Scenario 1: Polycystic Ovarian Syndrome (PCOS)
A 28-year-old woman presents to the clinic with a chief complaint of hirsutism and irregular menses. She describes irregular and infrequent menses (five or six per year) since menarche at 12 years of age. She began to develop dark, coarse facial hair when she was 14 years of age, but her parents did not seek treatment or medical opinion at that time. The symptoms worsened after she gained weight in college. She got married 3 years ago and has been trying to get pregnant for the last 2 years without success. Height 66 inches and weight 198. BMI 32 kg.m2. Moderate hirsutism without virilization noted. Laboratory data reveal CMP within normal limits (WNL), CBC with manual differential (WNL), TSH 0.9 IU/L SI units (normal 0.4-4.0 IU/L SI units), a total testosterone of 65 ng/dl (normal 2.4-47 ng/dl), and glycated hemoglobin level of 6.1% (normal value ≤5.6%). Based on this information, the APRN diagnoses the patient with polycystic ovarian syndrome (PCOS) and refers her to the Women’s Health APRN for further workup and management.
Question 1 of 2:
What is the pathogenesis of PCOS?
Question 2 of 2:
How does PCOS affect a woman’s fertility or infertility?
Scenario 2: Pelvic Inflammatory Disease (PID)
A 20-year-old female college student presents to the Student Health Clinic with a chief complaint of abdominal pain, foul smelling vaginal discharge, and fever and chills for the past 4 days. She denies nausea, vomiting, or difficulties with defecation. Last bowel movement this morning and was normal for her. Nothing has helped with the pain despite taking ibuprofen 200 mg orally several times a day. She describes the pain as sharp and localizes the pain to her lower abdomen. Past medical history noncontributory. GYN/Social history + for having had unprotected sex while at a fraternity party. Physical exam: thin, Ill appearing anxious looking white female who is moving around on the exam table and unable to find a comfortable position. Temperature 101.6F orally, pulse 120, respirations 22 and regular. Review of systems negative except for chief complaint. Focused assessment of abdomen demonstrated moderate pain to palpation left and right lower quadrants. Upper quadrants soft and non-tender. Bowel sounds diminished in bilateral lower quadrants. Pelvic exam demonstrated + adnexal tenderness, + cervical motion tenderness and copious amounts of greenish thick secretions. The APRN diagnoses the patient as having pelvic inflammatory disease (PID).
Question:
What is the pathophysiology of PID?
Scenario 3: Syphilis
A 27-year-old male comes to the clinic with a chief complaint of a “sore on my penis” that has been there for 3 days. He says it burns and leaked a little fluid. He denies any other symptoms. Past medical history noncontributory. Social history: works as a bartender and he states he often “hooks up” with some of the patrons, both male and female after work. He does not always use condom.
Report
Share
Report
Share
1 of 12
More Related Content
Similar to Scenario 1 Polycystic Ovarian Syndrome (PCOS)A 28-year-old woma.docx
Mr. J.R., a 73-year-old man, was admitted to the hospital with gastroenteritis and possible renal injury. His symptoms included fever, nausea, vomiting, diarrhea, weakness, dizziness, and a metallic taste. He developed acute kidney injury likely from pre-renal causes due to dehydration from vomiting and diarrhea. As his kidney damage became irreversible, he was diagnosed with chronic kidney disease and is now at risk for anemia and coagulopathies from reduced kidney function.
1.The APRN is giving a pathophysiology lecture to APRN students on .docxtrippettjettie
1. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, glomerular filtration rate, autoregulation, and related hormone factors regulating renal blood flow
Question:
What would be the most important concept of hormonal regulation that the APRN should address?
2. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, related hormones, and glomerular filtration rate.
Question:
What would be the most important concept of glomerular filtration rate that the APRN should address?
A 46-year-old Caucasian female presents to the PCP’s office with a chief complaint of severe, intermittent right upper quadrant pain for the last 3 days. The pain is described as sharp and has occurred after eating french fries and cheeseburgers and radiates to her right shoulder. She has had a few episodes of vomiting “green stuff”. States had fever and chills last night which precipitated her trip to the office. She also had some dark orange urine, but she thought she was dehydrated.
Physical exam: slightly obese female with icteric sclera as well as generalized jaundice. Temp 101˚F, pulse 108, respirations 18. Abdominal exam revealed rounded abdomen with slightly hypoactive bowel sounds. + rebound tenderness on palpation of right upper quadrant. No tenderness or rebound in epigastrium or other quadrants. Labs demonstrate elevated WBC, elevated serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Serum bilirubin (indirect) 2.5 mg/dl. Abdominal ultrasound demonstrated enlarged gall bladder, dilated common bile duct and multiple stones in the bile duct. The APRN diagnoses the patient with acute cholecystitis and refers her to the ED for further treatment.
Question 1 of 2:
Describe how gallstones are formed and why they caused the symptoms that the patient presented with.
Question 2 of 2:
Explain how the patient became jaundiced
3. Ruth is a 49-year-old office worker who presents to the clinic with a chief complaint of abdominal pain x 2 days. The pain has significantly increased over the past 6 hours and is now accompanied by nausea and vomiting. The pain is described as “sharp and boring” in mid epigastrum and radiates to the back. Ruth admits to a long history of alcohol use, and often drinks up to a fifth of vodka every day.
Physical Exam: Temp 102.2F, BP 90/60, respirations 22. Pulse Oximetry 92% on room air.
General: thin, pale white female in obvious pain and leaning forward. Moving around on exam table and unable to sit quietly.
CV-tachycardic. RRR without gallops, rubs, clicks or murmurs
Resp-decreased breath sounds in both bases with poor inspiratory effort
Abd- epigastric guarding with tenderness. No rebound tenderness. Negative Cullen’s and + Turner’s signs observed. Hypoactive bowel sounds x 2 upper quadrants, and no bowel sounds heard in both lower quadrants.
The APRN makes a tentative diagnosis of acute pancreatitis based on history and ph.
Krok 2 - 2006 Question Paper (General Medicine)Eneutron
1. A 47-year-old woman experiences periodic headaches with vision loss, nausea, and high blood pressure. The most probable diagnosis is migraine.
2. A 7-year-old boy injured his knee playing sports and now has swelling, pain, and abnormal blood test results. He has a family history negative for bleeding disorders. The most probable diagnosis is Hemophilia A.
3. A 55-year-old man experiences chest pain and difficulty breathing after a heart attack. ECG shows abnormal findings. The most probable diagnosis is Dressler's syndrome.
The document summarizes several case studies of patients presenting with uncommon manifestations of common diseases:
1. A man with fatigue, rash and anal fistula was diagnosed with syphilis based on a positive RPR test.
2. A man with weight loss, cough and fever was initially treated for pneumonia but was ultimately diagnosed with acute pancreatitis based on elevated amylase and lipase levels.
3. A man with syncope was initially suspected to have seizures but autopsy revealed pulmonary embolisms, consistent with factor V Leiden deficiency found post-mortem.
4. A woman with Parkinson-like symptoms visiting from Paris after using ecstasy was found to have a meningi
1. The document provides guidance on preparing for and approaching different stations in the OSCE exam, including clerking, counseling, physical examination, and clinical vignettes.
2. It outlines topics to focus on for different exam stations, such as taking a focused history for patients presenting with leg ulcers, neck masses, jaundice and more.
3. Examples of clinical vignettes involving assessments of children with fever and diarrhea, newborns with abnormal movements, and sexually transmitted infections in women are provided to practice diagnosis and management.
Instructions After reading the clinical description, assign word.docxnormanibarber20063
Instructions: After reading the clinical description, assign words or phrases from the paragraph to the term that best describes that concept. Note: Not all terms will have a match. IMPORTANT: As you review and identify items, please note you are not coding the scenario; coding has many rules associated with how an encounter is coded. This exercise is purely about your ability to recognize the pathophysiology and pharmacology concepts that are found within the excerpts.
Contents
Excerpt 1 2
Excerpt 2 3
Excerpt 3 4
Excerpt 4 5
Excerpt 5 6
Excerpt 6 7
Excerpt 7 8
Excerpt 8 9
Excerpt 9 10
Excerpt 10 11
Excerpt 1
Kimberly is a 37-year-old white female who presented to her family doctor and was referred to radiation oncology department for consultation. While with the oncologist, Kimberly reported that both her mother and sister had breast cancer. She describes feeling heartburn for “a long time” and difficulty swallowing during the past 4 or 5 months. She feels like food occasionally seems to ‘catch’ in her throat, and describes pain immediately below the sternum that feels like a gnawing or burning. Other complaints include weight loss of 30 lbs. in the past 6 or 7 months, weakness and coughing at night. After performing an endoscopy and a biopsy of the esophageal tract, a cancerous tumor was identified and staged, and plans for radiation and an esophagectomy are underway.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 2
Jane is a 12 year old female who presents is being treated today for hypertension related to Congenital Adrenal Hyperplasia (CAH), which was discovered when a biopsy done of Jane’s mother’s placenta for genetic screening showed that both her parents were carriers for the gene. Fetal blood work completed confirmed an enzyme deficiency blocking gluticosteriod and mineralocorticoid hormones. Jane regularly receives hormonal treatment and future genitoplasty is being considered. Normal sexual functioning is anticipated with continued treatment.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 3
James is a 43 y.o. male who complains of chest congestion and dry cough for 30 days. He has had a history of similar problems, but was not exhibiting symptoms when he went to Buffalo to visit brother who has dogs. Patient reports experiencing shortness of breath while sleeping in the guest room bed; reports that brother is a smoker. Unsure if he has seasonal allergies. On ordering a CBC with differential, the higher presence of lymphocytes suggested an allergic reaction. The doctor prescribed oral steroids and an albuterol inhaler and recommended him to return if the cough didn’t decrease.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Pr.
