others (suicidality or homicidality)?
• What cross-cultural issues, if any, affect the differential diagnosis?
Therapeutic Intervention
• In your opinion, what are the appropriate short-term goals of this intervention?
• In your opinion, what are the appropriate long-term goals of this intervention?
• Which therapeutic strategy seems the most appropriate in this case? Why?
• Which therapeutic modality seems the most appropriate in this case? Why?
APA format
Diagnostic overview
Schizophrenia is the most debilitating form of mental illness . This disorder which can come on quite suddenly distorts a person thoughts , perceptions and mood, and leaves them unable to meet the ordinary demands of life .
There is no single test to determine who suffers from schizophrenia. Instead the diagnoses is made when a person expresses a collection set of symptoms. The symptoms can be divided into three categories. One positive symptoms two negative symptoms and three social dysfunction.
One positive sentence
Positive symptoms include overt behaviors that are unusual and that interferes with the persons ability to interact in a daily life. The Two most common types of positive symptoms include delusional and hallucinations. It is essential to understand the difference between these two.
A delusion is a firmly held beliefs that is not grounded in real life. There are many types of delusions for example when a person vastly overestimate his or her importance we would ...
MN660 Case Study MN 660 Neuroscience and PsychopharmIlonaThornburg83
MN660 Case Study
MN 660 Neuroscience and Psychopharmacology
March 22, 2022
Criteria
Clinical Notes
Subjective
Chief complaint: The 26-year-old patient is worried that recent legal issues regarding drunk-driving are fuelled by his psychiatric symptoms.
HPI- The legal issues happened several months ago. He reports that the symptoms started when he started taking SSRI for depression and generalized anxiety disorder symptoms. When he started on SSRIs, he lost anxiety, fear, and avoidance. However, he became unusually talkative, had racing thoughts, and was distractible, hyperactive, and impulsive. He also reported decreased need for sleep. The patient exhibited grandiosity, in which he felt invincible and that the law do not apply to him.
Past Medical History: Patient has experienced major depressive episodes as a teenager. His symptoms have included insomnia, despondent thoughts, depressed mood, and low interest in activities, poor energy, and impaired cognition. The depressive episodes have been incapacitating and affect his school and work.
The patient has symptoms of social anxiety characterized with anticipatory anxiety, and nervousness around people.
Social History: the patient reports excessive alcohol use. He has few friends, but his family is supportive.
ROS noncontributory
Include chief complaint, subjective information from the patient, names and relations of others present in the interview, and basic demographic information of the patient. HPI, Past Medical and Psychiatric History, Social History, Review of Systems (ROS) – if ROS is negative, “ROS noncontributory,” or “ROS negative with the exception of…”.
Objective
Vitals:
· 8
· 160/80
· 76
· 18
· 5'10ʺ
· 190 lbs
This is where the “facts” are located. Include relevant labs, test results, vitals, and physical exam if performed. Include MSE, risk assessment here, and psychiatric screening measure results.
Assessment
Dx. Bipolar disorder I (ICD 10-F31.1)
According to DSM-IV, diagnosis of bipolar type I requires the presence of manic episode of at least 1 week’s duration that cuases significant impairment in social functioning or work or causes hospitalization.Maniac episodes are characterized by mood disturbance including irritability, grandiosity, reduced need for speech, excessive talking, and racing thoughts (Post, et al., 2019). A patient must experience 5 of the following symptoms of major depressive episodes; depressed mood, reduced pleasure or interest in almost all activities, hypersomnia or insomnia, loss of energy, or feeling of worthlessness.
While the recent the recent episode is associated with SSRIs, the patient history of incapacitating depressive episodes, social anxiety, and these symptoms are present regardless of the affective state.
Differential diagnoses include:
1. Anxiety disorder (ICD 10: F41.9) - the patient presents with social phobias, fear of public places, and panic disorder. Anxiety disorder often mimics or co-occurs with bipolar disorder.
2. ...
Assignment Decision TreeFor this Assignment, as you exami.docxluearsome
Assignment: Decision Tree
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder.
The Assignment:
Examine
Case 2
:
You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following:
Decision #1: Differential Diagnosis
Which Decision did you select?
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
Decision #2: Treatment Plan for Psychotherapy
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
Decision #3: Treatment Plan for Psychopharmacology
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients and their families.
Note:
Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Case #2
Anxiety disorder, OCD, or something else?
BACKGROUND
Tyrel is an 8-year-old black male who is brought in by his mother for a variety of psychiatric complaints. Shaquana, Tyrel’s mother, reports that Tyrel has been exhibiting a lot of worry and “nervousness” over the past 2 months. She states that she notices that he has been quite “keyed up” and spends a great deal of time worrying about “germs.” She states that he is constantly washing his hands because he feels as though he is going to get sick like he did a few weeks ago, which kept him both out of school a ...
1
6
Assignment template
Subjective Section
Chief complainant
The patient starts by saying, "I can't stop crying, all the time." The patient complains that since she gave birth to her child two months ago, she has been experiencing mood disorders and difficulties falling asleep even after the baby is already asleep. She complains that especially when the baby cries, she loses her appetite and is not comfortable with her new body shape and size. She says nothing interests her, even writing, which was one of the things she loved before she gave birth. She does not want to contact her friends, and everything seems to be upsetting her.
History of present illness (HPI)
L.T is a 32-year-old black female who resents for psychiatric evaluation due to mood depression. The patient has not been prescribed any psychotropic drugs recently.
Past psychiatric history
The patient has never been examined or treated for any mental disorders in the past. Recently she was hospitalized for a standard childbirth procedure.
Medication trials and current medication
She has not tried any medications in the past, neither is she under any medication currently.
Psychotherapy or previous psychiatric diagnosis
The patient has no history of psychiatric illness and has not been diagnosed or treated with any mental health disorder.
Pertinent substance use, social, and medical history
The patient denies any use of alcohol or cases of drug abuse in the family. Although she says that her uncle was not an opioid abuser, he committed suicide using GSW. She is married and currently lives with her husband with their two kids. She has been working in the retail business for the past five years, but currently, she is a housewife. The patient grew up with her sister together with her both parents. She has been diagnosed with hypertension recently, and she is taking drugs labelled as labetalol 100mg for HTN, which she says that she sometimes forgets to take them. The patient has no legal history or any issues related to violence.
Allergies
L.T is allergic to codeine. She gave birth two months ago, which automatically means that she is lactating. Currently, she is not using any form of contraceptive, and she has had no desire for sex since she gave birth.
ROS
General: No weight loss, fatigue or chills experienced by the patient.
HEET: Her vision is the same no issues of double vision or jaundice. Her ears, nose and throat are okay.
Skin: Her skin has not changed either is she having rashes.
Cardiovascular: No chest discomfort or pains.
Respiratory: She is not coughing or producing sputum, implying her respiratory is fine.
Gastrointestinal: She has eventually lost her appetite and wants to lose weight, although she is not vomiting or feeling abdominal pain.
Genitourinary: The urine colour or odour has not changed, and she is not experiencing any burns during urination. No headaches, no back or joint pains.
Hematologic: No bleeding realized or enlarged nodes.
Endocri ...
1
6
Assignment template
Subjective Section
Chief complainant
The patient starts by saying, "I can't stop crying, all the time." The patient complains that since she gave birth to her child two months ago, she has been experiencing mood disorders and difficulties falling asleep even after the baby is already asleep. She complains that especially when the baby cries, she loses her appetite and is not comfortable with her new body shape and size. She says nothing interests her, even writing, which was one of the things she loved before she gave birth. She does not want to contact her friends, and everything seems to be upsetting her.
History of present illness (HPI)
L.T is a 32-year-old black female who resents for psychiatric evaluation due to mood depression. The patient has not been prescribed any psychotropic drugs recently.
Past psychiatric history
The patient has never been examined or treated for any mental disorders in the past. Recently she was hospitalized for a standard childbirth procedure.
Medication trials and current medication
She has not tried any medications in the past, neither is she under any medication currently.
Psychotherapy or previous psychiatric diagnosis
The patient has no history of psychiatric illness and has not been diagnosed or treated with any mental health disorder.
Pertinent substance use, social, and medical history
The patient denies any use of alcohol or cases of drug abuse in the family. Although she says that her uncle was not an opioid abuser, he committed suicide using GSW. She is married and currently lives with her husband with their two kids. She has been working in the retail business for the past five years, but currently, she is a housewife. The patient grew up with her sister together with her both parents. She has been diagnosed with hypertension recently, and she is taking drugs labelled as labetalol 100mg for HTN, which she says that she sometimes forgets to take them. The patient has no legal history or any issues related to violence.
Allergies
L.T is allergic to codeine. She gave birth two months ago, which automatically means that she is lactating. Currently, she is not using any form of contraceptive, and she has had no desire for sex since she gave birth.
ROS
General: No weight loss, fatigue or chills experienced by the patient.
HEET: Her vision is the same no issues of double vision or jaundice. Her ears, nose and throat are okay.
Skin: Her skin has not changed either is she having rashes.
Cardiovascular: No chest discomfort or pains.
Respiratory: She is not coughing or producing sputum, implying her respiratory is fine.
Gastrointestinal: She has eventually lost her appetite and wants to lose weight, although she is not vomiting or feeling abdominal pain.
Genitourinary: The urine colour or odour has not changed, and she is not experiencing any burns during urination. No headaches, no back or joint pains.
Hematologic: No bleeding realized or enlarged nodes.
Endocri ...
1. Discuss the organization and the family role in every one of the.docxcroysierkathey
1. Discuss the organization and the family role in every one of the heritages mentioned about and how they affect (positively or negatively) the delivery of health care.
2. Identify sociocultural variables within the Irish, Italian and Puerto Rican heritage and mention some examples.
References must be no older than 5 years. A minimum of 700 words is required.
.
1. Compare and contrast DEmilios Capitalism and Gay Identity .docxcroysierkathey
1. Compare and contrast D'Emilio's
Capitalism and Gay Identity
with the
From Mary to Modern Woman
reading. What patterns do you see that are similar to the modern American society? What can be said about global notions of gender in the modern age? Feel free to invoke Foucault.
2. How is the writer's experience important in the story being told in
Middlesex
? Describe your reaction to the reading and invoke some of the concepts discussed in the
Queer Theory
reading to try to make sense of sexuality when it does not match your own conventions. Compare both readings, but go deeper to explore your own stereotypes and socialization.
**PLEASE READ THE READINGS IN ODER TO DO THIS ASSIGNMENT.
.
1.Purpose the purpose of this essay is to spread awareness .docxcroysierkathey
1.
Purpose: the purpose of this essay is to spread awareness around stereotyping and how it can be very hurtful to some people.
2.
Audience: Anyone that uses stereotypical jokes or saying around people that are different than them even without realizing that they are making a stereotypical joke or statement.
3.
Genre: the genre that I will be trying to reach out to in this essay will be informational, reason being is that I mainly look at informational online documentaries and stories.
4.
Stance and tone: I’m just a young man who grew up around a lot of people from different places and have different cultures and never paid attention in my younger years to what was happening from stereotyping others that they are different till recently.
5.
Graphic design
: My essay will be a strict academic essay
.
1. Tell us why it is your favorite film.2. Talk about the .docxcroysierkathey
1. Tell us why it is your favorite film.
2. Talk about the interconnection between the aesthetic and the technical aspects of the film. This should include at least seven of the following: Editing, Film Structure, Cinematography, Lighting, Colors, Screenwriting, Special effects, Sound and Music.
3. After this course, will you see you favorite film in a different light? Why or why not?
.
More Related Content
Similar to Knowledge Check Module 6Student ResponseOnly Edit Type your .docx
Classroom Observation Form
Observer:Instructor:Date:Grade:Subject:Size of Class/ Arrangement:Directions: In the Observation section, record your observations of the instructors' instruction and classroom environment. Record what you see and hear and link your observations to a component of teaching. Avoid statements of opinion. When the classroom instruction is complete, take a few moments to complete the Feedback section of the form. In this area, write two compliments about the instruction and two suggestions for improvement of his or her instruction. You may also find it useful to write an overall reflection of the classroom instruction. Please talk to the instructor being observed for specific guidance about particular elements of teaching for which he or she would like to receive feedback.
