...second case study that is required for the class. Please submit a paper (doesn’t have to be long; you could even give me bullet-point answers to the questions listed below) that answers all of the questions posed after Case Study 1. I have included an easy second case study which, if you complete it, will be worth extra credit. Answers to the first Case Study are worth 25 points and responding to Case Study 1 is required work for the course. The extra credit, which is not required, will be worth a total of 10 points. Both are due at the beginning of class on Tuesday, March 10, 2015. Case 1 R.S. has smoked for many years and has developed chronic bronchitis, a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial vascular disease. His arterial blood gas (ABG) values are pH = 7.32, PaCO2 = 60 mm Hg, PaO2 = 50 mm Hg, HCO3- = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is using an inhaled ß2 agonist and theophylline to manage his respiratory disease. At this clinic visit, it is noted on a chest x-ray that R.S. has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia. Discussion Questions 1. What clinical findings are likely in R.S. as a consequence of his COPD? How would these differ from those of emphysematous COPD? Chronic Obstructive Pulmonary Disease (COPD) is comprised primarily of two related diseases: Chronic Bronchitis and Emphysema...
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...second case study that is required for the class. Please submit a paper (doesn’t have to be long; you could even give me bullet-point answers to the questions listed below) that answers all of the questions posed after Case Study 1. I have included an easy second case study which, if you complete it, will be worth extra credit. Answers to the first Case Study are worth 25 points and responding to Case Study 1 is required work for the course. The extra credit, which is not required, will be worth a total of 10 points. Both are due at the beginning of class on Tuesday, March 10, 2015. Case 1 R.S. has smoked for many years and has developed chronic bronchitis, a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial vascular disease. His arterial blood gas (ABG) values are pH = 7.32, PaCO2 = 60 mm Hg, PaO2 = 50 mm Hg, HCO3- = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is using an inhaled ß2 agonist and theophylline to manage his respiratory disease. At this clinic visit, it is noted on a chest x-ray that R.S. has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia. Discussion Questions 1. What clinical findings are likely in R.S. as a consequence of his COPD? How would these differ from those of emphysematous COPD? Chronic Obstructive Pulmonary Disease (COPD) is comprised primarily of two related diseases: Chronic Bronchitis and Emphysema...
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...Case Studies Weeks 1-4 Advanced Anatomy and Physiology Name: Robert Mixon Student ID#: 4321101 Case Studies – Instructions: Type your answers IN RED and use your textbook and other resources such as the ones listed below to help you answer the questions. Merck Manual of Diagnosis and Therapy: http://www.merck.com/mmpe/index.html MedlinePlus: Medical Dictionary: http://www.nlm.nih.gov/medlineplus/mplusdictionary.html E-medicine from WebMD: http://emedicine.medscape.com/________________________________________ Case #1: Jim and Jane Magnolia have tried for years to conceive a child, with no success. So instead, they have decided to adopt a child. They have found a beautiful little girl named Emma who has been given up by her mother....
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...Signature Assignment: Chronic Obstructive Pulmonary Disease Case Study Case Study R.S. has smoked for many years and has developed chronic bronchitis, a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial vascular disease. His arterial blood gas (ABG) values are pH = 7.32, PaCO2 = 60 mm Hg, PaO2= 50 mm Hg, HCO3- = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is using an inhaled ß2 agonist and Theophylline to manage his respiratory disease. At this clinic visit, it is noted on a chest x-ray that R.S. has an area of consolidation in his right lower lobe that is thought to be consistent with pneumonia 1) What clinical findings are likely in R.S. as a consequence of his COPD? 2) How would the consequences of the COPD of R.S. (identified in question 1) differ from those of emphysematous COPD? 3) Interpret R.S.’s laboratory results. How would his acid-base disorder be classified? What is the most likely cause of his polycythemia? 4) What is the rationale for treating R.S. with Theophylline and a ß2 agonist? 5) What effects would his respiratory disease have on his cardiovascular function? ANSWERS: 1) 1. And 2. He is likely to have diminished breath sounds. He may or may not have wheezing depending upon the degree of bronchoconstriction and will almost certainly have crackles and bronchial breath sounds over the RLL. Since he is polycythemic and has hypoxemia, he...