This document summarizes the case of a 21-year-old female patient presenting with a 3-year history of skin rashes, 6-month history of oral ulcers, and 7-day history of fever. On examination, she appeared ill and emaciated with maculopapular rashes, alopecia, and oral ulcers. Laboratory tests showed elevated inflammatory markers, protein in the urine, and positive antinuclear antibody and anti-dsDNA antibodies. A skin biopsy revealed a lupus band. Based on the clinical presentation and test results, she was diagnosed with systemic lupus erythematosus. She was prescribed various medications including hydroxychloroquine, methotrexate, and
Diagnostic excellence 03 16 year-old female with pelvicpainAMMY30
This case involves a 16-year-old female, Kayla, who presented to the emergency department twice with severe pelvic pain. The first attending physician diagnosed her with pelvic inflammatory disease (PID) based on her symptoms and sexual history. However, her pain continued to worsen despite antibiotics. When consulted, the gynecology team discovered she actually had ovarian torsion requiring surgical removal of her ovary. This case highlights how diagnostic errors can occur from cognitive biases, lack of thorough history and exam, and failure to consider alternatives to the initial diagnosis. It is important for physicians to reflect on errors to improve care and prevent future mistakes.
This document presents the case of a 20-year-old female student who was admitted to the hospital with a 6-month history of progressive weakness and shortness of breath, as well as fever, body aches, and vomiting for the past week. On examination, she was found to be pale and spleen was palpable. Differential diagnoses included various types of anemias, portal hypertension, leukemias, and lymphomas. Further investigations including Coomb's test and hemoglobin electrophoresis were planned to determine the cause of anemia, and initial treatment included blood transfusion and corticosteroids.
A 23-year-old woman presents to the emergency department with abdominal pain in her right lower quadrant and suprapubic region that began 12 hours ago. Her physical exam reveals tenderness in the right lower quadrant and suprapubic areas. Imaging and labs are ordered which ultimately reveal a ruptured corpus luteum cyst.
A 32-year-old female presents to the ED with a chief complaint of fe.docxsodhi3
A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.
Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP wnl
Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2
99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.
Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section).
The sections that you are to omit are for the above case study are: 1. Explain why prostatitis and infection happen. Also explain the causes of systemic reaction, 2. Explain why a patient would need a splenectomy after a diagnosis of ITP, and 3. Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).
In your Case Study Analysis related to the scenario provided, explain the following:
The factors that affect fertility (STDs).
Why inflammatory markers rise in STD/PID.
Why prostatitis and infection happens. Also explain the causes of systemic reaction.
Why a patient would need a splenectomy after a diagnosis of ITP.
Anemia and the different kinds of anemia (i.e., micro and macrocytic).
PLEASE ANSWER IN DETAIL ALL OF THE ABOVE
.
A 25-year-old woman presented with irregular vaginal bleeding following evacuation of a molar pregnancy 6 weeks prior. On examination, she was anemic and her uterus was enlarged to 16 weeks size. Ultrasound and beta-hCG levels confirmed incomplete evacuation of molar tissue. She underwent a second suction and evacuation procedure where a large amount of molar tissue was removed. She was advised follow up monitoring of beta-hCG levels and contraceptive use, and warned to report any symptoms like bleeding or vision changes during recovery.
Name Add name hereHIM 2214 Module 6 Medical Record Abstractin.docxgilpinleeanna
Name: Add name here
HIM 2214 Module 6: Medical Record Abstracting
Instructions: In this medical record abstracting assignment you will first need to download and the records (history & physical, surgery consultation, operative report, pathology report and discharge summary) for a patient with digestive system problems. (Recommend reading them in the order listed).
Save your answers to the following related questions in this document and submit them for this module's assignment.
1. Define the terms diverticulosis and diverticulitis.
2. What is the pathophysiology of diverticulitis?
3. What is a hiatal hernia?
4. Describe some of the signs or symptoms a person with a hiatal hernia might have.
5. What is a pulmonary embolus?
6. What was the etiology (cause) of the pulmonary embolus for this patient?
7. What is gastritis?
8. Which problem is likely a contributor to the patient’s Type II diabetes mellitus?
9. What was the purpose of the barium enema?
10. What does the abbreviation HEENT stand for?
11. What is thrombophlebitis?
12. What is a surgical resection?
13. Define anastomosis.
14. What is ferrous gluconate and what is it used to treat?
15. What condition is the drug Darvocet used to treat?
16. What are electrolytes?
17. What is exogenous obesity?
18. Where is the femoral pulse found/taken?
19. Where is the popliteal pulse found/taken?
20. What is hepatosplenomegaly?
21. Which condition(s) is/are the drug Humulin used to treat?
22. What is an adenocarcinoma?
23. Which condition(s) is/are the drug Lanoxin used to treat?
24. What is the purpose of ordering the blood test PTT?
25. What is a colon stricture?
26. What is/are the etiologies associated with colorectal cancer?
27. What is the medical term for gallstones?
28. Which condition(s) is the drug Zantac used to treat?
29. What does the pathology report indicate about the spread of the carcinoma in this patient?
30. What is the etiology of Type II diabetes mellitus?
· Academic arguments are designed to get someone to agree with the author, who may use pathos (emotion), logos (logic and facts) and ethos (authority and expertise) to persuade.
Academic arguments are not about ranting, screaming or otherwise increasing conflict, but in fact are the opposite: They attempt to help the other person understand what the author believes to be right (opinion) based on the evidence presented (authority, logic, facts).
For your topic for your final paper, what kinds of arguments can you develop for your claim (thesis, main idea)?
Health Record Face Sheet
Record Number:
005
Age:
67
Gender:
Male
Length of Stay:
3 days
Service:
Inpatient Hospital Admission
Disposition:
Home
Discharge Summary
Patient is a 67-year-old male. He saw the doctor recently with abdominal pain and constipation. A barium enema showed diverticulosis and perhaps a stricture near the sigmoid and rectal junction. He was scoped by the doctor, who saw a stricture at that point and sa ...
The patient, a 58-year-old African American female, presented with a 3-day history of brown vaginal discharge. Her medical history included diabetes mellitus type 2. On examination, a thin brown discharge was noted from her cervix. The primary diagnosis was likely endometrial hyperplasia given her risk factors of obesity, age, and nulliparity. She was referred to an OBGYN for an endometrial biopsy and possible hysteroscopy to assess her endometrium. The case increased the assistant's knowledge of risk factors and evaluations for postmenopausal bleeding.
This document describes the case of a 55-year-old man who experienced episodes of sweating, shortness of breath, and diarrhea for 10 months. Imaging showed a mass in his jejunum, which was resected and found to be a carcinoid tumor. Carcinoid tumors are often associated with heart lesions due to secretion of vasoactive substances. The expected heart lesion in this case would be carcinoid heart disease, characterized by plaque-like lesions in the heart valves.
CC I have itchy white discharge”HPI Patient is a 32 African.docxtroutmanboris
A 32-year-old African American female presented with increased vaginal itching and thick white discharge for 2 days. She reported using Monistat 3 days ago without relief and increased pain after sex. On examination, the patient had a fever and curdy white vaginal discharge with inflamed mucosa. A diagnosis of vulvovaginal candidiasis was made and a KOH smear was ordered to confirm. The patient was prescribed a single dose of oral fluconazole or topical antifungal and educated on maintaining a dry environment and use of probiotics to prevent recurrence.
Similar to Scenario 1 Polycystic Ovarian Syndrome (PCOS)A 28-year-old woma.docx (20)
ScanScan 1Scan 2Scan 3Scan 4Scan 5Scan 6Scan 7Scan 8Scan 9Scan 10Scan 11Scan 12Scan 13
Chapter 13 Global Health Challenges
MANY INDIVIDUALS AND NONGOVERNMENTAL ORGANIZATIONS (NGOS) HELP FIGHT GLOBAL DISEASE. The Bill and Melinda Gates Foundation plays a key role in the war against malaria, AIDS, and other diseases. Melinda and Bill Gates met with doctors and patients at the Manhica Research Center and Hospital in an area of Mozambique heavily affected by malaria.