Observation
Creating an Environment of Respect and Rapport
Communicating Clearly and Accurately
Instructor interaction with learners; learner interaction.
Directions and procedures; oral and written language.
Establishing a Culture for Learning
Using Questioning and Discussion Techniques
Importance of the content; learner pride in work; expectations for learning and achievement.
Quality of questions; discussion techniques; learner participation.
Managing Classroom Procedures
Engaging Learners in Learning
Management of instructional groups, transitions, materials, and supplies; performance of non-instructional duties; supervision of volunteers and paraprofessionals.
Representation of content; activities and assignments; grouping of learners; instructional materials and resources; structure and pacing.
Managing Learner Behavior
Providing Feedback to Learners
Expectations; monitoring of learner behavior; response to learner misbehavior.
Quality, accurate, substantive, constructive, and specific; timeliness.
Organizing Physical Space
Demonstrating Flexibility and Responsiveness
Safety and arrangement of furniture; accessibility to learning and use of physical resources.
Lesson adjustment; response to learners; persistence.
Based on the framework for teaching, developed by C. Danielson.
Danielson, C. (1996). Enhancing professional practice: A framework for teaching. Alexandria, VA: ASCD.
Observer:Instructor:Date:Grade:Subject:Size of Class or Arrangement:
"2 + 2" Feedback
Compliments
1.
2.
Suggestions
1.
2.
Reflections
1
Capella Proprietary and Confidential
classroom_observation.rtf
Last updated: 2/14/2022 12:11 PM
Case Example A Car Wreck
Dylan, a 15-year-old high school student, was referred to a psychiatrist to deal with the stress from being involved in a serious automobile accident, Dylan was riding in the front passenger seat when, as the car was pulling out of a driveway, it was struck by an oncoming SUV that was speeding through a yellow light. The car he was in was hit squarely on the driver’s side, which caused the car to roll over once and come to rest right side ...
WEEK # 7 _ COMPLEX CASE STUDY PRESENTATIONINSTRUCTIONSAnswer the quest (1).docxkdennis3
WEEK # 7 _ COMPLEX CASE STUDY PRESENTATION
INSTRUCTIONS
Answer the question presented in the below discussion (case presentation) supporting your rationale with at least two scholarly references from the literature.
CASE PRESENTATION
Discussion questions:
What are some treatments, for example, behavioral and psychopharmacological, used in treating DMDD?
1. Are there any controversies regarding diagnosing bipolar disorder in children and adolescents?
2. What are some contributing factors and protective factors for LM that you noticed in his case presentation?
Subjective:
Patient Initials: LM. Age 13 Y/O. Gender: male
CC (chief complaint): “We are looking to get a change in medicationâ€
HPI : LM is a 13 Y/O Hispanic male who presents for an initial evaluation with his mother present for the interview. According to LM’s mother, he has had angry outbursts, seems extremely depressed, and is always sad and down, but has periods of being helpful. She states this has been going on for about 8 years. According to his mother, when LM was in the 5th grade, he verbalized suicidal thoughts stating, “I want to choke myself.â€Â LM is home-schooled and states he has one friend and that “it is hard with my ADHD to keep up, so I have to ask my friend for help.â€Â LM describes his mood as “all over the place†and states he got out of a relationship 2 days ago, and since then, he has been “a little down.â€Â LM relays that his daily energy levels are “low†and that he gets 6-7 hours of sleep, but that it takes him “a while to get to sleep. The client describes his appetite as “ok†and reports 2 meals a day with snacks. LM also describes “jerks†and “muscle spasms†that he has had “his whole life†in his arm that is getting worse. LM states that his goal for treatment is that he would like his medications to make his “moods more stable, and easier for me to control myself, and figure out the reasons why I’m mad, so I can stop behaving like I do.â€
Past Psychiatric History:
-G eneral Statement: The patient has diagnoses of ADHD (combined type), disruptive mood dysregulation disorder, and irritability and anger.
-C aregivers: Mother
-H ospitalizations: None
-M edication trials: Strattera, Prozac, Zoloft, risperidone, clonidine (per mother, “helped with ADHD a bitâ€).
-P sychotherapy or P revious Psychiatric Diagnosis: History of Therapy (mother states “he never opened up enough, although it did help somewhatâ€). The client has not resumed therapy.
Substance Current Use: The client denies current or past use of illicit substances, including marijuana. He also denies alcohol use, and cigarette or vape use.
Family Psychiatric/Substance Use History: Mother -Bipolar (currently on Effexor and used starting in 2nd trimester while pregnant with LM). Father - depression, anxiety, substance use. Maternal uncle : Schizophrenia. Maternal grandmother : Bipolar.
Medical History:
· Current Medications : Cym.
• Attention Deficit Hyperactivity Disorder (ADHD)
• Paranoid Schizophrenia
After clicking a disorder, click the Diagnostic Overview tab in the left column. This will cover the major diagnostic features of the disorder. After that, click the DSM-5 Features tab. You can then go though the Case History, Interview, and Treatment sections on the website. Finally, in the Assessment section, you can complete an optional multiple-choice quiz. You have to write a case report for each case study.
The format for the sample report is as follows:
Your Name
Instructor's Name
Class/Section Number
Background
• Outline the major symptoms of this disorder.
• Briefly outline the client's background (age, race, occupations, etc.).
• Describe any factors in the client's background that might predispose him or her to this disorder.
Observations
• Describe any symptoms that you have observed that support the diagnosis. You can include direct quotes or behaviors that you may have observed.
• Describe any symptoms or behaviors that are inconsistent with the diagnosis.
• Provide any information that you have about the development of this disorder.
Diagnosis
• Did you observe any evidence of general medical conditions that might contribute to the development of this disorder?
• Did you observe any evidence of psychosocial and environmental problems that might contribute to this disorder?
• As per your observations, what is the client’s overall level of safety regarding potential harm to self or others (suicidality or homicidality)?
• What cross-cultural issues, if any, affect the differential diagnosis?
Therapeutic Intervention
• In your opinion, what are the appropriate short-term goals of this intervention?
• In your opinion, what are the appropriate long-term goals of this intervention?
• Which therapeutic strategy seems the most appropriate in this case? Why?
• Which therapeutic modality seems the most appropriate in this case? Why?
APA format
Diagnostic overview
Schizophrenia is the most debilitating form of mental illness . This disorder which can come on quite suddenly distorts a person thoughts , perceptions and mood, and leaves them unable to meet the ordinary demands of life .
There is no single test to determine who suffers from schizophrenia. Instead the diagnoses is made when a person expresses a collection set of symptoms. The symptoms can be divided into three categories. One positive symptoms two negative symptoms and three social dysfunction.
One positive sentence
Positive symptoms include overt behaviors that are unusual and that interferes with the persons ability to interact in a daily life. The Two most common types of positive symptoms include delusional and hallucinations. It is essential to understand the difference between these two.
A delusion is a firmly held beliefs that is not grounded in real life. There are many types of delusions for example when a person vastly overestimate his or her importance we would ...
MN660 Case Study MN 660 Neuroscience and PsychopharmIlonaThornburg83
MN660 Case Study
MN 660 Neuroscience and Psychopharmacology
March 22, 2022
Criteria
Clinical Notes
Subjective
Chief complaint: The 26-year-old patient is worried that recent legal issues regarding drunk-driving are fuelled by his psychiatric symptoms.
HPI- The legal issues happened several months ago. He reports that the symptoms started when he started taking SSRI for depression and generalized anxiety disorder symptoms. When he started on SSRIs, he lost anxiety, fear, and avoidance. However, he became unusually talkative, had racing thoughts, and was distractible, hyperactive, and impulsive. He also reported decreased need for sleep. The patient exhibited grandiosity, in which he felt invincible and that the law do not apply to him.
Past Medical History: Patient has experienced major depressive episodes as a teenager. His symptoms have included insomnia, despondent thoughts, depressed mood, and low interest in activities, poor energy, and impaired cognition. The depressive episodes have been incapacitating and affect his school and work.
The patient has symptoms of social anxiety characterized with anticipatory anxiety, and nervousness around people.
Social History: the patient reports excessive alcohol use. He has few friends, but his family is supportive.
ROS noncontributory
Include chief complaint, subjective information from the patient, names and relations of others present in the interview, and basic demographic information of the patient. HPI, Past Medical and Psychiatric History, Social History, Review of Systems (ROS) – if ROS is negative, “ROS noncontributory,” or “ROS negative with the exception of…”.
Objective
Vitals:
· 8
· 160/80
· 76
· 18
· 5'10ʺ
· 190 lbs
This is where the “facts” are located. Include relevant labs, test results, vitals, and physical exam if performed. Include MSE, risk assessment here, and psychiatric screening measure results.
Assessment
Dx. Bipolar disorder I (ICD 10-F31.1)
According to DSM-IV, diagnosis of bipolar type I requires the presence of manic episode of at least 1 week’s duration that cuases significant impairment in social functioning or work or causes hospitalization.Maniac episodes are characterized by mood disturbance including irritability, grandiosity, reduced need for speech, excessive talking, and racing thoughts (Post, et al., 2019). A patient must experience 5 of the following symptoms of major depressive episodes; depressed mood, reduced pleasure or interest in almost all activities, hypersomnia or insomnia, loss of energy, or feeling of worthlessness.
While the recent the recent episode is associated with SSRIs, the patient history of incapacitating depressive episodes, social anxiety, and these symptoms are present regardless of the affective state.
Differential diagnoses include:
1. Anxiety disorder (ICD 10: F41.9) - the patient presents with social phobias, fear of public places, and panic disorder. Anxiety disorder often mimics or co-occurs with bipolar disorder.
2. ...
Assignment Decision TreeFor this Assignment, as you exami.docxluearsome
Assignment: Decision Tree
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder.
The Assignment:
Examine
Case 2
:
You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following:
Decision #1: Differential Diagnosis
Which Decision did you select?
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
Decision #2: Treatment Plan for Psychotherapy
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
Decision #3: Treatment Plan for Psychopharmacology
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients and their families.
Note:
Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Case #2
Anxiety disorder, OCD, or something else?
BACKGROUND
Tyrel is an 8-year-old black male who is brought in by his mother for a variety of psychiatric complaints. Shaquana, Tyrel’s mother, reports that Tyrel has been exhibiting a lot of worry and “nervousness” over the past 2 months. She states that she notices that he has been quite “keyed up” and spends a great deal of time worrying about “germs.” She states that he is constantly washing his hands because he feels as though he is going to get sick like he did a few weeks ago, which kept him both out of school a ...
1
6
Assignment template
Subjective Section
Chief complainant
The patient starts by saying, "I can't stop crying, all the time." The patient complains that since she gave birth to her child two months ago, she has been experiencing mood disorders and difficulties falling asleep even after the baby is already asleep. She complains that especially when the baby cries, she loses her appetite and is not comfortable with her new body shape and size. She says nothing interests her, even writing, which was one of the things she loved before she gave birth. She does not want to contact her friends, and everything seems to be upsetting her.
History of present illness (HPI)
L.T is a 32-year-old black female who resents for psychiatric evaluation due to mood depression. The patient has not been prescribed any psychotropic drugs recently.
Past psychiatric history
The patient has never been examined or treated for any mental disorders in the past. Recently she was hospitalized for a standard childbirth procedure.
Medication trials and current medication
She has not tried any medications in the past, neither is she under any medication currently.
Psychotherapy or previous psychiatric diagnosis
The patient has no history of psychiatric illness and has not been diagnosed or treated with any mental health disorder.
Pertinent substance use, social, and medical history
The patient denies any use of alcohol or cases of drug abuse in the family. Although she says that her uncle was not an opioid abuser, he committed suicide using GSW. She is married and currently lives with her husband with their two kids. She has been working in the retail business for the past five years, but currently, she is a housewife. The patient grew up with her sister together with her both parents. She has been diagnosed with hypertension recently, and she is taking drugs labelled as labetalol 100mg for HTN, which she says that she sometimes forgets to take them. The patient has no legal history or any issues related to violence.
Allergies
L.T is allergic to codeine. She gave birth two months ago, which automatically means that she is lactating. Currently, she is not using any form of contraceptive, and she has had no desire for sex since she gave birth.
ROS
General: No weight loss, fatigue or chills experienced by the patient.
