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Respond to your colleagues and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not At least 2 references in each peer responses! Cystic fibrosis (CF) is an inherited disease that affects mainly the gastrointestinal system, the reproductive system, and the lungs (McCance & Huether, 2019, pp 2171). The cystic fibrosis gene “is located on chromosome 7” with more than 2000 variants of the disease. They are divided into six classes, 1 through 3 being the more severe ones. The triad of Cystic fibrosis is “obstruction, infection, and inflammation that is evident throughout the gastrointestinal tract and within the airways” (McCance & Huether, 2019, pp 2871). The gastrointestinal problems are caused by the CF transmembrane regulator (CFTR) protein, “which is located on epithelial membranes and regulates chloride and sodium ion channels (McCance & Huether, 2019, pp 2870). You can find that protein through the airways, sweat glands, digestive tract, pancreas, hepatobiliary system, and reproductive system. The CFTR protein alters the reabsorption of sodium, chloride, and potassium (McCance & Huether, 2019, pp 2871), which gives kids skin a salty taste when parents kiss them because of the excessive salt they waste through sweat glands. It also interferes with the absorption of nutrients in those affected by the disease because it “leads to a dehydrated intestinal mucin layer and inspissated secretions” (Reed & Shores, 2020), which makes all the gut secretions thick and mucusy. This altered environment causes inflammation, pain, slow motility, and overgrowth of bacteria. Also, sixty-seven percent of CF kids may suffer from reflux due to “delayed gastric emptying and impaired gut motility” (Reed & Shores, 2020), among other reasons. In terms of reproduction, if none of the parents have been diagnosed with CF and had children diagnosed with the disease, it means that both have to be carriers. The risk of knowing if they are going to have more kids with CF depends entirely on knowing their carrier’s status (Horsley, Cunningham, & Innes, 2015, pp147). In the case presented, to have a positive CF patient, both parents at least have to be carriers. The probability with parents being both carriers is 1:4 of having CF kids (Horsley, Cunningham, & Innes, 2015, pp 2). .
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Cystic FibrosisCreated By Tammy Wagner, Karen Byfield, Sherry.docx
Cystic Fibrosis
Created By: Tammy Wagner, Karen Byfield, Sherry Santineau, Jack Lavoie, Shawna Maggard
Objectives:
To define Cystic Fibrosis
To explain and discuss history and causes of Cystic Fibrosis
To describe impact of Cystic Fibrosis in healthcare and nursing.
Identify and recognize that living with a chronic disease like cystic fibrosis is possible through maintaining a balanced lifestyle.
Identify expected outcomes in patients with Cystic Fibrosis
Collect and explain health screenings, health interventions, health promotion and education in patients with Cystic Fibrosis
Identify national and community resources for patients with Cystic Fibrosis
Describe effects of CF on prenatal care and child bearing
Identify occupational consideration and job hazards related to CF
Identify and describe susceptibility to substance abuse and ability to cope with stress
Description:
Cystic Fibrosis is a genetic disease of the secretory glands that affects the lungs, pancreas, liver, intestines, sinuses, and sex organs.
Definition:
Cystic Fibrosis is characterized by an abnormally thick and sticky production of mucus in the body.
Mucus is normal in the body, it lubricates and protects passages such as the respiratory airways and digestive tract (Genetics Home Reference. 2017). Cystic Fibrosis is a mutation in the the Cystic Fibrosis Transmembrane Regulator (CFTR) gene that causes the over production of thick, sticky mucus that can block these passages and create breeding grounds for infection (National Human Genome Research Institute 2013). This infection can lead to scaring, permanent lung damage and even death. This mucus in the digestive tract can prevent the absorption of nutrients leading to weight loss, malnutrition, failure to thrive, as well as numerous long term problems caused from poor nutrition even though the person may be eating a solid health diet (Genetics Home Reference. 2017). The affects this mucus has on the pancreas can alter insulin production leading to diabetes. Reproductive health is also affected from the mucus produced from cystic fibrosis often leading to infertility (Genetics Home Reference. 2017).
3
History
1938- American Pathologist Dr. Dorothy Andersen named the disease cystic fibrosis of the pancreas
Early 1900’s- Physicians name the disease mucoviscidosis
1595- Texts reference the link between children with salty skin and early death rates
1948- Dr. Paul di Sant’Agnese noted the correlation of increased salt in sweat of CF patients
1989- The gene (CFTR) was identified and its genetic code was sequenced
1938, American Pathologist Dr. Dorothy Andersen described a disorder in medical literature based on autopsy findings of children that died from malnutrition; She named the disease cystic fibrosis of the pancreas (Nick 2012). The disease has also been called mucoviscidosis by other physician during the same time period because of the thick mucus present (Nick 2012). Children in the middle ages we.
Respond to your colleagues and respectfully agree or disagree with.docx
Respond
to your colleagues and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not
At least 2 references in each peer responses!
Cystic Fibrosis is an autosomal recessive disease that affects chromosome 7 on the DNA helix. The parents of the child with cystic fibrosis are both carriers of the disorder and likely have no symptoms and have no idea they are carriers. The disease is caused by a mutation in cystic fibrosis transmembrane regulator (CFTR). The CFTR regulates the flow of salt and fluids in and out of the cell. The CFTR protein provides instructions for the channel than transports negatively charged particles called chloride ions in and out of the cell and across the tissues. The lack of this channel causes the build-up of thick and sticky mucus because chloride helps with the movement of water across the tissues that assist with thinning the mucus. (CF Genetics: The Basics, 2020)
The organs that are affected most frequently are the lungs, digestive organs, pancreas, and reproductive organs. The thick mucus causes frequent lung infections and the cyst in the lungs. The thick mucus blocks the ducts of the pancreas and prevents the transport of digestive enzymes leading to malnutrition. The production of insulin is also affected by the thick mucus and cystic fibrosis patients can develop diabetes-related to this. Males with cystic fibrosis are infertile due to mucus plugging the vas deferens. Female with cystic fibrosis frequently have difficulty during pregnancy (Cystic Fibrosis, 2020).
Cystic fibrosis is a recessive disease and both parents must be carries to produce a child who has cystic fibrosis. The chances of two carriers having a child with cystic fibrosis are 25% and the chances that the child will have a 50% chance they are a carrier of the mutation and a 25% chance that the child will not be a carrier or have the disease. The person with cystic fibrosis has a child with a cystic fibrosis carrier then they have a 50% chance the child will have cystic fibrosis and a 50% chance they will be a carrier (Cystic Fibrosis, n.d.).
Cystic fibrosis is common in the Caucasian population with a frequency rate of 1 in 2500-3500 births. African American have a frequency rate of 1-17000 and Asian population have a frequency rate of 1-3100 births (CF Genetics: The Basics, 2020)
.
5 hours agoRenita Weeks First Week 2 DiscussionCOLLAPSET.docx
5 hours ago
Renita Weeks
First Week 2 Discussion
COLLAPSE
Top of Form
First Week Two Discussion
Inflammatory Bowel Disease
Inflammatory bowel disease (IBD) is a term for chronic inflammation of the bowel that includes ulcerative colitis and Crohn disease. Possible causes and risks for IBD are gene susceptibility, environmental, epithelial cell barrier function alteration, and altered immune response to intestinal microflora (Huether & McCance, 2017). The mucosal epithelium loses its ability to discern normal intestinal antigens from harmful ones and cell-mediated immunity is activated. Dendritic cells are activated, T cells differentiate, and proinflammatory cytokines and chemokines are produced (Huether & McCance, 2017). The result of the altered immune response is chronic inflammation (Centers for Disease Control and Prevention, 2018; Huether & McCance, 2017). Ulcerative colitis and Crohn disease are slightly different with location and cellular appearance. With ulcerative colitis, the cellular inflammation and destruction can lead to frequent bowel movements, pain, fever, bloody stools, fissures, and abscess. Those with Crohn disease may experience diarrhea, pain, fistulae, and obstruction (Huether & McCance, 2017).
According to the Crohn’s and Colitis Foundation of America (2014), the onset of IBD can occur at any age, but is most common between the ages of 15 and 35. When it comes to age, Herzog et al. (2018) found that disease onset results in no change of IBD behavior or progression. Similarly, a metanalysis found that age of diagnosis does not impact mortality (Duricova, Burisch, Jess, Gower-Rousseau, & Lakatos, 2014). However, pediatric diagnosis of IBD is found to have higher rates of anemia, and stomatitis, and lower rates of arthralgia and osteopenia (Herzog et al., 2018).