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...lot of them. More than 250 of which are toxic. And more than 50 of the chemicals in cigarette smoke are known or suspected to cause cancer (mayoclinic.com). The dangerous particles in secondhand smoke can linger in the air for hours. Breathing them even for a short time — as little as 20 or 30 minutes — can harm you in a variety of ways. And breathing in secondhand smoke over years can be all the more dangerous (mayoclinic.com). Children are more vulnerable to ETS than adults, since there respiratory and immune systems are not fully developed and children spend more time at home where the majority of their ETS exposure exposed. Individuals 18 or younger, living with one or more smokers, were more than twice as likely to suffer from chronic dry cough as adults (U.S. Department of Health and Human Services 2006). Children can be exposed to environmental tobacco smoke in various places such as At Home when Children can breathe in secondhand tobacco smoke if parents or others smoke inside there home. In public places where children can be exposed to secondhand smoke in restaurants, bars, and outdoor...
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...My case study is on a patient by the name of LaToya. LaToya is a fifty-one year-old black female. She was admitted to the medical-surgical department where I work, with a diagnosis of exacerbation of chronic obstructive pulmonary disease. She has a 66 pack-year history, meaning she smoked the equivalent of 365 packs of cigarettes for 66 years, and occasional drug and alcohol use. LaToya is divorced and lives alone in an older apartment building. Chronic obstructive pulmonary disease (COPD) is a lung disease that limits your airflow. COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. COPD is a progressive disease that makes it hard to breathe and the symptoms will get worse over time. Most cases of COPD occur as a result of long-term exposure to lung irritants that damage the lungs and the airways. Cigarette smoking is the leading cause of COPD. Most people who have COPD smoke or used to smoke. One of the greatest challenges for LaToya is to stop smoking. According to the Center for Disease Control (2012), the most important step a smoker can take after getting a COPD diagnosis is to quit. Not only will it make breathing easier, but it will cut down on the risk of severe...
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...mining techniques such as Rule based, Decision tree, naive bayes and Artificial Neural Network to massive volume of healthcare data. It is an extension of naive bayes to imprecise probabilities that aims at delivering robust classifications also when dealing with small or incomplete data sets. Diagnosis of Lung Cancer Disease can answer complex what if queries which traditional decision support...
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...Chapter I I. INTRODUCTION Many people nowadays smoke cigarette even teenagers smoke. Some people have no idea about the chemical of a tobacco and what it can cause to a human body. This paper is intended to give the readers an idea of the factors that trigger cigarette smoking amongst young generation of today, effects of cigarette, like cancer, heart disease, emphysema, and chronic bronchitis. By reading this paper, a person can gain knowledge about the effects of smoking cigarette. So when a person reads this especially those who smoke, he or she may quit or lessen smoking because he or she will know the bad effects of cigarette smoking. It is considered that cigarette smoking is the leading cause of preventable death, leading to an annual five million deaths around the globe. It is estimated that if current smoking patterns carry on, the annual death toll could rise to more than eight million by 2030. Cigarette smoking is a risk factor for many cancers and respiratory diseases. The heavier the usage of an individual and the longer he smokes, the higher the risks for smoking-related illnesses. Cigarette smoking involves inhaling smoke into the lungs. A cigarette contains more than 4000 poisonous chemicals such as nicotine, arsenic, methane, ammonia, cadmium, carbon monoxide, formaldehyde, butane, and hydrogen cyanide. Inhaled cigarette smoke can damage the lungs' cilia, tiny hair-like structures that sweep away debris from the lungs. With the cilia paralyzed...
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...finally kick the cigarette habit only to watch their optimistic expectations to give up in smoke. But if they've tried and failed with conventional smoking cessation approaches wether it’s the use of nicotine gum,counseling, or behavior modification they often look outside the mainstream motivated by the hope that alternative medicine might finally deliver them from a life cluttered with cigarette packs and tarnished by nicotine-stained teeth. Background of the Study Smoking remains a pediatric epidemic with so many adolescents stubbornly refusing to quit. This epidemic is predicted to kill 250 million children and adolescents who are alive today, a third of whom live in developing countries.Tobacco is addictive, carcinogenic and deadly. Analysis has shown that a tobacco leaf contains about 1,000 chemical substances. The smoke carries more than 4,000 chemically different compounds, mostly harmful to man. Tobacco is known or probable cause of some 25 different diseases for lung cancer, bronchitis and Emphysema it is a major cause. According to World Health Organization (WHO) estimated that there are 1.1 billion smokers in the world at the beginning of this decade and it is one-third of world’s adult population. Four million people died yearly from tobacco related diseases throughout the world. WHO estimates that the figure will rise to 10million by the year 2030 that’s one death every three seconds. Help is available through treatment methods that involve...