HEET: Her vision is the same no issues of double vision or jaundice. Her ears, nose and throat are okay.
Skin: Her skin has not changed either is she having rashes.
Cardiovascular: No chest discomfort or pains.
Respiratory: She is not coughing or producing sputum, implying her respiratory is fine.
Gastrointestinal: She has eventually lost her appetite and wants to lose weight, although she is not vomiting or feeling abdominal pain.
Genitourinary: The urine colour or odour has not changed, and she is not experiencing any burns during urination. No headaches, no back or joint pains.
Hematologic: No bleeding realized or enlarged nodes.
Endocri ...
1
6
Assignment template
Subjective Section
Chief complainant
The patient starts by saying, "I can't stop crying, all the time." The patient complains that since she gave birth to her child two months ago, she has been experiencing mood disorders and difficulties falling asleep even after the baby is already asleep. She complains that especially when the baby cries, she loses her appetite and is not comfortable with her new body shape and size. She says nothing interests her, even writing, which was one of the things she loved before she gave birth. She does not want to contact her friends, and everything seems to be upsetting her.
History of present illness (HPI)
L.T is a 32-year-old black female who resents for psychiatric evaluation due to mood depression. The patient has not been prescribed any psychotropic drugs recently.
Past psychiatric history
The patient has never been examined or treated for any mental disorders in the past. Recently she was hospitalized for a standard childbirth procedure.
Medication trials and current medication
She has not tried any medications in the past, neither is she under any medication currently.
Psychotherapy or previous psychiatric diagnosis
The patient has no history of psychiatric illness and has not been diagnosed or treated with any mental health disorder.
Pertinent substance use, social, and medical history
The patient denies any use of alcohol or cases of drug abuse in the family. Although she says that her uncle was not an opioid abuser, he committed suicide using GSW. She is married and currently lives with her husband with their two kids. She has been working in the retail business for the past five years, but currently, she is a housewife. The patient grew up with her sister together with her both parents. She has been diagnosed with hypertension recently, and she is taking drugs labelled as labetalol 100mg for HTN, which she says that she sometimes forgets to take them. The patient has no legal history or any issues related to violence.
Allergies
L.T is allergic to codeine. She gave birth two months ago, which automatically means that she is lactating. Currently, she is not using any form of contraceptive, and she has had no desire for sex since she gave birth.
ROS
General: No weight loss, fatigue or chills experienced by the patient.
HEET: Her vision is the same no issues of double vision or jaundice. Her ears, nose and throat are okay.
Skin: Her skin has not changed either is she having rashes.
Cardiovascular: No chest discomfort or pains.
Respiratory: She is not coughing or producing sputum, implying her respiratory is fine.
Gastrointestinal: She has eventually lost her appetite and wants to lose weight, although she is not vomiting or feeling abdominal pain.
Genitourinary: The urine colour or odour has not changed, and she is not experiencing any burns during urination. No headaches, no back or joint pains.
Hematologic: No bleeding realized or enlarged nodes.
Endocri ...
Similar to Knowledge Check Module 6Student ResponseOnly Edit Type your .docx (18)
1. Discuss the organization and the family role in every one of the.docxcroysierkathey
1. Discuss the organization and the family role in every one of the heritages mentioned about and how they affect (positively or negatively) the delivery of health care.
2. Identify sociocultural variables within the Irish, Italian and Puerto Rican heritage and mention some examples.
References must be no older than 5 years. A minimum of 700 words is required.
.
1. Compare and contrast DEmilios Capitalism and Gay Identity .docxcroysierkathey
1. Compare and contrast D'Emilio's
Capitalism and Gay Identity
with the
From Mary to Modern Woman
reading. What patterns do you see that are similar to the modern American society? What can be said about global notions of gender in the modern age? Feel free to invoke Foucault.
2. How is the writer's experience important in the story being told in
Middlesex
? Describe your reaction to the reading and invoke some of the concepts discussed in the
Queer Theory
reading to try to make sense of sexuality when it does not match your own conventions. Compare both readings, but go deeper to explore your own stereotypes and socialization.
**PLEASE READ THE READINGS IN ODER TO DO THIS ASSIGNMENT.
.
1.Purpose the purpose of this essay is to spread awareness .docxcroysierkathey
1.
Purpose: the purpose of this essay is to spread awareness around stereotyping and how it can be very hurtful to some people.
2.
Audience: Anyone that uses stereotypical jokes or saying around people that are different than them even without realizing that they are making a stereotypical joke or statement.
3.
Genre: the genre that I will be trying to reach out to in this essay will be informational, reason being is that I mainly look at informational online documentaries and stories.
4.
Stance and tone: I’m just a young man who grew up around a lot of people from different places and have different cultures and never paid attention in my younger years to what was happening from stereotyping others that they are different till recently.
5.
Graphic design
: My essay will be a strict academic essay
.
1. Tell us why it is your favorite film.2. Talk about the .docxcroysierkathey
1. Tell us why it is your favorite film.
2. Talk about the interconnection between the aesthetic and the technical aspects of the film. This should include at least seven of the following: Editing, Film Structure, Cinematography, Lighting, Colors, Screenwriting, Special effects, Sound and Music.
3. After this course, will you see you favorite film in a different light? Why or why not?
.
1.What are the main issues facing Fargo and Town Manager Susan.docxcroysierkathey
1.What are the main issues facing Fargo and Town Manager Susan Harlow?
Fargo and Town Manager Harlow are on a slippery slope to corruption. I think that Harlow is handling her position the correct way by trying to remain neutral and sticking to a code of ethics so the problem really comes down to the political actors in the town. It is good that Harlow declined the invite to the dinner party, and cracked down on employees playing politics at work, that is a step in the right direction to removing the possibility of political corruption.
2.What is the basis for your answer to question #1?
At the end of the article Harlow remembers another city manager saying “you never have more authority than the day you walk into your office” What I get from that, and what I think Harlow got from that is that when you come into a position as a public manager everyone is going to want something from you. Political actors are going to want political favors, quid pro quos, you have something that everyone else wants and they are going to try and get that from you.
3.What are your recommended solutions to the problems you identified?
I think the best thing to do would be to continue to try to remain neutral. It will always be impossible to please absolutely everybody so the best thing to do is try to avoid doing everything everyone asks and stick to some sort of code of ethics.
4.What points do you agree, disagree or want further discussion from your fellow classmates and why? (tell them not me)
I think the overarching theme of this article is that people are going to want things from the government. I agree with Harlow's steps to avoid political corruption in her administration by cracking down on political favors with the snow plows and referring to the ICMA code of ethics.
.
1.Writing Practice in Reading a PhotographAttached Files.docxcroysierkathey
1.
Writing: Practice in Reading a Photograph
Attached Files:
Bachman, Ieshia Evans, Baton Rouge (2016).jpg
(277.283 KB)
For this assignment, you will practice analyzing how various rhetorical elements contribute to the overall meaning of a visual image--in this case, a photograph. To begin, click on the attached image.
By way of some context, this photo was taken in 2016 at a protest rally in Baton Rouge, Louisiana. The woman in the photo is named Ieshia Evans. The photographer is named Jonathan Bachman. Bachman's photo, which was first published by Reuters, was a finalist for a Pulitzer Prize in 2017. You can use this information to do more research on the image, if you like.
Now, review once again the Elements and Methods of Visual Rhetoric document and select from it
three
elements that you wish to discuss in relation to this photo. Please note that this is not a formal essay assignment, so do not treat it as such. For example, you do not need to create a formal introduction.
Begin by simply providing an
interpretive claim
--i.e., stating what you believe is the meaning or message of Bachman's photo. Ideally, this should be just
one
sentence (tho you can write two if necessary). After that, your document simply needs to contain
three paragraphs
, one for each rhetorical element you have selected. In each paragraph, you need to explain fully how the particular element contributes to the overall meaning or message of the image.
Note: Your assignment must be submitted as an attached .doc or .docx file. Name your file correctly, using your last name and brief description of assignment (e.g., Martinez, Photograph.docx).
2.
DB: Interpreting Political Ads
In this discussion board, you will be discussing and interpreting a recent political ad entitled "Mourning in America," which was produced by The Lincoln Project, a political action committee (PAC). If you are not familiar with the group, take a moment to research it, as that context will add to your understanding and interpretation. You can
click here
to view the ad.
As you watch "Mourning in America", think carefully about how this political advertisement compares and contrasts with Ronald Reagan's "Morning in America" ad, in terms of its rhetorical methods as well as its overall message. You will be asked to comment on
three
specific rhetorical elements, so decide which ones stand out most to you and take careful notes on those to prepare for the discussion.
When you are ready, click the link above to enter the Discussion Board, and then follow the instructions in the first thread posted in this forum for responding to this material.
Questions:-
Mourning in America
COLLAPSE
Your task here is to share with your peers your ideas on how
three
specific rhetorical elements or your choosing are used in this ad to make its appeal to an audience and to convey a message.
1. Identity the three rhetorical elements that you have selected and then
explain
how each .
1.Some say that analytics in general dehumanize managerial activitie.docxcroysierkathey
1.Some say that analytics in general dehumanize managerial activities, and others say they do not. Discuss arguments for both points of view.
2.What are some of the major privacy concerns in employing intelligent systems on mobile data?
3. Identify some cases of violations of user privacy from current literature and their impact on data science as a profession.
4.Search the Internet to find examples of how intelligent systems can facilitate activities such as empowerment, mass customization, and teamwork.
Note: Each question must be answered in 5 lines and refrences must be APA cited.
.
1.What is the psychological term for the symptoms James experiences .docxcroysierkathey
1.What is the psychological term for the symptoms James experiences after abstaining from consuming
alcohol? How do changes in the functioning of neurotransmitter systems produce these symptoms?
2.With reference to associative learning principles/models/theories, why does James consume alcohol
to alleviate these symptoms? What motivates his drinking behaviour given that he no longer enjoys this
activity (most of the time)?
3.How do these factors prevent James from quitting his drinking, and lead to a cycle of relapse when he
attempts to do so? Why are these processes important for our understanding of addiction and
substance use disorders.
1 Page
at least 3 sources
APA
.
1.Write at least 500 words discussing the benefits of using R with H.docxcroysierkathey
1.Write at least 500 words discussing the benefits of using R with Hadoop. Use APA format and Include at least 3 quotes from your sources enclosed in quotation marks.
2.Write at least 500 words discussing how insurance companies use text mining to reduce fraud. Use APA format and Include at least 3 quotes from your sources enclosed in quotation marks.
.
1.What is Starbucks’ ROA for 2012, 2011, and 2010 Why might focusin.docxcroysierkathey
1.What is Starbucks’ ROA for 2012, 2011, and 2010? Why might focusing specifically on ROA be misleading when assessing asset management (aka management efficiency)?
2.Why is ROE considered the most useful metric in measuring the overall ability of a business strategy to generate returns for shareholders?
3. How do the financial statements reveal company strategy (i.e., what story do the numbers tell and does that story align with the strategy of Starbucks?)?
.
1. Discuss the cultural development of the Japanese and the Jewis.docxcroysierkathey
1. Discuss the cultural development of the Japanese and the Jewish heritage.
2. What are the cultural beliefs of the Japanese and Jewish heritage related to health care and how they influence the delivery of evidence-based healthcare?
A minimum of 2 evidence-based references
no older than 5 years is required.
A minimum of 600 words
(excluding the first and references page) is required.
.
1. Discuss at least 2 contextual factors(family, peers, school,.docxcroysierkathey
1.
Discuss at least 2 contextual factors(family, peers, school, community, work, etc.) that might make young people more or less likely to experience adolescence as a period of storm and stress.
2. How might the dramatic physical changes that adolescents undergo—and the accompanying reactions from others—influence other aspects of development, such as social or emotional development?
3. Describe some ways in which adolescent decision making is a product of interactions among puberty, brain development, cognitive growth, and contextual influences such as parents, peers, and community.
.
1.Write at least 500 words in APA format discussing how to use senti.docxcroysierkathey
1.Write at least 500 words in APA format discussing how to use sentiment analysis how political speech affects voters. Use at least 3 references in APA format.
2.Read the below article(link below) on statistics for categorical variables. Write at least 500 words in APA format discussing how to use these statistics to help understand big data.