Psoriasis
Psoriasis is a chronic and relapsing condition of the skin, scalp, and nails. Psoriasis appears to be T cell driven. Dendritic cells react to a trigger and secrete cytokines (Fischer, 2017). Interleukins are secreted, impacting keratinocyte proliferation, cytokine secretion, and more activation of T cells (Fischer, 2017). Psoriasis is marked by a thickening of the dermis and epidermis because of cellular hyperproliferation, altered keratinocyte differentiation, and expanded dermal vasculature, causing scales and thickened red plaques (Huether & McCance, 2017). Psoriasis can occur at any age, although generally happens by the age of 35. There is not a lot of information on the factor of age. Gulliver, Parfre, Gulliver, Randell, and Connors (2016) state that psoriasis is associated with excess cardiovascular-related deaths and decreased longevity of 20 years. The authors state there are no predictive factors for at risk patients (Gulliver et al., 2016).
Comparison of IBD and Psoriasis
IBD and psoriasis seem to be the result of altered innate and cell-mediated response. Both have a cellular-mediated immune .
Recommended
Cystic FibrosisCreated By Tammy Wagner, Karen Byfield, Sherry.docx
Cystic Fibrosis
Created By: Tammy Wagner, Karen Byfield, Sherry Santineau, Jack Lavoie, Shawna Maggard
Objectives:
To define Cystic Fibrosis
To explain and discuss history and causes of Cystic Fibrosis
To describe impact of Cystic Fibrosis in healthcare and nursing.
Identify and recognize that living with a chronic disease like cystic fibrosis is possible through maintaining a balanced lifestyle.
Identify expected outcomes in patients with Cystic Fibrosis
Collect and explain health screenings, health interventions, health promotion and education in patients with Cystic Fibrosis
Identify national and community resources for patients with Cystic Fibrosis
Describe effects of CF on prenatal care and child bearing
Identify occupational consideration and job hazards related to CF
Identify and describe susceptibility to substance abuse and ability to cope with stress
Description:
Cystic Fibrosis is a genetic disease of the secretory glands that affects the lungs, pancreas, liver, intestines, sinuses, and sex organs.
Definition:
Cystic Fibrosis is characterized by an abnormally thick and sticky production of mucus in the body.
Mucus is normal in the body, it lubricates and protects passages such as the respiratory airways and digestive tract (Genetics Home Reference. 2017). Cystic Fibrosis is a mutation in the the Cystic Fibrosis Transmembrane Regulator (CFTR) gene that causes the over production of thick, sticky mucus that can block these passages and create breeding grounds for infection (National Human Genome Research Institute 2013). This infection can lead to scaring, permanent lung damage and even death. This mucus in the digestive tract can prevent the absorption of nutrients leading to weight loss, malnutrition, failure to thrive, as well as numerous long term problems caused from poor nutrition even though the person may be eating a solid health diet (Genetics Home Reference. 2017). The affects this mucus has on the pancreas can alter insulin production leading to diabetes. Reproductive health is also affected from the mucus produced from cystic fibrosis often leading to infertility (Genetics Home Reference. 2017).
3
History
1938- American Pathologist Dr. Dorothy Andersen named the disease cystic fibrosis of the pancreas
Early 1900’s- Physicians name the disease mucoviscidosis
1595- Texts reference the link between children with salty skin and early death rates
1948- Dr. Paul di Sant’Agnese noted the correlation of increased salt in sweat of CF patients
1989- The gene (CFTR) was identified and its genetic code was sequenced
1938, American Pathologist Dr. Dorothy Andersen described a disorder in medical literature based on autopsy findings of children that died from malnutrition; She named the disease cystic fibrosis of the pancreas (Nick 2012). The disease has also been called mucoviscidosis by other physician during the same time period because of the thick mucus present (Nick 2012). Children in the middle ages we.
Respond to your colleagues and respectfully agree or disagree with.docx
Respond
to your colleagues and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not
At least 2 references in each peer responses!
Cystic Fibrosis is an autosomal recessive disease that affects chromosome 7 on the DNA helix. The parents of the child with cystic fibrosis are both carriers of the disorder and likely have no symptoms and have no idea they are carriers. The disease is caused by a mutation in cystic fibrosis transmembrane regulator (CFTR). The CFTR regulates the flow of salt and fluids in and out of the cell. The CFTR protein provides instructions for the channel than transports negatively charged particles called chloride ions in and out of the cell and across the tissues. The lack of this channel causes the build-up of thick and sticky mucus because chloride helps with the movement of water across the tissues that assist with thinning the mucus. (CF Genetics: The Basics, 2020)
The organs that are affected most frequently are the lungs, digestive organs, pancreas, and reproductive organs. The thick mucus causes frequent lung infections and the cyst in the lungs. The thick mucus blocks the ducts of the pancreas and prevents the transport of digestive enzymes leading to malnutrition. The production of insulin is also affected by the thick mucus and cystic fibrosis patients can develop diabetes-related to this. Males with cystic fibrosis are infertile due to mucus plugging the vas deferens. Female with cystic fibrosis frequently have difficulty during pregnancy (Cystic Fibrosis, 2020).
Cystic fibrosis is a recessive disease and both parents must be carries to produce a child who has cystic fibrosis. The chances of two carriers having a child with cystic fibrosis are 25% and the chances that the child will have a 50% chance they are a carrier of the mutation and a 25% chance that the child will not be a carrier or have the disease. The person with cystic fibrosis has a child with a cystic fibrosis carrier then they have a 50% chance the child will have cystic fibrosis and a 50% chance they will be a carrier (Cystic Fibrosis, n.d.).
Cystic fibrosis is common in the Caucasian population with a frequency rate of 1 in 2500-3500 births. African American have a frequency rate of 1-17000 and Asian population have a frequency rate of 1-3100 births (CF Genetics: The Basics, 2020)
.
5 hours agoRenita Weeks First Week 2 DiscussionCOLLAPSET.docx
5 hours ago
Renita Weeks
First Week 2 Discussion
COLLAPSE
Top of Form
First Week Two Discussion
Inflammatory Bowel Disease
Inflammatory bowel disease (IBD) is a term for chronic inflammation of the bowel that includes ulcerative colitis and Crohn disease. Possible causes and risks for IBD are gene susceptibility, environmental, epithelial cell barrier function alteration, and altered immune response to intestinal microflora (Huether & McCance, 2017). The mucosal epithelium loses its ability to discern normal intestinal antigens from harmful ones and cell-mediated immunity is activated. Dendritic cells are activated, T cells differentiate, and proinflammatory cytokines and chemokines are produced (Huether & McCance, 2017). The result of the altered immune response is chronic inflammation (Centers for Disease Control and Prevention, 2018; Huether & McCance, 2017). Ulcerative colitis and Crohn disease are slightly different with location and cellular appearance. With ulcerative colitis, the cellular inflammation and destruction can lead to frequent bowel movements, pain, fever, bloody stools, fissures, and abscess. Those with Crohn disease may experience diarrhea, pain, fistulae, and obstruction (Huether & McCance, 2017).
According to the Crohn’s and Colitis Foundation of America (2014), the onset of IBD can occur at any age, but is most common between the ages of 15 and 35. When it comes to age, Herzog et al. (2018) found that disease onset results in no change of IBD behavior or progression. Similarly, a metanalysis found that age of diagnosis does not impact mortality (Duricova, Burisch, Jess, Gower-Rousseau, & Lakatos, 2014). However, pediatric diagnosis of IBD is found to have higher rates of anemia, and stomatitis, and lower rates of arthralgia and osteopenia (Herzog et al., 2018).
Psoriasis
Psoriasis is a chronic and relapsing condition of the skin, scalp, and nails. Psoriasis appears to be T cell driven. Dendritic cells react to a trigger and secrete cytokines (Fischer, 2017). Interleukins are secreted, impacting keratinocyte proliferation, cytokine secretion, and more activation of T cells (Fischer, 2017). Psoriasis is marked by a thickening of the dermis and epidermis because of cellular hyperproliferation, altered keratinocyte differentiation, and expanded dermal vasculature, causing scales and thickened red plaques (Huether & McCance, 2017). Psoriasis can occur at any age, although generally happens by the age of 35. There is not a lot of information on the factor of age. Gulliver, Parfre, Gulliver, Randell, and Connors (2016) state that psoriasis is associated with excess cardiovascular-related deaths and decreased longevity of 20 years. The authors state there are no predictive factors for at risk patients (Gulliver et al., 2016).
Comparison of IBD and Psoriasis
IBD and psoriasis seem to be the result of altered innate and cell-mediated response. Both have a cellular-mediated immune .
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The term “inflammatory bowel disease” (IBD) refers to a collection of gastrointestinal tract illnesses marked by both acute and chronic inflammation. These are complicated, multiple illnesses that are partially inherited. IBD is becoming more common in developing nations, though, which shows that environmental variables like food are potentially important contributors to disease risk. According to the evidence, eating a Western diet high in saturated fat, processed carbs, and food additives increases the risk of IBD. While dietary components like omega-3 fatty acids, medium chain triglycerides, and non-digestible carbohydrates improve these parameters and intestinal health, dietary components like omega-6 fatty acids, long chain fatty acids, protein, and digestible carbohydrates may contribute to IBD pathogenesis by altering intestinal microbiota, increasing intestinal permeability, and promoting inflammation.