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...Chapter I THE PROBLEM AND ITS BACKGROUND I. Introduction It is smoking? It is killing many people? Why, would you want to smoke, if it causes so many dead people have all kinds of excuses for that question, Some of which include: “I’m stressed out”, “I need to lose weight”, and “I just want to fit in”. Would you want to die because you wanted to lose weight, you felt stressed, or you just want to be cool? There are many reasons why you should not-start smoking and why you should stop smoking now. II. Backgroud of the study Smoking is an adaptive behaviour which in most cases acquired when an individual is aware of the effects the associated with the habit. A large number of smokers know both the long and short term, smoking is the major cause of cardiovascular diseases, lung cancer, emphysema, and also premature aging. ‘‘Cigarette smoking is dangerous to your health?” This is the packaging warning message. Cigarette, from the french word “cigarette”, meaning “small cigar”. Is a small cylinder effects of this habit which include respiratory diseases and cancer. Shockingly of finely cut tobacco leaves rolled in thin paper for smoking. The term cigarette is commonly used, refers to a tobacco but can apply to similar devices containing other herbs, such as ascloves or cannabis. The smoking habit is easily acquired by an individual. This is because there are various reasons attract an individual into attempting to smoke. Some individuals take the habit...
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...Danielle Wilkinson Alternate Clinical Assignment 01/27/2014 Case Study #1 Episode I 1. List five common environmental triggers for asthma and give at least one specific example for each. Five common environmental triggers for asthma are exercise, allergens, odors, weather, and food. Exercise induced asthma is common in young children and adolescents. The airways in the lungs become narrowed during strenuous exercise. There are many different types of allergens that induce asthma like dust mites, pollen from tress, mold, and pet dander. Odors that can trigger asthma are cigarette smoke, some kinds of perfume, cleaning products, and smoke from burning wood. Weather can trigger asthma by a sudden change in temperature, extreme hot or cold temperatures, and humidity. Foods may also trigger asthma in some by eggs, milk, peanuts, wheat, and soy. 2. Describe the impact of asthma (e.g., morbidity, mortality, economic impact, groups disproportionately affected) on the U.S. population. Asthma affects approximately 16 million Americans, with 2million emergency department visits, and 4,000 deaths a year. Low socioeconomic status impacts Americans with asthma because they may not be able to afford the medication that is prescribed. The more persistent asthma is to an individual, the more damaging occurs in the lungs. The airways begin to undergo remodeling which includes persistent changes in airway structure. The airways begin to become narrower because the epithelial...
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...Health Human Resources Planning: an examination of relationships among nursing service utilization, an estimate of population health and overall health status outcomes in the province of Ontario November 2003 Gail Tomblin Murphy, PhD(c) Linda O’Brien-Pallas, PhD Chris Alksnis, PhD Stephen Birch, PhD George Kephart, PhD Mike Pennock Dorothy Pringle, PhD Irving Rootman, PhD Sping Wang, PhD Decision Maker Partners: Lucille Auffrey, RN Jean-Marie Berthelot Tom Closson Doris Grinspun, RN Mary Ellen Jeans, RN, PhD Kathleen MacMillan, RN, MA, MSc Barbara Oke, RN Judith Shamian, RN, PhD Barb Wahl, RN Funding Provided by: Canadian Health Services Research Foundation Nova Scotia Health Research Foundation University of Toronto Principal Investigators: Gail Tomblin Murphy Professor, School of Nursing Dalhousie University 5869 University Avenue Halifax, Nova Scotia B3H 4H7 Linda O’Brien-Pallas Professor and CHSRF/CIHR Chair, Nursing Human Resources Unit Co-Principal Investigator, Nursing Effectiveness, Utilization & Outcomes Research Unit Faculty of Nursing University of Toronto 50 St. George Street Toronto, Ontario M5S 3H4 Telephone: (416) 978-1967 Fax: (416) 946-7142 E-mail: l.obrien.pallas@utoronto.ca Telephone: (902) 494-2228 Fax: (902) 494-3487 E-mail: gail.tomblin.murphy@dal.ca This document is available on the Canadian Health Services Research Foundation Web site (www.chrsf.ca). For more information on the Canadian Health Services Research Foundation, contact the Foundation...
