There is also aneed to discontinue all the nephrotoxic drugs as well as the elimination of exposure to any form of nephrotoxins. All forms of electrolyte abnormalities must be properly corrected.Uric acid and pigments can be treated using alkaline dieresis. Alcohol drip and fomepizole should be used for treating methanol or ethyl glycol poisoning.
Postrenal acute renal failure is caused by the obstruction of the urinary collection system which is distal to the kidney.The obstruction is noted to lead to increased pressure in the patient's Bowman's capsule with the resulting impediment of glomerular filtration. Prolonged results ultimately lead to postrenal renal failure. The management of the condition includes the treatment of the various or specific underlying cause (s) such as high blood pressure, trauma or toxins
Intrarenal acute renal failure is caused by the primary dysfunction of the kidney's nephrons, it may however be caused by vascular, glomerular as well…… [Read More]
CLIA UINALYSIS TESTS IN PHYSICIANS' OFFICES
CLIA Urinalysis Tests in Physicians' Offices
CLIA regulations cover all laboratory tests conducted medical purposes. Many of these tests no longer require intensive oversight procedures because manufacturers have designed them to be almost foolproof and safe to use. Waived urinalysis tests include those detecting illicit drug use, pregnancy, liver and kidney problems, and blood abnormalities. The ease and speed with which these tests can be performed, and the relatively relaxed CLIA regulations covering their use, are making them increasing popular for use in provider offices.
CLIA Urinalysis Tests in Physicians' Offices
All clinical laboratory services offered in the United States are regulated under the Clinical Laboratory Improvement Amendments (CLIA) of 1988 (Centers for Disease Control and Prevention [CDC], 2005, p. 2). The Centers for Medicare & Medicaid Services (CMS) administers the CLIA program and the CMS, CDC, and FDA are jointly responsible for…… [Read More]
In this second phase of my 'career training in life, for over a year after I pursued a career in the medical field, I have developed administrative skills such as medical records/data management and preparation and processing of relevant medical forms and documents. Currently, I have been exposed to other responsibilities such as patient education and quality control and documentation.
More importantly, as a medical assistant, I have acquired important skills and knowledge about tasks that will equip me in my plans to become a nurse. I have been trained to know general medical tasks such as vital signs, setting-up and preparing clinic/hospital facilities, equipments, and materials (such as injections, prescription refills, instrumentation, bandaging, sterilization procedures, and chemical disinfectants). I have also become adept at accomplishing skill- and knowledge-specific medical tasks, which includes diagnosis determination and testing and utilization of medical tools and equipments (phlebotomy, vision testing, prenatal and GYN…… [Read More]
The authors state: "The amphetamines occasioned dose-related increases in d- amphetamine-appropriate responding, whereas hydromorphone did not. Amphetamines also occasioned dose-related increases in reports of the drug being most like "speed," whereas hydromorphone did not. However, both amphetamines and hydromorphone occasioned dose-related increases in reports of drug liking and in three scales of the ARCI. Thus, some self-report measures were well correlated with responding on the drug-appropriate lever and some were not. Lamb and Henningfield (1994) suggest that self-reports are complexly controlled by both the private event and the subject's history of experience with the drug. Some of the self-reports they observed (e.g., feels like speed) are probably occasioned by a relatively narrow range of stimuli because in the subject's experience with drug administration, these reports have been more selectively reinforced by the verbal community relative to other reports (e.g., drug liking). They also suggest that these results imply…… [Read More]
eview of Symptoms and Lab esults
The reported nausea, vomiting, and abdominal pain may indicate a GI disorder, but combined with the patient's diabetes, unusual thirst, constant urination, and fatigue, the symptoms are more indicative of an endocrine disorder (Lippincott Williams & Wilkins, 2006).
Some of the patient's lab results fall into the normal range: BUN of 16 mg/dl (normal is 8 -- 25 mg/dl); creatinine of 1.3 (normal is 0.5 -- 1.7 mg/dl); sodium of 139 mEq/L (normal is 135 -- 145 mEq/L); blood pressure of 90/60 (normal is less than 120/80); and temperature of 99 .1°F (Chernecky & Berger, 2001; Pagana & Pagana, 2003).