Link: https://uc-r.github.io/descriptives_categorical
.
1.The following clause was added to the Food and Drug Actthe S.docxcroysierkathey
1.The following clause was added to the Food and Drug Act:
“the Secretary [of the Food and Drug Administration] shall not approve for use in food any chemical additive found to induce cancer in man, or, after tests, found to induce cancer in animals.”
After this clause was adopted, no new additives could be approved for use in food if they caused cancer in people or animals.
The public loved this and industry hated it.
What do you think of this clause? Do you support it or do you oppose it?
At the top of your post, please indicate SUPPORT or OPPOSE and then give your rationale. Then after you can view your classmates' posts, make your case to your fellow students.
2.There was a law that individuals who were indigent and who wished to litigate could apply to the courts for a total waiver of the normal filing fee. In the legislative session, however, a statute was enacted which limits the courts' authority to waive filing fees in lawsuits brought by prisoners against the state government.
Under this new law, a court has to require the prisoner to pay a filing fee "equal to 20 percent ... of the average monthly deposits made to the prisoner's [prison] account ... or the average balance in that account", whichever is greater (unless this calculation yields a figure larger than the normal filing fee).
A prisoner (who was indigent) wanted to appeal his case and was to be charged this fee. He filed suit claiming it was unconstitutional to charge this fee to prisoners.
Choose the side of the prisoner or the side of the state and tell why you would rule for the side you chose.
At the top of your post, please indicate SUPPORT PRISONER or OPPOSE PRISONER and then give your rationale. After you can view your classmates' posts, make your case to your fellow students.
3.A defendant pleaded guilty to receiving and possessing child pornography and was sentenced to 108 months in prison. The sentencing judge raised the defendant’s base offense level….by two levels because "a computer was used for the transmission" of the illegal material.
The appeal filed challenged the punishment enhancement (not his guilt of the base punishment.)
The defendant argued the law did not apply to him because he did not use a computer to transmit the material. (ie He was the receiver, not the sender, of the child pornography.)
Do you believe that the sentence enhancement should be upheld? Give an economic analysis and rational for your choice.
At the top of your post, please indicate SENTENCE UPHELD or SENTENCE REVERSED and then give your economic analysis/rationale. After you can view your classmates' posts, make your case to your fellow students.
4.The ordinance was enacted that gives tenants more legal rights including:
the payment of interest on security deposits;
requires that those deposits be held in Illinois banks;
allows (with some limitations) a tenant to withhold rent in an amount reflecting the cost to him of the landlord's v.
1.What are social determinants of health Explain how social determ.docxcroysierkathey
1.What are social determinants of health? Explain how social determinants of health contribute to the development of disease. Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.
Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.
2. Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues.
Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.
.
1.This week, we’ve been introduced to the humanities and have ta.docxcroysierkathey
1.
This week, we’ve been introduced to the humanities and have taken some time to consider the role of the humanities in establishing socio-cultural values, including how the humanities differ from the sciences in terms of offering unique lenses on the world and our reality. Since one of the greatest rewards of being a human is engaging with different forms of art, we’ve taken some time this week to learn about what it means to identify and respond to a work of art. We’ve learned about the difference between abstract ideas and concrete images and concepts like structure and artistic form. To help you deepen your understanding of these foundational ideas, your Unit 1 assignment will consist of writing an essay addressing using the following criteria:
Essay Requirements:
• 1,000 words or roughly four double-spaced pages.
• Make use of at least three scholarly sources to support and develop your ideas. Our course text may serve as one of these three sources.
• Your essay should demonstrate a thorough understanding of the READ and ATTEND sections.
• Be sure to cite your sources using proper APA format (7th edition).
Essay Prompt:
• In this essay, you will consider the meaning of art and artistic form by responding to these questions:
o To what extent does Kevin Carter’s Pulitzer Prize-winning photograph (figure 2-5) have artistic form?
o Using what you’ve learned in Chapters 1, 2 and 14 explain if you consider Carter’s photograph a work of art? Be sure to point to specific qualities of the photograph to support/develop your response.
o How do you measure the intensity of your experience in response to Carter’s photograph? What does it make you see/feel/imagine and how does your response/reaction support Carter’s image as a work of art?
.
1.What are barriers to listening2.Communicators identif.docxcroysierkathey
1.
What are barriers to listening?
2.
Communicators identified the following as major listening poor habits. Search what each poor habit means and try to set an example using your own experience.
Poor listening habit:
Pseudo-listening, Stage hogging, Filling in gaps, Selective listening, Ambushing (
Definition & Example)
.
1.Timeline description and details There are multiple way.docxcroysierkathey
1.
Timeline description and details
: There are multiple ways to construct a timeline. Find one that fits you and your information.
Include 10-15 events, each including the following descriptors:
- titles of books or writings or some sort of identifier
- your age or some time reference
- and whether it was a positive or negative experience
.
1.The PresidentArticle II of the Constitution establishe.docxcroysierkathey
1.
The President
Article II of the Constitution established the institution of the presidency. Select any TWO Presidents prior to 1933 and any TWO Presidents since 1933 and for EACH one:
a.
Discuss
any
expressed
power used by each president and the
impact
that decision had on American society at the time of its use
b.
Explain
whether you
agree/disagree
with the presidential action taken and
WHY
c.
Describe
one
legislative initiative
promoted by each president and the
impact
on America at the
time of its passage
as well as what the impact of that legislation is
TODAY
d.
Discuss
one
executive order
issued by each president and whether you
agree/disagree
with the order and
WHY
1.
Select any FOUR United States Supreme court decisions related to Civil Rights/Civil Liberties and for
each one
:
a.
Describe
the facts of the case
b.
Discuss
the arguments of each side as it pertains to the
Constitutional issue
being addressed
c.
Explain
the decision citing
Constitutional rationale
of the court including any dissenting opinion if not a unanimous verdict
d.
Explain
whether you
agree/disagree
with the court’s decision and
WHY
.
1.What other potential root causes might influence patient fal.docxcroysierkathey
1.
What other potential root causes might influence patient falls?
2.
Equipped with the data, what would you do about the hypotheses that proved to be unsupported?
3.
Based on the correctly identified hypothesis in the case scenario, what would be your course of action if you were the CEO/president of St. Xavier Memorial Hospital?
4.
What do you think of the CNO’s (Sara Mullins) position of “waiting and seeing what the data tells us” instead of immediately jumping to conclusions?
.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Knowledge Check Module 6Student ResponseOnly Edit Type your .docx
1. Knowledge Check: Module 6
Student Response
Only Edit “Type your response here”. Do your best please.
This Knowledge Check reviews the topics in Module 6 and is
formative in nature. It is worth 20 points where each question is
worth 1 point. You are required to submit a sufficient response
of at least 2-4 sentences in length for each question.
Scenario 1: Schizophrenia
A 21-year-old male college student was brought to Student
Health Services by his girlfriend who was concerned about
changes in her boyfriend’s behaviors. The girlfriend says that
recently he began hearing voices and believes everyone is out to
get him. The student says he is unable to finish school because
the voices told him he was not smart enough. The girlfriend
relates episodes of unexpected rage and crying. Past medical
history noncontributory but family history positive for a first
cousin who “had mental problems”. Denies current
drug abuse but states he smoked marijuana every day during his
junior and senior years of high school. He admits to drinking
heavily on weekends at various fraternity houses. Physical exam
reveals thin, anxious disheveled male who, during
conversations, stops talking, cocks his head and appears to be
listening to something. There is poor eye contact and
conversation is rambling.
Based on the observed behaviors and information from
girlfriend, the APRN believes the student has schizophrenia.
Question 1 of 4:
Describe the positive symptoms of schizophrenia and relate
those symptoms to the case study patient.
<Type your response here>
Question 2 of 4:
2. Explain the genetics of schizophrenia.
<Type your response here>
Question 3 of 4:
The APRN reviews recent literature and reads that
neurotransmitters are involved in the development of
schizophrenia. What roles do neurotransmitters play in the
development of schizophrenia?
<Type your response here>
Question 4 of 4:
The APRN reviews recent literature and reads that structural
problems in the brain may be involved in the development of
schizophrenia. Explain what structural abnormalities are seen in
people with schizophrenia.
<Type your response here>
Scenario 2: Bipolar Disorder
A 34-year-old female was brought to the Urgent Care Center by
her husband who is very concerned about the changes he has
seen in his wife for the past 3 months. He states that his wife
has had been depressed and irritable, has complaints of extreme
fatigue, has lost 10 pounds and has had insomnia. He has come
home from work to find his wife sitting in front of the TV and
not moving for hours. In the past few days, she suddenly has
become very hyperactive, has been talking incessantly, has been
easily distracted and seems to “flit from one thing to
another.”. She hasn’t slept in 3 days. The wife went on an
excessive shopping spree for new clothes that resulted in their
credit card being denied for exceeding the line of credit. The
wife is unable to sit in the exam room and is currently pacing
the hallway muttering to herself and is reluctant to talk with or
be examined the ARNP. Physical observation shows agitated
movements, rapid fire speech, and hyperactivity. Based on the
history and observable symptoms, the APRN suspects that the
patient has bipolar type 2 disorder. The APRN refers the patient
3. and husband to the Psychiatric Mental Health Nurse Practitioner
for evaluation and treatment.
Question 1 of 6:
Discuss the role genetics plays in the development of
bipolar 2 disorders.
<Type your response here>
Question 2 of 6:
Explain how the hypothalamic-pituitary-adrenal (HPA)
system may be associated with bipolar type 2 disease.
<Type your response here>
Question 3 of 6:
Discuss the role inflammatory cytokines play in the
development and exacerbation of bipolar type 2 symptoms
<Type your response here>
Question 4 of 6:
Discuss the role of the amygdala in bipolar disorder.
<Type your response here>
Question 5 of 6:
How does neurochemical dysregulation contribute to bipolar
disorders?
<Type your response here>
Question 6 of 6:
What is the current status of the use of nutraceuticals in
management of depression?
<Type your response here>
Scenario 3: Panic Disorders and Attacks
A 27-year-old female presents to the Emergency Room, with a
chief complaint of palpitations, rapid heart rate, sweating,
tremors, and inability to catch her breath. The symptoms started
about 10 hour ago and have gotten worse. She states she has
some chest pain that remains constant no matter what. She also
4. has numbness and tingling around her mouth and lips. She says
she knows something “terrible is going to happen”. She denies
having any similar episode in the past. Past medical
history noncontributory. Social history significant for recent
stressor of applying for medical school and taking the Medical
College Admission Test (MCAT). She had not received the
results prior to the episode but is sure that the failed the test.
Says she doesn’t know if anyone else in her family has had
similar episodes. Physical exam reveals a thin, anxious
appearing female who is profusely sweating despite cool
ambient air temperature. BP 176/88, Pulse 136, and respirations
26. Electrocardiogram negative for evidence of myocardial
infarction and all lab data within normal limits except for mild
respiratory alkalosis. The patient’s symptoms are subsiding and
the patient states she is feeling better. The APRN suspects the
patient has just experienced a panic attack.
Question 1 of 2:
What are panicogens and how do they contribute to the
development of panic attack symptoms?
<Type your response here>
Question 2 of 2:
How does the GABA-benzodiazepine (BZ) receptor
systems contribute to panic attacks/disorders?
<Type your response here>
Scenario 4: Social Anxiety Disorder (SAD)
A 21-year-old female college junior makes an appointment to
see the APRN in the Student Health Clinic. The student tells the
APRN that it has gotten harder and harder for her to attend
classes, especially her history class where the class is preparing
for the semester’s end presentations. She says she is terrified to
speak to the class and is considering dropping the class so she
will not have to present. She has a significant impairment in
social activities and has resigned from her sorority. She is
unable to go to the library to study as she feels everyone is
5. looking at her and mocking her. She admits to having some of
these symptoms in high school, but the guidance counselor was
able to work with her to decrease some of her symptoms. Past
medical history noncontributory except for the milder symptoms
exhibited in high school. Family history noncontributory. Social
history positive for anxiety related to social situations that has
had a negative impact on both her scholarly and social
endeavors. The APRN diagnoses the student with social anxiety
disorder (SAD).
Question 1 of 2:
Describe the areas of the brain that are associated with social
anxiety disorder.
