The document is a personal letter from Houda to her friend Hind. Houda is asking for Hind's advice about weight issues she is experiencing. Specifically, Houda finds it difficult to participate in sports and feels out of breath going up stairs. She wants Hind's suggestions for how to get back to a normal weight, as Hind had experienced similar problems in the past. Houda is looking forward to Hind's response and the advice she can provide.
How to Write a Reflection Paper: Outline, Format, Best TemplateReflection Paper
Reflection paper writing can be hard, that's why created this presentation to show you how to write it, how to make outline, what format to choose and what is the best template for reflection paper. http://www.reflectionpaper.com/
How to Write a Reflection Paper: Outline, Format, Best TemplateReflection Paper
Reflection paper writing can be hard, that's why created this presentation to show you how to write it, how to make outline, what format to choose and what is the best template for reflection paper. http://www.reflectionpaper.com/
Running head Design Project Proposal .docxhealdkathaleen
Running head: Design Project Proposal 1
Design Project Proposal 2
Design Project Proposal
Project Proposal
“Smart Quiz” is an application for general quiz and it helps everyone to attend their quiz through friendly interface. UI we are developing will asks first everyone to register in that they will get options to select interested topics (ex: sports, general knowledge, politics, movies, colors, shapes, etc). Our application targets all groups of audience and every age. Depends on age and their interest they will get the quizzes.
The application proposed will be a multi model which can be accessed or used on both mobile and web browser.
Our major source of information is from internet, articles, textbooks etc. This application requires internet, the data related to quiz and new quizzes will be updated in a timely fashion that users will always find new quizzes whenever they come back.
As the application is designed to target all groups of audience it will be simple with minimum options and buttons on screen and the type of quizzes would be related to different topics with different levels.
There will be majorly 3 screens in total , one is the profile and registration screen, second screen would be quiz screen which has a question and four options for user to select with a next button, once user clicks next it will populate next question until 10 questions. Once all the questions are answered there will be a result page with score and correct answers for questions which is third screen.
And to make the application more interactive more buttons and screens can be added during the process of development.
Login Screen:
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Responding to Other
Students' Writing
Richard Straub
Richard Straub lives on the borders of Tallahassee and teaches
courses in writing, rhetoric, and literature at Florida State
University. The focus of much of his work is on reading, evaluating,
and respondmg to student writing. He is from Dunmore,
Pennsylvania.
Okay. You've got a student paper you have to read and make comments on for
Thursday. It's not something you're looking forward to. But that's alright
h k Th · ' • you
t m . ere tsn t really all that much to it. Just keep it simple. Read it quick-
ly and . mark whatever you see. Say something about the introduction.
about details and examples. Ideas you can say you like. Mark any
t) pos and spelhng errors. Make your comments brief. Abbreviate where pos-
Sible. good mtro, gn·e ex,frag. Try to imitate the teacher. Mark what he'd
mark and sound like he'd sound. But be cool abou ...
The Senior English Writing Handbook 4th Editionjpinnuck
The Senior English Writing Handbook (4th Edition) has been written for the new VCE English study design. It is not just another textbook filled with endless descriptions and information about each area of the English and EAL study design. Instead, this Handbook shows students how to write successfully for each area of study in the new English and EAL study design. Each chapter focuses on a different area of study, guiding students through its aim and purpose and showing them how to develop their vocabulary and write purposeful, meaningful and sophisticated sentences and paragraphs. By providing students with a range of annotated exemplars and step by step instructions for how to write, the Handbook helps every VCE English and EAL student achieve success.
Dr. Mohamed Karbal-Best Lawyer In Libya
New York and Washington D.C. Attorney, Libyan lawyer and Expert on the laws of Libya & Middle East
for more details please visit :
https://drmohamedkarbal.com/
https://karbal.net/
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Running head Design Project Proposal .docxhealdkathaleen
Running head: Design Project Proposal 1
Design Project Proposal 2
Design Project Proposal
Project Proposal
“Smart Quiz” is an application for general quiz and it helps everyone to attend their quiz through friendly interface. UI we are developing will asks first everyone to register in that they will get options to select interested topics (ex: sports, general knowledge, politics, movies, colors, shapes, etc). Our application targets all groups of audience and every age. Depends on age and their interest they will get the quizzes.
The application proposed will be a multi model which can be accessed or used on both mobile and web browser.
Our major source of information is from internet, articles, textbooks etc. This application requires internet, the data related to quiz and new quizzes will be updated in a timely fashion that users will always find new quizzes whenever they come back.
As the application is designed to target all groups of audience it will be simple with minimum options and buttons on screen and the type of quizzes would be related to different topics with different levels.
There will be majorly 3 screens in total , one is the profile and registration screen, second screen would be quiz screen which has a question and four options for user to select with a next button, once user clicks next it will populate next question until 10 questions. Once all the questions are answered there will be a result page with score and correct answers for questions which is third screen.
And to make the application more interactive more buttons and screens can be added during the process of development.
Login Screen:
14
m
Q_
:;§
(D
::J
Q_
'<
OJ
(f)
:::,-
0
Ll
-o
0
;::+
(f)
3
0
c -:::,-
z
I
OJ
0
'<
::J -0
::J
0
0
0
"' -o
c
0"
(f)
:::,-
(0
Ul
(f)
(f)
(f)
Responding Really
Responding to Other
Students' Writing
Richard Straub
Richard Straub lives on the borders of Tallahassee and teaches
courses in writing, rhetoric, and literature at Florida State
University. The focus of much of his work is on reading, evaluating,
and respondmg to student writing. He is from Dunmore,
Pennsylvania.