Other lab results fall outside of the normal range: glucose of 420 mg/dl is very high (normal is 60 to 110 mg/dl); 4+ glucose and 3+ ketones are very high (normal is no glucose or ketones present in the urine); pH of…… [Read More]
However, as criminals become more aware of undercover tactics, the covert officer is required to provide more and more proof that he is indeed a criminal- which leads to the officer committing acts that compromise his or her integrity for the sake of maintaining cover. y understanding the often conflicting nature of these goals, deception and integrity, we can see how an undercover officer can become confused, lost, and susceptible to temptation (i.e. criminal behavior).
y examining both aspects- environmental factors and personality factors- we take into account both sides of a complex relationship. These two groups of factors, when combined together, shed some light on the exact nature of criminal tendencies amongst police officers.
Definition of Terms
Covert: another term for undercover, meaning the use of deception for the purpose of gathering information or intelligence.
Non-covert: police officers that, even in plain clothes, maintain their own true identity instead…… [Read More]
Drugs in Federal Corrections
One of the issue faced by the criminal justice system is offenders with drug problems. esearch has indicated that almost 70% of criminals entering the correctional institutions have injected drugs 12 months prior to their incarceration (uiz, Douglas, Edens, Nikolova, & Lilienfeld, 2012). These patterns of drug abuse clearly demonstrate that many prisoners begin their prison terms with drug problems. If the problem is not recognized early, it results in demand for drugs within the correctional facility. This demand creates problems and challenges for prison administrators. Prisoners use of drugs results to increased safety risks, violence, corruption, and occupational health. There is also a risk of the prisoners resulting to extreme measures in order for them to access the drugs. They may commit acts of violence, or use threats. The issue of drug results in an increased risk of contracting diseases like HIV /…… [Read More]
The first method, therefore, of curtailing use relates to the development of tougher measures for soldiers once they have failed a drug test. Prevention programs should be given a higher priority than is currently the case. ith stronger prevention programs, and if commanding officers are more willing to put troops who have failed drug tests into those programs, more soldiers can see their drug use curtailed.
The second method is related to the first -- prevention programs. If stress in its various forms is a major cause of illegal drug use among soldiers, then there needs to be more awareness of the issue in the military community, and more help available to soldiers before they start using. Training for all members of the military community would allow for the creation of an informal support grid for soldiers experiencing stress. Programs that give soldiers a place to turn to when they…… [Read More]
Internet: Privacy for High School Students
An Analysis of Privacy Issues and High School Students in the United States Today
In the Age of Information, the issue of invasion of privacy continues to dominate the headlines. More and more people, it seems, are becoming victims of identity theft, one of the major forms of privacy invasion, and personal information on just about everyone in the world is available at the click of a mouse. In this environment, can anyone, especially high school students, reasonably expect to have any degree of privacy? High school students, after all, are not protected by many of the same constitutional guarantees as adults, but their needs for privacy may be as great, or greater, than their adult counterparts. To determine what measure of privacy, if any, high schools students can expect at home and school today, this paper provides an overview of the issue of…… [Read More]
recoding a pregnant mother-Based case study. thai primegravida multpara.
This essay is about a process recording for a pregnant mother. Process recording is a written record of an interaction with a client. Pregnant mothers are in danger of any disease but there most alarming gestational diseases; these include hypertension, cardiac disease, anemia, diabetes, hyperemis gravidarum and many more. In this essay am only going to dwell in gestational hypertension.
This is a process recording of a case study of a pregnant mother. Mrs. B is a 16 years old primigravida at 30 weeks gestation and has attended the antenatal clinic three times. All finding were within the normal range until her last visit 1 week ago when her blood pressure was 130/90mmHg.On urinalysis there was no proteinuria. The fetal heart sounds were normal, the fetus was active and uterine size was consistent with dates. She has come to clinic today,…… [Read More]
Main Functions of the Kidneys
The kidneys are bean-shaped organs, 12 centimeters long, which lie at the sides of the spinal column behind the abdominal cavity (Merck 2010). Their main function is to maintain the proper balance of water and minerals in the body. Their other major functions include filtration and elimination of wastes and toxins, regulation of blood pressure and secretion of some hormones. The amount of water taken into the body must match the amount being eliminated. If the balance is not maintained, water will accumulate fast and illness or death may occur. Excess water will dilute the body's electrolyte and inadequate amount will concentrate electrolytes. The kidneys regulate and help maintain the precise concentrations (Merck).
The kidneys' second major function consists of filtration and excretion (Merck 2010). They pass out urea, a main waste product from protein metabolism. Urea moves through the glomerulus and into…… [Read More]
There are many of these individuals, and it is time that this is changed.