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...Abstract The purpose of this research is to find out if science supports the influenza vaccination. Research studies have been done since the development of the flu vaccine in 1945 and documented as the first vaccinations were given to the soldiers in WWII. Many kinds of influenza vaccination studies have been done by medical research teams including the Center for Disease Control. The Efficacy and effectiveness of influenza vaccines: a systematic review and meta analysis was researched by Michael Osterholm and his associates by reviewing over 5000 studies of the influenza vaccine. Many articles since then have commented on this meta-analysis and have gone further to expand the question of does the flu vaccine decrease pneumonia in the elderly. Results are such that the confounding conditions of the study needed to be adjusted fully and the studies re-evaluated. Another question arises. Does mandatory vaccination of healthcare workers decrease the spread of the flu virus within the hospital. Evidence for consistent high-level protection is elusive for the present generation of vaccines, especially in those at risk of medical complications and those aged 65 years or older. Does Science Support the Flu Shot? Since the discovery of the influenza virus and the subsequent development of the flu vaccine, has there been enough science research to support the effectiveness and efficacy of the flu vaccine? Influenza also known as the flu is a viral infection...
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...M.Sc. Program DISTANCE LEARNING ASSIGNMENT Introduction to Occupational Health Q1.( A) Define Health Hazards. Explain the processes that can be hazardous for the health of workers with examples. ANS. Health hazard is the state of events which has the potential to threaten and / or adversely affect health of the exposed employees. Or A danger to health resulting from exposure to environmental pollutants, such as asbestos or ionizing radiation, or to a life-style choice, such as cigarette smoking or chemical abuse. Health hazards may be classified as below 1. Chemical 2. Physical 3. Mechanical 4. Biological 5. Psychosocial Above mentioned hazards as well as all other health hazards are disastrous due to their adverse effects on exposed people like Bodily injury, Disease, Change in the way the body functions, grows, or develops, Effects on a developing fetus (teratogenic effects, fetotoxic effects), Effects on children, grandchildren, etc. (inheritable genetic effects) Decrease in life span, Change in mental condition resulting from stress, traumatic experiences, exposure to solvents. Effects on the ability to accommodate additional stress Following are some processes that can be hazardous for the health of workers 1. Abrasive blasting; abrasive blasting operations can create high levels of dust and noise. Abrasive material and the surface being blasted may contain toxic materials (e.g., lead paint, silica) that are hazardous...
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...Sue and John Staton Professor of Law Journal of Legal Studies Education Volume 29, Issue 1, pages 95–125, Winter / Spring 2012 [T]is a plague, a mischief, a violent purger of goods, lands, health; hellish, devilish and damned tobacco, the ruin and overthrow of body and soul.( Richard Burton, The Anatomy of Melancholy (1621), quoted in Philip J. Hilts, Smokescreen 185 (1996)) I. Introduction Tobacco has been an agricultural staple from the time of the first recorded European encounter with the plant in the fifteenth century.2 The pervasive nature of its cultivation and consumption has made tobacco one of the most profitable crops in world agricultural history.3 World production is estimated at thirteen billion pounds annually, originating in more than one hundred countries.4 This production has flourished, in part, due to the demand for cigarettes, the leading form of tobacco consumed in the global marketplace. The World Health Organization (WHO) has estimated that 1.2 billion people over the age of fifteen are regular cigarette smokers.5 In developed countries, 35 percent of men and 22 percent of women smoke cigarettes on a regular basis.6 In developing countries, 50 percent of men and 9 percent of women smoke cigarettes on a regular basis.7 Globally, smokers consume 5.5 trillion cigarettes every year, which translates into a consumption rate of one thousand cigarettes for every person on the planet.8 This case study examines the role of tobacco in the global marketplace...
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