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The Journal of NutritionSymposium Nutritional Experiences.docx
The Journal of Nutrition
Symposium: Nutritional Experiences in Early Life as Determinants of the
Adult Metabolic Phenotype
Mechanisms Linking Suboptimal
Early Nutrition and Increased Risk of
Type 2 Diabetes and Obesity1–3
Malgorzata S. Martin-Gronert and Susan E. Ozanne*
Institute of Metabolic Science-Metabolic Research Laboratories, University of Cambridge, Addenbrooke’s Hospital,
Cambridge CB2 0QQ, UK
Abstract
Epidemiological studies have revealed a relationship between poor early growth and development of type 2 diabetes and
other features of metabolic syndrome. The mechanistic basis of this relationship is not known. However, compelling
evidence suggests that early environmental factors, including nutrition, play an important role. Studies of individuals in
utero during a period of famine showed a direct relationship between maternal nutrition and glucose tolerance. Further
evidence has come from studies of monozygotic twins who were discordant for type 2 diabetes. Nutrition during the early
postnatal period has also been shown to have long-term consequences on metabolic health. Excess nutrition and
accelerated growth during the neonatal period has been suggested to be particularly detrimental. Animal models, including
maternal protein restriction, have been developed to elucidate mechanisms linking the early environment and future
disease susceptibility. Maternal protein restriction in rats leads to a low birth weight and development of type 2 diabetes in
the offspring. This is associated with b cell dysfunction and insulin resistance. The latter is associated with changes in
expression of key components of the insulin-signaling cascade in muscle and adipocytes similar to that observed in tissue
from young men with a low birth weight. These differences occur prior to development of disease and thus may represent
molecular markers of early growth restriction and disease risk. The fundamental mechanisms by which these
programmed changes occur remain to be fully defined but are thought to involve epigenetic mechanisms. J. Nutr. 140:
662–666, 2010.
Introduction
It is well established that poor growth in utero is associated with
increased risk of developing diseases such as type 2 diabetes in
later life (1). There is strong evidence from both human and
animal studies that the early environment and in particular early
nutrition play an important role. However, the molecular
mechanisms by which a phenomenon that occurs in early life
has a phenotypic consequence many years later are only just
starting to emerge.
Epidemiological data
The first study to link birth weight to increased risk of type 2
diabetes was conducted in a group of men born in Hertfordshire,
UK, who were 64 y old at the time of the study. Those men who
had the lowest birth weight were 6 times more likely to currently
have either impaired glucose tolerance or type 2 diabetes than
those men who were heaviest at birth (2). These findings have
been reproduce.
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Prevalence of Intestinal Parasitic Infections among Patients Attended to Alribat University hospital, Khartoum State, Sudan, 2017 by Mohammed HMN in Cohesive Journal of Microbiology & Infectious DiseaseRespond to the followingPopular press and media accounts ge.docx
Respond to the following:
Popular press and media accounts generally suggest that executives are overpaid. For example: the average yearly salary of a CEO of Fortune 500 company in 2018 was $14.5 million. The average yearly salary of a regular worker was $39,888.
Justify why the CEO's pay is appropriate.
Support your response with specifics.
.
respond to this answer of a discussion questionRama and Sita.docx
respond to this answer of a discussion question
Rama and Sita's marriage is a beautiful one and although it was set in the 5th century B.C.E, I would still strive to have a marriage like this one. The way they talk about each other and how they talk to one another is very beautiful and respectful. They truly want the best for one another. Whenever Rama was exiled for fourteen years, he did not want Sita to go with him because he would rather her stay in a comfortable and safe place. She refused and just wanted to be with him. She kept saying that she could not find refuge and would not be comfortable if she was not with him. This is very respectful and shows true love from both of them. Rama is selfless and wanted to put his wife's needs first, but she wanted to be faithful and loyal to him wherever she was, which required her putting her personal desires aside.
Rama and Sita's marriage did not begin like a marriage would today. They had an arranged marriage, but ended up falling in love. In our society, arranged marriages do not happen. However, their relationship can be compared to the idea of marriage today. They value each other and are very selfless in their marriage. This is an important quality for any relationship and is the foundation for a good marriage. They show true love which is very important to have a lasting relationship. Although their marriage did not start the way most marriages would start today, Rama and Sita do uphold most of the same values as marriages do today.
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respond to this discussion answerHamilton Crossing is a sm.docx
respond to this discussion answer
Hamilton Crossing is a small park of baseball fields, soccer fields, and basketball courts in a school district near the city of Cassville, Georgia. This area became the focus of a planned SPLOST expansion into a grand sporting area that has been currently left in limbo.
In 2019, not much was mentioned about how much money was going to be required for the Hamilton Crossing SPLOST project, but it is estimated the “total cost of planned park infrastructure — including parking and stormwater — [would be] at around $2 million” (Swift, 2018). There were also plans for a $5 million park water feature, a tennis center costing $500,000, and a $6 million double gym. This all totals $13.5 million alone. Some construction was begun, though, and Bartow County Administrator Peter Olson said that, “There's still some money left in the '08 SPLOST that's designated for rec, so that's what we've been using on the grading of what you've seen going on out there” (Swift, 2018). This allowed for grading and similar groundwork to be done in 2019.
There was no formal announcement of the project as a part of a county budget, and County Commissioner Steve Taylor said that there were no plans to borrow money for the project. However, the 2020 budget shows a "2020 SPLOST Project Length Budget" set at $160,500,000.00 (Bartow County, 2020). As of right now, no work is being done in the area, and much of the grading that had been done in early 2019 has begun to wash away and erode. Currently, a pond is roughly completed, but everything else is a desert of red clay created by the leftover ’08 SPLOST. There are no details regarding the amount listed in the 2020 Budget for the SPLOST, though it is $147 million more than just the aforementioned amenities and infrastructure.
Right now, the project isn’t moving at all, so most residents consider it an abandoned failure. There are no construction machines left in the area to denote continued work, but a sign along the highway reminds every passerby that this is their SPLOST money hard at work. I don’t think there is an abundance of positive or negative opinions about the area – due to the fact that there is little information regarding the project anymore – and most people just note that it’s an eyesore.
Given the recent development of the county, I think the vision for this small area is far too grand. Hamilton Crossing is a small area near the city of Cassville, just north of Cartersville. Most people pass through Cassville on their way to Adairsville or Rome, so a sporting area of this size isn’t appropriate for the location. Just south of Cartersville in the city of Emerson is the LakePoint Sporting complex, a much bigger development that, until the pandemic, drew in thousands of people and filled hotels to capacity from Adairsville to Acworth. For the county government to develop Hamilton Crossing into a similarly-natured area would be superfluous in comparison to the expansiv.
Respond to this discussion . Add some facts with at least 2 cita.docx
Respond to this discussion . Add some facts with at least 2 citations APA Format
Discussion: Community-Acquired Pneumonia
Case Study
HH is a 68-yr M who has been admitted to the medical ward with community-acquired pneumonia for the past three days. His PMH is
significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, including ceftriaxone 1 g IV q day (day 3) and
azithromycin 500 mg IV q day (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a
diet at this time, complaining of nausea and vomiting. Ht: 5'8" Wt: 89 kg Allergies: Penicillin (rash).
Diagnosis: Community-Acquired Pneumonia (CAP)
CAP is the term used to describe an acute infection of the lungs that develops outside the hospital setting by an immune-competent
individual who has not been recently hospitalized (Shoar & Musher, 2020). Adults with CAP typically present with cough, fever, sputum production or
shortness of breath, oxygen desaturation, confusion, leukocytosis or leukopenia, and pleuritic chest pain, along with the presence of an acute
infiltrate on the chest radiograph (Shoar & Musher, 2020).
Antibiotic suggested for CAP's empiric treatment is based on agents useful against CAP's major treatable bacterial causes. The bacterial
pathogens responsible for CAP include Streptococcus pneumoniae, Mycoplasma pneumoniae, Chlamydia pneumoniae, Haemophilus
influenzae, Staphylococcus aureus, Legionella species, and Moraxella catarrhalis (Metlay et al., 2019).
The patient is on right treatment, his clinical status has improved, with decreased oxygen requirement. Recommended treatment plan for
patients with comorbidities such as alcoholism, COPD, post influenza, asplenia, diabetes mellitus, lung/liver/renal diseases include: Combination
of a beta-lactam (ceftriaxone 1 g IV q24h or cefotaxime 1 g IV q8h or ceftaroline 600 mg IV q12h) plus azithromycin 500 mg IV q24h (Donovan, 2019).