Parents often look away from these kinds of problems, or they spend their time in denial of the issue because they feel that their child will not be harmed by parental involvement with drugs or alcohol. Some parents have parents that were/are addicts themselves, and some are so busy with their lives that they do not actually realize that their child has any kind of problem with the lifestyle of the parent until it becomes so severe that it cannot be overlooked, or until it is brought to their attention by police, the school, or someone else that has seen it first hand. Parents are not the only ones that overlook this issue, though.
Sometimes siblings and friends also see problems that they ignore, do not understand, or do not talk to anyone about, and the…… [Read More]
The patient should drink less, participate in more physical activity and should eat a better diet. The blood pressure and cholesterol both need to come down immediately.
The patient needs to take the recommendations in question 5 or he likely has a very dim future if his BP and cholesterol is not lowered a lot. Blood pressure should be measured after the patient has rested for at least five minutes. He should be instructed in advance of the appointment what not to eat or drink so that the test result is not improperly influenced (e.g. drinking caffeine).
There is no advancement or progression in symptoms but blood pressure is still entirely too high. It needs to drop by at least 30 points to be within a non-hypertension range. Needs to be made clear to patient that while he is feeling fine for now, that will change…… [Read More]
limits that should be placed upon search and seizure in public schools.
Apply specific legal rulings to support your position.
Analyze the New Jersey v. T.L.O. case and explain how it supports or undermines your argument.
Recommend changes to existing (specific) laws to create a fairer educational setting in terms of search and seizure.
It seems to me that search and seizure of student and faculty member possession should be scrupulously directed by the Fourth Amendment and the Fifth Amendment and that searches conducted on students should be implemented with the same dignity and in the same manner as they are conducted on faculty members. Research shows that schools are becoming increasingly restrictive in their investigation and that they, frequently, fail to protect even the basic Fourth Amendment privacy rights of the students (Berger, 2003)
The Fourth Amendment prohibits "unreasonable" searches and seizures. It is concerned with the manner that…… [Read More]
Drug Courts: A Program to Reinvent Justice for Addicts
For the past several decades, drug use has had an overwhelming effect upon the American justice system, with drug and drug-related crime being the most common offense in almost every community (Drug Strategies, 1996). eyond the troubling ability of these problems to fill prisons to capacity, the traditional judicial system seemed to have no deterrent effect on these crimes (Drug and Crime Facts, 1994). A disturbing "revolving door" pattern had emerged, with drug offenders moving through the system in a predictable pattern of arrest, prosecution, conviction, incarceration, and release. In a few weeks, sometimes only a few days, the same person was back in the system again, arrested for drug possession or a drug-related crime (National Association of Drug Court Professionals [NADCP], 1997). A particularly difficult problem faced by the system was the growing use of crack cocaine in the 1980s…… [Read More]
When the Truth Takes a Stretching Class
Maria Bailey clearly and blatantly misrepresented the size of her start-up business, but shrugged it off saying she knew what she was "capable of doing" and just wanted to show potential clients "what we were going to be," rather than tell them the truth about how fledgling her business actually was at that time.
Was it immoral for Mary Bailey to misrepresent her company?
Looking at the "consequential" side of her decision to fudge the truth about her company, moral decisions are made based upon what the consequences of the action will be. The results of her action actually could have several consequences. The one first and pivotal consequence Maria hopes will happen, of course, is that the fact of her deciding to embellish the truth about the size of her company will bring potential customers into her business start-up Web…… [Read More]
Screening and Assessment Methods
Drug or substance abuse and other addictive disorders have become a major issue in the United States given their prevalence among adult members across various occupations and workforce. Actually, recent statistics and trends have indicated that working adults account for a huge portion of illicit drug users. Notably, the substance abuse and other addictive disorders not only involve the use of illicit drugs but also entail misuse of prescription drugs like stimulants, tranquilizers, sedatives, and analgesics (Hersch, McPherson & Cook, 2002, p.1332). As drug abuse has increased tremendously, the negative impacts of addictive behaviors have become prevalent in the society such as increased health care costs and high rates of accidents. Consequently, several measures have been developed in an attempt to deal with these disorders including cognitive behavioral therapies.
