...Kawasaki Disease Bilitis Rangel Chamberlain College of Nursing NR281: Pathophysiology September 2015 Kawasaki Disease (KD) Introduction Many people in the United States are not aware of Kawasaki Disease (KD) as it mainly affects children under the age of five of Asian descent, however in the United States there have been cases in the African American community (Saguil, A.; Fargo, M; and Grogan, S.; 2015). The first case of Kawasaki Disease (KD) presented itself in Japan in 1961, to a 4 year old boy who had the following symptoms high fever, bleeding lips, strawberry tongue and diffuse erythematous of the oral cavity and mucous membrane (Kawasaki, T., Naoe, S. 2014). Kawasaki Disease affects the coronary, small and medium-sized arteries in the body, affecting the blood supply to the muscles in the heart. Kawasaki Disease (KD) is the leading cause of heart disease in children (Laurito, M; Stazi, A; Delogu, A; … and Crea, F; 2014). Kawasaki disease is also known as Kawasaki Syndrome (KS) and mucocutaneous lymph node syndrome as it affects the skin, lymph nodes and mucous membranes in the mouth, nose and throat. The disease starts of with a high fever and a skin rash that results in peeling and while this can be scary to parents, it is treatable and most children recover without any side effects. Etiology The etiology of Kawasaki Disease (KD) is unknown, but epidemiological and clinical characteristics show that infectious agents in its pathogenesis are involved. There...
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...Study of Japanese Experiences es on Sustainable Urban Development el including Pollution Control and Management, Resource/Energy Efficiency and GHG Reductiion o GH FINAL REPORT T February 2011 y THE WORLD BANK JAPAN INTERNATIONAL COOPERATION AGENCY STUDY OF JAPANESE EXPERIENCES ON SUSTAINABLE URBAN DEVELOPMENT INCLUDING POLLUTION CONTROL AND MANAGEMENT, RESOURCE / ENERGY EFFICIENCY AND GHG REDUCTION FINAL REPORT The First East Asia Eco2 Program, including this study, was funded by the Cities Alliance through a non-core contribution of the Japanese Government, Japan International Cooperation Agency (JICA), and the World Bank February 2011 ALMEC CORPORATION TABLE OF CONTENTS MAIN TEXT 1 SUMMARY 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Context of the Study....................................................................................................... 1-1 Study Objectives ............................................................................................................ 1-2 Analytical Framework of the Eco2 Initiative.................................................................... 1-3 Urban Development Process, Urban Management, and Environmental Initiatives in Japan.......................................................................................................................... 1-5 Responses of Stakeholders ........................................................................................... 1-8 Lessons from Japanese Experiences...
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...Measles is an airborne disease that is spread through respiration (contact with fluids from an infected person's nose and mouth, either directly or through aerosol transmission (coughing or sneezing)), and is highly contagious—90% of people without immunity sharing living space with an infected person will catch it.[4] An asymptomatic incubation period occurs nine to twelve days from initial exposure. The period of infectivity has not been definitively established, some saying it lasts from two to four days prior, until two to five days following the onset of the rash (i.e., four to nine days infectivity in total), whereas others say it lasts from two to four days prior until the complete disappearance of the rash. The rash usually appears between 2–3 days after the onset of illness. The classic signs and symptoms of measles include four-day fevers [ the 4 D's ] and the three Cs—cough, coryza (head cold), and conjunctivitis (red eyes)—along with fever and rashes. The fever may reach up to 40 °C (104 °F). Koplik's spots seen inside the mouth are pathognomonic (diagnostic) for measles, but are not often seen, even in confirmed cases of measles, because they are transient and may disappear within a day of arising. Their recognition, before the affected person reaches maximum infectivity can be used to reduce spread of epidemics. Complications with measles are relatively common, ranging from mild and less serious complications such as diarrhea to more serious ones such as pneumonia...
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...minamata case [1973] and accompanying environmental litigation on the role of the law of tort in japan. After minamata, what are the litigations, how these cases change the role of law of tort in japan. Any wider impact and significance ? japan’s image etc. 2012 ‘The long running Minimata litigation exposes the weaknesses of Japan’s treatment of environmental pollution.’ Discuss. How weak was the law on environmental pollution. How it has changed since then. 2010 Consider the significance of the Minimata litigation on Japan’s approach to environmental protection. How the environmental protection has changed. How the cases come to court more. The contemporary enactments. “The Minimata litigation is an example of the failure of law and lawyers in Japan”. Discuss. How did the law and lawyers fail. Discuss the role of the courts in protecting human health and the environment in the light of the Minamata (1973) litigation. What was the role of the courts in protecting human health and environment in Minamata. After that, the cases that ensued, what role do courts play. And what about now. ------------------------------------------------- Introduction Pollution cases and product liability cases, where tortfeasors are major companies and the loss is widespread. The development of technology made atomic energy and various highly hazardous materials available. There are also medical malpractice cases. Despite...
