...Case Study One Common Cause Rebecca is having a vaginal discharge for 3 days without other symptoms and significant clinical findings. According to previous study, approximately 75% women have vulvovaginal candidiasis at least once in their live, while 40-50% of them develop 2 or more than two episodes (1). Another common cause of abnormal vaginal discharge, bacterial vaginosis (BV), also have a considerably high prevalence (1). Since Rebecca was having unprotected vaginal sex with her male partner for 9-months, an un-safe sex preference must be considered in this situation. Which means, Rebecca is likely to have unprotected sex with her casual male partners (e.g. no condoms), and STIs must be considered. Trichomonas vaginalis is a common bacterial cause of abnormal vaginal discharge (1), also the commonest non-viral STI across the world (2), it should be considered in this case. Thus, three most likely conditions of Rebecca may be, * Bacterial vaginosis (BV) * Vulvovaginal candidiasis * Trichomoniasis Testing According to the Australian STI Management Guidelines and the STI Treatment Guideline (2010) provided by US CDC, the tests of each listed possible causes can be performed as, 1. BV a) Point of care tests Generally, BV can be diagnosed using gram stain microscopy and Amstel’s criteria (3,4,5). Direct observation of vaginal discharge (using speculum), vaginal pH test (using pH paper) and whiff test (using 10% KOH) need to be performed (3,4...
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...EDCAN CASE STUDY : Libby In the chosen case study a 48 year old women named Libby contracts breast cancer for the second time. In Libby’s journey throughout her treatment she discovers many physical, social, psychological and spiritual issues which affect her overall well-being. This paper will discuss how important it is for nurses to give the best treatment possible; during, between and after therapy. It will also discuss the risks of developing this cancer and how important it is to find the condition early to promote a healthier recovery (Australian Government, 2012). Reducing Risks All women want to know what they can do to lower their risk of breast cancer. Some factors which contribute to breast cancer are your age, being a woman and your genetics. These factors cannot be changed but many other factors can, such as maintaining a healthy weight, not smoking, eating nutritious food and limiting alcohol consumption. By making healthier lifestyle choices the risk of breast cancer is decreased (National Breast Cancer Centre, 2006). In Australia, breast cancer is the most common cancer; one in nine women will be diagnosed with breast cancer by the age of 85. Just being a woman is the biggest risk factor for developing breast cancer. There are approximately 13,000 women diagnosed with breast cancer each year in Australia, and men may also develop breast cancer but it is extremely rare (Cancer Council Australia, 2007). Age is another important factor, the risk of...
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...SUSTAINABLE DEVELOPMENT Student Name: Student Number: Instructor: Class: Date: The concept of Sustainable development has in the recent past, raised concerns in all aspects of day to day living. Consequently, over the years a number of definitions and connotations have been associated with this concept, so as to apply it in different professional settings. Particularly, different professions have adopted various codes of ethical; conduct centered on sustainable development. Accordingly individuals working in various sectors constantly seek to adhere to these codes of conduct within their mandates. The engineering sector is one such area where the concept of sustainable development is regarded as a key tenet guiding ethical conduct among engineers. This paper traces the history of the concept of sustainable development and how it is practically incorporated into the engineering profession. Further, this paper examines the current Engineers’ Code of Ethics and how it addresses the issue of sustainable development. There have been various definitions regarding the concept of sustainable development. However, all these definitions revolve around the concept of need and limitation. The all time famous definition was one brought forward by the world Commission on Environment and Development in 1987 that termed sustainable development as, ”development that satisfies present needs without undermining the ability of future generations to satisfy their own needs.”. This definition...