<Type your response here>
Question 2 of 2:
How is oxytocin associated with SAD?
<Type your response here>
Scenario 5: Generalized Anxiety Disorder (GAD)
A 36-year-old female comes to see the APRN in clinic with a
chief complaint of “I’m so and I feel all keyed up all the
time”. She states she feels restless, keyed up, and on edge most
of the time. She fatigues easily and has difficulty
concentrating and says her mind goes blank. She admits to
being irritable and snapping at her coworkers which she worries
will affect her job. She says the symptoms have been present for
about 8 or 9 months. and Increased muscle tension. She has had
difficulty falling asleep or stay sleeping. Further questioning
revealed that prior to her symptoms, her parents got
divorced which has been a great stressor for her. Past medical
history noncontributory. Social history positive for a case of
“nerves” when she was in high school that seemed to resolve
after she graduated from college. No drug or alcohol
6. history. The APRN believes the patient has generalized
anxiety disorder (GAD).
Question 1 of 2:
Discuss the role of neurotransmitters in the expression of
GAD.
<Type your response here>
Question 2 of 2:
Explain the structural brain changes that occur in people with
GAD.
<Type your response here>
Scenario 6: Post-Traumatic Stress Disorder (PTSD)
A 27-year-old man comes to the Veteran’s Administration
Hospital at the insistence of his fiancée who accompanies him
to the appointment. She tells the APRN that her fiancée has not
“been the same” since he returned from his second tour in Iraq.
He was an infantryman with a local Marine Reserve unit and
served 2 tours and was honorably discharged. Since his
return, he has had difficulty sleeping, and says he “sleeps with
one eye open” and fears sleep. Deep sleep brings vivid
nightmares. He grudgingly admits to having experienced several
traumatic events during his second tour of duty. He is unwilling
to discuss them and will not reveal specific details. He is short
tempered and irritable and is afraid to be around people as he
doesn’t want to snap at people and alienate them. He startles
easily at loud noises, especially the sounds of cars
backfiring. He admits to thinking there are threats everywhere
and spends an excessive amount of time searching for them but
never finding any. He has intrusive memories almost every
day and says he really isn’t interested in doing much of
anything. He is very worried that these symptoms are
irreparably hurting his relationship with his fiancée who he
loves very much. The APRN diagnoses him with post-
traumatic stress disorder (PTSD).
Question 1 of 2:
8. 2019 ANNUAL REPORT ON FORM 10-K
Significant Growth
in Profitability
2016
R E V E N U E N E T I N C O M EG R O S S M A R G I N O
P E R AT I N G M A R G I N
$4.3
($498)
$5.3
($33)
$6.5
$337
$6.7
$341
2016 2016 2016
23%
-9%
9. 34%
2%
38%
7%
43%
9%
2017 20172017 20172018 20182018 20182019 20192019 2019
Leadership Products Drive
Revenue Growth
$ Billions
Premium Products Drive
Margin Expansion
Solid Growth With
OpEx Investments
$ Millions
DEAR SHAREHOLDERS:
Five years ago, AMD set out on a journey. We established a
clear focus on becoming a high-performance
computing leader and defined an ambitious technology roadmap
grounded in a series of key investments.
As a company, we committed to strong execution and engaged
deeply with our customers and partners,
including industry leaders like Amazon, Apple, Google, HPE,
10. Lenovo, Microsoft and Sony. 2019 was a major
milestone in that journey. We introduced and successfully
ramped the strongest product portfolio in our
history spanning desktops, laptops, gaming and the data center,
including the launches of the world’s first
7nm x86 CPUs and PC GPUs. On the strength of this portfolio
and strong execution, we delivered record
annual revenue of $6.73 billion, strong gross margin expansion
and significant profitability growth. For the
second year in a row, AMD was the best performing stock in the
S&P 500. Strong customer demand for our
7nm Ryzen™ and EPYC™ processors powered by our next
generation “Zen 2” processor core drove $1.5 billion
in client and server processor annual revenue growth in 2019.
MARCH 2020
Computing and Graphics segment revenue grew 14% in 2019
primarily based on strong demand for our AMD
Ryzen™ desktop and mobile processors. Ryzen processor
adoption accelerated sharply, helping drive significant
double-digit percentage increases in client processor annual unit
shipments, average selling price (ASP) and
revenue. We launched a full family of 3rd Gen Ryzen™ desktop
processors, including the 3rd Gen Ryzen™
Threadripper™ CPU which is the world’s most powerful high-
end desktop processor.
439351_Shareholders_Letter_2020_FNL.indd
1439351_Shareholders_Letter_2020_FNL.indd 1 3/12/20
9:38 AM3/12/20 9:38 AM
In notebooks, the largest PC companies expanded the number of
AMD-powered platforms to include new premium
11. offerings like the first ever AMD-powered Microsoft Surface
Laptop 3. As a result, we gained over 4 points of both
desktop and notebook processor unit share in 2019 and exited
the year with our highest quarterly client processor
unit shipments in more than six years.
In Graphics, we introduced our new RDNA architecture
designed to drive the next generation of gaming
across PCs, consoles, handhelds and the cloud. RDNA-powered
Radeon™ RX 5000 series GPUs deliver up to
a 50% performance-per-watt increase compared to our prior
generation graphics cards, enabling the most
powerful gaming GPU available for under $300. Our data
center GPU revenue grew by a strong double-digit
percentage for the year as customer adoption of our Radeon
GPUs for cloud gaming, AI and machine
learning workloads increased.
In our Enterprise, Embedded and Semi-Custom segment, we saw
strong server revenue growth, although annual
revenue decreased due to lower semi-custom sales in advance of
the next-generation console launches from
Microsoft and Sony planned for 2020. In August 2019, we
introduced our 2nd Gen EPYC™ processor, the world’s
first 7nm data center CPU, and it is ramping significantly faster
than the first generation. We doubled the number
of AMD EPYC™ CPU-based platforms and cloud instances in
2019 and adoption is accelerating among enterprise
and cloud customers globally. Based on our breakthrough
architecture and leadership performance, we secured
multiple large supercomputing wins in 2019, including U.S.,
French, German, and U.K. national supercomputing
center deployments. We are particularly proud to be
collaborating with the U.S. Department of Energy, the
Oak Ridge National Laboratory and Cray Inc. on Frontier,
expected to be the world’s fastest exascale-class
12. supercomputer when delivered in 2021.
In addition to delivering strong annual financial results, AMD
received recognition for our environmental and
sustainability initiatives, earning a place on the Forbes Just 100
list of best U.S. corporate citizens for the third
consecutive year. We also achieved a 100% score on the Human
Rights Campaign Foundation’s Corporate Equality
Index. We were also proud to have been named one of Fast
Company’s “Best Workplaces for Innovators” and
Fortune Magazine’s “World’s Most Admired Companies.”
2020: ACCELERATING GROWTH
2019 was a year of significant product launches, and in 2020 we
will build on our portfolio to accelerate growth.
With more than twenty 7nm products in production or
development, we are well-positioned to continue to
innovate and extend our performance leadership.
In client computing, we started 2020 strong with the launch of
our new Ryzen™ 4000 series mobile processors,
enabling the industry’s first ultrathin notebooks with 8 cores.
We expect more than 135 AMD-powered
notebooks to come to market in 2020, helping drive continued
market share gains across consumer and
commercial. We will build on this momentum with the launch
of our next-generation Ryzen CPUs powered
by our “Zen 3” processor core late in the year.
439351_Shareholders_Letter_2020_FNL.indd
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9:38 AM3/12/20 9:38 AM
13. In gaming, we plan to introduce multiple products powered by
our next generation AMD RDNA 2
architecture, including new desktop GPUs for the premium
enthusiast portion of the market.
We are also proud to power both the PlayStation® 5 and Xbox®
Series X next-generation game consoles
scheduled to launch this year.
In data center, deployments of our 2nd generation EPYC
processors into large-scale cloud, enterprise and HPC
customers continue to expand. We expect to have more than 140
AMD EPYC™ CPU-based platforms and more
than 150 AMD EPYC™ CPU-based cloud instances in 2020.
We are on-track to accelerate our data center business
with the introduction of our third-generation EPYC processor
family late in the year. To gain share in the high-
growth data center GPU market, we also plan to launch our first
compute-specific graphics architecture in late
2020. AMD Compute DNA (AMD CDNA) has been optimized
to deliver leadership performance and efficiency
for AI, machine learning, and high-performance computing
workloads. We continue to invest in our Radeon
Open Compute (ROCm) software tools, and plan to release a
complete software stack this year to make it
easier for developers to take full advantage of the performance
of our data center GPUs.
AMD: BUILDING THE BEST
2019 was a record year for AMD as key investments paid off
and great products, operational discipline and focused
execution drove strong financial performance and growing
customer momentum. 2020 marks the next leg of our
multi-year journey. We have established a path to sustained
growth, CPU and GPU leadership and innovation in
exascale and AI solutions based on our foundation of industry-
14. leading IP.
As exciting as the last few years have been, we are just getting
started. We entered 2020 with strong momentum
– and the products, the partners and the determination to win.
We remain committed to building the best based
on multi-generational leadership roadmaps and strong,
predictable execution. Thank you for being part of our
journey and our success.
Dr. Lisa Su
President and Chief Executive Officer
CAUTIONARY STATEMENT
The forward-looking statements contained in this letter,
including but not limited to the expected performance, timing
and availability of the Frontier exacscale system; the expected
number of
AMD-powered notebooks to come to market in 2020 and the
expected market share gains across consumer and commercial
notebook markets as a result of those new AMD-powered
notebooks;
the features, functionality, availability, timing, performance,
expectations, adoption and expected benefits related to AMD’s
future products, including AMD’s “next generation RDNA2
gaming
architecture and AMD’s third-generation EPYC™ processor
family, AMD Compute DNA, next generation Radeon Open
Compute (ROCm) software tools; expected number of AMD
EPYC CPU-
based platforms and AMD EPYC CPU-based cloud instances in
2020; the availability of AMD powered next generation
Playstation 5 and Xbox Series X game consoles; and the
availability of
future high-performance RDNA architecture-powered products ,
15. which are made pursuant to the safe harbor provisions of the
Private Securities Litigation Reform Act of 1995. Investors are
cautioned that forward-looking statements contained herein
involved risk and uncertainties that could cause actual results to
differ materially from current expectations. We urge investors
to
review in detail the risk and uncertainties in our Securities and
Exchange Commission filings, including but not limited to our
Annual Report on Form 10-K for the year ended December 28,
2019.
439351_Shareholders_Letter_2020_FNL.indd
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9:38 AM3/12/20 9:38 AM
41. MARCH 2019
DEAR SHAREHOLDERS:
From the industry ’s first 1GHz CPU to the world’s first GPU
delivering a teraflop of computing power, AMD has always
stood for pushing the boundaries of what is possible. A few
years ago, we made several big bets to accelerate our pace
of innovation, strengthen our execution, and enable AMD to
deliver a leadership portfolio of computing and graphics
processors capable of increasing our share of the $75 billion
high-performance computing market. In 2018, we saw
those bets begin to pay off as we delivered our second straight
year of greater than 20% annual revenue growth and
significantly improved our gross margin and profitability from
the previous year.
Our newest Ryzen™, EPYC™ and datacenter GPU products
contributed more than $1.2 billion of revenue in 2018 and
helped us gain share across our priority markets. In 2018, we
added 3.9% points of desktop processor unit share, 5.3%
points of notebook processor unit share and met our goal of
exiting the year with mid-single digit server processor
market share. We reached a milestone for the company as our
high-margin datacenter CPUs and GPUs accounted for
a mid-teens percentage of overall revenue in the fourth quarter.
As a result of our focused execution, I am pleased
to report that AMD was the best performing stock in the S&P
500 for 2018 and we delivered our most profitable year
since 2011.