The use of the various measures and therapies usually involves assessing and diagnosing clients for drug abuse…… [Read More]
Healthcare -- Nursing -- Case Study
I am required to make differential diagnosis, examine health issues and their management, order diagnostic tests and provide health teachings/health promotion for "Ted." Ted is a 55-year-old Caucasian man with general malaise and a 6-day history of a productive cough. During this time he had noticed a gradual accumulation of fluid in his legs and feet. He had not seen a health care professional in 3 years. His social history was significant because he smoked about a pack of cigarettes a week. Ted reported having a dry, hacking cough for years, but he attributed it to 30 years of smoking. The review of systems was unremarkable. Generally he appeared well nourished and in no acute distress. The physical exam showed the following: weight 142 pounds, height 5'8," blood pressure 150/92 mmHg left arm and 158/96 mmHg right arm, temperature 99.2 degrees F, and oxygen…… [Read More]
Prior to Launching Technology Initiatives
Over the past seven years, many healthcare organizations, like OUUCH, have begun to transition from the traditional paper-based systems to EH systems. esearch has shown that over a period of time. EH systems can improve quality of care for patients, provide more accurate information, and overall improve safety issues relating to reducing mistakes with patients. In the exploratory study, "Change factors affecting the transition to an… [EH] system in a private physicians' practice: An exploratory study," Aaron D. Spratt, Social Security Administration and Kevin E. Dickson (2008), Southeast Missouri State University, report that the U.S. health care industry reportedly ranks among the world's leading inefficient information enterprises. Although the system needs major changes, the transition process however, creates a high change in the business aspect of an organization. Spratt and Dickson (2008) explain that for an EH system to be successful, doctors must be involved…… [Read More]
However, I did not feel in any way degraded by the position in the way that Ehrenreich did, and I believe that to be the case because many of Ehrenreich's positions were by their very nature problematic. For example, she worked as a waitress and a house cleaner. Both of those positions place the individual in a position of subservience. Working at Blockbuster is different because we are around movies and customers who come in just to look for some entertainment. As staff, we are not treated poorly. Management seemed quite happy and laid-back, which made the store ambiance easy for all the clerks. Although I did not mind the work itself, the paycheck was meager and I cannot imagine paying rent with what I earned. The paycheck was only part-time, as no clerks were able to work full-time because the company would have to pay them a salary plus…… [Read More]
In the same way that traditional techniques of criminal identification have enabled law enforcement authorities to establish national fingerprint information databases for the purposes of connecting evidence to possible previous offenders, DNA-based forensic evidence has allowed the creation of similar databases greatly expanding the types of forensic evidence used to increase the security of sensitive facilities and restricted areas.
When combined with the ever-increasing power of modern computer technology to cross reference and match different types of physical evidence, law enforcement authorities have already developed the ability to establish terrorist watch lists incorporating forensic evidence of previous acts of terrorism with uniquely identifying features of perpetrators still at large. The continued evolution of such marriages between criminal forensics and identification techniques will greatly enhance homeland security, both at checkpoints and in terms of tracking the possible whereabouts and activities of persons of interest in connection with possible terrorism.…… [Read More]
Patrol crafts would be deployed along the coastal areas waiting to act upon any information provided to confiscate drugs and arrest drug traffickers. For this purpose, the city police would be armoured with 2 well-equipped fast patrol crafts. Communication services between the stations and the patrol crafts would be state of the art including GPS systems and radar networks to facilitate identifying and tracking down of suspicious activity in the coastal waters. Further, the use of latest thermal imaging and laser optics tools would provide effective supervision at nights.
The police department has immense responsibility in maintaining law and order and providing safety and security would necessitate a strong police force based on a clear and sound organizational philosophy. As a coastal city with its growing population, the urban city of Metropolis is faced with numerous problems, in particular the high drug trade activity along the coastal regions. The…… [Read More]
Slippery Slope Law / Discrimination
The definition of the slope and its legal implications are largely hypothetical. According to Eugene Volokh, an action that is voted in -- say a ban on guns provides with the curtailment of many other things -- like confiscation of guns, costs or data bases and many other legislations that flows into creating a system that was not envisaged in the first place or would have been the primary action. For example the gun control could flow into some other area like searches and restriction and create an altogether different system. The analogy of the slippery slope where an act of a camel causes a slope to flood and grow an oak in consequence -- the original act being something different intended is to be considered. (Volokh, 48) In truth is there such a slippery slope in legislation?
Thesis Statement: "There is no such slope…… [Read More]
In the 1930s, Dorothea Lange used photography to document the disastrous conditions for Americans confronted with the Dust Bowl in the West. The images demonstrated the urgent need for government programs to assist these disadvantaged people. The photographs told the entire story. Today, Lorna Simpson's photographs do the same: document the American blacks and demonstrate their personal societal needs. This Brooklyn-born artist uses black-and-white images to portray the situation of present-day American blacks so uninformed viewers can better understand these individuals perception of the world.
