...Introduction In this case Plaintiff seeks a ruling (1) vacating the Secretary’s findings determining the onset date of plaintiff’s claim for disability: (2) establishing June 8, 1983 as the onset date of plaintiff’s clam, and/or (3) in the alternative, remanding this matter to the Secretary for a new determination of the date of onset of plaintiff’s disability based on the entire medical record, under title XVI of the Social Security Act. Plaintiff believes that substantial evidence in the record as a whole supports a finding of disability prior to August 6, 1984 and that she is thus entitled to summary judgment in her favor. II. Summary of Plaintiff’s Claim Plaintiff is a forty-four year old woman who, prior to 1981, has worked continuously for the past twenty years, fifteen of those years as a typist and word processor and the last ten years operating her own typesetting and secretarial service. Her...
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...A young female patient by the name of Jennifer present with several complaints. Although she has been getting at least ten hours of sleep every night, she is experiencing extreme fatigue upon awakening. On average, a person needs six to eight hours of sleep per night. Jennifer’s other symptoms consist of brittle nails and dry hair. She reports trying conditioners for her dry hair problem, however none have solved the problem. Jennifer’s medical history states a diagnosis of Systemic Lupus Erythematosus (SLE), that a specialist has been treating her for for five years. Jennifer’s clinical examination presents further symptoms. Her vitals are normal. She is alert and oriented. Her height was 5”2 and her weight is 120 pounds. This puts her Body Mass Index (BMI) at 21.9 which is considered normal range. Jennifer’s temperature is perfect at 98.6 F. Her blood pressure is 100/60 mmHg and her heart rate is recorded at 110 bpm, which is slightly high for someone of her size. The clinical exam revealed that she is jaundiced, pale, has a distended abdomen, and suffers from splenomegaly....
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...Supplements Summary James Johnson SCI/241 Abstract In this paper I am going to discuss and identify what are dietary supplements, some benefits of taking dietary supplements, some risks from taking dietary supplements, the government regulations surrounding dietary supplements, I will be discussing Rheumatoid arthritis and the use of an herbal supplement to treat it called cat’s claw. What are Dietary Supplements? Dietary supplements in the United States are classified as substances that you consume by the way of eating or drinking them. Dietary supplements can be herbal, vitamins, minerals, or amino acids, or even a part of all of these substances. Some benefits of taking these dietary supplements are boosting energy, losing weight, stress, heart health, liver health, and even to reduce wrinkles. These are just a few benefits of taking supplements, there are experts that say that there are places in our diet that has a definite need for supplements, but there primary goal is to fill in the gaps that we lose as nutrients. There are risks that are involved with taking dietary supplements and people need to pay close attention when taking to many supplements. Like all drugs there are side effects, Exposures to supplements (such as vitamins, herbs, protein powders, and botanicals) accounted for more than 35,000 calls to US poison control centers in 2011. Of these calls, more than 4,000 people were reportedly treated in health care facilities. More than 800 cases were described...
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...Summary: Shannon Ragland is a 47-year-old female who was referred to MRS the St. Tarish Food Pantry. A comprehensive orientation was provided to Shannon in the office on 8/14/17. Shannon and counselor reviewed agency services; employment purpose of MRS program; that an employment outcome shall be in an integrated setting; eligibility criteria; services available through MRS and the statewide workforce investment system; the individualized nature of the program; the requirement to use other sources of funds before MRS can pay for services; how the applicant will be involved in making informed choices regarding their rehabilitation program; customer contribution; the agency’s order of selection for services policy; rights and responsibilities...
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...Cryopyrin-Associated Periodic Syndromes (CAPS) A look into an emerging rare genetic disorder: A Case Study Rebecca Nelson MLS 465 *The patient history, results, and diagnosis in this case study are real. Patient consent was obtained. Overview: A healthy female adult made a new patient appointment to be seen who was experiencing joint pain in her right knee, having trouble walking as result, and felt slightly ill (malaise). Patient arrived to physician’s office limping with limited mobility of right knee, the use of crutches was needed for patient to move. Upon examination, the physician noticed raised hives (urticarial rash) on back, stomach, and arms as well as extreme redness in the left eye similar to conjunctivitis. Patient wanted instant relief for joint pain and indicated other symptoms are ‘normal’ and have been consistent symptoms since birth. Patient temperature was 99.0 degrees Fahrenheit. Full Patient History: Patient was born in a dry desert environment but had spent 8 years in a mountainous city with cold winters. Patient had been back in dry desert environment for 4 months when this appointment was made. Patient has travelled to Nicaragua for two months in 2007 and Costa Rica for 5 weeks in 2009. First indication of symptoms was a full case of urticarial, extreme joint pain, and what the patient described as partial paralysis due to joint pain around the ages of 3-4. Patient did not have medical records but reports tests were completed upon admission...