The therapy duration is a minimum of 5 days. The patient needs to be afebrile for 48-72 hours, controlled blood pressure, adequate oral intake, and
room air oxygen saturation of greater than 90% and treatment duration can be extended if symptoms are not recovered in some cases (Donovan,
2019).
In this case, the patient symptoms are improving, his oxygen requirement is decreased, but he is not tolerating a diet at this time,
complaining of nausea and vomiting. The patient received antibiotics for three days, so antibiotics need to be continued. With appropriate antibiotic
therapy, some improvement in the patient's clinical course is usually seen within 48 to 72 hours (File, 2020).
Health Needs and Treatment Regimen
The patient is not tolerating diet and complaining of nausea and vom.
RESPOND TO THESE STUDENT POSTS Karissa post I do not belie.docx
RESPOND TO THESE STUDENT POSTS
Karissa post
I do not believe prenatal testing should be mandatory as it would be a violation of our constitutional rights. In addition, there are serious moral and ethical considerations to be pondered in this matter. "The right to make choices about one's health care is protected, in part, by the right to privacy guaranteed by the U.S. Constitution, as well as state constitutions. This includes a right to make certain reproductive choices, such as whether to use genetic testing. It also includes a right to refuse treatment." (Andrews, 1994). Counseling by your obstetrician and/or doctor is available anytime you have a question and should be utilized by anyone no matter what the issue may be. Prenatal testing can cause miscarriage in some cases and a Doctor would be placed in a precarious situation if the testing resulted in the death of a fetus. With an amniocentesis the risk of miscarriage is 1 in 400 and with CVS (Chorionic Villus Sampling) it is about one percent according to the Mayo Clinic (Nierenberg, 2018). Even though the risk is lower for an amniocentesis, it is still there none the less. Imagine being a woman who has been trying to get pregnant for a long time would you want to take that risk? It is possible that she has gone through fertility treatments that are costly, or is getting older and having trouble conceiving. First do no harm is one of the oaths a doctor pledges when they are to become a person within a practice. I feel that this would be a violation of this oath. I also feel that parents have the right to choose what they will or will not do with their bodies. "An entirely different standard of privacy protects personal information. A few court decisions find protection for such information under the constitutional doctrine of privacy, but more commonly, privacy protection against disclosure of personal information is found under common law tort principles. In addition, there is a federal privacy act, as well as state statutes protecting privacy." (Andrews, 1994). Bodily autonomy is of great importance for so many reasons, forcing someone to undergo testing and counseling they do not want is illegal (unless authorized by a court of law).
Jennifer post
I do not think that prenatal testing and counseling should be mandatory. Offering this testing to obstetric patients in Texas is mandatory as of now. Working in a lab, I know that no test is 100 percent accurate. There is always a chance of false positives. I believe if this testing was made mandatory, it would lead to more
early pregnancy
terminations. This could lead to "designer" babies where only genetically perfect children were born and those with genetic imperfections would be terminated. This could be seen as a forced cleansing of a population if it were to be mandated by the government.
In your response to Alison and Kendrick post comment on their suggestions about alternatives. How realistic you think their.
Respond to these two posts separately after reading by giving re.docx
Respond
to these two posts separately after reading by giving references as well either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.
Both Post are attached- HALF A PAGE FOR EACH POST IS GOOD
.
Respond to these student postsKarissa postTobacco and .docx
Respond to these student posts
Karissa post
Tobacco and alcohol use are a personal choice, but they have a foundation in the societal aspect as well. Social norms are what contribute to every persons eventual choices and behavior based on what others have set out for a pattern of acceptability in society. Therefore, if we are to change these habits, we must first look at how our society plays a roll and re-create the narrative for the future. The Institute of Medicine (US) Committee on Preventing Nicotine Addiction in Children and Youths states that standards set by society define the boundaries of behavior. (Institute of Medicine (US) Committee on Preventing Nicotine Addiction in Children and Youths, 1994). If a person at a young age is seeing alcohol consumption and/or smoking as something that is accepted by friends and family, or movies are portraying actors as heroes that smoke it's certainly noticed and accepted. Just encouraging smoking cessation or helping to stop others from drinking is only part of the solution. There is an underlying pervasiveness to these addictions that needs to be uprooted. It is not just the addiction itself that is a problem because a lot of the time one will replace another. The cultural acceptance and advocacy for such behavior needs to be stopped. The public funding of these issues is largely where the problem is based. Lobbying and other special interests that want to control and manipulate individual behaviors are at the center of this issue. If you are looking at alcohol consumption for example, it is glorified in the media and set forth in mass-marketing droves. Children and adults alike view it as something used to celebrate and have fun. Smoking and alcohol consumption is something that goes hand in hand when some people are socializing. Shiffmans study reveals that 19% of cigarettes were smoked when drinking alcohol and 29% when participants were socializing. (Schiffman, 2009). In order to lessen the effects of alcohol consumption and smoking in our society, we must first stop allowing big tobacco companies and alcohol producers to target our children and people from poorer socioeconomic backgrounds. Even though there has been campaigns to stop children and others from smoking or drinking, it has not been enough. We must all take part in these responsibilities so that we can create a healthier more productive society for each other.
Ciarah post
When it comes to smoking and excessive drinking, the effects can be seen all throughout society, so shouldn't society play a part in helping end these horrible addictions. I will agree in saying that the end result of quitting is the individual and only the individuals responsibility. Society cannot force a person to quit, but it can help lead the individual to that decision.
Several communities, in accordance to state laws, have now banned smoking in all public places including bars and restaurants. In the article
How Society Treats Smoking,
.
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The Journal of Nutrition
Symposium: Nutritional Experiences in Early Life as Determinants of the
Adult Metabolic Phenotype
Mechanisms Linking Suboptimal
Early Nutrition and Increased Risk of
Type 2 Diabetes and Obesity1–3
Malgorzata S. Martin-Gronert and Susan E. Ozanne*
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Cambridge CB2 0QQ, UK
Abstract
Epidemiological studies have revealed a relationship between poor early growth and development of type 2 diabetes and
other features of metabolic syndrome. The mechanistic basis of this relationship is not known. However, compelling
evidence suggests that early environmental factors, including nutrition, play an important role. Studies of individuals in
utero during a period of famine showed a direct relationship between maternal nutrition and glucose tolerance. Further
evidence has come from studies of monozygotic twins who were discordant for type 2 diabetes. Nutrition during the early
postnatal period has also been shown to have long-term consequences on metabolic health. Excess nutrition and
accelerated growth during the neonatal period has been suggested to be particularly detrimental. Animal models, including
maternal protein restriction, have been developed to elucidate mechanisms linking the early environment and future
disease susceptibility. Maternal protein restriction in rats leads to a low birth weight and development of type 2 diabetes in
the offspring. This is associated with b cell dysfunction and insulin resistance. The latter is associated with changes in
expression of key components of the insulin-signaling cascade in muscle and adipocytes similar to that observed in tissue
from young men with a low birth weight. These differences occur prior to development of disease and thus may represent
molecular markers of early growth restriction and disease risk. The fundamental mechanisms by which these
programmed changes occur remain to be fully defined but are thought to involve epigenetic mechanisms. J. Nutr. 140:
662–666, 2010.
Introduction
It is well established that poor growth in utero is associated with
increased risk of developing diseases such as type 2 diabetes in
later life (1). There is strong evidence from both human and
animal studies that the early environment and in particular early
nutrition play an important role. However, the molecular
mechanisms by which a phenomenon that occurs in early life
has a phenotypic consequence many years later are only just
starting to emerge.
Epidemiological data
The first study to link birth weight to increased risk of type 2
diabetes was conducted in a group of men born in Hertfordshire,
UK, who were 64 y old at the time of the study. Those men who
had the lowest birth weight were 6 times more likely to currently
have either impaired glucose tolerance or type 2 diabetes than
those men who were heaviest at birth (2). These findings have
been reproduce.
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Respond to the followingPopular press and media accounts ge.docx
Respond to the following:
Popular press and media accounts generally suggest that executives are overpaid. For example: the average yearly salary of a CEO of Fortune 500 company in 2018 was $14.5 million. The average yearly salary of a regular worker was $39,888.
Justify why the CEO's pay is appropriate.
Support your response with specifics.
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respond to this answer of a discussion questionRama and Sita.docx
respond to this answer of a discussion question
Rama and Sita's marriage is a beautiful one and although it was set in the 5th century B.C.E, I would still strive to have a marriage like this one. The way they talk about each other and how they talk to one another is very beautiful and respectful. They truly want the best for one another. Whenever Rama was exiled for fourteen years, he did not want Sita to go with him because he would rather her stay in a comfortable and safe place. She refused and just wanted to be with him. She kept saying that she could not find refuge and would not be comfortable if she was not with him. This is very respectful and shows true love from both of them. Rama is selfless and wanted to put his wife's needs first, but she wanted to be faithful and loyal to him wherever she was, which required her putting her personal desires aside.
