Submission Instructions:
Include both case studies in your post.
Each case study should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources each. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Each classmate response should be at least 150 words. I WILL SEND YOU THE 2 CLSSMATE RESPONSE AFTER I SUBMIT MY CASE STUDY FOR YOU TO ELABORATE THE RESPONSES. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Wednesday, and comment on the posts of two classmates by 11:59 PM ET Thursday.
Case Study 1
Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.
Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.
Case Study Questions
Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.
Case Study 2
Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.
Case Study Questions
For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.
Category: Health & Medical
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“Exploring Hematopoietic and Cardiovascular Disorders: Two Case Studies” “Assessing Risk Factors and Treatment for Acute Myocardial Infarction”
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Article Title: “New Study Reveals the Role of Gut Microbes in Controlling Blood Sugar Levels” Source: ScienceDaily (https://www.sciencedaily.com/releases/2021/09/210922155504.htm) Summary:
Find a recently (within the last month) published article that discusses microbes. This article can come from a scientific publication or a newspaper (online or paper format). Be sure to properly cite the article. Include a link to an online source.
Summarize the article in your own words. Be sure to discuss the importance and future implications of the findings. Include a paragraph where you discuss why you found it interesting and what you learned. -
Title: Understanding an Antipsychotic Medication and the Side Effects Associated with It
There are several antipsychotics available for patients with psychotic disorders:
Select an antipsychotic medication from your readings and discuss its use, potential side effects, dosing, mechanism of action, and the receptors it affects in the brain.
Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics. -
Title: The Lifespan Implications of Attention-Deficit/Hyperactivity Disorder (ADHD) Introduction Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent patterns of inattention,
Discuss the Attention-Deficit/Hyperactivity Disorder (ADHD),
explaining its implications on childhood, Adolescence Implications, and
adulthood implications. This should be explained in 3-4 pages in a well
elaborated structure. -
Title: Addressing the Challenge of Health Disparities in North Carolina: The Impact of the Affordable Care Act Introduction: North Carolina faces numerous challenges in its healthcare system, but one of the most pressing issues is the presence of significant health disparities
Identify and explain one challenge your health care system currently faces in North Carolina
Identify and explain one health policy that addresses the challenge you explain. Using objective evidence please explain the degree to which the policy has been effective (or not)
each posting, students should address every aspect of the prompt and support
their assertions with at least 2 peer reviewed articles in APA format in addition to the Biblical
references and textbook. Biblical application should be clearly communicated. Keep in mind
that merely adding a Bible verse is not a demonstration of Biblical application/worldview,
applying the Bible verse to the prompt is required -
Title: “Exploring Female Anatomy: A Comprehensive Lesson and Assessment for Teacher Educators”
The teacher educator candidate will research his/her topic and prepare a slide presentation for assessment. The teacher educator candidate will prepare a lesson plan and develop an assessment tool to assess student knowledge. The PowerPoint will be at least 20 slides plus the title page and the reference page(s) and a quiz for a total of 23-25 slides. The topic is female anatomy. The information must be comprehensive in nature and demonstrate the student has researched the topic thoroughly. The student must provide a reference page for the information covered in the presentation. The student may not use videos in the presentation.
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“Capital Budget Decision Making for an Organization: Part 2 – Long-Term Working Capital Considerations and Bond Valuation” Title: Bond Pricing and Current Yield Analysis
CAPITAL BUDGET DECISION MAKING FOR AN ORGANIZATION—PART 2
Note: In Week 6, you submitted Part 1 of the Module 3 Assignment. You will complete and submit Part 2 this week. Next week, you will complete and submit Part 3 and the executive summary.
As a reminder, you will continue to play the role of a consultant who has been hired by a mid-sized company that recently went public to provide some recommendations related to their short-term and long-term financial needs. Your first project is to analyze the short- and long-term capital budget needs of the company. You will prepare and submit a 3- to 5-page report, including an executive summary in which you synthesize your recommendations for the following fiscal year, along with the provided Excel spreadsheet with your calculations. Explain your findings and your recommendations.
For each of the items in your report, you will complete the calculations in the Module 3 Assignment Part 1 Template and will then use that financial information to develop your report to the owner using the Module 3 Assignment Part 2 Template. In your report, be sure to include relevant citations from the Learning Resources, the Walden Library, and/or other appropriate academic sources to support your work.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. WEEKLY RESOURCES
To prepare for this Assignment:
Return to the Module 3 Assignment Part 1 Template to continue completing the calculations.
Return to your Module 3 Assignment Part 2 Template to complete Part 2 of your report. Note: Be sure to keep a copy of your completed Assignment this week, as you will be adding to the same file for your Week 8 Assignment.