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...Adams clearly understands and works diligently to support evidence-based practices. The Migrant Head Start program is built on the foundation of research-proven best practices. Numerous research studies have noted the importance of a quality preschool experience in preparing children, especially English Learners, for comprehensive schooling success. Research consistently demonstrates that the more children know about language literacy before they attend school, the better equipped they are to succeed at reading. A report released recently by the Legislative Analyst’s Office confirms that Early Childhood Education is a critical part of K-12 reform. Investing in early childhood education can close California’s educational achievement gap for school populations previously under-served. Thirty years of research and experience have validated the belief that children’s education can be more effective by strengthening the role and responsibility...
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...Pharmacologic Thromboprophylaxis in an Asian Population Kosuke Tsuda MD, Tomio Kawasaki MD, Nobuo Nakamura MD, Hideki Yoshikawa MD, Nobuhiko Sugano MD Received: 8 August 2009 / Accepted: 22 December 2009 / Published online: 8 January 2010 Ó The Association of Bone and Joint Surgeons1 2010 Abstract Background The clinical importance of asymptomatic deep venous thrombosis in elective hip surgery is not clearly known. Questions/purposes We determined the preoperative and postoperative incidences of asymptomatic deep venous thrombosis, identified preoperative factors associated with postoperative deep venous thrombosis or pulmonary embolism, and established its natural course in patients who underwent elective hip surgery without receiving pharmacologic thromboprophylaxis. This work was performed at Osaka University Hospital and Kyowakai Hospital. Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research. K. Tsuda, H. Yoshikawa Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan T. Kawasaki Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine...
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...IHRM can be defined as a highly dynamic and constantly evolving field with new themes emerging, which transcends traditional approaches. (G. Hofstede, 2001) The assignment contributes in developing a broad, detailed and rational study of Japanese HRM practices mainly recruitment and selection and also training and development. It tells us about what is the basic essence that makes them quintessentially Japanese. It tells how it is advancing towards a continuous evolutionary change. This assignment also tells the reader about the impact of culture, traditions, socio-economic and politico-legal angles that affect the very basis of Japanese HRM structure. Finally it tells the reader about the different changes in HRM practices due to the current scenario and ultimately leading the way and telling about the implications for Japanese HRM practitioners. Japan is kind of very well designed society there is plans and structure for everything (Doole and Lowe 2000). Japanese management puts stress to secure survival, long term growth of company to benefit all incorporating the organization. It focuses on soft S of Mckinsey 7S concept i.e. staff style, skill and subordinate goal. Overall significance of HRM on management is high. There is a high importance of HR with stress on its strategic meaning. Management in Japan since end of Second World War can be segmented into different stages shuffling between uniqueness and universal practices. Japanese culture strongly influenced by...
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...DELAWARE INTERSCHOLASTIC ATHLETIC ASSOCIATION Parents/Guardian: The DIAA pre-participation physical evaluation and consents form is a five page document. Pages one, two and four require your signature while page five is a reference for you to keep. This physical evaluation must be completed after April 1 of the current year playing sports and runs through June 30 of the following year. Athlete: _________________ Phone: ___________ Age: ________ Gender: ________ School: _____________ Grade: ______ Date of Birth: _________ Parent/Guardian Name: (Please Print) ____________________________________ PARENT/GUARDIAN/STUDENT CONSENTS ________________________ Has my permission to participate in all interscholastic (Name of Athlete) sports not checked below. If you check any sport in this box it means the athlete will not be permitted to participate in that sport. Collision __ football _ ice hockey __ soccer _ boys’ lacrosse __ wrestling Contact __ volleyball ___ softball __ field hockey ___ baseball __ basketball ___ girls lacrosse __ squash __ __ __ __ Non-Contact cross country swimming track cheerleading ___tennis ___golf ___crew 1. My permission extends to all interscholastic activities whether conducted on or off school premises. I have read and discussed the “Parent/Player Concussion Information Form” and the list of items that protect against the loss of athletic eligibility, with said participant and I will retain those pages for my reference...
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...family of large organic compounds involved in many important biological processes. Following their enzymatic hydrolysis during food processing or digestion, proteins may release fragments from their primary amino acid sequence. These fragments are called peptides, and many of them are known to be physiologically active. The possible beneficial effects of bioactive peptides have attracted increasing interest in recent years. On the other hand, there are also reports suggesting that some food-derived peptides might adversely affect human health. Among these, β-casomorphin-7 (BCM7), a peptide sequence present in the milk protein β-casein, has been suggested to contribute to an increased risk for certain non-communicable diseases, such as autism, cardiovascular diseases and type I diabetes. Some literature reports have proposed possible mechanistic explanations for such associations Recognising the alleged negative effect of BCM7 on human health, EFSA deemed it necessary to perform a comprehensive review of the published scientific literature in...