REVENUE
$ Billions
GROSS MARGIN % R&D INVESTMENT
$ Billions
42. EXPENSE/REVENUE %
Added $2.2B in revenue
over the last 2 years
Significantly improved gross
margin over last 2 years based
on new product portfolio
Increased R&D by more than
40% over the last 2 years
Significant improvement
in OPEX leverage
2016 2017 2018 2016 2017 2018 2016 2017 2018 2016 2017
2018
$4.3B
23% $1.01B
$1.20B
$1.43B 34%
33%
31%
34%
38%
43. $5.3B
$6.5B
Computing and Graphics segment revenue grew 39% in 2018
based on growing adoption of our Ryzen desktop and
mobile processors. We launched a full family of 2nd Gen
Ryzen™ desktop processors in 2018, including the 2nd Gen
Ryzen™
Threadripper™ CPU, the world’s most powerful desktop
processor. Our biggest customers expanded their AMD-based
offerings in the year, launching more than 60 notebooks
powered by our Ryzen™ Mobile processors. We continued to
successfully expand beyond the consumer PC market,
highlighted by our customers announcing the broadest portfolio
of AMD-based commercial notebooks ever. We also set a record
for annual professional graphics revenue and we ramped
multiple high-volume wins for our Radeon™ “Vega” datacenter
GPUs. To further accelerate this part of our business,
late in the year we began shipping the industry’s first 7nm
datacenter GPU for deep learning, HPC, cloud and rendering
applications. We also introduced a major set of enhancements to
our datacenter GPU software that makes it easier for
customers to deploy Radeon GPUs for AI and machine learning
workloads.
Enterprise, Embedded and Semi-Custom segment revenue
increased 3% in 2018, driven largely by the ongoing adoption
of our EPYC processors across enterprise, cloud and HPC
customers, offset by a decline in semi-custom revenue as
the current generation game consoles are now in their 6th year
since introduction. We made tremendous strides in the
datacenter market since launching our first EPYC processors in
2017 and see opportunities to accelerate our growth in the
44. coming years as we build from the strong foundation we have
set. We announced several supercomputer wins in 2018,
including Proctor & Gamble, the U.S. Department of Energy,
the University of Stuttgart and Lawrence Livermore Labs.
We continued to make progress with the largest cloud providers
as Amazon announced new versions of its most popular
cloud instances powered by EPYC processors, and Microsoft
Azure announced its highest performance big data and HPC
instances were powered by EPYC processors. Our semi-custom
game console processors passed a significant milestone
in the year, with the current generation Microsoft® Xbox One™
and Sony Playstation® 4 families having shipped well in
excess of 120 million units.
Importantly, we delivered these results while again being
recognized for our commitment to responsible growth. We
achieved a 100% score on the Human Rights Campaign
Foundation’s Corporate Equality Index, had our supply chain
sustainability ranked among the top 2% of more than 3,000
publicly traded companies on CDP’s Supplier Engagement
Leader Board, and were listed on both the Thomson Reuters Top
100 Global Tech Leaders and Barron’s 100 Most
Sustainable Companies.
2019: OUR STRONGEST PRODUCT PORTFOLIO EVER
I am very proud of what we accomplished in 2018, and I am
even more excited about how our long-term investments are
set to drive further growth as we introduce our next wave of
great products, including our 7nm Ryzen processors, Radeon
GPUs and EPYC processors. We believe 2019 will be an
inflection point for AMD and the industry based on our new
CPU
and GPU cores, our aggressive adoption of 7nm manufacturing
technology and our advanced chiplet designs.
45. In client computing, we started 2019 strong with the launch of
our 2nd Gen Ryzen™ Mobile processors and our first ever
AMD-based Chromebooks. The number of Ryzen processor-
based systems available from our largest PC customers
is expected to increase by more than 30% from 2018, with the
number of Ryzen processor-based mobile systems
expected to increase by more than 50%. We believe we can
continue this momentum when we introduce our 3rd Gen
Ryzen™ desktop CPUs in the middle of the year.
In gaming, we successfully returned to the high-end market with
the launch of our Radeon™ VII GPU in February 2019
and we are on track to introduce our next-generation “Navi”
GPUs for the mainstream market later this year.
In server, our upcoming products and expanded customer
relationships provide us with opportunities to continue
gaining both CPU and GPU share across cloud, enterprise and
HPC customers. We are on track to launch our next-
generation 7nm EPYC™ processors in the middle of this year
that are expected to deliver a step-function improvement
in performance, with leadership core counts and unmatched
capabilities across multiple workloads.
AMD: THE NEXT 50 YEARS
2019 marks our 50th anniversary—a major milestone for any
company and a particularly significant accomplishment in the
highly-cyclical semiconductor business. Our commitment to
deliver high-performance computing and graphics technology
that helps solve the world’s toughest challenges has never been
stronger. While celebrating our historical achievements is
important, our more than 10,000 employees are focused on what
we can accomplish together over the next 50 years as
46. we pursue our ambitious goal to make AMD the high-
performance computing leader.
Dr. Lisa Su
President and Chief Executive Officer
CAUTIONARY STATEMENT
The forward-looking statements contained in the letter,
including but not limited to, the timing, features, functionality,
availability, performance, expectations and expected
benefits related to AMD’s products and future products,
including 7nm Ryzen, Radeon and EPYC processors; AMD
being on track to launch future products, including 3rd
Generation Ryzen desktop CPUs, “Navi” GPUs and next
generation 7nm EPYC processors in 2019; AMD’s ability to
accelerate growth in the datacenter market and drive further
growth in other markets; 2019 being an inflection point for
AMD and the industry; the expected increase in the number of
Ryzen systems and Ryzen notebook systems available
from AMD’s customers in 2019 and AMD’s ability to continue
the strong momentum; and AMD’s ability to gain CPU and GPU
share in server across cloud, enterprise and HPC
customers, which are made pursuant to the safe harbor
provisions of the Private Securities Litigation Reform Act of
1995. Investors are cautioned that forward-looking
statements contained herein involve risks and uncertainties that
could cause actual results to differ materially from current
expectations. We urge investors to review in detail
the risk and uncertainties in our Securities and Exchange
Commission filings, including but not limited to the Annual
Report on Form 10-K for the year ended December 29, 2018.
THE BIGGEST AND BEST YEAR IN AMD HISTORY
47. Advanced Micro Devices, Inc.
2018 ANNUAL REPORT ON FORM 10-K
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
È ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE
SECURITIES EXCHANGE ACT OF 1934.
For the fiscal year ended December 29, 2018
OR
‘ TRANSITION REPORT PURSUANT TO SECTION 13 OR
15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934.
For the transition period from to
Commission File Number 001-07882
ADVANCED MICRO DEVICES, INC.
(Exact name of registrant as specified in its charter)
Delaware 94-1692300
(State or other jurisdiction of incorporation or organization)
48. (I.R.S. Employer Identification No.)
2485 Augustine Drive, Santa Clara, California 95054
(Address of principal executive offices) (Zip Code)
(408) 749-4000
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
(Title of each class) (Name of each exchange on which
registered)
Common Stock $0.01 par value per share The NASDAQ Global
Select Market
Securities registered pursuant to Section 12(g) of the Act:
None
Indicate by check mark if the registrant is a well-known
seasoned issuer, as defined in Rule 405 of the Securities
Act. Yes È No ‘
Indicate by check mark if the registrant is not required to file
reports pursuant to Section 13 or Section 15(d) of the
Exchange Act. Yes ‘ No È
Indicate by check mark whether the registrant (1) has filed all
reports required to be filed by Section 13 or 15(d) of the
Securities Exchange Act of 1934 during the preceding 12
months (or for such shorter period that the registrant was
required to
file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes È No ‘
Indicate by check mark whether the registrant has submitted
electronically every Interactive Data File required to be
49. submitted pursuant to Rule 405 of Regulation S-T during the
preceding 12 months (or for such shorter period that the
registrant was required to submit such files): Yes È No ‘
Indicate by check mark if disclosure of delinquent filers
pursuant to Item 405 of Regulation S-K is not contained herein,
and will not be contained, to the best of registrant’s knowledge,
in definitive proxy or information statements incorporated by
reference in Part III of this Form 10-K or any amendment to this
Form 10-K. È
Indicate by check mark whether the registrant is a large
accelerated filer, an accelerated filer, a non-accelerated filer or
a
smaller reporting company. See definition of “large accelerated
filer,” “accelerated filer” and “smaller reporting company” in
Rule 12b-2 of the Exchange Act (check one):
Large accelerated filer È Accelerated filer ‘
Non-accelerated filer ‘ Smaller reporting company ‘
If an emerging growth company, indicate by check mark if the
registrant has elected not to use the extended transition
period for complying with any new or revised financial
accounting standards provided pursuant to Section 13(a) of the
Exchange Act. ‘
Indicate by check mark whether the registrant is a shell
company (as defined by Rule 12b-2 of the Exchange
Act). Yes ‘ No È
As of June 30, 2018, the aggregate market value of the
registrant’s common stock held by non-affiliates of the
registrant
was approximately $14.5 billion based on the reported closing
sale price of $14.99 per share as reported on The NASDAQ
50. Global Select Market (NASDAQ) on June 29, 2018, which was
the last business day of the registrant’s most recently
completed second fiscal quarter.
Indicate the number of shares outstanding of each of the
registrant’s classes of common stock, as of the latest practicable
date: 1,005,298,882 shares of common stock, $0.01 par value
per share, as of February 1, 2019.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the registrant’s proxy statement for the 2019 Annual
Meeting of Stockholders (2019 Proxy Statement) are
incorporated into Part III hereof. The 2019 Proxy Statement will
be filed with the U.S. Securities and Exchange Commission
within 120 days after the registrant’s fiscal year ended
December 29, 2018.
Advanced Micro Devices, Inc.
FORM 10-K
For The Fiscal Year Ended December 29, 2018
INDEX
PART I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
ITEM 1. Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
ITEM 1A. Risk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
53. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
SIGNATURES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
PART I
ITEM 1. BUSINESS
Cautionary Statement Regarding Forward-Looking Statements
The statements in this report include forward-looking
statements within the meaning of the Private
Securities Litigation Reform Act of 1995. These forward-
looking statements are based on current expectations
and beliefs and involve numerous risks and uncertainties that
could cause actual results to differ materially from
expectations. These forward-looking statements speak only as of
the date hereof or as of the dates indicated in
the statements and should not be relied upon as predictions of
future events, as we cannot assure you that the
events or circumstances reflected in these statements will be
achieved or will occur. You can identify forward-
looking statements by the use of forward-looking terminology
including “believes,” “expects,” “may,” “will,”
“should,” “seeks,” “intends,” “plans,” “pro forma,” “estimates,”
“anticipates,” or the negative of these words
and phrases, other variations of these words and phrases or
comparable terminology. The forward-looking
statements relate to, among other things: possible impact of
future accounting rules on AMD’s consolidated
financial statements; demand for AMD’s products; the growth,
change and competitive landscape of the markets
in which AMD participates; the nature and extent of AMD’s
54. future payments to GLOBALFOUNDRIES Inc. (GF)
and the materiality of these payments; the materiality of AMD’s
future purchases from GF; AMD’s ability to
meet its wafer purchase target; the expected amounts to be
received by AMD under the IP licensing agreement
and AMD’s expected royalty payments from future product
sales of China JVs’ products to be developed on the
basis of such licensed IP; sales patterns of AMD’s PC products
and semi-custom System-on-Chip (SoC) products
for game consoles; the level of international sales as compared
to total sales; international sales will continue to
be a significant portion of total sales in the foreseeable future;
that other unrecognized tax benefits will not
materially change in the next 12 months; that AMD’s cash and
cash equivalents balances together with the
availability under that certain secured revolving line of credit
(Secured Revolving Line of Credit) made available
to AMD and certain of its subsidiaries under the Amended and
Restated Loan Agreement, will be sufficient to
fund AMD’s operations including capital expenditures over the
next 12 months; AMD’s ability to obtain
sufficient external financing on favorable terms, or at all;
AMD’s expectation that based on the information
presently known to management, the potential liability related
to AMD’s current litigation will not have a
material adverse effect on its financial condition, cash flows or
results of operations; any amounts in addition to
what has been already accrued by AMD for future remediation
costs under clean-up orders will not be material;
we expect to file future patent applications in both the United
States and abroad on significant inventions, as we
deem appropriate; anticipated increase in costs related to
enhancing, implementing and monitoring information
security controls, remediating any data security breaches and
addressing related litigation, mitigating
reputational harm and compliance with external regulations
55. related to our IT assets; we expect to receive
$448.5 million upon the exercise of a warrant by West Coast
Hitech L.P. (WCH) and issue 75 million shares of
our common stock to WCH; revenue allocated to remaining
performance obligations that are unsatisfied which
will be recognized over the next 12 months; and a small number
of customers will continue to account for a
substantial part of AMD’s revenue in the future. Material
factors that could cause actual results to differ
materially from current expectations include, without limitation,
the following: Intel Corporation’s dominance of
the microprocessor market and its aggressive business practices
may limit AMD’s ability to compete effectively;
AMD has a wafer supply agreement with GF with obligations to
purchase all of its microprocessor and APU
product requirements, and a certain portion of its GPU product
requirements, manufactured at process nodes
larger than 7 nanometer (nm) from GF with limited exceptions.