BY DAY 7
Submit your synthesis of financial data related to long-term financing needs for an organization, to include the following:
PART 2: LONG-TERM WORKING CAPITAL CONSIDERATIONS: TIME VALUE OF MONEY AND BONDS (1–2 PAGES, PLUS CALCULATIONS IN EXCEL)
Future Value: If the company deposits $2 million in a bank account that pays 6% interest annually, how much will be in the account after 5 years?
Present Value: What is the present value of a security that will pay $29,000 in 20 years if securities of equal risk pay 5% annually?
Required Interest Rates: The company owner has said she will retire in 19 years. She currently has $350,000 saved and thinks she will need $800,000 at retirement. What annual interest rate must she earn to reach that goal, assuming she does not save any additional funds?
Future Value of an Annuity: Find the future values of these ordinary annuities. Compounding occurs once a year.$500 per year for 8 years at 14%
$250 per year for 4 years at 7%
$700 per year for 4 years at 0%
Present Value of an Annuity: Find the present values of these ordinary annuities. Discounting occurs once a year.$600 per year for 12 years at 8%
$300 per year for 6 years at 4%
$500 per year for 6 years at 0%
Bond Valuation: The company has two bonds in their investment portfolio, Bond C and Bond Z. Each bond matures in 4 years, has a face value of $1,000, and has a yield to maturity of 8.2%. Bond C pays an 11.5% annual coupon, while Bond Z is a zero-coupon bond.
Assuming that the yield to maturity of each bond remains at 8.2% over the next 4 years, calculate the price of the bonds at each of the following years to maturity. Explain any observed differences from the pricing calculations of the two bonds.
Years to MaturityPrice of Bond CPrice of Bond Z
4 3 2 1 0 Yield to Maturity and Yield to Call: The owner is interested in investing some retained earnings in corporate bonds. She is considering the following:Bond A has a 7% annual coupon, matures in 12 years, and has a $1,000 face value.
Bond B has a 9% annual coupon, matures in 12 years, and has a $1,000 face value.
Bond C has an 11% annual coupon, matures in 12 years, and has a $1,000 face value.
Each bond has a yield to maturity of 9%.
a. Before calculating the prices of the bonds, identify whether each bond is trading at a premium, at a discount, or at par.
b. Calculate the price of each of the three bonds.
c. Calculate the current yield for each of the three bonds.
Refer to the Week 7 Assignment Rubric for specific grading elements and criteria. Your Instructor will use this grading rubric to assess your work. -
The Biosynthesis of Serotonin, Dopamine, and Norepinephrine from Tyrosine and Tryptophan Diagram 1: Biosynthesis of Serotonin from Tryptophan Title: Serotonin Biosynthesis En
Starting with the precursor substance tyrosine or tryptophan, draw three diagrams showing how the various enzymes convert this substance to serotonin, dopamine and norepinephrine.
Submission Instructions:
Your diagrams must be hand-drawn. Scan your diagrams and submit them as an attachment of an image file or PDF. Follow APA 7th Edition formatting guidelinescite and reference no more than 5 years ago -
“Leveraging Health Information Systems for Improved Population Health Management: A Comprehensive Policy Proposal”
Topic: Public Policy
You are a public health policy advisor working for a state government in the United States. The state has recently recognized the need to improve population health management and is eager to leverage health information systems to achieve this goal. The state’s public health department has asked you to develop a comprehensive policy proposal that advocates for the integration of health information systems (HIS) into population health management. Your proposal must consider health care regulations and health care privacy laws while aligning with the state’s public health goals and priorities. Begin by analyzing the state’s current public health system, existing health care regulations, and privacy laws. Identify the key challenges and limitations that hinder the effective use of health information systems for population health management. Develop a set of policy recommendations that advocate for the use of HIS to enhance population health management. Your recommendations should address factors such as data interoperability, data privacy, and equity.
Explain how your proposed policy changes align with existing health care policy laws and privacy regulations. Consider if any revisions or additions to these laws might be necessary to facilitate the implementation of HIS for population health management. Address the ethical considerations associated with using health information systems in population health. Ensure that your proposal maintains the privacy and security of individuals’ health information while also supporting public health initiatives. -
Naming Ionic Compounds and Calculating Initial Temperature of a Gas Sample
Write the name for each of the following ionic compounds:
SnCl2
FeO
c. Cu2S
CuS
CdBr2
HgCI2
A gas sample has a volume of 0.256L with an unknown temperature. The same gas has a volume of 0.198L when the temperature is 32 degrees Celsius with no change in the pressure or amount of gas. What was the initial temperature, in degrees Celsius, of the gas?
Question : State the number of electrons lost or gained when the following elements form ions:A)SrB)PC) Group 7A (17)