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...Chronic Obstructive Pulmonary Disease | INTRODUCTION We are doing a case study on medical, nursing, pharmacological management of COPD (Chronic Obstructive Pulmonary Disease). We took a COPD patient and assessed the patient for clinical manifestation, the medical, nursing, pharmacological care given to the patient. In our case study we will include the care Hawwa is receiving now and the care we can add to daily routine to help her recover faster. Hawwa Ismail is admitted to Medical ward with diagnosis of COPD. She is 145cm tall, slim, with dark complexion. She is 79 years old. She said that she has difficulty in breathing, she cannot sleep in night time ,she do not feel like eating food and she was having cough. Physical assessment revealed BP 138/47mmHg right arm in lying position, pulse 84 regular and strong, and breathing pattern was irregular labored, tachypnic at 40 breathes per minute,SpO2 99% in room air and temperature 360C (96.80F).Her facial color and lips are ruddy, but nails are clean ,pale and clubbed. She has a little barrel chest, uses accessory muscle to breathe. She has prolonged expiration. While auscultating lungs, diminished breath sound in most of the lower lobes and a small wheezing sound in right lower lobe was noted. PERSONAL DETAILS PATIENT NAME: Hawwa Ismail ADDRESS:Iruvaige/R.Inguraidhoo GUARDIAN: NAME: Abdul HameedHussain CONTACT NO: 7772099 AGE: 79yrs SEX: female NATIONALITY: Maldivian LANGUAGE: Dhivehi RACE: Asian ...
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...increased intake milk products correlate with but do not necessarily cause adolescent acne. At this point, it is good to note that milk has two layers one that contains fat and one that does not. The fatty layer has hormones such as progesterone and androgens that stimulate acne. Acne leads to hormonal imbalances and thus abnormal experiences in regard to menstruation (Fox 45). The number of diseases caused by bacteria is large but this paper intends to focus on female genital tuberculosis as one of them. Mycobacterium tuberculosis bacterium causes this disease. A person suffering from this disease, experiences the following symptoms; abdominal pain from the lower side, oligomenorrhoea, menstrual disorders, infertility, dyspareunia, vaginal discharges, fatigue, pelvic mass, weightloss among many others. The major treatments include surgery and chemotherapy and use of...
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...Department of Mechanical and Manufacturing Engineering Faculty of Engineering EMM 5977 Independent Study Lecturer: Assoc. Prof. Ir. Dr. Nor Mariah Adam Name Lai Jee Inn Matrik No. GS 42146 INDIVIDUAL ASSIGNMENT Review on How to Improve the Efficiency of the Rechargeable Batteries-Lithium Batteries Lai Jee Inn GS42146 ABSTRACT Batteries are playing important role in our life especially in this high technology era. Laptop, mobile phone, camera and otherwise are using battery to make it to function. In order to improve the efficiency the batteries, several methods are discussed in this paper. INTRODUCTION In this advanced technology era, batteries have been commonly used by the consumers. We use them in different fields like cars, mobile phone, laptop and other else. (Hiroki Kitamura, 2012).Batteries is divided into two main groups which are primary and secondary batteries. (Clean Up Australia, 2009) Primary batteries are the batteries that normally use in dairy life such as remote control, clock but for this kind of batteries is a non rechargeable battery which means that we only can use it for one time and will be throw away after used. This kind of batteries is actually converting the chemical energy to electrical energy and they are normally known as the alkaline batteries. Secondary batteries are batteries that can be rechargeable and recycle after it cannot be recharge. This batteries mostly use for our mobile phone, laptop and other. Although...
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...Australia’s Dynamic Water Industry Fostering excellence in water management About this publication Australia has a unique water challenge. Increasing variability in extreme climate conditions has required governments, industry and citizens to prioritise water management. This focus has led to distinctive approaches, changes in governance, behavioural change and technology innovation. Australia’s experience and approach to addressing water management challenges is regarded as among the most progressive in the world. This publication has been prepared by the Australian Water Association, with the support of the Australian Trade Commission (Austrade), the Department of Innovation, Industry, Science and Research (DIISR ), waterAUSTR ALI A and industry partners to illustrate some of the innovative solutions developed by Australian business and research groups that have built resilience to water management by urban, agricultural and industrial sectors across Australia. June 2011 (10-11-92) Disclaimer This publication has been prepared as a general overview. It is not intended to provide an exhaustive coverage of water innovation in Australia. The information is made available on the understanding that the Australian Trade Commission (Austrade), the Department of Innovation, Industry, Science and Research and the Australian Water Association (the parties) are not providing professional advice. Therefore, while all care has been taken in the preparation of the report...