Learning Objectives
1. 13.1Recall the causes and effects of noncommunicable diseases
2. 13.2Evaluate the role of global travel and trade in facilitating the globalization of infectious diseases
3. 13.3Outline the three developments that gave rise to the concept of human security
4. 13.4Describe the three epidemiologic transitions to better understand contemporary concerns about infectious diseases
5. 13.5Report the cause, spread, effects, and control measures of influenza and avian flu
6. 13.6Report the cause, spread, effects, and control measures of malaria
7. 13.7Recognize the causes and preventive measures of HIV
8. 13.8Report the origin, spread, effects, and control measures of SARS
9. 13.9Report the origin, spread, effects, and control measures of Ebola
10. 13.10Outline role of the WHO in preventing the spread of infectious diseases
Noncommunicable diseases (NCDs) such as heart disease, cancer, diabetes, chronic respiratory disease, and mental illness in general and Alzheimer’s disease in particular are the leading causes of death and disability globally. Long associated with affluent Western standards of living, NCDs are now a global problem. While rich countries are better equipped to deal with chronic diseases, they are far more deadly in poor countries. Growing numbers of old people and the spread of middle-class lifestyles make NCDs more prevalent than infectious diseases. Globalization also contributes to the growth of NCDs by helping expand the global middle class and by promoting fast foods, sugary drinks, alcohol, smoking, processed foods, and sedentary lifestyles. A major global health threat that undermines efforts to cure diseases is the emergence of germs that are resistant to antibiotics. This is due mainly to the excessive use of antibiotics in medicine and agriculture.
Infectious diseases are intertwined with numerous global issues and are inseparable from political, economic, and cultural components of globalization. Ethnic conflicts make populations vulnerable to infectious diseases. Fighting contributes to the collapse of public services, which means that many people die from what would ordinarily be treatable diseases, such as diarrhea and respiratory infections. Conflicts also create refugees, overcrowding, and unsanitary conditions, thereby creating environments conducive to the spread of infectious diseases.
Environmental degradation and deforestation expose humans to a variety of infectious diseases. They also contribute to global warming and flooding,.
Scapegoating is a theory of prejudice and discrimination. Societ.docxtodd331
Scapegoating is a theory of prejudice and discrimination. Society looks at the weakest group, and places blame on that group for all ills. That group then becomes the bottom level of society. We've seen this over the past 18 months. Illegal immigrants have been blamed for many issues, in particular crime and unemployment rates. Yet, I know few in my own area who will do the jobs these folks do every day. As for crime, please see the link below for a journal article that addresses this issue. Most crimes committed by immigrants without papers are misdemeanors.
What are your thoughts?
.
Scanned with CamScannerScanned with CamScannerIN.docxtodd331
Scanned with CamScanner
Scanned with CamScanner
INSTRUCTIONS
Write a brief case study (ALZHIEMER DISEASE) of a real or hypothetical issue or problem that needs investigation (approx. 200-250 words max).
Discussion 3.2: Hypothesis Test Tag Team
Corporate Responsibility 8;
The Social Responsibility of Business Is
to Increase Its Profits
Milton Friedman
When I hear businessmen speak eloquently
about the “social responsibilities of business
in a free-enterprise system,” I am reminded
of the wonderful line about the Frenchman
who discovered at the age of 70 that he had
been speaking prose all his life. The busi
nessmen believe that they are defending free
enterprise when they declaim that business
is not concerned “merely” with profit but
also with promoting desirable “social” ends;
that business has a “social conscience” and
takes seriously its responsibilities for provid
ing employment, eliminating discrimina
tion, avoiding pollution and whatever else
may be the catchwords of the contemporary
crop of reformers. In fact they are—or
would be if they or anyone else took them
seriously—preaching pure and unadulter
ated socialism. Businessmen who talk this
way are unwitting puppets of the intellectual
forces that have been undermining the basis
of a free society these past decades.
The discussions of the “social responsibil
ities of business” are notable for their analyt
ical looseness and lack of rigor. What does it
mean to say that “business” has responsibili
ties? Only people can have responsibilities.
A corporation is an artificial person and in
this sense may have artificial responsibili
ties, but “business” as a whole cannot be said
to have responsibilities, even in this vague
sense. The first step toward clarity in ex
amining the doctrine of the social responsi
bility of business is to ask precisely what it
implies for whom.
Presumably, the individuals who are to be
responsible are businessmen, which means
individual proprietors or corporate execu
tives. Most of the discussion of social respon
sibility is directed at corporations, so in what
follows I shall mostly neglect the individual
proprietors and speak of corporate execu
tives.
In a free-enterprise, private-property sys
tem, a corporate executive is an employee of
the owners of the business. He has direct re
sponsibility to his employers. That responsi
bility is to conduct the business in accord
ance with their desires, which generally will
be to make as much money as possible while
conforming to the basic rules of the society,
both those embodied in law and those em
bodied in ethical custom. Of course, in some
cases his employers may have a different ob
jective. A group of persons might establish a
corporation for an eleemosynary purpose—
for example, a hospital or a school. The
manager of such a corporation will not have
money profit as his objectives but the ren
dering of certain services.
In either case,.
Sara Mohammed1991 Washington St.Indiana, PA 15701(571) 550-3.docxtodd331
Sara Mohammed
1991 Washington St.
Indiana, PA 15701
(571) 550-3232
[email protected]
EDUCATION
Indiana University of Pennsylvania (IUP) Expected December 2020
Bachelor of Science in Business
Northern Virginia Community College (NOVA), Woodbridge, VA May 2016
English As a Second Language
Volunteerism
Saudi club association at Gannon University Fall 2018
SKILLS
· Speak three languages (Arabic, English, and Turkish)
· Knowledge with technology
· Experience with Microsoft, Word, Excel, and PowerPoint
· Looking for helping others always
· Familiar with taking care of kids
.
Scanned with CamScannerApplication Assignment 2 Part 2 .docxtodd331
Scanned with CamScanner
Application Assignment 2: Part 2 - Developing an Advocacy Campaign
The following application, Part 2, will be due in Week 7.
To prepare:
· Review Chapter 3 of Health policy and politics: A nurse’s guide.
· In the first assignment, you reflected on whether the policy you would like to promote could best be achieved through the development of new legislation, or a change in an existing law or regulation. Refine as necessary using any feedback from your first paper.
· Contemplate how existing laws or regulations may affect how you proceed in advocating for your proposed policy.
· Consider how you could influence legislators or other policymakers to enact the policy you propose.
· Think about the obstacles of the legislative process that may prevent your proposed policy from being implemented as intended.
·
To complete:
Part Two will have approximately 3–4 pages of content plus a title page and references. Part Two will address the following:
· Explain whether your proposed policy could be enacted through a modification of existing law or regulation or the creation of new legislation/regulation.
· Explain how existing laws or regulations could affect your advocacy efforts. Be sure to cite and reference the laws and regulations using primary sources.
· Provide an analysis of the methods you could use to influence legislators or other policymakers to support your policy. In particular, explain how you would use the “three legs” of lobbying in your advocacy efforts.
· Summarize obstacles that could arise in the legislative process and how to overcome these hurdles.
Milstead: 3 Legs of Lobbying
“According to Milstead (2013), Leg One of the Three-Legged Stool consists of lobbying which is the act of influencing – the art of persuading-a government entity. “Legislators often rely on lobbyists’ expertise to help them understand what they are voting for or against.” (Milstead, 2013, p. 53). Local State Representatives should be targeted as a champion for the bill and that’s likely where an average voter can begin for their voice to be heard at the local and state levels.Leg Two of the Three-Legged Stool also includes the grassroots lobbyists. The AmericanNurses Association often spear-heads lobbying efforts in the best interest of the public on healthcare related issues and has a strong history of working with Congress on these important issues. “Grassroots lobbyists are constituents who have the power to elect officials through their vote and have expertise and knowledge about a particular issue (such as nurses in healthcare reform debates)” (Milstead, 2013, p. 54). Nurses can become a member of the American Nurses Association or other associations to ensure nurses have a voice on these important issues”
Reflection
Associate Professor Michael Segon
Director MBA
1
Reflection
Reflection is used as a learning tool to make sense of what we have experienced and how we can optimise our learning from that experience.
.
Scanned by CamScannerScanned by CamScannerChapte.docxtodd331
Scanned by CamScanner
Scanned by CamScanner
Chapter 13:The Bureaucracy
ADA Text Version
Learning Objectives
1. Describe the formal organization of the federal bureaucracy.
2. Classify the vital functions performed by the bureaucracy.
3. Explain the present Civil Service system and contrast it with the 19th century spoils system.
4. Identify the various factors contributing to bureaucracy's growth over time.
5. Compare the means by which Congress and the president attempt to maintain control over the bureaucracy.
6. Analyze and evaluate the problems that bureaucratic organization poses for American democracy.
Introduction
The very word "bureaucracy" often carries negative connotations. To refer to an institution as a "bureaucracy" or characterize it as "bureaucratic" is usually intended as an insult. But the national bureaucracy, sometimes called the "fourth branch of government", is responsible for practically all of the day-to-day work of governing the country. While bureaucracy in the United States, consistent with our tradition of more limited government, is smaller than its counterparts in other longstanding democracies, its influence extends to almost every corner of American society. From delivery of the mail to regulation of the stock market to national defense, federal employees plan, regulate, adjudicate, enforce, and implement federal law. Despite recurrent calls to "shrink" the size of government, the federal bureaucracy remains the largest single employer in the United States. This lesson examines the bureaucracy's formal organization, its critical role in the American economy and society, and its perceived weaknesses.