As Simpson notes about her work:
By presenting these cliches about women, I'm dealing with the language of stereotypes. I'm pointing to the fact that the wrong questions are so often asked, and this is why you don't know anything about this person. I intentionally sought to avoid presenting a 'them and us' situation, them being a white audience. It is also a…… [Read More]
Theatre Nurses Equipped With the Skills equired to Perform Pre-Operative Visits
To Perform Pre-Operative Visits?
Are Theatre Nurses Equipped With the Skills equired
To Perform Pre-Operative Visits?
Are Theatre Nurses Equipped With the Skills equired
To Perform Pre-Operative Visits?
Pre-operative assessment is part of the E process that many medical professionals believe can be accomplished on the part of nurses in the unit.. The objective listed for pre-operative assessment is that special requirements for the surgery as well as the peri-operative stay should include identification and coordination of all essential resources, should inform the patients and prepare them to proceed and to ensure the patient's fitness for the procedure(s) scheduled. . The nursing team clinically examines as well as assessing all emergency patients before surgery to ensure the fitness of patients to the greatest possible extent. Strategies include, "redistributing cases from emergency to elective theatre schedules, day case emergency…… [Read More]
As the database network administrator assigned to the reworking of this expanding medical practice, my primary concern will be to balance the need for a large staff to be able to access the data (with differing levels of access allowed to people in different positions) while at the same time adhering to the standards of medical confidentiality as they are outlined in the HIPPA statutes and as supplemented by the medical ethics of this practice, which we assume to be of the highest since the staff are expending time and money to bring their system into compliance with current law and practice.
The first part of my job would be to create the basic categories into which all of the relevant data can be sorted. One of the key roles of designing a database is that of reducing the complexity of the real world into a manageable degree.…… [Read More]
, 2003, p. 3).
The research showed that the use of various performance-enhancing substances is not new, but the controversies associated with the use of anabolic steroids, particularly by young athletes, has assumed increasing importance in recent years. More and more studies have shown that the use of these substances typically begins during the formative adolescent years, a practice that can have lifelong consequences in terms of physical problems and growth constraints. Moreover, there are profound moral and legal issues involved in the use of such performance enhancers, and while many observers might question that legality of such testing programs at the high school and collegiate level, the high incidence of use in recent years clearly indicates that more needs to be at all levels to help prevent young athletes from beginning to use these substances, and to help those who have already started to stop.
Allison, P.C.,…… [Read More]
e., they became helpless). Furthermore, other behaviors of the dogs were adversely affected (e.g., the dogs appeared apathetic and had poor appetites) (Hitzemann, 2000). In his essay, "Animal Models of Psychiatric Disorders and Their elevance to Alcoholism," Hitzemann (2000) reports that, "Both fear and anxiety are alerting signals that warn the individual against impending danger and enable the individual to take defensive measures. For animals, the distinctions between fear and anxiety are vague" (p. 149). The distinctions between fear and anxiety are clearly irrelevant for humans who encounter such stressed animals, though.
According to Hodge and Stull (2000), dog bites cause an average of 17 human deaths, 6,000 hospitalizations, and 330,000 emergency room visits every year in the Untied States and a like number of people probably do not seek treatment or report the incident, but may nevertheless experience psychological trauma, anxiety, and missed work or school. Furthermore, dog bites…… [Read More]
Gonzalez (2007), discusses the company WellPoint Inc. that provides its members with the capability to develop their own personal health records, an option to receive test results online, provide a limited set of records to their providers and to allow other family members access to the information. In terms of security safeguards, WellPoint tracks who accesses information and has staff members to monitor the systems for potential breaches. This in turn offers users a certain level of security and quality in services rendered.
As pay-for-performance programs flourish, there is a fear that many EHs cannot accurately capture the data that is required to participate. The biggest obstacles for software makers are the sheer volume of performance measures and the lack of standardization among them. One pressing issue is that some EH systems are still text-based and are therefore not as powerful for reporting and extracting information. (McKinney, 2007)
Wilson (2007),…… [Read More]
differential diagnosis for Mrs. Patrick and give the most likely probable diagnosis.
A review of the case reveals that Mrs. Patrick could be suffering from Fibroblastic rheumatism, heumatoid Arthritis, Sarcoid arthropathy, Acute viral polyarthritis or heumatoid Arthritis.
Fibroblastic rheumatism is noted by Chkirate and Job-Deslandre (2001) to be a very rare disease of an unknown etiology. It however shares certain features of arthritis, nodules as well as arthraglia. The disease causes flexion contractures in most of the patients, a symptom which Mrs. Patrick lacks. In half the cases, thickened palmar fascia is presented.