Rama and Sita's marriage did not begin like a marriage would today. They had an arranged marriage, but ended up falling in love. In our society, arranged marriages do not happen. However, their relationship can be compared to the idea of marriage today. They value each other and are very selfless in their marriage. This is an important quality for any relationship and is the foundation for a good marriage. They show true love which is very important to have a lasting relationship. Although their marriage did not start the way most marriages would start today, Rama and Sita do uphold most of the same values as marriages do today.
.
respond to this discussion answerHamilton Crossing is a sm.docx
respond to this discussion answer
Hamilton Crossing is a small park of baseball fields, soccer fields, and basketball courts in a school district near the city of Cassville, Georgia. This area became the focus of a planned SPLOST expansion into a grand sporting area that has been currently left in limbo.
In 2019, not much was mentioned about how much money was going to be required for the Hamilton Crossing SPLOST project, but it is estimated the “total cost of planned park infrastructure — including parking and stormwater — [would be] at around $2 million” (Swift, 2018). There were also plans for a $5 million park water feature, a tennis center costing $500,000, and a $6 million double gym. This all totals $13.5 million alone. Some construction was begun, though, and Bartow County Administrator Peter Olson said that, “There's still some money left in the '08 SPLOST that's designated for rec, so that's what we've been using on the grading of what you've seen going on out there” (Swift, 2018). This allowed for grading and similar groundwork to be done in 2019.
There was no formal announcement of the project as a part of a county budget, and County Commissioner Steve Taylor said that there were no plans to borrow money for the project. However, the 2020 budget shows a "2020 SPLOST Project Length Budget" set at $160,500,000.00 (Bartow County, 2020). As of right now, no work is being done in the area, and much of the grading that had been done in early 2019 has begun to wash away and erode. Currently, a pond is roughly completed, but everything else is a desert of red clay created by the leftover ’08 SPLOST. There are no details regarding the amount listed in the 2020 Budget for the SPLOST, though it is $147 million more than just the aforementioned amenities and infrastructure.
Right now, the project isn’t moving at all, so most residents consider it an abandoned failure. There are no construction machines left in the area to denote continued work, but a sign along the highway reminds every passerby that this is their SPLOST money hard at work. I don’t think there is an abundance of positive or negative opinions about the area – due to the fact that there is little information regarding the project anymore – and most people just note that it’s an eyesore.
Given the recent development of the county, I think the vision for this small area is far too grand. Hamilton Crossing is a small area near the city of Cassville, just north of Cartersville. Most people pass through Cassville on their way to Adairsville or Rome, so a sporting area of this size isn’t appropriate for the location. Just south of Cartersville in the city of Emerson is the LakePoint Sporting complex, a much bigger development that, until the pandemic, drew in thousands of people and filled hotels to capacity from Adairsville to Acworth. For the county government to develop Hamilton Crossing into a similarly-natured area would be superfluous in comparison to the expansiv.
Respond to this discussion . Add some facts with at least 2 cita.docx
Respond to this discussion . Add some facts with at least 2 citations APA Format
Discussion: Community-Acquired Pneumonia
Case Study
HH is a 68-yr M who has been admitted to the medical ward with community-acquired pneumonia for the past three days. His PMH is
significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, including ceftriaxone 1 g IV q day (day 3) and
azithromycin 500 mg IV q day (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a
diet at this time, complaining of nausea and vomiting. Ht: 5'8" Wt: 89 kg Allergies: Penicillin (rash).
Diagnosis: Community-Acquired Pneumonia (CAP)
CAP is the term used to describe an acute infection of the lungs that develops outside the hospital setting by an immune-competent
individual who has not been recently hospitalized (Shoar & Musher, 2020). Adults with CAP typically present with cough, fever, sputum production or
shortness of breath, oxygen desaturation, confusion, leukocytosis or leukopenia, and pleuritic chest pain, along with the presence of an acute
infiltrate on the chest radiograph (Shoar & Musher, 2020).
Antibiotic suggested for CAP's empiric treatment is based on agents useful against CAP's major treatable bacterial causes. The bacterial
pathogens responsible for CAP include Streptococcus pneumoniae, Mycoplasma pneumoniae, Chlamydia pneumoniae, Haemophilus
influenzae, Staphylococcus aureus, Legionella species, and Moraxella catarrhalis (Metlay et al., 2019).
The patient is on right treatment, his clinical status has improved, with decreased oxygen requirement. Recommended treatment plan for
patients with comorbidities such as alcoholism, COPD, post influenza, asplenia, diabetes mellitus, lung/liver/renal diseases include: Combination
of a beta-lactam (ceftriaxone 1 g IV q24h or cefotaxime 1 g IV q8h or ceftaroline 600 mg IV q12h) plus azithromycin 500 mg IV q24h (Donovan, 2019).
The therapy duration is a minimum of 5 days. The patient needs to be afebrile for 48-72 hours, controlled blood pressure, adequate oral intake, and
room air oxygen saturation of greater than 90% and treatment duration can be extended if symptoms are not recovered in some cases (Donovan,
2019).
In this case, the patient symptoms are improving, his oxygen requirement is decreased, but he is not tolerating a diet at this time,
complaining of nausea and vomiting. The patient received antibiotics for three days, so antibiotics need to be continued. With appropriate antibiotic
therapy, some improvement in the patient's clinical course is usually seen within 48 to 72 hours (File, 2020).
Health Needs and Treatment Regimen
The patient is not tolerating diet and complaining of nausea and vom.
RESPOND TO THESE STUDENT POSTS Karissa post I do not belie.docx
RESPOND TO THESE STUDENT POSTS
Karissa post
I do not believe prenatal testing should be mandatory as it would be a violation of our constitutional rights. In addition, there are serious moral and ethical considerations to be pondered in this matter. "The right to make choices about one's health care is protected, in part, by the right to privacy guaranteed by the U.S. Constitution, as well as state constitutions. This includes a right to make certain reproductive choices, such as whether to use genetic testing. It also includes a right to refuse treatment." (Andrews, 1994). Counseling by your obstetrician and/or doctor is available anytime you have a question and should be utilized by anyone no matter what the issue may be. Prenatal testing can cause miscarriage in some cases and a Doctor would be placed in a precarious situation if the testing resulted in the death of a fetus. With an amniocentesis the risk of miscarriage is 1 in 400 and with CVS (Chorionic Villus Sampling) it is about one percent according to the Mayo Clinic (Nierenberg, 2018). Even though the risk is lower for an amniocentesis, it is still there none the less. Imagine being a woman who has been trying to get pregnant for a long time would you want to take that risk? It is possible that she has gone through fertility treatments that are costly, or is getting older and having trouble conceiving. First do no harm is one of the oaths a doctor pledges when they are to become a person within a practice. I feel that this would be a violation of this oath. I also feel that parents have the right to choose what they will or will not do with their bodies. "An entirely different standard of privacy protects personal information. A few court decisions find protection for such information under the constitutional doctrine of privacy, but more commonly, privacy protection against disclosure of personal information is found under common law tort principles. In addition, there is a federal privacy act, as well as state statutes protecting privacy." (Andrews, 1994). Bodily autonomy is of great importance for so many reasons, forcing someone to undergo testing and counseling they do not want is illegal (unless authorized by a court of law).
Jennifer post
I do not think that prenatal testing and counseling should be mandatory. Offering this testing to obstetric patients in Texas is mandatory as of now. Working in a lab, I know that no test is 100 percent accurate. There is always a chance of false positives. I believe if this testing was made mandatory, it would lead to more
early pregnancy
terminations. This could lead to "designer" babies where only genetically perfect children were born and those with genetic imperfections would be terminated. This could be seen as a forced cleansing of a population if it were to be mandated by the government.
In your response to Alison and Kendrick post comment on their suggestions about alternatives. How realistic you think their.
Respond to these two posts separately after reading by giving re.docx
Respond
to these two posts separately after reading by giving references as well either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.