Study Questions
1. How did sociologist Max Weber define bureaucracy?
2. Identify the various functions federal bureaucracies perform giving at least one example each:
a. Implementation
b. Regulation
c. Adjudication
d. Enforcement
e. Policy-making
3. How many people does the federal government employ? For what percentage of GDP does federal spending account? How does this compare to other economically advanced democracies?
4. Classify and distinguish the major types of bureaucracy in the federal government:
a. Cabinet Departments
b. Independent Agencies
c. Independent Regulatory Commissions
d. Government Corporations
5. How does the federal bureaucracy select and recruit personnel? Contrast the present civil service system with the spoils system. What advantages does the present system provide?
6. What factors explain the growth of bureaucracy over time despite recurrent calls for limiting the size of government?
7. Identify those factors in the budget process making it difficult to cut bureaucratic funding.
8. Describe the way Congress authorizes funding for the federal bureaucracy.
9. How does Congress attempt to control the federal bureaucracy?
10. How does the president attempt to control the federal bureaucracy?
11. What special problems does bureaucratic independence present in a democracy? Discuss with re.
SANS SIFT tool Final project , related to (digital foren.docxtodd331
SANS SIFT tool Final project , related to (digital forensics tools and technique)
Description : A 500-700 word, double spaced paper, written in APA format, showing sources and a bibliography and ppt presentation too
Presentation materials
.
Scanned by CamScannerScanned by CamScannerTABLE .docxtodd331
Scanned by CamScanner
Scanned by CamScanner
TABLE 2.2 Connecting Knowledge of Development and Learning to Teaching Practices
Principles of Child Development and Learning
Developmentally Appropriate Teaching Practices
Children develop holistically
• Teachers plan daily activities and routines to address aesthetic, emotional, cognitive, language, physical, and social development.
• Teachers integrate learning across the curriculum (e.g., mixing language, physical, and social; combining math, science, and reading).
Child development follows an orderly sequence
• Teachers use their knowledge of developmental sequences to gauge whether children are developing as expected, to determine reasonable expectations, and to plan next steps in the learning process.
Children develop at varying rates
• Teachers give children opportunities to pursue activities at their own pace.
• Teachers repeat activities more than once so children can participate according to changing needs and abilities.
• Teachers plan activities with multiple learning objectives to address the needs of more and less advanced learners.
Children learn best when they feel safe and secure
• Teachers develop nurturing relationships with children and remain with children long enough so children can easily identify a specific adult from whom to seek help, comfort, attention, and guidance.
• Daily routines are predictable. Changes in routine are explained in advance so children can anticipate what will happen.
• There is two-way communication between teachers and families, and families are welcome in the program.
• Children have access to images, objects, and activities that reflect their home experiences.
• The early childhood environment complies with all safety requirements.
• Adults use positive discipline to enhance children’s self-esteem, self-control, and problem-solving abilities.
• Teachers address aggression and bullying calmly, firmly, and proactively.
Children are active learners
• Activities, transitions, and routines respect children’s attention span, need for activity and need for social interaction. Inactive segments of the day are short.
• Children participate in gross motor activities every day.
Children learn through a combination of physical experience, social experience, and reflection
• Adults encourage children to explore and investigate. They pose questions, offer information, and challenge children’s thinking.
• Children have many chances to document and reflect on their ideas.
Children learn through mastery and challenge
• Practitioners simplify, maintain, or extend activities in response to children’s functioning and comprehension.
Children’s learning profiles vary
• Teachers present the same information in more than one modality (seeing, hearing, touching) and through different types of activities.
• Children have opportunities to play on their own and with others; indoors and outdoors; with natural and manufactured materials.
Chil.
Sandro Reyes 1
5
Human Impact on the Environment
Every day, I see the harmful impacts of humans on the environment. Just 13 percent of the globe’s oceans remain unsoiled by humanity’s damaging impacts (Carrington, 2018). In the remotest poles and Pacific areas, most of the ocean has no natural marine wildlife. Pollution, huge fishing fleets, and global shipping along with climate change are all degrading the oceans. The vehicles we drive every day, industrial wastes, overpopulation, and fossil fuels, all have negative effects on the environment. Human activities are negatively affecting the environment by degrading it and sooner or later, the earth will not be able to sustain humans.
Overpopulation is now an epidemic with decreased mortality rates, improved medicine, and food sustainability. We are living longer, which is increasing population. The impact of overpopulation includes environmental degradation due to cutting down of trees to create space. With less trees to filter the air, an increase in carbon dioxide levels is damaging every single organism (Interesting Engineering, 2019). Another effect of overpopulation is overdependence on fossil fuels such as coal and oil, which emit plentiful carbon oxide into the air. With increased population, humans need more space, which damage ecosystems and augment carbon dioxide emissions.
Pollution is another impact of human activities on the environment. From trash, industrial wastes to carbon dioxide emissions into the air, pollutions is inevitable. Over 2.4 billion individuals have no access to sources of clean water. Human activities continue to deplete indispensable resources such as soil, water, and air. United States, for example, produces 147 million metric tons of air pollution annually (Interesting Engineering, 2019). Air quality in developing nations continues to plummet as well. This means that we are engaging in activities that are hurting the environment.
Global warming is one of the greatest causes of environmental degradation contributed by human activities. Some people do not believe that global warming is real. However, that is not true, and its major contributors include carbon dioxide emissions from respiration, deforestation, and burning fossil fuels. Each year, we continue to contribute to levels of carbon dioxide globally. Current levels exceed 400 PPM, and the rise in carbon dioxide emissions are attributed to an increase in global temperatures (Interesting Engineering, 2019). The result is the melting of arctic glaciers and land ice, which will increase sea levels, and have negative effects on oceanic life.
Climate change is another impact on the environment that is being caused by us. It is linked .
Scanned with CamScannerResearch Summary (paper)For thi.docxtodd331
Scanned with CamScanner
Research Summary (paper)
For this assignment you summarize one of the experimental research studies from your research collection.
(I did not make one, feel free to choose any research that has to do with psychology.)
Check out Audris Oh's research summary I put in the files -- it's a great model.
Write your summary in 5 pages or so, basically summarizing each of the major sections - literature review, methods section, results section and discussion. Let the abstract at the beginning of the paper guide you (It's just one paragraph but is a great guide). Why was the study done and how does it fit in with other work in the field (the intro or lit review)? What was the actual experiment (the methods section)? What were the results (the results section)? Why is it important (the discussion section)? Conclude your paper with a personal reaction -- does this fit with what you’ve seen? How might you use any insight the study provides?
Include the pdf of the article (or link to it) and the reference to the article in APA style. Here's an example of a reference:
Stein, S., Isaacs, G., & Andrews, T. (2004). Incorporating authentic learning experiences within a university course. Studies in Higher Education, 29(2), 239-258.
Example of how the essay should look like: https://middlesexcc.libguides.com/ld.php?content_id=7578609
Mendel, 150 years on
T.H. Noel Ellis1, Julie M.I. Hofer1, Gail M. Timmerman-Vaughan2, Clarice J. Coyne3
and Roger P. Hellens4
1
Institute of Biological, Environmental & Rural Sciences, Aberystwyth University, Gogerddan Campus, Aberystwyth,
Ceredigion, SY23 3EB, UK
2
The New Zealand Institute for Plant & Food Research Ltd, Christchurch 8140, New Zealand
3
USDA-ARS Western Regional Plant Introduction Station, Washington State University, Pullman, Washington, USA
4
The New Zealand Institute for Plant & Food Research Ltd, Auckland, New Zealand
Review
Mendel’s paper ‘Versuche über Pflanzen-Hybriden’ is the
best known in a series of studies published in the late 18th
and 19th centuries that built our understanding of the
mechanism of inheritance. Mendel investigated the seg-
regation of seven gene characters of pea (Pisum sativum),
of which four have been identified. Here, we review what
is known about the molecular nature of these genes,
which encode enzymes (R and Le), a biochemical regula-
tor (I) and a transcription factor (A). The mutations are: a
transposon insertion (r), an amino acid insertion (i), a
splice variant (a) and a missense mutation (le-1). The
nature of the three remaining uncharacterized characters
(green versus yellow pods, inflated versus constricted
pods, and axial versus terminal flowers) is discussed.
Mendel’s studies: species, traits and genes
Mendel’s paper ‘Versuche ü ber Pflanzen-Hybriden’ [1] is
the best known in a series of studies published in the late
18th and 19th centuries [2–4] that built our understanding
of the mechanism of inheritance [5]. The title of M.
Scanned with CamScannerHACCP Recipe TermsCheck tempe.docxtodd331
Scanned with CamScanner
HACCP Recipe Terms
Check temperature of food at least every four hours and record
Check temperature of storage area at beginning of shift.