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...Issue Andrew, Brian, Colin, Diana and Elizabeth are the directors of Pandora Diamonds, which decided becoming more competitive. Therefore it needs to expand its business and it feels with the increased volumes of sales it would be able to lower its prices and become more competitive. It retained a $4 million dollar loan from Bonza Bank Ltd. $3 million is used to buy more stock and $1 million is used to buy a large new warehouse and showrooms from Space Solutions Pty Ltd. However, there are few directors were not really care about the company. Colin was not present at the meeting when these decisions were made. Elizabeth had not attended the meeting as usual but signed the requisite documentation agreeing to the expansion of the business and the getting of the loan. Diana who attended, said she did not know if she agreed and abstained from voting. Andrew and Brian both voted to go ahead with the expansion and the getting of the loan. At about this time Brian had established contact with Victor, who was setting up a new business as a jewellery retailer. Victor was looking for reliable suppliers, but said he would not deal with Pandora Diamonds and Gems Pty Ltd as he did not like Andrew, the Managing Director. Not wishing to miss out on such a lucrative business opportunity, Brian arranged to set up his own business as a jewellery wholesaler and a contract was entered into between Victor and Brian for the supply of jewellery. Six months later, Brian resigned as a director...
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...nosology denotes the conceptual system that supports the strategy of classifying.” ( Mendelson 2001 p. 63) Golightley (2004) text states that classification is an important step towards the diagnosis of a mental disorder. Mental disorder is broken down into various classifications that represent groups or syndromes of symptoms. Thus if a series of symptoms fits into a recognised pattern of behaviour they can be classified as for example, schizophrenia and a diagnosis made. A diagnosis is a short- hand version of what a psychiatrist believes to be wrong with a client. (Gollightley 2004 P 25) According to both Mendelson (2001) and Golightley (2004) classification is important because it provides a common language, provides terms that enable study of...
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...Case Report On : Chittagong Giant Textile Submitted to: Professor Md. Sahidur Rahman Dept. of Management Studies Center for Business Studies University of Chittagong Submitted by: Halima Begum(1302105) Submission Date: 16 May,2015 Chapter Index Serial No Contents Page No 1. Introduction 03 2. Overview of The Company 04 3. Question Analysis: 05 3a. SWOT of the Company 05 Strength 05 Weakness 05 Opportunity 06 Threats 06 3b. Business Level Strategy 07 3c. Recommendation 08 4. Conclusion 09 1.Introduction The Bangladesh Textile Industry has an overwhelming presence in the economic life of the country. Apart from providing one of the basic necessities of life, the textile industry also plays a pivotal role through its contribution to industrial output, employment generation, and the export earnings of the country. In Bangladesh’s current scenario, textile industry is facing more challenges (cotton and yarn price fluctuation, effluent treatment and discharge, customer expectation on high quality and disposal of solid waste) from all the areas of business. For facing these challenges, organization has to plan their effective long and short range strategy. Before starting the strategic planning, the organization has to identify their internal capabilities and their competitive environment. SWOT analysis is one of the self evaluating tools to measure the company internal capabilities...
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...Chiefly, planning and policy attempt to exercise control, to develop a desired future (Thomas 2007, p.7). But control is difficult enough to achieve over people, let alone trying to control the physical environment (Thomas 2007, p.7). Another fundamental issue for policy-makers is the direction of the policy. In particular they have to consider whether they are attempting to prevent environmental impacts that result from human action, or whether they are attempting to adapt to such changes, consciously or unconsciously (Thomas 2007, p.8). Natural Resources Natural resources have been critical for human welfare since people first started to walk the earth several million years ago (Field 2005 p.27). Natural resource economics is the study of how the flow of goods and services derived from natural resources is, and should be, managed in today’s world (Field 2005 p.37). Field continues to state that resource management problems derive from the underlying technological, institutional and cultural factors that characterise the economy (2005, p.37). Given the information concerning environmental policy and the importance of natural resources to human welfare and, the fact that our natural resources are under threat not just for today’s generation but for future generations. This paper will now discuss one of the essential elements of life...