Both Post are attached- HALF A PAGE FOR EACH POST IS GOOD
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Respond to these student postsKarissa postTobacco and .docx
Respond to these student posts
Karissa post
Tobacco and alcohol use are a personal choice, but they have a foundation in the societal aspect as well. Social norms are what contribute to every persons eventual choices and behavior based on what others have set out for a pattern of acceptability in society. Therefore, if we are to change these habits, we must first look at how our society plays a roll and re-create the narrative for the future. The Institute of Medicine (US) Committee on Preventing Nicotine Addiction in Children and Youths states that standards set by society define the boundaries of behavior. (Institute of Medicine (US) Committee on Preventing Nicotine Addiction in Children and Youths, 1994). If a person at a young age is seeing alcohol consumption and/or smoking as something that is accepted by friends and family, or movies are portraying actors as heroes that smoke it's certainly noticed and accepted. Just encouraging smoking cessation or helping to stop others from drinking is only part of the solution. There is an underlying pervasiveness to these addictions that needs to be uprooted. It is not just the addiction itself that is a problem because a lot of the time one will replace another. The cultural acceptance and advocacy for such behavior needs to be stopped. The public funding of these issues is largely where the problem is based. Lobbying and other special interests that want to control and manipulate individual behaviors are at the center of this issue. If you are looking at alcohol consumption for example, it is glorified in the media and set forth in mass-marketing droves. Children and adults alike view it as something used to celebrate and have fun. Smoking and alcohol consumption is something that goes hand in hand when some people are socializing. Shiffmans study reveals that 19% of cigarettes were smoked when drinking alcohol and 29% when participants were socializing. (Schiffman, 2009). In order to lessen the effects of alcohol consumption and smoking in our society, we must first stop allowing big tobacco companies and alcohol producers to target our children and people from poorer socioeconomic backgrounds. Even though there has been campaigns to stop children and others from smoking or drinking, it has not been enough. We must all take part in these responsibilities so that we can create a healthier more productive society for each other.
Ciarah post
When it comes to smoking and excessive drinking, the effects can be seen all throughout society, so shouldn't society play a part in helping end these horrible addictions. I will agree in saying that the end result of quitting is the individual and only the individuals responsibility. Society cannot force a person to quit, but it can help lead the individual to that decision.
Several communities, in accordance to state laws, have now banned smoking in all public places including bars and restaurants. In the article
How Society Treats Smoking,
.
RESPOND TO THESE STUDENTS POSTVictoria post 75 words post.docx
RESPOND TO THESE STUDENTS POST
Victoria post 75 words post
In 1946, scientists first discovered that DNA can be transferred between organisms. It is now known that there are several mechanisms for DNA transfer and that these occur in nature on a large scale, for example, it is a major mechanism for antibiotic resistance in pathogenic bacteria. The first genetically modified plant was produced in 1983, using an antibiotic-resistant tobacco plant (Bawa, & Anilakumar, 2013). Genetically modified food organisms are living organisms whose genetic material has been artificially manipulated in a laboratory through genetic engineering. This creates combinations of plant, animal, bacteria, and virus genes that do not occur in nature or through traditional crossbreeding methods (“GMO Facts,” 2016). Many argue that GMOs can cause environmental damage and health problems for consumers. This is because genetically modified foods have been linked to toxic and allergic reactions, sickness, sterile and dead livestock, and damage to virtually every organ studied in lab animals.
While researching this topic, I found a lot of scientific evidence available to illustrate the effects of the health hazards caused by genetically modified food organisms. “Many scientific data indicate that animals fed by GM crops have been harmed or even died. One example reported had rats exposed to transgenic potatoes or soya had abnormal young sperm; cows, goats, buffalo, pigs and other livestock grazing on Bt-maize, GM cottonseed and certain biotech corn showed complications including early deliveries, abortions, infertility and also many died” (Maghari, & Ardekani, 2011). Another issue is that new proteins can be synthesized that can produce unpredictable allergenic effects. For example, bean plants that were genetically modified to increase cysteine and methionine content were discarded after the discovery that the expressed protein of the transgene was highly allergenic (Bawa, & Anilakumar, 2013).
Michael post 75 word post
"Pesticides are poisons and, unfortunately, they can harm more than just the “pests” at which they are targeted." (PAN UK, 2019). This fairly succinctly summarizes the idea. The entire purpose of a pesticide is to repel or kill species that are harmful to certain desirable plants, most of which serve as edible produce to humans. However any substance that is harmful to organic life has the potential to have negative repercussions on creatures that the pesticide is not intended to bring harm to. Like the humans who would eat the produce being protected by the pesticide. In the short term we can have various forms of irritation or minor illness, while in the long term we can have cases of Parkinson's disease and cancer.
When it comes to alternatives to pesticides the answers are a bit tricky depending on the pest. For pests such as mosquitoes having garlic growing is a simple and natural alternative to chemicals. Pests such as ants, caterpillars, an.
Respond to these student postsJason postOne way the en.docx
Respond to these student posts
Jason post
One way the environment might negatively affect my health is through second-hand smoke from the air. Secondhand smoke comes from “burning tobacco products such as cigarettes, cigars, or pipes” (CDC, 2018). Secondhand smoke increases the risk for heart disease, lung cancer, and stroke (CDC, 2018). One step I can take to protect my health is to reduce the chance of exposure. Avoiding areas where people are allowed to smoke cigarettes will significantly limit my exposure to tobacco smoke.
Another way the environment can negatively affect my health is through hazards at my workplace. I work in a hospital which deals with infections on a daily basis. In order to reduce my risk for acquiring an infection at a hospital, I must be diligent with sanitation and sterilization. Hand washing is the best way to reduce transmission of infection. Maintaining precautions with patients and sterilizing tools between use is also very important.
Eating undercooked food is another way my health can be negatively affected. Many foods, especially meats, need to be heated to a certain temperature, usually 165 degrees Fahrenheit, before they are deemed safe to eat. Failure to do so may result in acquiring some microorganism that has been cultured on the food; this microorganism could then enter the body and cause damage to the immune system and other organs (CDC, 2019).
Bethany post
There have always been some obvious hazards in our daily lives that we take certain measures to avoid, but after reading this week’s resources, I was enlightened on some different hazardous exposures that I was not initially aware of. Working in the medical field, we pride ourselves on being sterile and clean to prevent the spreading of germs and diseases. This also comes along with daily exposure to highly chemical induced cleaning supplies. In my medical clinic we specifically use Sani-Cloth germicidal disposable wipes to wipe down all of our equipment daily. This product specifically contains dimethyl ethylbenzyl ammonium chlorides and dimethyl benzyl ammonium chlorides, both which have the precaution of being hazardous to humans and animals. The biggest protective measure I use with this product is donning personal protective equipment, or basically wearing gloves before handling the wipes to limit direct contact exposure and dermal absorption.
Water quality is another important factor in our daily health because we all need water to survive. I feel that it is always difficult to determine the quality of water you are getting from different sources and what they claim to be clean or purified. Public water fountains are usually connected to public water systems that have the potential to contain additional fluoride pollution or run-off from chemicals and pesticides used near water sources. The best way I have found to protect myself from water pollution is to carry my own water with me when going out. We also took th.
RESPOND TO THESE DISCUSSION POST BASED ON THE TOPIC Every org.docx
RESPOND TO THESE DISCUSSION POST BASED ON THE TOPIC “
Every organization wants their systems to function properly and “talk” to each other. One of the biggest issues companies have is that they have information stored in different systems and it is very difficult to create reporting that ties information from multiple systems. From an integration systems perspective, what would be your first step in determining what systems could be integrated? What information would you need to gather, and who should be involved in this process? Discuss how you determine which systems could be integrated.
In response to your peers, explore the relationship between the logical and physical system integration..”
1.
John Lel
Understanding why any company or organization can benefit from integrating the various “pieces” of the company into a cohesive structure or system is not difficult. The integration will lead to increased productivity, cost redundancy and a better, more complete, work environment. The integration process can be a daunting task, even in a small business environment. Obviously, we need a first step in the process of integration. This is not limited to what product or system to purchase, custom or off the shelf, but which components should be integrated. As the business owner, what will your expectations be, this needs to be defined and shared, with staff and whoever is going to be involved in the integration process. Once we know where we want to go, we can plan how to get there. Each business has unique issues, so trying to integrate a business structure by walking through the software choices at Best Buy, is probably not a good idea. It is important to have professional help onboard to implement this process. A systems integration professional will help to determine how or even if, components of the company will fit together and how and what data will be available to each of those component departments (Head Channel, 2019). Sales may not need to know specifics of productions but does need to know about design and availability. Production may not need to know the specifics of sales prospects but does need data on product sales.
The process for integration will require a team from the company and the company chosen to implement the integration. These teams will build the list(s) of requirements and necessary outcomes while determining which data systems need to be integrated. Each company has any number of departments producing data, and since the company is operational, there is a process already in place that requires analysis of each step to determine which steps will be required by the system supporting another department. These transactions must be organized and understood prior to building any integration system. Transactional requirements will be the key to create a system that will meet company expectations, from a business and an environmental standpoint (Fischer, 2017). This team must also keep in mind and deter.
Respond to these students post the responses to others should be at .docx
Respond to these students post the responses to others should be at least 75 words each. Please be sure to cite all of your sources in APA format in accordance with the Discussion Board Grading Rubric.