Cook eggs, poultry, fish, and meat in a microwave oven to a minimum temperature of 165 degrees F.
Cook fish to a minimum of 145 degrees F for 15 seconds.
Cook ground meats to a minimum of 155 degrees F for 15 seconds.
Cook poultry to a minimum of 165 degrees F for 15 seconds.
Cook vegetables to a temperature of 135 degrees F or higher.
Cooked food should be cooled from 135 degrees F to 70 degrees F within 2 hours and from 70 degrees F to 41 degrees F or lower in an additional 4 hours.
Cool foods to at least 70 degrees F before refrigerating or freezing.
Crack egg in separate bowl before combining to larger bowl.
Discard food held in the temperature danger zone for longer than four hours.
Hold cold foods at an internal temperature of 41 degrees F or lower.
Hold frozen foods at a temperature of 0 degrees F or lower.
Thaw food in a microwave oven if it will be cooked immediately after.
Hold hot foods at a minimum internal temperature of 135 degrees F or higher.
Hold hot foods at a minimum internal temperature of 135 degrees F or higher.
Inspect can before opening for swollen ends, rust, or dents.
Label food for storage with ingredient list and date of preparation.
Prepare raw foods separately from ready to eat foods.
Reduce the size or quantity of food to be cooled.
Reheat food to 165 degrees F for 15 seconds.
Remove from the refrigerator only as much product as can be prepared at one time.
Remove jewelry
Rotate products to ensure that the oldest inventory is used first.
Sanitize work surface, equipment, and utensils.
Store chemicals away from food products.
Store cut melons at 41 degrees F or lower.
Store fresh-cut produce between 33 to 41 degrees F to maintain quality.
Store raw meat, poultry, and fish in the bottom of the refrigerator.
Thaw food by submerging under running potable water at a temperature of 70 degrees F or lower.
Thaw food in a microwave oven if it will be cooked immediately after.
Thaw food in the refrigerator at 41 degrees F or lower.
Use a clean, sanitized, and calibrated thermometer to measure the internal temperature of foods.
Wash all fresh fruit prior to serving
Wash your hands
Wear gloves
Wear hairnet
Standardized Recipe Form
Recipe Name_____________________________________ Category_______________________________ Recipe #__________________________
(i.e., entrée, breads)
HACCP Process: _____ 1 – No Cook _____ 2 – Cook & Same Day Serve _____ 3 – Cook, Cool, Reheat, Serve
Ingredients
For ___________Servings
Directions: Include step by step instructions, the critical control points (CCP-specific points at which a hazard can be reduced, eliminated or prevented) and critical limit (time and/or temperature that must be achieved to control a hazard).
Weight
Measure
Serving Size___________________ Pan Size_______________.
Scanned with CamScanner1 STANDARIZATION OF A B.docxtodd331
This document provides instructions for a two-part experiment involving titration. In part A, students will standardize a NaOH solution by titrating it against a primary standard of KHP. In part B, students will use their standardized NaOH solution to determine the concentration of acetic acid in a vinegar sample through titration. Key steps and concepts discussed include buret usage, endpoint determination, stoichiometric calculations to determine concentration from titration data, and the purpose and characteristics of primary standards.
Scanlon Technologies, Inc. Anne Scanlon founded Scanlon Technol.docxtodd331
Scanlon Technologies, Inc.
*
Anne Scanlon founded Scanlon Technologies, Inc., in 1993. The company designed and manufactured high-tech products that were used in various industries ranging from semiconductor to aviation. Over the years, Scanlon Technologies reported a compound annual growth rate in revenues of over 20% due to high demand for the company’s products and Anne’s superior management skills. By the end of 1996, it was clear that any further growth would have to come from international expansion. However, establishing manufacturing operations and opening up sales and marketing offices abroad required a significant amount of capital. Anne considered investing more of her own money into the business; however, given that she already had most of her wealth tied up in the company, she decided against the idea. Moreover, she believed that the amount of funds Scanlon Technologies needed to raise for expansion was in the tens of millions. In her mind, there was only one clear solution—go public.
In September 1996, Anne hired J.P. Suisse, a top tier investment bank, to take Scanlon Technologies public. On January 1, 1997, the company, which was authorized by the State of Delaware to sell 20 million common stock and 10 million preferred stock, issued one million shares of common stock in an Initial Public Offering (IPO) and began trading on the New York Stock Exchange under the ticker symbol STI. The stock, which had a par value of $1, was sold for $20 per share and climbed to $26 a share by the end of its first trading day.
As expected, the funds raised in the IPO were used to open offices all over the world as well as build a second manufacturing plant in Toronto, Canada. Over the next couple of years, business was good and the company was able to generate enough cash to maintain its level of operations.
In October 1999, Anne learned that Kadehjian
Solution
s Coporation, a competitor, was considering the option of being acquired. Anne believed that such an acquisition would position Scanlon Technologies as the industry leader. One of Kadehjian’s requirements for such an acquisition was that it be an all-cash transaction. Anne knew that this would require Scanlon Technologies to raise approximately $7 million.
Ann contracted J.P. Suisse to discuss raising these funds through the capital markets. The managing directors at J.P. Suisse recommended that Scanlon Technologies employ a combination of debt and equity securities. Anne agreed and on January 1, 2000, the company issued an additional one hundred thousand shares of its $1 par value common stock at $40 per share. On the same day, the company issued $2 million in bonds at 95.8, due in 5 years with 5% interest payable annually (at year end). The market interest rate at the time was 6% per year. Also on January 1, 2000, Scanlon Technologies issued $1.3 million in zero-coupon (i.e. no interest) convertible bonds, also due in 5 years. Each $1,000 bond converted into 20 shares of its commo.
scan the following 2 poems by Robert Herrick. analyze each poems rhy.docxtodd331
scan the following 2 poems by Robert Herrick. analyze each poems rhyme and verse and its meter and number of feet. then in a short paragraph, tell me what you think.
Upon Julia's Breasts
Display thy breasts, my Julia, there let me
Behold that circummortal purity;
Between whose glories, there my lips I'll lay,
Ravished in that fair Via Lactea.
Upon a Child That Died
Here she lies, a pretty bud,
Lately made of flesh and blood,
Who as soon fell fast asleep
As her little eyes did peep.
Give her strewings, but not stir
The earth that lightly covers her.
.
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statem.docxtodd331
SBUX ISIncome Statement - As Reported 10K in millionsIncome Statement - As Reported 10Q in millions9/30/139/30/149/30/159/30/169/30/179/30/18TTM12/30/173/30/186/30/189/30/1812/29/18TTM Company-operated stores$11,793.2$12,977.9$15,197.3$16,844.1$17,650.719,690.320,318.8 Company-operated stores4,741.84,828.05,060.45,060.1$5,370.3020,318.8 Total specialty$3,073.6$3,469.9$3,965.4$4,471.8$4,736.15,029.24,959.6 Total specialty1,331.91,203.81,249.91,243.5$1,262.404,959.6 Licensed stores$1,360.5$1,588.6$1,861.9$2,154.2$2,355.02,652.22,706.9 Licensed stores682.4625.6660.6683.6$737.102,706.9 CPG, foodservice and other$1,713.1$1,881.3$2,103.5$2,317.6$2,381.12,377.02,252.7 CPG, foodservice and other649.5578.2589.3559.9$525.302,252.7Total net revenues$14,866.8$16,447.8$19,162.7$21,315.9$22,386.8$24,719.525,278.4Total net revenues6,073.76,031.86,310.36,303.6$6,632.7025,278.4 Cost of sales including occupancy costs-$6,382.3-$6,858.8-$7,787.5-$8,511.1-$9,038.2-10,174.5-10,434.2 Cost of sales including occupancy costs-2,502.9-2,516.0-2,554.9-2,604.6($2,758.70)-10,434.2 Store operating expenses-$4,286.1-$4,638.2-$5,411.1-$6,064.3-$6,493.3-7,193.2-7,449.2 Store operating expenses-1,737.0-1,789.6-1,825.0-1,841.6($1,993.00)-7,449.2 Other operating expenses-$431.8-$457.3-$522.4-$545.4-$553.8-539.3-532.2 Other operating expenses-141.6-134.3-148.0-156.7($93.20)-532.2 Depreciation and amortization expenses-$621.4-$709.6-$893.9-$980.8-$1,011.4-1,247.0-1,321.6 Depreciation and amortization expenses-258.8-331.6-330.0-326.6($333.40)-1,321.6 General and administrative expenses-$937.9-$991.3-$1,196.7-$1,360.6-$1,393.3-1,759.0-1,797.8 General and administrative expenses-379.1-405.8-468.7-460.0($463.30)-1,797.8 Restructuring and impairments$0.0$0.0$0.0$0.0-$153.5-224.4-240.0 Restructuring and impairments-27.6-134.7-16.9-45.2($43.20)-240.0 Litigation credit / charge-$2,784.1$20.2$0.0$0.0$0.0$0.0Income from equity investees89.452.771.487.7$67.80279.6Income from equity investees$251.4$268.3$249.9$318.2$391.4301.2279.6Operating income / loss1,116.1772.51,038.2956.6$1,015.703,783.0Operating income / loss-$325.4$3,081.1$3,601.0$4,171.9$4,134.7$3,883.33,783.0Gain resulting from acquisition of joint venture1,326.3Net interest and other income62.3483-$24.8074.9 Gain resulting from acquisition of joint venture$0.0$0.0$390.6$0.0$0.01,376.4$0.0 Interest income and other, net88.2313239$24.80126.0Loss on divestiture of certain operations$0.0$0.0-$61.1$0.0$0.0499.2 Interest expense-25.9-503($75.00)-77.0 Interest income and other, net$123.6$142.7$43.0$108.0$275.3191.4$126.0Earnings / loss before income taxes3,005.9363236$965.501,068.7 Interest expense-$28.1-$64.1-$70.5-$81.3-$92.5-170.3-$77.0Income tax expense / benefit-755.8-35-45-64($205.10)-349.4Earnings / loss before income taxes-$229.9$3,159.7$3,903.0$4,198.6$4,317.5$5,780.0$1,068.7Net earnings / loss including noncontrolling interests2,250.18161,027932$760.403,534.721.83%Net earnings / loss attributab.