This is a chronic arthritis in the sarcoidosis and it may be polyarticular or oligoarticular. In most cases, it presents itself similarly to A.In most cases it affects knees, hands, ankles and wrists as well as interphalangeal joints and metacarpophalangeal. It is also normally associated with parenchymal pulmonary disease.It is distinguished from heumatoid Arthritis by:…… [Read More]
What is Project HOPE and what are the goals of the program?
In basic terms, Project HOPE according to the OPPAGA eport (2004) was "a pilot program in Hillsborough and Pinellas counties intended to break the cycle of prostitution and solicitation." The project was created by the Laws of Florida -- Chapter 2002-297. Made up of two components, i.e. prostitutes and johns (individuals soliciting prostitutes), those who participated in the program were requested to enroll into the same by "judges, state attorneys, public defenders, probation officers, and jail staff" (OPPAGA eport, 2004). It should be noted that as provided for by the law under which it was created, the program had its doors open to any individual convicted of prostitution. As the OPPAGA eport (2004) further points out, the program was mandated to "provide intake and screening, drug screening and urinalysis tests, psychosocial assessments, case management, short-term counseling,…… [Read More]
Contraband in Jail
Controlling contraband should be the top priority of any prison management, regardless of the level of security. Contraband is any item that a prisoner is not allowed to possess (Frantz 178). All correctional facilities provide their inmates with room and board, clothing, medical care, and basic hygiene items. A number of these facilities allow their inmates to buy items from the commissary or receive other articles or items through other authorized channels. Any other thing, aside from these that a prisoner possesses are contraband. eapons and escape materials are both dangerous in the correct circumstances. A number of staffs who work in prisons are acutely aware of the destruction that these items are likely to cause. These items, in addition to drugs and alcohol, can cause great havoc and pose a potential danger to staff and other inmates. Other items such as materials to make homemade ropes…… [Read More]
In addition to the therapeutic armamentarium, CAM reported to have a great role to treat interstitial cystitis (IC). It is multimodal and individualized and includes various treatment methods including: Neuromodulation, dietary modification, acupuncture, surgical methods, medications etc. The objective of this literature review is to discuss the possible causes of the IC, diagnosis, prevalence, the symptoms, and CAM treatment options.
Interstitial cystitis (IC) also called as painful bladder syndrome is an inflammatory disease of the bladder wall with typical ulceration of the urothelium. The interstitial cystitis (IC) is generally regarded as an elusive disease picture with inadequate therapeutic options. Critical to improving the prospects for therapy is the early diagnosis of the disease, which may involve only a careful history taking and clinical examination. CAM suggests multimodal treatment strategies in the early stage of disease (Abrams, Cardozo, & Fall, 2002).
Due to definition similarity, IC is often referred…… [Read More]
military has a number of jurisdictional and operational issues associated with what it will do with personnel involved with the use of medical marijuana. Though it claims that there is no ambiguity -- that its Directives (DOD 1010.1) are clear -- in reality it now finds itself facing a "Don't Ask, Don't Smoke" problem. What is happening inside and outside of the armed services is mystifying how the rules are actually enforced and understood by its legal structure.
In general, the rules are clear. Law enforcement and command personnel inside of the services say the same as those on the outside who advice people about this issue:
The fact that your state has decriminalized marijuana use is not relevant to military law. The military is a federal institution, governed by federal laws. Drug use is a crime under the Uniform Code of Military Justice (UCMJ) Article 112a, 10…… [Read More]
Acute Scrotum Case Study
When a male presents with acute scrotum pain and swelling a number of different diagnoses are possible; however, if the diagnosis is testicular torsion then the patient needs to be evaluated by a competent surgeon immediately (reviewed by Kass and Lundack, 1997). Of the many possible diagnoses that can produce similar symptoms, including epididymitis, hernia/hydrocele, varicocele, epididymo-orchitis, torsion of a testicular or epididymal appendage (appendiceal torsion), or Henoch-Schonlein purpura, only testicular torsion represents a bona fide medical emergency. For this reason, a detailed patient history and physical examination should be undertaken at once in order to preserve testicular function. Every effort should be made to gather a complete urologic and surgical history for the patient to exclude other conditions, including a urinary tract infection and epididymitis.
A recent study examined the diagnosis distribution for 388 boys under the age of 17 who were treated at…… [Read More]
Cutaneous Candidiasis: A Case Study
This case study involves a 35-year-old woman diagnosed with candidiasis of the inner thighs. The goal of this report is to provide the patient with information about the most likely cause of her condition and how best to resolve the infection. In order to accomplish this goal a review of Candida pathogenesis will be presented first.