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...POLYMYOSITIS The following paper presents a summary of the latest information available on polymyositis physiopathology, the symptomatology, diagnosis, and treatment options and research protocols. History: Through medical history there have been reports of different ailments related to the muscular system. In the case of Polymyositis, the first case of a rare muscle disease was reported in 1863, with cutaneous lesions by E. Wagner in 1863 . He described a muscular disorder with a diversity of symptomatology and immunological alterations. In 1887, Hans Unvericht , wrote of an acute weakness, and pain in the arms, and legs, and back, including facial edema with swelling in the extremities, and evening fevers. The illness worsened rapidly to shortness of breath, hoarseness, difficulty swallowing and death. This became known as...
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...consumption. It was the Muslims who introduced hashish, whose popularity spread quickly throughout 12th century Persia (Iran) and North Africa. It made its way to the new land in the mid 1500’s. Marijuana became a major crop like tobacco through the 1600’s in James Town. It stayed that way for over two hundred years until it was replaced by cotton in the 1890’s. It was used as medicine, intoxicant and a social drug through 1930, where it was considered a “Gateway” drug. (Tagliaferro) Medical uses Supposed benefits of medical marijuana are: decrease anxiety, slows Alzheimer's disease, helps multiple pains/muscle spasms, side effects Hepatitis C, treats inflammatory bowel diseases, relieves arthritis discomfort, increases symptoms of lupus, an autoimmune disorder, soothes tremors from Parkinson's and helps with PTSD (Loria, 2014) The State of Oklahoma – Has recently had potions signed to have the legalization of marijuana put on the ballot for this upcoming election, fail do to a technicality. The potion fail by two thousand signatures were not put on the wrong form. This topic has had such an impact on the governor, she is looking at have liquid marijuana legalized for...
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...Tracy’s Custom Wigs Student- Tracy Philpot Professor- K. Tressler Strayer University August 29, 2011 [pic] Executive Summary Tracy’s Custom Wigs is a for profit company which specializes in ground breaking techniques in non-surgical hair replacement that uses a combination of non-toxic human hair, French silk lace to create a natural look for women who wear wigs. The company has developed a proven and patent system that can create a personalized custom hair system full designed or hand tied designed system for each individual or blend with their natural hair color. Tracy’s Custom Wigs import quality human hair into the United States to uses quality human hair to create high graded lace wigs for consumers and distribution points such as beauty supply stores and hair salons. Since this time the mission of Tracy’s Custom Wigs has grown to provide quality affordable lace wigs for individuals suffering from severe hair loss, by enhancing their overall appearance and self confidence without the use of surgery or being placed on a daily pill regiment. Tracy’s Custom Wigs focus is on individuals who have experience hair loss due to medical conditions or hereditary reasons. A women crown and glory defines many things; personality, attractiveness, success, health and social status, just to name a few. Hair loss is dramatic on both self esteem and social life. Many women feel losing their hair they’ve lost a large part...
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...Legal Methods and Process The Affordable Care Act ensures your right to appeal health insurance plan decisions which is when you ask that your plan to reconsider its decision to deny payment for a service or treatment. New rules that apply to health plans created after March 23, 2010 spell out how your plan must handle your appeal (usually called an “internal appeal”). If your plan still denies payment after considering your appeal, the law permits you to have an independent review organization decide whether to uphold or overturn the plan’s decision. This final check is often referred to as an “external review.” Many states offer help to consumers with health insurance problems. The Affordable Care Act improves these services with grants that help states start or strengthen Consumer Assistance Programs (CAPs). The states and territories that applied for these grants have received funds provide residents direct help with problems or questions about health coverage. Whether or not your state has a Consumer Assistance Program, you have rights under the health care law, including the right to appeal decisions made by your health insurance provider. If your state does not have a Consumer Assistance Program, some state and federal government offices may still be able to help you determine your rights and solve problems. Florida does not operate a Consumer Assistance Program under the Affordable Care Act. The new consumer protections and benefits of the law still...
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...businessweek.com (accessed July 20, 2009). Larkowski, K., “Standish Group Report Shows Project Success Improves 50 Percent,” www.standishgroup.com, 2004, Third Quarter. Lunar Energy, “British Firm Announces World’s Largest Tidal Power Development,” Lunarenergy.co.uk (March 11, 2008). Peters, T., PM Network, January 2004, Vol. 18, No. 1, p. 19. Project Management Institute, Leadership in Project Management Annual (Newton Square, PA: PMI Publishing, 2006). Project Management Institute, A Guide to the Project Management Body of Knowledge (PMBOK), (Newton Square, PA: PMI Publishing 2008). Rothman, C., “Promising New Lupus Drug Stirs Hope for Millions,” The StarLedger (July 21, 2009), www.nj.com/news/ledger/jersey/index.ssf?/base (accessed July 25, 2009). Sagan, Sascha, “Motorola Hangs Smartphone Future on Android,” PCMag.com (April 20, 2009). The Standish Group, CHAOS Summary 2009, pp. 1–4. Stewart, T. A., “The Corporate Jungle Spawns a New Species: The Project...