Scan the articles in the attached course text. Write a discussi.docxtodd331
Scan the articles in the attached course text. Write a discussion initial post on one of the articles. Choose the one that interests you most.
1.Provide a very brief overview of what you think are the key points (a literature review).
2.What about the policy area interests you?
3.What about the information systems involved in the article interested you?
4.How might this article’s research approach help you in your dissertation research project?
(NOTE: Please cut and paste the above-numbered list into your reply to help with organization.)
.
Scale Ratio Variable Histograms are useful for presenting qu.docxtodd331
Scale Ratio Variable
Histograms are useful for presenting quantitative data such as the example variable ADULT_CT which describes the number of individuals per household. The variable measurement is scale ratio and as it depicts a number, a histogram is able to reflect the number of individuals belonging to each variable value or interval of values (Mishra, Pandey, Singh & Gupta, 2018).). Histograms divide the variable into equal intervals as shown below in individuals reported per home. The graph indicates nearly 3,000 reporting and displays the individual numbers per interval. The bar levels of the graph make it is easy to discern the average number reporting as 2 per household.
Nominal Variable
As nominal variables depict qualitative data such as in the variable Q87 which describes the level of trust individuals felt towards others, a pie graph would be beneficial to use as it easily displays each group or individual share in the total being examined (Mishra, Pandey, Singh & Gupta, 2018). For example, the pie graph here which shows what percentage of trust was and wasn’t felt toward others. Graphs like these are appropriate for showing a variable that cannot be ordered or numerical in value such as feelings of trust (Frankfort-Nachmias, Leon-Guerrero & Davis, 2020).
References
Frankfort-Nachmias, C., Leon-Guerrero, A., & Davis, G. (2020). Social statistics for a diverse society (9th ed.). Thousand Oaks, CA: Sage Publications.
Mishra, P., Pandey, C. M., Singh, U., & Gupta, A. (2018). Scales of measurement and presentation of statistical data.
Annals of cardiac anesthesia
,
21
(4), 419.
Wagner, III, W.E. (2020).
Using IBM® SPSS® statistics for research methods and social science statistics
(7th ed.). Thousand Oaks, CA: Sage Publications.
Be sure to support your Main Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.
.
Scan 12Scan 13Scan 14Scan 15Scan 16Scan 17Scan 18Scan 19
HIST 308
Sofia Clark
Spring 2020
Research Paper
Sample Outline:
1) Introduction
2) Story of capture
3) Background on British antislavery
4) Background on Royal Navy
5) Background on this specific Royal Navy vessel
6) Story of what treaty was used to condemn the slave ship
7) Background on treaty
8) Background on British relations with treaty country
9) Background on slave trade in this particular region
10) Story of what happens to the captives removed from this particular slave ship
11) Background on the general treatment of liberated Africans
12) Explanation of how the story of your ship exemplifies the broader history of slavery and anti-slavery
Bibliography
1) The slave trade in general (i.e., either the Transatlantic slave trade or Indian Ocean slave trade depending on your ship)
Article (JSTOR): Alkalimat, Abdul. "Slave Trade." In The African American Experience in Cyberspace: A Resource Guide to the Best Web Sites on Black Culture and History, 34-42. LONDON; STERLING, VIRGINIA: Pluto Press, 2004. Accessed May 30, 2020. doi:10.2307/j.ctt183q64x.8.
Article (JSTOR): JUNKER, CARSTEN. "Containing Bodies—Enscandalizing Enslavement: Stasis and Movement at the Juncture of Slave-Ship Images and Texts." In Migrating the Black Body: The African Diaspora and Visual Culture, edited by RAIFORD LEIGH and RAPHAEL-HERNANDEZ HEIKE, 13-29. Seattle; London: University of Washington Press, 2017. Accessed May 30, 2020. www.jstor.org/stable/j.ctvcwnj4v.5.
2) The slave trade in the specific area of Africa in which your ship embarked enslaved African captives (e.g., Bight of Benin, Senegambia, Angola).
Book (JSTOR): Strickrodt, Silke. "The Atlantic Connection: Little Popo & the Rise of Afro-European Trade on the Western Slave Coast, C. 1600 to 1702." In Afro-European Trade in the Atlantic World: The Western Slave Coast, C. 1550- C. 1885, 65-101. Woodbridge, Suffolk; Rochester, NY: Boydell & Brewer, 2015. Accessed May 30, 2020. doi:10.7722/j.ctt7zst5n.9.
Article (JSTOR): Graham, James D. "The Slave Trade, Depopulation and Human Sacrifice in Benin History: The General Approach." Cahiers D'Études Africaines 5, no. 18 (1965): 317-34. Accessed May 30, 2020. www.jstor.org/stable/4390897.
3) Slavery in the region to which your ship was heading (e.g., Cuba, Bahia, Pernambuco).
Book (One Search): Schneider, Elena Andrea. The Occupation of Havana: War, Trade, and Slavery in the Atlantic World. North Carolina Scholarship Online. Williamsburg, Virginia : Chapel Hill: Omohundro Institute of Early American History and Culture ; University of North Carolina Press, 2018.
Article (Project Muse): Garrigus, John. "Cuba, Haiti, and the Age of Atlantic Revolution." Reviews in American History 44, no. 1 (2016): 52-57. doi:10.1353/rah.2016.0012.
4) British antislavery policy toward the country your ship was from (e.g., Portugal, Spain, USA)
Book- page 14(Academic Search Premiere- also works for #.
Ardra Nakshatra (आर्द्रा): Understanding its Effects and RemediesAstro Pathshala
Ardra Nakshatra, the sixth Nakshatra in Vedic astrology, spans from 6°40' to 20° in the Gemini zodiac sign. Governed by Rahu, the north lunar node, Ardra translates to "the moist one" or "the star of sorrow." Symbolized by a teardrop, it represents the transformational power of storms, bringing both destruction and renewal.
About Astro Pathshala
Astro Pathshala is a renowned astrology institute offering comprehensive astrology courses and personalized astrological consultations for over 20 years. Founded by Gurudev Sunil Vashist ji, Astro Pathshala has been a beacon of knowledge and guidance in the field of Vedic astrology. With a team of experienced astrologers, the institute provides in-depth courses that cover various aspects of astrology, including Nakshatras, planetary influences, and remedies. Whether you are a beginner seeking to learn astrology or someone looking for expert astrological advice, Astro Pathshala is dedicated to helping you navigate life's challenges and unlock your full potential through the ancient wisdom of Vedic astrology.
For more information about their courses and consultations, visit Astro Pathshala.
How to Show Sample Data in Tree and Kanban View in Odoo 17Celine George
In Odoo 17, sample data serves as a valuable resource for users seeking to familiarize themselves with the functionalities and capabilities of the software prior to integrating their own information. In this slide we are going to discuss about how to show sample data to a tree view and a kanban view.
Front Desk Management in the Odoo 17 ERPCeline George
Front desk officers are responsible for taking care of guests and customers. Their work mainly involves interacting with customers and business partners, either in person or through phone calls.
Delegation Inheritance in Odoo 17 and Its Use CasesCeline George
There are 3 types of inheritance in odoo Classical, Extension, and Delegation. Delegation inheritance is used to sink other models to our custom model. And there is no change in the views. This slide will discuss delegation inheritance and its use cases in odoo 17.
Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...Murugan Solaiyappan
Title: Relational Database Management System Concepts(RDBMS)
Description:
Welcome to the comprehensive guide on Relational Database Management System (RDBMS) concepts, tailored for final year B.Sc. Computer Science students affiliated with Alagappa University. This document covers fundamental principles and advanced topics in RDBMS, offering a structured approach to understanding databases in the context of modern computing. PDF content is prepared from the text book Learn Oracle 8I by JOSE A RAMALHO.