Okay. You've got a student paper you have to read and make comments on for
Thursday. It's not something you're looking forward to. But that's alright
h k Th · ' • you
t m . ere tsn t really all that much to it. Just keep it simple. Read it quick-
ly and . mark whatever you see. Say something about the introduction.
about details and examples. Ideas you can say you like. Mark any
t) pos and spelhng errors. Make your comments brief. Abbreviate where pos-
Sible. good mtro, gn·e ex,frag. Try to imitate the teacher. Mark what he'd
mark and sound like he'd sound. But be cool abou ...
The Senior English Writing Handbook 4th Editionjpinnuck
The Senior English Writing Handbook (4th Edition) has been written for the new VCE English study design. It is not just another textbook filled with endless descriptions and information about each area of the English and EAL study design. Instead, this Handbook shows students how to write successfully for each area of study in the new English and EAL study design. Each chapter focuses on a different area of study, guiding students through its aim and purpose and showing them how to develop their vocabulary and write purposeful, meaningful and sophisticated sentences and paragraphs. By providing students with a range of annotated exemplars and step by step instructions for how to write, the Handbook helps every VCE English and EAL student achieve success.
Dr. Mohamed Karbal-Best Lawyer In Libya
New York and Washington D.C. Attorney, Libyan lawyer and Expert on the laws of Libya & Middle East
for more details please visit :
https://drmohamedkarbal.com/
https://karbal.net/
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
2. Read the text and answer the questions:
1/ Who’s writing to who?………………………………………………………………………………………………….
2/ Did the writer suffer from the same problem before? Explain
…………………………………………………………………………………………………………………………………………………………………………….
3/ What’s the writer’s problem?
…………………………………………………………………………………………………………………………………………………………………………….
4/ What does the writer want his friend to do for him?
…………………………………………………………………………………………………………………………………………………………………………….
Introduction
Problems and reasons
Request
Expectation
Write the paragraph number:
p. …………
p. …………
p. …………
p. …………
3. Dear Hind,
I hesitated a lot before I decided to write to you. But, anyway, I’m writing to
ask you about something very personal. Something you suffered from when
were at Echatibi Middle School.
Remember when I told you about my weight? Well, recently I couldn’t do a
lot of sport activities. I find it difficult to play and train with my handball team.
At home, when I go up the stairs I feel out of breath. I’m not sure what to do. I
want, but I don’t know where to start.
I know there is a lot of work to be done to get back to normal. What would
you do if you were in my place? Please, let me know very soon. We’ll be grateful
for your help.
I’m looking forward to your letter.
Your best friend, Houda
Introduction
Problems and reasons
Request Expectation
I hesitated a lot before I decided to write to you. But, anyway, I’m writing to
ask you about something very personal. Something you suffered from when
were at Echatibi Middle School.
Remember when I told you about my weight? Well, recently I couldn’t do a
lot of sport activities. I find it difficult to play and train with my handball team.
At home, when I go up the stairs I feel out of breath. I’m not sure what to do. I
want, but I don’t know where to start.
I know there is a lot of work to be done to get back to normal. What would
you do if you were in my place? Please, let me know very soon. We’ll be grateful
for your help.
I’m looking forward to your letter.
Dear Hind,-------> Greeting
<------- Your best friend, Houda
Closing
4. Paragraph…………………… describes the problem.
Paragraph …………………… explains the purpose of the email.
Paragraph …………………… requests advice.
Complete the sentences with the number of the correct paragraph.
"Write a letter to Houda giving her pieces of advice to solve her problem."
Topic:
Weight solutions
Finding ideas:
6. Par 1 ---> thank Houda / reassure her / suggest a paln to follow
Drafting: Turn the ideas into sentences:
Outline:
Par 2 ---> Tell Houda what she should do:
a/ Eat healthy food and avoid junk food
b/ Practice sport regularly.
c/ Go on a diet
Example:
First of all, you should eat health food and avoid junk food. This means eating
fruits and vegetables and food rich with fibers. This also means you should forget
about chips, choclate and unneccessary snack between meals.
Par 3 ---> Wish Houda a better progress / recovery + close the letter
+ Examples
+ Explanation
+ Reformulation
7. Capitals
•Do my sentences begin with a capital letters? *
•Do all proper nouns begin with a capital letter?
Organization
•Are all of the words in the correct order?
•When I read my sentence aloud, does it sound right?
•I have indented each paragraph.
•I have checked my work for run-ons and fragments.
•My work is neat and legible. *
Punctuation
•Do my sentences end correctly? ( . ! ?) *
•When I pause, do I use the correct mark? ( , “ ” : ; )
Spelling
•Are all of my priority words in standard spelling? *
•Are all other words in standard spelling? *NO EXCUSES!
Capitals
Organization
Punctuation
Spelling
Check or cross while reading the criteria:
8. Do the necessary corrections you need
Rewrite your letter
Exchange your letter with a classmate
Read your friend’s letter
Comment what needs to be changed or corrected
Collaborative work
Write the final draft of your letter
9.
10.
11. 1. You don’t practice sport regularly. (little physical activity)
2. You eat too much sugar.
3. You have a sedentary lifestyle.
4. You engage in yo-yo dieting.
5. You don't get enough sleep.
6. You don't eat enough whole foods.
7. You're stressed out.
8. You eat too many calories.
8 Reasons you may be gaining weight