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...Summary: Bill is pretty healthy 34 years old young man. He loves swimming, water ski, and scuba dive. Some reason one day he started to have pain in his right hip and he had no idea where that came from? He thought he would get better after few days, but he did not. He went to see the doctor and he got prescribed an analgesic and some muscle relaxant for pain relief. Unfortunately, his pain was getting worse and worse day by day. So, again he went to see the doctor to follow up on that. His clinician has done a more detail test at this time. They did some lab work and x-ray and he was diagnosed of avascular necrosis. Based on their conversation Bill did not remember he had any injured or trauma in the past. In x-ray results shows the changes...
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...Lar03342_ch01_002-021.indd Page 2 C H A P T E R 1/27/10 2:04:01 PM f-500 /Users/f-500/Desktop/28-12-09/MHBR120:ARENS:PRINTER CRX O N E Modern Project Management Estimate 5 Schedule resources & costs 8 Project networks 6 l iona rnat Inte ojects pr 15 Reducing duration 9 Define project 4 ht Oversig Introduction 1 Strategy 2 Managing risk 7 Organization 3 Leadership 10 Teams 11 Monitoring progress 13 Project closure 14 Outsourcing 12 Modern Project Management What Is a Project? The Importance of Project Management Project Management Today—An Integrative Approach Summary Text Overview 2 16 17 Agile PM 18 Career p aths Lar03342_ch01_002-021.indd Page 3 1/27/10 2:04:02 PM f-500 /Users/f-500/Desktop/28-12-09/MHBR120:ARENS:PRINTER CRX All of mankind’s greatest accomplishments—from building the great pyramids to discovering a cure for polio to putting a man on the moon—began as a project. This is a good time to be reading a book about project management. Business leaders and experts have proclaimed that project management is a strategic imperative. Project management provides people with a powerful set of tools that improves their ability to plan, implement, and manage activities to accomplish specific organizational objectives. But project management is more than just a set of tools; it is a results-oriented management style that places a premium...
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... 4. Review of the Research and Literature…………………………………… Page 8 5. Challenges/Problems Analysis with Disease Management……………….... Page 9 6. Recommend Solutions of Improvements in Disease Management…………..Page 10 7. Implementation of Solutions in Disease Management in Managed Care Industry..Page 11 8. Justification………………………………………………………………… Page 12 9. Summary and Conclusion…………………………………………………...Page 14 10. Works Cited-References………………………………………………….. Page 16 Introduction It is very well known how most physicians or healthcare facilities and organizations handle diseases in our society in my opinion. Managed care for diseases are mostly not focused on, it is for large populations. But typically physicians do try to focus on individuals however once you throw MCO in the mix it becomes similar to a farmer caring for cattle which I hate to say. And I am very much passionate about this subject because of my experience in the very arena. Before I had a stable job with wonderful health insurance, I relied on government paid insurance for a minute and during that time I was diagnosed with Lupus which is a autoimmune disease with no cure. However, while battling this disease I realized how different the treatment I received from physicians in certain organization versus physicians that treat patients that may be low income. Once I upgraded to better insurance, I was able to great doctors and receive the treatment that has me in remission now because of the focused...
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...Assignments The "You Decide" tab to the left presents a difficult and painful dilemma to you in an imagined professional role. Go through the You Decide presentation, make the decision it calls for, and write your weekly paper to make your decision and explain, in the given format, your reasoning and justification for it. Your dilemma is that you have to make a painful medical decision and to explain, in writing, who benefits from what you decided, who gets denied a needed benefit, and why. The document is to be in the form of an official memorandum that will be kept for the record and could be potentially read by not only your Peer Review Committee, but also possibly those involved in charitable fundraising to support hospital development and others with financial interests in the choice made. You will see in the You Decide tab that there is time pressure in the simulated situation to make your decision, so remember that you would not have the luxury to dawdle in the decision-making process, and as the decision-maker, you would not have the luxury of consulting others. It all falls on YOU! Include in the document the utilitarian ethical philosophy of John Stuart Mill (from the lecture and audio for this week) and ONE OTHER ETHICAL PHILOSOPHER of your choice that we have studied to date, and use both of those philosophies to bolster your decision. This paper will be at least two double spaced pages but limited to three pages. Remember both professional written form and potential...
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...A Review of Management Problems Arising From Reintroductions of Large Carnivores Date: September 2014 Abstract | Introduction | Conclusion | Acknowledgements | References | PDF Abstract Large carnivores are often apex predators and are important in ecosystems as their behaviour promotes biodiversity. They frequently fall victim to anthropogenic causes of local extinction and subsequently, have often been the subjects of conservation efforts involving reintroduction programs. As land-use changes restrict ranges and reduce prey for large carnivores, the trend towards local extinction is set to increase; therefore ex-situ conservation is likely to be increasingly prevalent. Reintroduction programmes are divided into two distinct parts. The first part is pre-release, which includes selection, breeding, and preparation of animals. The second part runs from the time the animals are ready for release through the actual release process and may include post-release monitoring and the release of further, supplementary, animals where this is necessary and feasible. This study identifies and discusses a number of potential problems involved in the use of captive animals to seed reintroductions including welfare as well as ethical and political issues. Other challenges include the genetic and behavioural integrity of founder animals and disease control, both in captivity and post release. This study also identifies a number of points for consideration during and after release, including...
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