Key Topics Covered:
Main Topic : DATA INTEGRITY, CREATING AND MAINTAINING A TABLE AND INDEX
Sub-Topic :
Data Integrity,Types of Integrity, Integrity Constraints, Primary Key, Foreign key, unique key, self referential integrity,
creating and maintain a table, Modifying a table, alter a table, Deleting a table
Create an Index, Alter Index, Drop Index, Function based index, obtaining information about index, Difference between ROWID and ROWNUM
Target Audience:
Final year B.Sc. Computer Science students at Alagappa University seeking a solid foundation in RDBMS principles for academic and practical applications.
About the Author:
Dr. S. Murugan is Associate Professor at Alagappa Government Arts College, Karaikudi. With 23 years of teaching experience in the field of Computer Science, Dr. S. Murugan has a passion for simplifying complex concepts in database management.
Disclaimer:
This document is intended for educational purposes only. The content presented here reflects the author’s understanding in the field of RDBMS as of 2024.
Feedback and Contact Information:
Your feedback is valuable! For any queries or suggestions, please contact muruganjit@agacollege.in
Views in Odoo - Advanced Views - Pivot View in Odoo 17Celine George
In Odoo, the pivot view is a graphical representation of data that allows users to analyze and summarize large datasets quickly. It's a powerful tool for generating insights from your business data.
The pivot view in Odoo is a valuable tool for analyzing and summarizing large datasets, helping you gain insights into your business operations.
Split Shifts From Gantt View in the Odoo 17Celine George
Odoo allows users to split long shifts into multiple segments directly from the Gantt view.Each segment retains details of the original shift, such as employee assignment, start time, end time, and specific tasks or descriptions.
How to Handle the Separate Discount Account on Invoice in Odoo 17Celine George
In Odoo, separate discount account can be set up to accurately track and manage discounts applied on various transaction and ensure precise financial reporting and analysis
The Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdfJackieSparrow3
we may assume that God created the cosmos to be his great temple, in which he rested after his creative work. Nevertheless, his special revelatory presence did not fill the entire earth yet, since it was his intention that his human vice-regent, whom he installed in the garden sanctuary, would extend worldwide the boundaries of that sanctuary and of God’s presence. Adam, of course, disobeyed this mandate, so that humanity no longer enjoyed God’s presence in the little localized garden. Consequently, the entire earth became infected with sin and idolatry in a way it had not been previously before the fall, while yet in its still imperfect newly created state. Therefore, the various expressions about God being unable to inhabit earthly structures are best understood, at least in part, by realizing that the old order and sanctuary have been tainted with sin and must be cleansed and recreated before God’s Shekinah presence, formerly limited to heaven and the holy of holies, can dwell universally throughout creation
Principles of Roods Approach!!!!!!!.pptxibtesaam huma
Principles of Rood’s Approach
Treatment technique used in physiotherapy for neurological patients which aids them to recover and improve quality of life
Facilitatory techniques
Inhibitory techniques
1. Scenario 1: Polycystic Ovarian Syndrome (PCOS)
A 28-year-old woman presents to the clinic with a chief
complaint of hirsutism and irregular menses. She describes
irregular and infrequent menses (five or six per year) since
menarche at 12 years of age. She began to develop dark, coarse
facial hair when she was 14 years of age, but her parents did not
seek treatment or medical opinion at that time. The symptoms
worsened after she gained weight in college. She got married 3
years ago and has been trying to get pregnant for the last 2
years without success. Height 66 inches and weight 198. BMI
32 kg.m2. Moderate hirsutism without virilization noted.
Laboratory data reveal CMP within normal limits (WNL), CBC
with manual differential (WNL), TSH 0.9 IU/L SI units (normal
0.4-4.0 IU/L SI units), a total testosterone of 65 ng/dl (normal
2.4-47 ng/dl), and glycated hemoglobin level of 6.1% (normal
value ≤5.6%). Based on this information, the APRN diagnoses
the patient with polycystic ovarian syndrome (PCOS) and refers
her to the Women’s Health APRN for further workup and
management.
Question 1 of 2:
What is the pathogenesis of PCOS?
Question 2 of 2:
How does PCOS affect a woman’s fertility or infertility?
Scenario 2: Pelvic Inflammatory Disease (PID)
A 20-year-old female college student presents to the Student
Health Clinic with a chief complaint of abdominal pain, foul
smelling vaginal discharge, and fever and chills for the past 4
2. days. She denies nausea, vomiting, or difficulties with
defecation. Last bowel movement this morning and was normal
for her. Nothing has helped with the pain despite taking
ibuprofen 200 mg orally several times a day. She describes the
pain as sharp and localizes the pain to her lower abdomen. Past
medical history noncontributory. GYN/Social history + for
having had unprotected sex while at a fraternity party. Physical
exam: thin, Ill appearing anxious looking white female who is
moving around on the exam table and unable to find a
comfortable position. Temperature 101.6F orally, pulse 120,
respirations 22 and regular. Review of systems negative except
for chief complaint. Focused assessment of abdomen
demonstrated moderate pain to palpation left and right lower
quadrants. Upper quadrants soft and non-tender. Bowel sounds
diminished in bilateral lower quadrants. Pelvic exam
demonstrated + adnexal tenderness, + cervical motion
tenderness and copious amounts of greenish thick secretions.
The APRN diagnoses the patient as having pelvic inflammatory
disease (PID).
Question:
What is the pathophysiology of PID?
Scenario 3: Syphilis
A 27-year-old male comes to the clinic with a chief complaint
of a “sore on my penis” that has been there for 3 days. He says
it burns and leaked a little fluid. He denies any other symptoms.
Past medical history noncontributory. Social history: works as a
bartender and he states he often “hooks up” with some of the
patrons, both male and female after work. He does not always
use condoms. Physical exam within normal limits except for a
lesion on the lateral side of the penis adjacent to the glans. The
area is indurated with a small round raised lesion. The APRN
3. orders laboratory tests, but feels the patient has syphilis.
Question:
Describe the 4 stages of syphilis
Scenario 4: Genital Herpes
A 19-year-old female presents to the clinic with a chief
complaint of “fluid filled bumps” and intense pruritis of her
vulva. She states these symptoms have been present for about
10 days, but she thought she had a yeast infection. She self-
medicated with over the counter (OTC) metronidazole
(Flagyl™) intravaginally but the symptoms got worse. No other
complaints except for fatigue out of proportion to her activity
level. Past medical history noncontributory. Social history:
sexually active with several men and did forget to use a condom
during one sexual encounter. Physical exam negative except for
pelvic exam which revealed multiple fluid filled (vesicular)
lesions on the vulva and introitus. Positive lymph nodes in
inguinal areas. The APRN diagnoses the patient with herpes
simplex virus-type 2 known as genital herpes.
Question:
What is the pathophysiology of HSV-2?
Scenario 5: Epididymitis
A 27-year-old male presents to the clinic with a chief complaint
of a gradual onset of scrotal pain and swelling of the left
testicle that started 2 days ago. The pain has gotten
progressively worse over the last 12 hours and he now
complains of left flank pain. He complains of dysuria,
4. frequency, and urgency with urination. He states his urine
smells funny. He denies nausea, vomiting, but admits to urethral
discharge just prior to the start of his severe symptoms. He
denies any recent heavy lifting or straining for bowel
movements. He says the only thing that makes the pain better is
if he sits in his recliner and elevates his scrotum on a small
pillow. Past medical history negative. Social history + for
sexual activity only with his wife of 3 years. Physical exam
reveals red, swollen left testicle that is very tender to touch.
There is positive left inguinal adenopathy. Clean catch
urinalysis in the clinic + for 3+ bacteria. The APRN diagnoses
the patient with epididymitis.
Question:
Discuss how bacteria in the urine causes epididymitis.
Scenario 6: Prostatitis
A 42-year-old male presents to the clinic with a chief complaint
of fever, chills, malaise, arthralgias, dysuria, urinary frequency,
low back pain, perineal, and suprapubic pain. He says he feels
like he can’t fully empty his bladder when he voids. He states
these symptoms came on suddenly about 12 hours ago and have
gotten worse. He noticed some blood in his urine the last time
he voided. He tried to have a bowel movement several hours ago
but could not empty his bowel due to pain. Past medical and
social history noncontributory. Physical exam reveals an ill
appearing male. Temperature 101.8 F, pulse 122, respirations
20, BP 108/68. Exam unremarkable apart from left
costovertebral angle (CVA) tenderness. Rectal exam difficult
due to enlarged and extremely painful prostate. Complete blood
count revealed an elevated white blood cell count, elevated C-
reactive protein and elevated sedimentation rate. Urine dip in
the clinic + for 2+ bacteria.
5. Question:
Explain the differences between acute bacterial prostatitis and
nonbacterial prostatitis
Scenario 7: Endometriosis
A 32-year-old woman presents to the clinic with a chief
complaint of pelvic pain, excessive menstrual bleeding,
dyspareunia, and inability to become pregnant after 18 months
of unprotected sex with her husband. She states she was told she
had endometrioses after a high school physical exam, but no
doctor or nurse practitioner ever mentioned it again, so she
thought it had gone away. She has no other complaints and says
she wants to have a family. Past medical history
noncontributory except for possible endometriosis as a teenager.
