Category: Health care

STUDY- TYPE 2 DIABETES
INITIAL HISTORY
• 52-year old black female.
• Diagnosed with type 2 diabetes 6 years ago but did to follow up with recommendations for care.
• Now complaining of weakness in her right foot and itching rash in her groin area.
Question 1 What questions would you like to ask her about her symptoms?

ADDITIONAL HISTORY
• Patient says her foot has been weak for about a month and is difficult to dorsiflex; feels numb.
• Denies any other weakness, numbness, difficulty speaking or walking, syncope, or seizures. She finds that watching television particularly in the evening, is becoming a problem because her eyes “are tired” more.
• Has had some increased thirst and gets up more often at night to urinate, sometimes excessively.
• Says she has a rash on and off for many years. It is worse when the weather is warm. It also occurs in her armpits. She gets some relief from salt baths. She occasionally gets a boil in these areas.
• Denies any chest pain, shortness of breath, edema, change in bowel habits, or skin ulcers.
Question 2 What other personal and family-related questions would you like to ask her about her diabetes?

DIABETES HISTORY
• Patient remembers being told her blood sugar was “around 200” when she was first diagnosed. She had gone for a work physical and felt fine at the time and saw no need for expensive drugs.
• Her mother and sister have diabetes. Both of them were diagnosed in their 40’s and are on pills and injections.
• Has been completely asymptomatic, except for rash, until the foot weakness.
• Has gained 18 pounds over the past year and eats a diet high in fats and refined sugars.
• Employed as banking executive and gets little exercise.
Question 3 What would you like to ask about her about her medical history?
PHYSICAL EXAMINATION
• Obese female in no acute distress.
• T= 37 C orally; P=80 and regular; RR=15 and unlabored; BP= 162/98 right arm (sitting); weight 84 kg.
Skin
• Erythematous moist rash in both inguinal areas, beneath both breasts, and in the axillae.
• No petechiae or eccymoses.
• Many dime-sized hyper pigmented spots located on the anterior shins
HEENT, Neck
• Pupils equal and round, fundi with mild arteriolar narrowing.
• Nares and tympanic membranes clear.
• Pharynx clear.
• Neck without bruits or thyromegaly.
Lungs, Cardiac
• Lungs clear to auscultation and percussion.
• Cardiac examination with distant heart tones, a regular rate and rhythm without murmurs or gallops.
Abdomen, Extremities
• Abdomen moderately obese with bowel sounds heard in all four quadrants; no abdominal bruits, tenderness, masses or organomegaly.
• Extremities without edema; arterial pulses are diminished in volume but palpable in both feet.
Neurologic
• Alert and oriented.
• Cranial nerves II through XII intact (including normal vision acuity with glasses).
• Limb strength 5/5 throughout except 2/5 on dorsiflexion of the right foot.
• Sensory perception to light touch diminished on the soles of both feet along the metatarsal bar
• Deep tendon reflexes 1+ and symmetric throughout.
• Gait normal except for accommodation to a right foot drop; negative Romberg test.
Question 4. What are the pertinent positives and negatives on the physical examination?

Question 5. What laboratory tests would you order now?
INITIAL LABORATORY RESULTS
• Serum electrolytes, including BUN and creatinine, calcium, and magnesium all within normal limits.

research subject is in blood bank
talk about the Solid phase Red cell adherence for Red cell antigen and antibody detection.
I upload a power point slides that shows every point in my project please follow the instructor on the power point .Also, I upload pdf files shows the result with pic and another files shows the materials and method I used in my project .i explain each steps in method but i want you to make paraphrase to my method writing and will writing in more academic .

However, I upload the article I BEASED ON IN MY project . and I upload final project as example with different topic but it has the same structure that I need it .Also, i upload the literature review I don it for my project
please in discussion part i need strong discuss for the result and write about the Antibody clinical significant for the antibody I used on my project ( anti-D , anti-fy a , anti-k ) and make compare between the three different method i USED ( solid phase , tube method , gel card method ) also in conclusion , please write about the future of solid phase .
in Appendix part , I upload the coast analysis for the three different method plase make compare between the coast for each method , and you can write any extra thing in the appendix .

just to make you clear with my project objectives;
1- check the monolyer stability ( longevity of plate) weekly using the same plasma sample .
2- check the sensitivity of plate using titration of anti- fya . compered to tube and card method .
3- check the specifity of plate using a variety of different plasma with known antibodies.
4- perform a coast analysis of solid phase method and compared to tube and card method.

please follow the instructure and I need project with high quality and strong writing . because this is my graduation project

s may earn up to 25 points toward their final course grade by reading 2 course-relevant SCHOLARLY PEER-REVIEWED JOURNAL articles from the APUS online library and submitting two separate brief 2-3 page summary reports for each. These article summaries must include: the name of the article, the authors and their affiliations, the publication information, and an explanation of the major hypotheses, research methods, results, and implications of the findings. Summaries also should include a brief explanation of the article selection (that is, why you selected it) and a minimum of two links to textbook and other class material. To earn full credit, the summaries must be substantive, coherent, well organized and spelling/grammar error free.