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...MODELS FOR ESTIMATION OF ISOMETRIC WRIST JOINT TORQUES USING SURFACE ELECTROMYOGRAPHY by Amirreza Ziai B.Eng., Sharif University of Technology, Tehran, 2008 THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF APPLIED SCIENCE In the School of Engineering Science Faculty of Applied Science © Amirreza Ziai 2011 SIMON FRASER UNIVERSITY Summer 2011 All rights reserved. However, in accordance with the Copyright Act of Canada, this work may be reproduced, without authorization, under the conditions for Fair Dealing. Therefore, limited reproduction of this work for the purposes of private study, research, criticism, review and news reporting is likely to be in accordance with the law, particularly if cited appropriately. APPROVAL Name: Degree: Title of Thesis: Amirreza Ziai M.A.Sc Models for estimation of isometric wrist joint torques using surface electromyography Examining Committee: Chair: Parvaneh Saeedi, P.Eng Assistant Professor – School of Engineering Science ______________________________________ Dr. Carlo Menon, P.Eng Senior Supervisor Assistant Professor – School of Engineering Science ______________________________________ Dr. Shahram Payandeh, P.Eng Supervisor Professor – School of Engineering Science ______________________________________ Dr. Bozena Kaminska, P.Eng Examiner Professor – School of Engineering Science Date Defended/Approved: _________September 2, 2011 ______________ ii ABSTRACT With an aging...
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...NCSBN ON-LINE REVIEW 1.A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. reason for the nurse to elevate the casted leg is to A) Promote the client's comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return The most important D: Improve venous return. Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well. 2. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? A) B) C) D) Clean the meatus, begin voiding, then catch urine stream Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique 3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first? A) B) C) D) 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old...
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...CHAPTER I INTRODUCTION 1.1 Background Cost management information consists of financial information about costs and revenues, and nonfinancial information about customer retention, productivity, quality, and other key success factors for the organization. Cost management is the development and use of cost management information. A strategic understanding of cost management is so important that many senior financial managers are coming back to school to learn more about strategy, competitive analysis, and new cost management techniques. Knowing how to do the accounting alone, no matter how well you do it, is by itself no longer sufficient. 1.2 Purpose of Writing The general purpose of writing is to complete the final task of the subject of Cost Management—module assignment—in the fifth semester. It shows how well and how far we have understood this subject. 1.3 Methodology * The method used in the process of completing this module assignment report is qualitative methods: analysis and assumption. I directly received the information from the annual report and website of Dell Inc. * I also used the theory from the text book of Cost Management – A Strategic Emphasis Sixth Edition by Blocher. Then, I compare the information that Ireceived with the theory that I know from the text book. 1.4 Systemization The format of our module assignment is as follows: * Chapter I is Introduction which consists of four major sub-chapters: Background, Purpose of Writing...
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...publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately capitalized. Pearson Education cannot attest to the accuracy of this information. Use of a term in this book should not be regarded as affecting the validity of any trademark or service mark. Warning and Disclaimer Every effort has been made to make this book as complete and as accurate as possible, but no warranty or fitness is implied. The information provided is on an “as is” basis. The...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...Public Disclosure Authorized ... ........ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.- ..........~~ ~ ~ ~ ~ ~ ~~~~~~~~~~~~~~~~~~ ~ .... ~ ~ . :~ .......... ..... :. s~: ... - Public Disclosure Authorized a ........ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~. ................. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ .... - ........ ........... _ - Public Disclosure Authorized .... .... ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.... -,// ... ..... ...... 1 I ... . .... .. ..... I 9~~~~~~~... . . .. .. .. . .. A ~~ ~~~~...... Public Disclosure Authorized ..... The WorldBankis committed knowledgesharingwhichinvolvesnot only the Bank's to communities practiceand their partners,but the entire development of community. processof A knowledge management essentialto makesense out of and act upon the vast quantitiesof is information available today.Still in the earlystagesof implementation, knowledge management is expectedto changethe internaloperationof the WorldBankand transformthe organization's relationships with externalclients,partnersand stakeholders, becominga key way of doing businessin the 21stCentury. Giventhe speedof globalchangeand the value of learningfromongoingactivities, Urban the Development Divisionand GlobalUrbanPartnership the WorldBankare committed of to communicating resultsof the Bank'surbanworkto the development the communityas quickly and clearlyas possible. Towardthat end, this informalor...
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