Social history negative for tobacco, drugs or alcohol. The
physical exam is negative except for the pelvic exam which
demonstrated pain on light and deep palpation of the uterus. The
APRN believes that the patient does have endometriosis and
orders appropriate laboratory and radiological tests. The
diagnostics come back highly suggestive of endometriosis.
Question:
Explain how endometriosis may affect female fertility.
Scenario 8: Platelets
An APRN working in an anticoagulation clinic has been asked
by the local college to present a lecture on platelets and their
role in blood clotting to the graduate pathophysiology nursing
students.
6. Question:
What key concepts should the APRN include in the
presentation?
Scenario 9: Iron Deficient Anemia (IDA)
A 36-year-old woman presents to the clinic with complaints of
dyspnea on exertion, fatigue, leg cramps on climbing stairs,
craving ice to suck or chew and cold intolerance. The symptoms
have come on gradually over the past 4 months. The only thing
that make the symptoms better is for her to sit or lie down and
stop the activity. She denies bruising or bleeding and states this
is the first time this has happened. Past medical history
noncontributory except for a new diagnosis of benign uterine
fibroids 6 months ago after experiencing heavy menstrual
bleeding every month. Social history noncontributory and she
denies alcohol, tobacco, or drug use. Physical exam: pale, thin,
Caucasian female who appears older than stated age. Physical
exam remarkable for a soft I/IV systolic murmur, pallor of the
mucous membranes, spoon-shaped nails (koilonychia), glossy
tongue, with atrophy of the lingual papillae, and fissures at the
corners of the mouth. The APRN suspects the patient has iron
deficient anemia (IDA) secondary to excessive blood loss from
uterine fibroids. The appropriate laboratory tests confirmed the
diagnosis.
Question:
Discuss iron deficiency anemia and how the patient’s menstrual
bleeding contributed to the diagnosis.
Scenario 10: Pernicious Anemia
7. A 67-year-old woman presents to the clinic with complaints of
weakness, fatigue, paresthesias of the feet and fingers,
difficulty walking, loss of appetite, and a sore tongue. These
symptoms have been present for several months but the patient
thought they were due to her recent retirement and geographic
move from the Midwest to New England. The symptoms have
gotten worse over the past few weeks and she has noticed that
she is much more forgetful. This is of great concern as she
worries she might have the beginning stages of Alzheimer’s
Disease. Past medical history significant for Hashimoto
thyroiditis that she developed in her early 20s. The rest of PMH
and social history non- contributory. Physical exam reveals an
average sized female whose skin has a sallow appearance. BP
128/74, Pulse 120, respirations 18 and temperature 99.0F orally.
Examination of the head and neck reveals a smooth and beefy
red tongue. Abdominal exam negative for hepatomegaly or
splenomegaly.
The APRN recognizes these symptoms and physical exam
indicate the patient has pernicious anemia. After appropriate
laboratory data received, the definitive diagnosis of pernicious
anemia was made.
Question 1 of 2:
How does pernicious anemia develop?
Question 2 of 2:
How does pernicious anemia cause the neurological
manifestations that are often seen in patients with PA?
Scenario 11: Anemia of Chronic Disease (ACD)
8. A 49-year-old man with a 22-year history of severe rheumatoid
arthritis (RA) presents to clinic for his preadmission testing
(PAT) and medical clearance for a planned right total hip
arthroplasty. The patient had been severely limited in
ambulation due to the RA. Current medications include
prednisone 20 mg po qd and methotrexate 7.5 mg Thursdays,
5mg Fridays, and 7.5 mg Saturdays. The patient had a complete
blood count (CBC) with manual differentiation and red blood
cell indices, complete metabolic panel (CMP) and coagulation
studies (prothrombin time [PT], international normalized ratio
[INR] and activated partial thromboplastin time [aPTT]). All the
laboratory studies come back within normal limits except for
the red blood cell indices. The hemoglobin and hematocrit were
low along with mean corpuscle volume, plasma iron and total
iron binding capacity, and transferrin also being low. There was
a normal reticulocyte count, normal ferritin, serum B12, folate
and bilirubin.
The APRN in the PAT clinic recognizes that the patient has
anemia of chronic disease (ACD).
Question 1 of 2:
What is ACD and how does it develop?
Question 2 of 2:
Why do patients with chronic kidney disease (CKD) develop
ACD?
Scenario 12: Immune Thrombocytopenia Purpura (ITP)
A 14-year-old female is brought to the Urgent Care by her
mother who states that the girl has had an abnormal number of
bruises and “funny looking red splotches” on her legs. These
9. bruises were first noticed about 2 weeks ago and are not related
to trauma. Past medical history not remarkable and she takes no
medications. The mother does state the girl is recovering from a
“bad case of mono” and was on bedrest at home for the past 3
weeks. The girl noticed that her gums were slightly bleeding
when she brushed her teeth that morning.
Labs at Urgent Care demonstrated normal hemoglobin and
hematocrit with normal white blood cell (WBC) differential.
Platelet count of 100,000/mm3 was the only abnormal finding.
The staff also noticed that the venipuncture site oozed for a few
minutes after pressure was released. The doctor at Urgent Care
referred the patient and her mother to the ED for a complete
work up of the low platelet count including a peripheral blood
smear for suspected immune thrombocytopenia purpura (ITP).
Question:
What is ITP and why do you think this patient has acute, rather
than chronic, ITP?
Scenario 13: Heparin Induced Thrombocytopenia (HIT)
A 22-year-old male is in the Surgical Intensive Care Unit
(SICU) following a motor vehicle crash (MVC) where he
sustained multiple life-threatening injuries including a torn
aorta, ruptured spleen, and bilateral femur fractures. He has had
difficulty maintaining his mean arterial pressure (MAP) and has
required various vasopressors. He has a triple lumen central
venous catheter (CVC) for monitoring his central venous
pressure, administration of medications and blood products, as
well as total parenteral nutrition. Per hospital protocol, he is
receiving an unfractionated heparin 1:1000 flush after
administration of each of the triple antibiotics that have been
ordered to maintain patency of the lumens. Seven days post
10. injury, the APRN in the SICU is reviewing the patient’s
morning labs and notes that his platelet count has dropped
precipitously to 50,000 /mm3 from 148,000/mm3 two days ago.
The APRN suspects the patient is developing heparin induced
thrombocytopenia (HIT).
Question 1 of 2:
What is underlying pathophysiology of heparin induced
thrombocytopenia?
Question 2 of 2:
The APRN assesses the patient and notes there is a decreased
right posterior tibial pulse with cyanosis of the entire foot. The
APRN recognizes this probably represents arterial thrombus
formation. How does someone who is receiving heparin develop
arterial and venous thrombosis?
Scenario 14: Thrombotic Thrombocytopenic Purpura (TTP)
A 33-year-old female is brought to Urgent Care by her husband
who states his wife has gotten suddenly confused and complains
of a severe headache. He also noticed large bruises on her legs
which were not there yesterday. Only significant past medical
history is that the patient developed herpes zoster 2 weeks ago
and was given acyclovir for treatment. Physical exam revealed
well developed female who is only oriented to person. Large
areas of ecchymosis noted on both arms and legs. Stat CBC
revealed a platelet count of 18,000/mm3, hemoglobin of 8 g/dl
and hematocrit of 24%. The patient was immediately
transported to the Emergency Room by Emergency Medical
Services (EMS) where further work up demonstrated idiopathic
thrombotic thrombocytopenic purpura (TTP).
11. Question:
What is the pathophysiology of TTP?
Scenario 15: Heparin Induced Thrombocytopenia (HIT)
A 64-year man is recovering from a transurethral resection of
the prostate for treatment of benign prostate hyperplasia. The
patient is receiving intravenous antibiotics for the urinary tract
infection that was found on the preoperative urine culture and
sensitivity (C & S). The post-operative course has been smooth
and the APRN is removing the 3-way Foley catheter when there
is a sudden release of bright red blood with many blood clots in
the Foley bag. The patient becomes hypotensive, tachycardic
and the APRN notes new ecchymoses on the patient’s arms and
legs. The patient was immediately transferred to the surgical
intensive care unit (SICU) and a stat hematology consult was
conducted. Stat CBC, d-dimer, peripheral blood smear, partial
thromboplastin time, Prothrombin time/international
normalization ratio (INR), and fibrinogen labs were drawn.
Results were:
CBC with markedly decreased platelet count, peripheral blood
smear showed decreased number of platelets and presence of
large platelets and fragmented red cells (schistocytes),
prothrombin time prolonged as was the partial thromboplastin
time. The d-dimer was markedly elevated, and fibrinogen level
was low. The diagnosis of disseminated intravascular
coagulation (DIC) was made based on clinical picture and
laboratory data.
Question 1 of 2:
What is DIC and how does it develop?
12. Question 2 of 2:
What factors contribute to the development of DIC?