Members of the Candida genus, in particular C. albicans, can be detected in the oral cavities of 75% of the general population (Mayer, Wilson, & Hube, 2013). This mostly commensal microbe colonizes oral, vaginal, gastrointestinal, anal, and cutanous locations (az-Pasteur, Ullmann, & Berdicevsky, 2011). Candida species are commensal in health people and rarely cause any problems, but in persons who suffer from mild medical conditions with impaired immunity the commensal relationship can quickly evaporate and turn pathogenic (Mayer, Wilson, & Hube, 2013). For example, Candida is…… [Read More]
Substance Abuse in America
The objective of this study is to apply change theory and the Transtheoretical Model of ehavior Change to health promotion activities in the health care environment and examine how the 'readiness to change' factor impact the success of a change in behavior.
Substance abuse in America is a prevalent problem and a challenge faced by health care provides in terms of identifying and applying effective modes of treatment to bring about behavior change in those with substance abuse problems.
Transtheoretical Model Stages of Change
The Transtheoretical Model Stages of Change was developed at the University of Rhode Island by James O. Prochaska in the latter part of the 1970s and is comprised by four components: (1) stages of change; (2) processes of change; (3) decisional balance; and (4) self-efficacy. (Inspire Malibu, 2015, p. 1) The reason for the name 'Transtheoretical" being assigned to this model is…… [Read More]
Map of Benign Prostatic Hyperplasia and Breast Cancer
Cutting down on alcohol
Giving up Tobacco
Medications approved to treat breast cancer:
Afinitor et al. (National Cancer Institute, 2016).
Concept Map of Benign Prostatic Hyperplasia and Breast Cancer
The etiology of breast cancer remains mainly unidentified. isk factors linked with breast cancer can be clustered into three comprehensive contributing factors: i. family history (hereditary) factors, ii. hormonal reproductive factors
environmental factors (DeBruin and Josephy, 2002).
Polymorphisms of drug-metabolizing enzymes may influence risk of breast cancer from environmental chemicals, dietary agents, and endogenous steroids (DeBruin and Josephy, 2002).
Lump or contour change
Edema or peau d'orange (Medscape, 2015)
Chest x-ray (CX) Complete blood count (CBC)
Basic metabolic panel (BMP)
Lactate Urine…… [Read More]
Hypertensive Patient Case Study
Specific physical examinations in any hypertensive patient
Accuracy in the measurement of blood pressure is the basic aspect of diagnosis. Therefore, we take it over several weeks. On each visit, normally at least three blood pressure readings are taken with the difference of 2 minutes using mercury manometer.
Palpation of all peripheral pulses should necessarily be carried out. Absent, weak, or delayed femoral pulses are the sign of coarctation of the aorta or serious peripheral vascular disease. To identify any symptom of initial or extreme stage of chronic or severe hypertensive retinopathy along with arteriovenous nicking or difference in vessel wall, we conduct funduscopic examination of the eyes (Madhur & Maron, 2014).
Why order Laboratory work up
Initial laboratory tests include urinalysis; fasting blood glucose or A1c; this is due to an increase in cardiovascular risk linked with a decreased GF level and with albuminuria. If…… [Read More]
Army Substance Abuse Program, in terms of the program's history, its employment requirements, and the rationale behind them. It looks at various jobs within the hierarchy of this program, from the commanders responsible for implementing the program on the level of installations or garrisons, to the trained personnel taking urine samples. By way of demonstrating the utility of the continued education requirement even for the personnel collecting urine, the paper notes the existence of such widespread willingness to deceive testing, and then reviews recent peer-reviewed studies with potential relevance for successful implementation of Army Substance Abuse Program theories, curricula, and policies.
The Army Center for Substance Abuse Programs was first established in 1971 in response to a law requiring the Secretary of Defense to identify, treat, and rehabilitate members of the U.S. military determined to be dependent upon alcohol or illicit drugs; similar legislation followed to require the same…… [Read More]
Patient’s chief complaint, reason for visit
Ms. Richards arrived complaining that she was experiencing severe anal pain, so much so that using a tissue was also proving impossible. She claimed the pain began a couple of days earlier and has aggravated considerably since.
History of Present Illness
Ms. Richards arrived complaining of anal pain which commenced a couple of days earlier and has aggravated since. With regard to her intimate relationships, Ms. Richards states that though she has a boyfriend, their relationship isn’t serious as the two are also seeing other people. According to internal assessment reports, patient has normal hair distribution, an intact perineum, and intact urethral meatus without any discharge or inflammation. However, patient experiences unbearable pain on vaginal opening palpation, redness, and edema. Further, a mass has been identified on the right, with spontaneous, dark-yellow, smelly secretion with palpation over the Bartholin's glands.