Darrell post
One event that is currently taking place right now is the protesting of the construction of the ten meter telescope (TMT) at Mauna Kea in Hawaii. The State is in a precarious battle with the University of Hawaii, its international partners, against the Native Hawaiian community. TMT construction has been halted by Native Hawaiians due to the belief that it is a sacred place in which the people can come in contact with the gods. Though this is being portrayed by the media as an environmental injustice to the Hawaiians, there are many factors to consider. The TMT Internal Organization project began in 2003 as a joint collaboration between United States, Japan, Canada and now China and India (TMT, 2019). Most importantly, in 2010 an Environmental Impact Statement and Cultural Impact Statement was finalized after 14 meetings (Native Hawaiian leaders were included as well) and signed by the Governor — no objections or protest were made at the time of signing (TMT, 2019). At the time, Native Hawaiian support for the TMT in 2018 was polled at 72% and some were even excited about the opportunity it may create for economic growth and tourism (Web Staff, 2019). But this all changed when construction commenced in June 2019, confirmed by a support decline of 27% . Pastor (2018) states that environmental injustice disproportionately affects low-income communities and people of color. Compared to other non-Hawaiians residents, Native Hawaiians “have lower education, higher unemployment, and lower incomes” (HUD, 2013). Since the incorporation of Hawaii into the United States, similarly to Native Americans, Hawaiians have had mixed feelings and mistrust when it comes to issues of land use. How should the TMT project proceed? Twenty percent of its monthly lease will go towards the Department of Hawaiian Affairs (TMT, 2019), and many local tourist companies and
businesses around
the mountain have suffered and gone out of business. How can we be sensitive to minority populations?
Emilee post
ittsburgh has struggled for a long time with air pollution- since the industrial days. People who live in the Greater Pittsburgh region are at double the risk at getting cancer compared to surrounding counties especially the low income families. On the east side of Pittsburgh there are falling infrastructures, community disinvestment, and high traffic density (University of Pittsburgh.2019, May 29). These factors all contribute significantly to the air pollution affecting the populations health and wellness. "We found the most important thing we could do was to be present, to listen to the citizens and figure out how our research can help them," says Mr. Rickenbacker. (University of Pittsburgh.2019, May 29
.
RESPOND TO THESE STUDENTS POST In each response, focus on the ar.docx
RESPOND TO THESE STUDENTS POST
In each response, focus on the area in which your peer appears to be most concerned. Review what your peer says about sources of help for that area. What else would you suggest?
Catherine post
At this time, the aspect in the doctoral process that holds the most confidence is the coursework. I have generally been rather successful in completing tasks, and earning decent grades. The history of coursework, grades, and determination to complete things that have been started provides the confidence to support the previous statement.
The aspect of the doctoral process that is most concerning is the Comprehensive Exam. While I work “well under pressure”, I am concerned about the amount of work required for the rather short time frame provided to compete the Comprehensive Exam (28 days, 3 questions, each answer being 12-17 pages in length). These requirements, at this point in the doctoral journey, are intimidating.
At this point in my life, career, and education, I have learned the value of asking for, and accepting help. I believe that self-sufficiency is extremely important, but not to the extent that my health and sanity should be at risk. While I feel more confident in many aspects of my life when I am doing well in other aspects, I am not beyond taking care of myself. As I tell my clients often, you must take care of yourself, to be able to take care of others. If I do not perform self-care, how can I care for my clients? Ruscio (2006), in
Critical Thinking in Psychology,
referenced the “well-established correlation between self-esteem and academic achievement” (p. 99). While there is controversy in this correlation, I personally feel that academic achievement increases self-esteem, rather than the other way around. However, they both affect each other differently, for different individuals. As most things in life, it is dependent upon the individual, rather than 100% one way or the other.
The sources of help in the process of doctoral learning that appears to be most helpful would be the dissertation mentor and academic advisor. These individuals would be helpful in providing feedback, support, answering questions, and helping to take the mystery out of the process. The presentation “Welcome to Dissertation” provided insight on the process, and solidified the thought that they will be useful in the dissertation process.
Michele post
I am still not sure if I have confidence in any aspect of this process at this point. I do feel like I am slowly getting a better understanding of the dissertation process and no longer think this is something that happens to end your Ph.D. but rather starts from day one. I am starting to gain confidence in my topic of interest and my ability to create new and important research in the field. I largely think that my confidence in this area is coming primarily from peer feedback in the discussion posts. This group of people has proven to be supportive and .
respond to their discussion answers1.Should the government provi.docx
respond to their discussion answers
1.Should the government provide services, and if so, which level of government should provide what service? Should different levels of government rely on others to provide funding for those services?
Yes, I believe the government should provide services, but the bigger question is, should it be more of the federal or state’s responsibility? To me, that is the main issue here. In reading Ch.4, it gives a detailed history of the federal government “loosening the reins” of some powers and giving the responsibility to the states; especially after World War II. Before this, state governments relied heavily on the federal government and taxes on property as well. That all changed after the war was over and kept changing from there on forward with each different President who took office. Therefore, I believe the states should provide services such as water sanitation, but the federal government should provide the funding for the mandates and quality control and staff to monitor.
2. Who should pay for services rendered? Should all citizens pay equally, regardless of ability to pay? Are there services that should be considered a "right of civilization", available to all regardless of income level? What about costs for issues that are of more concern to citizens in some geographic areas than others - Trump's "wall", for example, or cleanup of the Gulf of Mexico from the BP Deepwater spill?
Regarding services rendered, that discussion can be a slippery slope and I can see the arguments on opposing sides of this topic. In thinking about this I would lean more toward it should be divided equally amongst its citizens. There are services I would consider to be “rights of civilization” and should be available to everyone, regardless of income status in their communities. For example, social services, social benefits, emergency social assistance is managed and organized per their local government. These services should be available to all in the community, even if they have no income. Other examples of “right of civilization” would be clean water supply, police, and fire department services, etc. Issues that are more geographic in nature should be a combination of a federal and state venture in my opinion.
3. Should all services be privatized? The military? Essential utilities such as water or sewer? How should we decide what should or should not be.
I do think in some instances it is good for services to be privatized and history has shown that it has helped the overall bottom lines of some state’s economies. Privatization of public services is nothing new, it has been happening at all levels of government. The main arguments to privatize services are cost reduction, the transfer of risk and liability, create a sour4ce of revenue, and achieving a higher level of quality service. Examples of privatized services include airport operations, waste collection facilities’, corrections, and lotteries. So,.
respond to their discussion answersThe government should provide.docx
respond to their discussion answers
The government should provide services. In regards to which level, the state level should be providing services to its inhabitants, but that is not to let the federal government off the hook. The local governments are essentially to small to provide, and they are usually reliable on the state government for services and resources. The federal government shouldn't possess all the services. "Without adequate and independent financial resources, or some guarantee of adequate resources at each level of government, the federal structure will not operate as a truly federal structure. (76) However, if the state is struggling with funds, the federal government can, and should, provide for the states.
I believe both the states and citizens should pay for services rendered, depending on the service. I say depending on the service, because most "are the responsibility of state and local governments." (79) At the very least, the states should make it to where everyone has the ability to pay, and that is by paying as well. Services that are more of a concern in certain areas, such as Trump's Wall, should tax those in that area. This can get unfair, however. A fraction of individuals in the specific area might not be a fan or supporter of the wall. If possible, the pro-wall individuals can pay for those services, but it is probably best left to the states with assistance of the federal level. There are services that should be held as a "right of civilization." The constitution is all about emphasizing equality. That includes services, regardless of a level's financial status. Police, firefighters, law, and health services should be available to all.
All services should not be privatized, that includes the military. Privatization is often the go to because more money is going in the pocket of the government. "Governments at all levels are just desperate to balance their budgets, and they're grasping at privatization as a panacea." (Kim, 2010) This is incredibly risky. Governments are playing risk vs. reward. "You're taking the risk of the unknown and dumping that on your supplier." (Kim, 2010) Governments are inviting corruption when privatizing. "Problems from poorly conceived contracts can create costs increases that far surpass the costs of in-house services, and if there's shoddy contract oversight, a government is vulnerable to corruption and profiteering." (Kim, 2010) The ultimate risk is that privatization can put governments into deeper debt.
I believe the federal government should have the power to require states and localities to provide services for individuals. To repeat the idea in my first paragraph, I say this to maintain a balanced level of authority and power. Without that, we truly don't act as a federalist system. Ultimately, the federal level maintains the upmost authority, but should not be to the point where we are running a federal level dominant system.
Stephens, G. R., & Wikstrom, N. (200.
Respond to these students posts be sure to ask an open end question..docx
Respond to these students posts be sure to ask an open end question.
Alison post
Differences in Recognition
When referring to children who are exceptional, we are referring to their areas of development. Some are excellent in areas such as physical coordination or speech, while others are lacking in the development area of walking and processing information. All of these differences can be assisted if addressed at an appropriate time. As discussed in Allen’s
The Exceptional Child: Inclusion in Early Childhood Education
, ‘an often-overlooked fact is that a child with a disability may be gifted’ (p. 91).