For this assignment, two separate summaries must be submitted as two separate papers for grading (one summary paper can’t be submitted for partial credit). Essay style papers and/or those citing more than one article are not eligible for credit consideration. Extra credit in this course means in addition to rather than in place of the work required of every student. These papers should not be considered as substitutes for skipped discussion assignments or tests. APA formatting and source crediting style must be used. Both summaries are due by 11:55pm on Sunday at the end of Week 5 of the course term and cannot be submitted for evaluation beyond that date, but they may focus on a topic not scheduled until later in the term if the student so desires (this will require reading ahead to get a sound grasp of content beyond Week 5 and not just scanning the text table of contents).

Diagnosing Anterior Cruciate Ligament using MRI.
this project has 2 parts this is my first part has many sub parts in the Literature review . all ponts are in the word file should be covered
anatomy ,physiology , symptoms, ACL appearance on MRI, ACL protocols, advanced or new sequence of ACL MRI
every thing in the file and sake me plz if its not clear better than doing some thing that not required (up dated references )

Briefing Report

You are employed in the population health division of the American Government Department of Health. The government has requested a series of briefing papers that will provide a clear overview of selected health issues and guide her decisions in relation to recommended actions, including policy, funding and/or service delivery concerning these issues.
You have been asked to prepare a briefing paper for the Minister on ONE of the following issues:

Topic: Alcohol – there is considerable public concern about alcohol-related harms at individual and societal levels, and the Minister wants to set an effective national agenda to respond to this issue.

I will write the conclusion so main focus is the for you to complete the body.

 

The research subject is in blood bank
talk about the Solid phase Red cell adherence for Red cell antigen and antibody detection.However, the article is BASED ON IN MY project .you will write final project with different topic but it has the same structure . please discuss for the result and write about the Antibody clinical significant for the antibody I used on my project ( anti-D , anti-fy a , anti-k ) and make compare between the three different method USED ( solid phase , tube method , gel card method ) also in conclusion , please write about the future of solid phase .
in Appendix part, the coast analysis for the three different method plase make compare between the coast for each method , and you can write any extra thing in the appendix .

project objectives;
1- check the monolyer stability ( longevity of plate) weekly using the same plasma sample .
2- check the sensitivity of plate using titration of anti- fya . compered to tube and card method .
3- check the specifity of plate using a variety of different plasma with known antibodies.
4- perform a coast analysis of solid phase method and compared to tube and card method.

please follow the instructions and write a project with high quality and strong writing

Write an Essay related to Valid legal consent, paternalism,HCP and Legal & professional framework – Health

 

This childhood diabetes implementation plan is teaching school age children about disease process and how to manage it

Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:

Methods:
1.Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2.Obtain turnover rates before and after initiating change.
3.Compare patient discharge surveys before change and after initiation of change.

Variables:
1.Staff attitudes and perceptions.
2.Patient attitudes and perceptions.
3.Rate of nursing staff turnover.

Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).

Refer to the “Topic 4: Checklist.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

The research subject is in blood bank
talk about the Solid phase Red cell adherence for Red cell antigen and antibody detection.
I upload a power point slides that shows every point in my project please follow the instructor on the power point .Also, I upload pdf files shows the result with pic and another files shows the materials and method I used in my project .i explain each steps in method but i want you to make paraphrase to my method writing and will writing in more academic .

However, I upload the article I BEASED ON IN MY project . and I upload final project as example with different topic but it has the same structure that I need it .Also, i upload the literature review I don it for my project
please in discussion part i need strong discuss for the result and write about the Antibody clinical significant for the antibody I used on my project ( anti-D , anti-fy a , anti-k ) and make compare between the three different method i USED ( solid phase , tube method , gel card method ) also in conclusion , please write about the future of solid phase .
in Appendix part , I upload the coast analysis for the three different method plase make compare between the coast for each method , and you can write any extra thing in the appendix .

just to make you clear with my project objectives;
1- check the monolyer stability ( longevity of plate) weekly using the same plasma sample .
2- check the sensitivity of plate using titration of anti- fya . compered to tube and card method .
3- check the specifity of plate using a variety of different plasma with known antibodies.
4- perform a coast analysis of solid phase method and compared to tube and card method.

please follow the instructure and I need project with high quality and strong writing . because this is my graduation project

you should write between 700 and 750 words for each question.

2- your answers must be based on the articles and lectures.

5- use simple parenthetical citations in your essay. Do not use long quotations. Quotations over the equivalent of two lines will result in a reduced grade.

6- you must have a clear thesis statement that responds to the prompt and answers the question. Your argument must be logical, clear, coherent and evidence-based. You must use detailed, concrete, and specific examples from the articles and lectures for your evidence. You must list the articles and lectures used as evidence at the end of each question, for example: Talley lecture, Social Ecological Framework or Kreuter et al., “The impact of implementing selected CBPR strategies to address disparities in Atlanta.” This will not be part of the word count for the essay.

QUESTION 1

The social ecological framework was presented in class as providing many possible avenues for research and program implementation. Using the required readings and lectures, write about the pros and cons of a social ecological framework for understanding health behaviors and designing health promotion programs. Your analysis should lead to a conclusion about the framework.