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...drinking as opposed to abstinence is a continuing cause of controversy in alcohol research to this day. The US is different from Europe in its acceptance of controlled drinking as a goal of treatment: “in the US alcohol dependence is typically depicted as a ‘recurring disease’ and the ‘successful abstainer’ as a ‘recovering’ though never ‘recovered’ alcoholic” (Coldwell, 2005). Depending on the alcohol abuse patient’s individual characteristics, either controlled drinking or abstinence is chosen as a treatment. Alcohol treatment in Canada, however seems to incorporate both mechanisms as shown in the study by Rush and Ogborne (1986).The study states that goals for one third of clients who were non abstinent were accepted depending on whether it was a residential or community-based outpatient service. Other effective methods in treating alcoholism are pharmacotherapy, behavioral method and self help manuals. This paper will discuss different therapeutic interventions while highlighting the controversy between controlled drinking and abstinence. Alcohol abuse is growing rapidly throughout U.S. society. One in every twelve adults is being diagnosed with alcohol abuse (Barlow and Durand, 2006). All that are diagnosed with alcohol abuse must meet one or more of the following criteria within a twelve month period: he/ she must fail to accomplish major work, school or home responsibilities; he/ she is careless to where his/ her drinking is taking place, even if it’s in dangerous situations...
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...CLINICAL ISSUES Acute care management of older people with dementia: a qualitative perspective Wendy Moyle, Sally Borbasi, Marianne Wallis, Rachel Olorenshaw and Natalie Gracia Aim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach...
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...Sustainability Research Sustainability is of increasing significance for businesses, communities, and national economies around the globe. Sustainability addresses economic, environmental, and social issues, but it also incorporates cultural dimensions. In the face of globalisation, societies seek to preserve their cultural values and community identity, while still participating in the global economy. In New Zealand the importance of sustainability issues has been recognised by central and local government policies, environmental and economic development agencies, and business leaders. Two of the active business groups focusing on these issues are the New Zealand Business Council for Sustainable Development (NZBCSD) and the Sustainable Business Network (SBN). Waikato Management School is working in partnership with both of these key business groups on sustainability projects and events. The aim of these initiatives is to develop and share insights on sustainable economic development and sustainable enterprise success. The Waikato Management School is distinctive in its commitment ‘to inspire the world with fresh understandings of sustainable success’. These fresh understandings will be achieved through our high quality research that can influence policy makers, excellent teaching, through the knowledge and values our graduates take into the workforce, through our continued consulting with business and the outstanding experiences offered to everyone who connects...
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...Nursing Practice: Acute NURS7113 Nursing Practice: Acute NURS7113 Due Date: 2nd May 2016 by 0900hours Due Date: 2nd May 2016 by 0900hours Paper Coordinator: Paper Coordinator: | Faculty of HealthAssignment Cover Sheet | Please complete this sheet and attach to your assignment, ensuring that you print clearly. Student ID: | 21303376 | | | Student Name: | KrishnitaSen | | | Programme Name: | Bachelor of Nursing (Pacific) - Year 3 | | | Paper Name: | NURS7113: Nursing Practice- Acute | | | Assignment Name: | Summative Case Study and Reflection | | | Tutor Name: | | | | Date Submitted: | 2nd May, 2016 | | By submitting this assignment, I certify that the work presented follows the guidelines set out in the Programme Handbook and is my own original work. We reserve the right to withhold marks or request further information if we are not satisfied that the work presented is the student’s own, or has been referenced appropriately. Introduction A nurse has a crucial responsibility to make accurate and appropriate clinical decisions in an acute setting working in partnership with health consumers across varies lifespan (Crisp, Taylor, Douglas, Rebeiro, 2013). The assignment aims to help develop the clinical skills of a nurse by demonstrating key aspects of client-centered nursing care in an acute setting during the placement. This assignment is based on a health consumer; that was encountered during clinical placement who is of...
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