The example of text gave talks about a child with a sight impairment. This child is unable to see, and has common tics as those who are blind, meaning restlessness when it is quite and facial movements that he cannot control. However, during instruction time his teacher noticed that his body relaxed and began to respond during music time. This information was relayed to his parents, and years later the child has become a musical portage. Now this may not be the case for all children, but for some it is. When a disability is present there is a greater chance for another area of the child’s development to be heighten or strengthen.
In a personal example, a student within my class was diagnosed with autism. While this student is still in the early development stage, we are more attentive to the activities that this student choose to participate in. Circle time is a difficult time for the student, as is any other time when she needs to sit still. However, when it comes to painting or creating with her hands, she is the most willing to participate. Based on these observations, my assistants and I foster a more art based learning environment for this student. What other ways could we promote typical classroom routine with artistic twist to keep our student engaged?
Treena post
COLLAPSE
I had the pleasure of teaching an exceptional child because he is gifted and talented. He has a vast knowledge of many things and has a fascination with trains. His mother is worried because of her child’s understanding that his teachers will label him. In reading the text, I agree with the statement that “ gifted and talented students may be at risk if they do not receive adequate services to meet their needs” (Allen & Cowdery, 2015). As an educator, I had to recognize his talents and accommodate him as much as possible. He exhibits many of the characteristics listed, including asking intelligent questions, detailed memory, complicated classification and distinction skills, awareness of what is different and new in the environment, and awareness of the feelings of others (p. 90). I can recall an incident where he realizes that I was experiencing pain. He relayed to his classmate that they should behave because I was not feeling my best.
During the parent-teacher conference, his parents were concerned that I would become annoyed by his intelligence. A.
Respond to the TWO Discussion Questions Below This is due Frida.docx
Respond to the TWO Discussion Questions Below: This is due Friday at 11:59!!!
(1) What are the general strengths and limitations of the following research methodologies in studying white collar crime?
Case studies
Laboratory experiments
Field experiments
Natural experiments
Surveys
Observational research
Secondary data analysis
Event history analysis
Archival data analysis
Historical ethnography
Content analysis
(2) Is it necessary to differentiate between "positivistic" and "humanistic" approaches to the study of white collar crime? What is the difference between the two approaches? According to you, which approach is the best in studying white collar crime?
Please utilize proper APA Style guidelines in terms of in-text citations and denoting resources.
.
Respond to the video Ape Genius after you have viewed it o.docx
Respond to the video
"Ape Genius"
after you have viewed it on YouTube. Be aware that it is almost an hour long, so give yourself the time to view it.
Post responses to the following questions:
Would you argue that primates have 'culture'?
If so, where (if anywhere) would we draw the line between human and non-human?
Does this research have implications for the ethical treatment of chimpanzees and other primates?
Can we truly learn about humans through studying primates?
If we can learn about ourselves from studying primates, on what levels?
.
Respond to these four Kimberly HolcombThursdayMay 9 at 72.docx
Respond to these four
Kimberly Holcomb
ThursdayMay 9 at 7:24pm
Manage Discussion Entry
September 11, 2001 is a day that no one in America will forget. I can still remember where I was, at the time, what I was doing, and how I reacted to it. September 11, 2001 will always be remembered as 9/11. This is the day that terrorist attacked America, on American soil. Terrorist hijacked 4 airplanes attacking the twin towers in New York, the pentagon, one was crashed in Pennsylvania. There were several people killed and injured, but America as a hole was wounded (Costly, 2019 para1).
Not long after 9/11, U.S. Attorney General John Ashcroft, went to congress with several options to combat terrorism. Many of them was omitted by congress because they infringed on citizens rights, but they did approve the USA Patriot Act. The USA Patriot Act stands for United and Strengthening America by Providing Appropriate Tools, that will Intersect and Obstruct Terrorism (Costly, 2019).
The day after the Patriot Act was implemented, the House of Representatives passed a bill called 357-66. 357-66 is a bill that is 357 pages long and changed over 15 laws. In 2005, President George W. Bush approved surveillance of cell phone and monitor all emails. President Bush decision did not go over well with many people in America, they felt their civil liberties was being violated (Doherty, 2014).
The U.S. Constitution's Fourth Amendment and Title III of the Omnibus Crime Control and Safe Streets Act of 1968 made it where the government had to have a warrant to search someone’s property, so when President Bush made that decision, it made many U.S. citizens feel their liberties were violated. Then there was NSL’s (National Security Letters). The NSL’s allowed the government to access people “suspected” of terrorisms phone records, and the electronic communication (Doherty).
Paul Hillman
Paul Hillman
ThursdayMay 9 at 7:53pm
Manage Discussion Entry
The landscape of National Security definitely changed after the attacks of 9/11. The war on terror and the way it was covered by the national media helped to put the nation into a state of near panic. Both political parties were looking for ways to increase ways to gain intelligence A domestically they are hampered by the constitution. The patriot act enables the government to wiretap its own citizens without a warrant signed by a judge if it is believed it is in the best interest of national security. Ailong with the creation of the TSA and the increased regulations that come with flying commercially, there are numerous ways that our government has slowly took away more civil liberties. There is good argument that it has helped make our country a safer place because there have been multiple attempted terrorist attacks stopped before anyone was hurt. The civil liberties aren’t the only ones being stripped as the war on terror has also led to increased use of “enhanced interrogation techniques” or what s.
Respond to THE two post below separately of your colleague.docx
Respond
to THE
two post below separately of
your colleagues making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to
personal
leadership philosophies and behaviors. PROVIDE 3 REFFERENCES EACH POST
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Respond to the two prompts below. For each prompt write a 3-4 pa.docx
Respond to the two prompts below. For each prompt write a 3-4 page essay. Be sure to refer to the readings and when appropriate cite personal experiences. Use APA formatting when citing sources. Due on June 17th at 12 noon!
3-4 Page Essay
1. Discuss the role of class and culture in the social reproduction of society. How do these structures contribute, interact or perhaps interfere with the preservation of the social order? How do our conceptions of class and culture shape our views concerning opportunities for individuals to achieve social mobility?
3-4 Page Essay
2. Discuss the relevance of using critical perspectives for analyzing the condition of education today. Do these perspectives still apply? How would you modify (if you find it necessary) the viewpoints of the theorists? Choose any of the theorists to support your argument.
.
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Speaker:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Priya Shaw - https://www.linkedin.com/in/priya-shaw
Organizers:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
Shyam Raj Prasad-
https://www.linkedin.com/in/shyam-raj-prasad/
Palestine last event orientationfvgnh .pptx
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
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Francesca Gottschalk - How can education support child empowerment.pptx
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Unit 8 - Information and Communication Technology (Paper I).pdf
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Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
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Respond to your colleagues and respectfully agree or disagree .docx
- 1. Respond to your colleagues and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not At least 2 references in each peer responses! Cystic fibrosis (CF) is an inherited disease that affects mainly the gastrointestinal system, the reproductive system, and the lungs (McCance & Huether, 2019, pp 2171). The cystic fibrosis gene “is located on chromosome 7” with more than 2000 variants of the disease. They are divided into six classes, 1 through 3 being the more severe ones. The triad of Cystic fibrosis is “obstruction, infection, and inflammation that is evident throughout the gastrointestinal tract and within the airways” (McCance & Huether, 2019, pp 2871). The gastrointestinal problems are caused by the CF transmembrane regulator (CFTR) protein, “which is located on epithelial membranes and regulates chloride and sodium ion channels (McCance & Huether, 2019, pp 2870). You can find that protein through the airways, sweat glands, digestive tract, pancreas, hepatobiliary system, and reproductive system. The CFTR protein alters the reabsorption of sodium, chloride, and potassium (McCance & Huether, 2019, pp 2871), which gives kids skin a salty taste when parents kiss them because of the excessive salt they waste through sweat glands. It also interferes with the absorption of nutrients in those affected by the disease because it “leads to a dehydrated intestinal mucin layer and inspissated secretions” (Reed & Shores, 2020), which
- 2. makes all the gut secretions thick and mucusy. This altered environment causes inflammation, pain, slow motility, and overgrowth of bacteria. Also, sixty-seven percent of CF kids may suffer from reflux due to “delayed gastric emptying and impaired gut motility” (Reed & Shores, 2020), among other reasons. In terms of reproduction, if none of the parents have been diagnosed with CF and had children diagnosed with the disease, it means that both have to be carriers. The risk of knowing if they are going to have more kids with CF depends entirely on knowing their carrier’s status (Horsley, Cunningham, & Innes, 2015, pp147). In the case presented, to have a positive CF patient, both parents at least have to be carriers. The probability with parents being both carriers is 1:4 of having CF kids (Horsley, Cunningham, & Innes, 2015, pp 2).