If GF is not able to satisfy AMD’s manufacturing
requirements, AMD’s business could be adversely impacted;
AMD relies on third parties to manufacture its
products, and if they are unable to do so on a timely basis in
sufficient quantities and using competitive
technologies, AMD’s business could be materially adversely
affected; failure to achieve expected manufacturing
yields for AMD’s products could negatively impact its financial
results; the success of AMD’s business is
dependent upon its ability to introduce products on a timely
basis with features and performance levels that
provide value to its customers while supporting and coinciding
with significant industry transitions; if AMD
cannot generate sufficient revenue and operating cash flow or
obtain external financing, it may face a cash
shortfall and be unable to make all of its planned investments in
research and development or other strategic
56. 1
investments; the loss of a significant customer may have a
material adverse effect on AMD; AMD’s receipt of
revenue from its semi-custom SoC products is dependent upon
its technology being designed into third-party
products and the success of those products; global economic and
market uncertainty may adversely impact
AMD’s business and operating results; AMD’s products may be
subject to security vulnerabilities that could
have a material adverse effect on AMD; IT outages, data loss,
data breaches and cyber-attacks could
compromise AMD’s intellectual property or other sensitive
information, be costly to remediate and cause
significant damage to its business, reputation and operations;
AMD’s operating results are subject to quarterly
and seasonal sales patterns; AMD may not be able to generate
sufficient cash to service its debt obligations or
meet its working capital requirements; AMD has a large amount
of indebtedness which could adversely affect its
financial position and prevent it from implementing its strategy
or fulfilling its contractual obligations; the
agreements governing AMD’s notes and the Secured Revolving
Line of Credit impose restrictions on AMD that
may adversely affect AMD’s ability to operate its business; the
markets in which AMD’s products are sold are
highly competitive; AMD’s worldwide operations are subject to
political, legal and economic risks and natural
disasters, which could have a material adverse effect on it;
AMD’s issuance to West Coast Hitech L.P. (WCH) of
warrants to purchase 75 million shares of its common stock, if
and when exercised, will dilute the ownership
interests of AMD’s existing stockholders, and the conversion of
the 2.125% Convertible Senior Notes due 2026
57. (2.125% Notes) may dilute the ownership interest of AMD’s
existing stockholders, or may otherwise depress the
price of its common stock; uncertainties involving the ordering
and shipment of AMD’s products could
materially adversely affect it; the demand for AMD’s products
depends in part on the market conditions in the
industries into which they are sold. Fluctuations in demand for
AMD’s products or a market decline in any of
these industries could have a material adverse effect on its
results of operations; AMD’s ability to design and
introduce new products in a timely manner is dependent upon
third-party intellectual property; AMD depends on
third-party companies for the design, manufacture and supply of
motherboards, software and other computer
platform components to support its business; if AMD loses
Microsoft Corporation’s support for its products or
other software vendors do not design and develop software to
run on AMD’s products, its ability to sell its
products could be materially adversely affected; AMD’s
reliance on third-party distributors and add-in-board
(AIB) partners subjects it to certain risks; AMD may incur
future impairments of goodwill and technology license
purchases; AMD’s inability to continue to attract and retain
qualified personnel may hinder its business; in the
event of a change of control, AMD may not be able to
repurchase its outstanding debt as required by the
applicable indentures and its Secured Revolving Line of Credit,
which would result in a default under the
indentures and its Secured Revolving Line of Credit; the
semiconductor industry is highly cyclical and has
experienced severe downturns that have materially adversely
affected, and may continue to materially adversely
affect its business in the future; acquisitions, divestitures and/or
joint ventures could disrupt its business, harm
its financial condition and operating results or dilute, or
adversely affect the price of, its common stock; AMD’s
58. business is dependent upon the proper functioning of its internal
business processes and information systems and
modification or interruption of such systems may disrupt its
business, processes and internal controls; if essential
equipment, materials or manufacturing processes are not
available to manufacture its products, AMD could be
materially adversely affected; if AMD’s products are not
compatible with some or all industry-standard software
and hardware, it could be materially adversely affected; costs
related to defective products could have a material
adverse effect on AMD; if AMD fails to maintain the efficiency
of its supply chain as it responds to changes in
customer demand for its products, its business could be
materially adversely affected; AMD outsources to third
parties certain supply-chain logistics functions, including
portions of its product distribution, transportation
management and information technology support services;
AMD’s stock price is subject to volatility; worldwide
political conditions may adversely affect demand for AMD’s
products; unfavorable currency exchange rate
fluctuations could adversely affect AMD; AMD’s inability to
effectively control the sales of its products on the
gray market could have a material adverse effect on it; if AMD
cannot adequately protect its technology or other
intellectual property in the United States and abroad, through
patents, copyrights, trade secrets, trademarks and
other measures, it may lose a competitive advantage and incur
significant expenses; AMD is a party to litigation
and may become a party to other claims or litigation that could
cause it to incur substantial costs or pay
substantial damages or prohibit it from selling its products;
AMD’s business is subject to potential tax liabilities;
and AMD is subject to environmental laws, conflict minerals-
related provisions of the Dodd-Frank Wall Street
2
59. Reform and Consumer Protection Act as well as a variety of
other laws or regulations that could result in
additional costs and liabilities.
For a discussion of the factors that could cause actual results to
differ materially from the forward-looking
statements, see “Part I, Item 1A-Risk Factors” and the
“Financial Condition” section set forth in “Part II,
Item 7-Management’s Discussion and Analysis of Financial
Condition and Results of Operations,” or MD&A,
and such other risks and uncertainties as set forth below in this
report or detailed in our other Securities and
Exchange Commission (SEC) reports and filings. We assume no
obligation to update forward-looking
statements.
General
We are a global semiconductor company primarily offering:
• x86 microprocessors, as standalone devices or as incorporated
into an accelerated processing unit
(APU), chipsets; discrete and integrated graphics processing
units (GPUs), and professional GPUs; and
• server and embedded processors and semi-custom System-on-
Chip (SoC) products and technology for
game consoles.
We also license portions of our intellectual property portfolio.
For financial information about geographic areas and for
segment information with respect to revenues and
60. operating results, refer to the information set forth in Note 15 of
our consolidated financial statements.
We use a 52 or 53 week fiscal year ending on the last Saturday
in December. The years ended December 29,
2018, December 30, 2017 and December 31, 2016 included 52
weeks, 52 weeks and 53 weeks, respectively.
References in this report to 2018, 2017 and 2016 refer to the
fiscal year unless explicitly stated otherwise.
Additional Information
Advanced Micro Devices, Inc. (AMD) was incorporated under
the laws of Delaware on May 1, 1969 and
became a publicly held company in 1972. Our common stock is
currently listed on The NASDAQ Global Select
Market (NASDAQ) under the symbol “AMD”. Our mailing
address and executive offices are located at 2485
Augustine Drive, Santa Clara, California 95054, and our
telephone number is (408) 749-4000. The SEC’s
website, www.sec.gov, contains reports, proxy and information
statements, and other information regarding
issuers that file electronically with the SEC.
References in this Annual Report on Form 10-K to “AMD,”
“we,” “us,” “management,” “our” or the
“Company” mean Advanced Micro Devices, Inc. and our
consolidated subsidiaries.
AMD, the AMD Arrow logo, Athlon, EPYC, FirePro, FreeSync,
Geode, LiquidVR, Opteron, Radeon,
Ryzen, Threadripper, and combinations thereof are trademarks
of Advanced Micro Devices, Inc. Microsoft,
Windows, Direct X, Xbox 360 and Xbox One are trademarks or
registered trademarks of Microsoft Corporation
in the United States and other jurisdictions.
61. PlayStation is a registered trademark of Sony Interactive
Entertainment, Inc.. Wii and Wii U are registered
trademarks of Nintendo of America, Inc. ARM is a registered
trademark of ARM Limited in the EU and other
countries. Vulkan and the Vulkan logo are registered trademarks
of Khronos Group Inc.
Other names are for informational purposes only and are used to
identify companies and products and may
be trademarks of their respective owners.
3
Website Access to Our SEC Filings and Corporate Governance
Documents
On the Investor Relations pages of our Website,
http://ir.amd.com, we post links to our filings with the SEC,
our Principles of Corporate Governance, our Code of Ethics for
our executive officers, all other senior finance
executives and certain representatives from legal and internal
audit, our Worldwide Standards of Business
Conduct, which applies to our Board of Directors and all of our
employees, and the charters of the Audit and
Finance, Compensation and Leadership Resources, Nominating
and Corporate Governance and Innovation and
Technology committees of our Board of Directors. Our filings
with the SEC are posted as soon as reasonably
practical after they are electronically filed with, or furnished to,
the SEC. You can also obtain copies of these
documents by writing to us at: Corporate Secretary, AMD, 7171
Southwest Parkway, M/S B100.T, Austin, Texas
78735, or emailing us at: [email protected] All of these
62. documents and filings are available free of
charge.
If we make substantive amendments to our Code of Ethics or
grant any waiver, including any implicit
waiver, to our principal executive officer, principal financial
officer, principal accounting officer, controller or
persons performing similar functions, we intend to disclose the
nature of such amendment or waiver on our
Website.
The information contained on our Website is not incorporated
by reference in, or considered to be a part of,
this report.
Our Industry
We are a global semiconductor company. Semiconductors are
components used in a variety of electronic
products and systems. An integrated circuit (IC) is a
semiconductor device that consists of many interconnected
transistors on a single chip. Since the invention of the transistor
in 1948, improvements in IC process and design
technologies have led to the development of smaller, more
complex and more reliable ICs at a lower
cost-per-function.
The x86 Microprocessor and Chipset Markets
Central Processing Unit (CPU). A microprocessor is an IC that
serves as the CPU of a computer. It
generally consists of hundreds of millions or billions of
transistors that process data in a serial fashion and
control other devices in the system, acting as the “brain” of the
computer. The performance of a microprocessor
is a critical factor impacting the performance of computing and
63. entertainment platforms, such as desktop PCs,
notebooks and workstations. The principal elements used to
measure CPU performance are work-per-cycle (or
how many instructions are executed per cycle), clock speed
(representing the rate at which a CPU’s internal logic
operates, measured in units of gigahertz, or billions of cycles
per second) and power consumption. Other factors
impacting microprocessor performance include the process
technology used in its manufacture, the number and
type of cores, the ability of the cores to process multi-thread or
process multiple instructions simultaneously, the
bit size of its instruction set (e.g., 32-bit vs 16-bit), memory
size and data access speed.
Developments in IC design and manufacturing process
technologies have resulted in significant advances in
microprocessor performance. Since businesses and consumers
require greater performance from their computer
systems due to the growth of digital data and increasingly
sophisticated software applications, multi-core
microprocessors offer enhanced overall system performance and
efficiency because computing tasks can be
spread across two or more processing cores, each of which can
execute a task at full speed. Multi-core
microprocessors can simultaneously increase performance of a
computer system without greatly increasing the
total amount of power consumed and the total amount of heat
emitted. Businesses and consumers also require
computer systems with improved power management
technology, which helps them to reduce the power
consumption of their computer systems, enables smaller and
more portable form factors, and can lower the total
cost of ownership.
4
64. Graphics Processing Unit (GPU). A GPU is a programmable
logic chip that helps render images,
animations and video and is increasingly being used to handle
general computing tasks. GPUs are located in
plug-in cards, as a discrete processor or in a chip on the
motherboard, or in the same chip as the CPU as part of
an accelerated processing unit (APU) or System-on-Chip (SoC).