Physical examination…… [Read More]
He directed me toward various reading materials and articles that related my areas of expertise to a wider range of study. Since then I have been thoroughly investigating the relationship between personal and public health. I believe I will make a valuable adjunct to your Master's Program in Environmental Science and to your Environmental Health Sciences Department. I bring with me years of hands-on experience working with individuals and health care institutions, an observer of the ill effects of a poorly managed environment. Also, I have traveled around the world and have an international background. My unique experiences and heritage will contribute to program diversity.
With a professional attitude and a natural inclination for combining science with public relations, I will fit in naturally to your Masters in Environmental Sciences program. My professional, academic, and personal background will contribute greatly to what I have learned so far in my academic…… [Read More]
CT scan or MA may result in the clinician oversight of some of the more subtle findings. It is expensive and the availability is limited.
It is possible to evaluate AS via angiogram, bet evaluation of the size of the stenosis tends to be imprecise. Additionally, angiography does not allow a cross-sectional assessment of the stenosis, and in the case of FMD, it is not possible to distinguish the different histological types, although intervention at the time of assessment is a possibility. Doppler sonography is able to measure the amount of blood flow, and is non-invasive. It tends to be highly invasive and is able to demonstrate problems with slow patterns and other issues which are highly suggestive of significant stenosis. Doppler ultrasound tends to be very operator dependent and the exam takes a significant amount of time. Additionally, the exam may be limited by abdominal girth, patient movement and…… [Read More]
working with a diverse population of Native Americans, Hispanics, and other individuals in the prison systems and public clinics of this country, I have come to two, crucial conclusions. Firstly, that the currently cost-strapped environment of the national health care system cries out for innovative financial and sociological solutions. Secondly, I believe I require further education in the field of public health to accomplish my goals in seeking to remedy the systemic abuses I have personally witnessed in my own, current capacity as a physician's assistant. These two crucial reasons combine and fuse in my desire to pursue a PhD at Walden in the field of public health.
"Physician, heal thyself," goes the famous quotation -- and indeed, I have sought to heal my own gaps of knowledge through continually educating myself in the technical innovations of the medical field and of the current state of public health in America.…… [Read More]
Diabetes in Australia
The Australian government and the relevant Health agencies have for many years strived to put the diabetes menace under close observation and management. There have been massive researches and huge sums directed towards good management and possible elimination of diabetes at the national levels. This commitment is exhibited by the specialized funds and efforts like the Juvenile Diabetes esearch Fund (JDF) that has been committed to striving to mitigate the effects of diabetes from the render age of the Australians.
Since diabetes is such a big challenge to Australia as a whole, diabetes mellitus was declared a National Health Priority Area in 1996 during the Australian Health Minister's Conference and this was as recognition to the high levels of diabetes prevalence within Australia, the mortality rates that were due to it, the impact it had on morbidity and the possibility of the health improvements that can be…… [Read More]
Drug Testing in the Workplace
Most employers in the United States are not required to do drug testing on either current or potential employees, although the majority have the right to do so (United States Department of Labor, 2010). Drug testing is not required under the Drug-Free Workplace Act of 1988. The Act can be confusing and challenging for employers, however, since it essentially states that any organization receiving federal grants or contracts must be drug-free but does not contain language that specifically allows for drug testing (Thompson euters 2011). Many state and local governments limit or prohibit drug testing unless required for certain jobs with state or Federal governments.
As far back as 1997, the American Civil Liberties Union was deploring the use of drug testing in the workplace, citing an increase of 277% over a ten-year period (American Civil Liberties Union, 1997). Drug testing remains a controversial issue…… [Read More]
Physician Assistant Program Narrative
Personal Statement: My Motivation towards Becoming a PA
We all have dreams and aspirations. As a young child, my dream was to become a chef. When asked why I wanted to become a chef, my answer was always consistent; "I wanted to delight people by preparing them delicious dishes." As I grew up, I became more informed and my view of the world became clearer -- and it was then that I realized that deep inside, I wanted to end up in a profession that impacted positively on the lives of others. A profession that brought delight to those I interacted with. Then, something happened that completely convinced me that I would most comfortably serve in any of the helping professions. A couple of months after my 10th birthday, my younger brother got bitten by a dog in his face -- right below his left eye.…… [Read More]