GPUs on stand-alone cards or discrete GPUs on
the motherboard typically access their own memory, while
GPUs in the chipset or CPU chip share main memory
with the CPU.
GPUs perform parallel operations on data to render images for a
video display and are essential to
presenting computer generated images on that display, decoding
and rendering animations and displaying video.
The more sophisticated the GPU, the higher the resolution and
the faster and smoother moving objects can be
displayed on video display or in a virtual environment (virtual
reality (VR) and augmented reality (AR)).
In addition to graphics processing, GPUs are used to perform
parallel operations on multiple sets of data and
are increasingly used to perform vector processing for non-
graphics applications that require repetitive
computations such as supercomputing, deep learning, artificial
and machine intelligence, blockchain and various
other applications (e.g., cryptocurrency mining, autonomous
driving).
Accelerated Processing Unit (APU). Consumers increasingly
demand computing devices with improved
end-user experience, system performance and energy efficiency.
Consumers also continue to demand thinner and
65. lighter mobile devices, with better performance and longer
battery life. We believe that a computing architecture
that optimizes the use of its components can provide these
improvements.
An APU is a processing unit that integrates a CPU and a GPU
onto one chip (or one piece of silicon), along
with, in some cases, other special-purpose components. This
integration enhances system performance by
“offloading” selected tasks to the best-suited component (i.e.,
the CPU or the GPU) to optimize component use,
increasing the speed of data flow between the CPU and GPU
through shared memory and allowing the GPU to
function as both a graphics engine and an application
accelerator. Having the CPU and GPU on the same chip
also typically improves energy efficiency by, for example,
eliminating connections between discrete chips.
System-on-Chip (SoC). An SoC is a type of IC with a CPU,
GPU and other components, such as a
memory controller and peripheral management, comprising a
complete computing system on a single chip. By
combining all of these elements as an SoC, system performance
and energy efficiency is improved, similar to an
APU.
Chipset. A chipset is a generic term referring to a device or a
collection of devices that allow the
microprocessor to connect to a wider range of peripheral
devices in the system (such as storage, optical drives,
and Universal Serial Bus (USB) peripherals). Chipsets can
perform essential logic functions, and operate in
concert with the microprocessor to manage system control and
power management functions of all the devices in
the system. Chipsets are most often found in larger form factor
systems, typically desktop systems or larger
66. notebook platforms, which require the expanded peripheral
selection that is enabled by the chipset. Typical
notebook platforms and small form factor desktop platforms
typically do not utilize a chipset and instead rely on
the capabilities of the APU to connect to all the required
devices on the platform.
Our x86 Microprocessor and Chipset Products
Our microprocessors are incorporated into computing platforms,
which are a collection of technologies that
are designed to work together to provide a more complete
computing solution and to enable and advance the
computing components. We believe that integrated, balanced
computing platforms consisting of microprocessors,
chipsets (either as discrete devices or integrated into an SoC)
and GPUs (either as discrete GPUs or integrated
into an APU or SoC) that work together at the system level
bring end users improved system stability, increased
performance and enhanced power efficiency. In addition, we
believe our customers also benefit from an all-AMD
platform (consisting of an APU or CPU, a discrete GPU, and an
AMD Fusion Controller Hub chip when needed),
as we are able to optimize interoperability, provide our
customers a single point of contact for the key platform
5
components and enable them to bring the platforms to market
quickly in a variety of PC and server system form
factors.
We currently base our microprocessors and chipsets on the x86
instruction set architecture and the AMD
67. Infinity Fabric, which connects an on-chip memory controller
and input/output (I/O) channels directly to one or
more microprocessor cores. We typically integrate two or more
processor cores onto a single die, and each core
has its own dedicated cache, which is memory that is located on
the semiconductor die, permitting quick access
to frequently used data and instructions. Some of our
microprocessors have additional levels of cache such as L2,
or second-level cache, and L3, or third-level cache, to enable
fast data access and high performance.
We focus on continually improving the energy efficiency of our
products through our design principles and
innovations in power management technology. To that end, we
offer CPUs, GPUs, APUs, SoCs and chipsets
with multiple low power states that are designed to utilize lower
clock speeds and voltages to reduce processor
power consumption during active and idle times. The use of
intelligent, dynamic power management is designed
to create lower energy use by allowing compute applications to
be completed quickly and efficiently, enabling a
return to the ultra-low power idle state.
Desktop. In February 2018, we introduced two AMD Ryzen™
desktop processors with built-in Radeon™
Vega graphics models. AMD Ryzen 5 2400G and AMD Ryzen 3
2200G processors combine four of the latest
“Zen” CPU cores with advanced Radeon “Vega” architecture on
a single chip. In April 2018, we announced the
global availability of our second generation Ryzen desktop
processors which include four models: Ryzen 7
2700X, Ryzen 7 2700, Ryzen 5 2600X, and Ryzen 5 2600
processors that are optimized for gamers, creators, and
hardware enthusiasts. These four models use 12nm process
technology to offer high gaming performance and
multiprocessing performance. In August 2018, we announced
68. the availability of our second generation AMD
Ryzen™ Threadripper™ 2990WX processor with 32 cores and
64 threads and the Ryzen Threadripper 2950X
with 16 cores and 32 threads. In September 2018, we launched a
reimagined family of AMD Athlon™ desktop
processors with Radeon™ Vega graphics: AMD Athlon 200GE,
Athlon 220GE, and Athlon 240GE. These
desktop processors combine our x86 “Zen” core and “Vega”
graphics architectures on an SOC design. They are
designed to offer responsive and reliable computing for web-
browsing and video streaming. In October 2018, we
launched two additional second generation AMD Ryzen
Threadripper processor models, the Ryzen 2970WX
with 24 cores and 48 threads and the Ryzen Threadripper 2920X
with 12 cores and 24 threads. The Ryzen
Threadripper WX series focuses on computational power for
heavy workloads and the Ryzen Threadripper X
series provides enthusiasts, gamers and streamers high
performance and a smooth gaming experience.
Notebooks and 2-in-1s. We continue to invest in designing and
developing high performing and low
power APUs for notebook PC platforms for the consumer
market. In 2018, we introduced the Ryzen 7 2700U
Mobile processor with Radeon RX Vega 10 Graphics, the Ryzen
5 2500U Mobile Processor with Radeon Vega 8
Graphics, the Ryzen 3 2300U Mobile Processor with Radeon
Vega 6 Graphics, and the Ryzen 3 2200U Mobile
Processor with Radeon Vega 3 Graphics. In addition to the
Ryzen™ Mobile family, we also continue to offer
AMD A-Series APUs based on previous generation CPU and
graphics architectures, primarily targeting the value
and mainstream segments. In January 2019, we announced our
mobility line-up encompassing all notebook
segments: second generation AMD Ryzen 3000 Series Mobile
Processors, powering ultrathin and gaming
69. notebooks; AMD Athlon 300 Series Mobile Processors,
powering mainstream notebooks with the “Zen” core;
and optimized seventh generation A-Series processors, elevating
performance for mainstream Chromebooks.
Chipsets. We offer a full suite of chipset products, the X470,
the B450 and the A320 chipset, that are
combined with AMD Ryzen processors for the AM4 desktop
platform. The X470 chipset is designed for
enthusiast desktop platforms while the B450 is targeted for the
performance segment and the A320 is focused on
affordable mainstream platforms. We also have the X300 and
A300 chipsets designed for small form factors. We
offer the X399 chipset, which pairs with our Ryzen
Threadripper product line for High-End Desktops (HEDT)
using the all-new socket TR4 platform. We also continue to
offer AMD 9-Series chipsets for the Socket AM3/3+
platforms serving desktop PCs, and AMD A-Series Control
Hubs for the Socket FM2/2+ platforms. We also
6
offer AMD 785E, 780E, 780M, 690E, SR5690, SP5100, SB600,
SB710, SB850 and M690E chipsets and AMD
A-Series Controller Hubs for our embedded products.
Commercial. We offer enterprise-class desktop and notebook PC
solutions sold as AMD PRO Mobile and
AMD PRO desktop processors with Radeon Vega Graphics for
the commercial client market. These solutions are
designed to provide commercial-grade quality, platform
longevity and extended image stability, and also include
security and manageability features for enterprise customers. In
May 2018, we announced the availability of our
70. commercial-grade Ryzen™ PRO mobile processors with Radeon
Vega graphics for high performance and energy
efficient notebook platforms, including the Ryzen 7 PRO
Mobile 2700U with Radeon Vega 10 Graphics, Ryzen
5 PRO Mobile 2500U with Radeon Vega 8 Graphics, and Ryzen
3 PRO Mobile 2300U with Radeon Vega 6
Graphics. In September 2018, we announced the availability of
our commercial-grade Athlon™ PRO 200GE
desktop processor, along with three 2nd generation Ryzen™
PRO desktop processor models for commercial,
enterprise and the public sector: the Ryzen 7 PRO 2700X,
Ryzen 7 PRO 2700, and Ryzen™ 5 PRO 2600
processors.
Graphics Market
The semiconductor graphics market addresses the need for
improved visual and data processing in various
computing devices. Many consumers value a rich visual
experience to enable a more compelling and immersive
experience, and, for these consumers, the PC has evolved from a
traditional data processing and communications
device to an entertainment platform. As a result, visual realism
and graphical display capabilities are key product
differentiation elements among computing devices. This has led
to increasing creation and use of processing-
intensive multimedia content for computing devices, including
playing games, capturing media content, viewing
online videos, editing photos and managing digital content. In
turn, these trends have contributed to higher
consumer demand for performance graphics solutions and to
manufacturers designing computing devices with
these capabilities. Industries that utilize computer assisted
design (CAD), that develop content for media and
entertainment markets and that generate professional
visualizations and renderings can benefit greatly from
71. graphics solutions optimized for the professional graphics
market.
In addition to traditional graphics markets, there is a large and
growing market for graphics compute which
is primarily made up of high performance compute and machine
learning/deep learning. Traditional high
performance compute focuses on scientific research, model
simulation, and exploration which is mainly driven
by university and government research needs for high precision
graphics compute workloads. The second market
is the rapidly growing area of machine learning and deep
learning workloads. Graphics processors are used both
in the training of machine learning models as well as the
application of models via inference. The expansion of
compute workloads on graphics processors is driving market
expansion for traditional graphics silicon.
Another area of the market for graphics compute is blockchain
technology, which is a decentralized digital
ledger used to securely store, transmit and process sensitive and
valuable data. Currently, the most well-known
use case of blockchain is cryptocurrency; however, the number
of applications and the potential impact of
blockchain technology goes much further. Blockchain
applications are typically performed using specifically
designed application-specific integrated circuits (ASICs) or a
general purpose CPU or GPU.
Our Graphics Products
Graphics processing is a fundamental component of almost
everything we create and can be found in an
APU, CPU, SoC or a combination of a discrete GPU with one of
the other foregoing products working in tandem.
Our customers generally use our graphics solutions to increase
72. the speed of rendering images, to help improve
image resolution and color definition, and increasingly to
process massive data sets for cloud and datacenter
applications. We develop our graphics products for use in
various computing devices and entertainment
platforms, including desktop PCs, notebook PCs, 2-in-1s, All-
in-Ones (AIOs), professional workstations, and the
datacenter. With each of our graphics products, we have
available drivers and supporting software packages that
enable the effective use of these products under a variety of
operating systems and applications.
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Our APUs deliver visual processing functionality for value and
mainstream PCs by integrating a CPU and a
GPU on a single chip, while discrete GPUs (which are also
known as dGPUs) offer high performance graphics
processing across all platforms. AMD Accelerated Parallel
Processing or General Purpose GPU (GPGPU) refers
to a set of advanced hardware and software technologies that
enable discrete AMD GPUs, working in concert
with the CPU, to accelerate computational tasks beyond
traditional CPU processing by utilizing the vast number
of discrete GPU cores while working with the CPU to process
information cooperatively. In addition, computing
devices with heterogeneous computing features run
computationally-intensive tasks more efficiently, which we
believe provides a superior application experience to the end
user. Moreover, heterogeneous computing allows
for the elevation of the GPU to the same level as the CPU for
memory access, queuing and execution.
Discrete Desktop and Notebook Graphics. Our discrete GPUs