A patient goes to the emergency room complaining of severe right-upper-quadrant

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A patient goes to the emergency room complaining of severe right-upper-quadrant pain. She reports that the pain has come and gone for the last several days. In the last few hours (since eating a fried chicken dinner), the pain has become excruciating. What problem do you think that this patient may be experiencing? What could the doctor do to confirm the diagnosis?Please include the name of the person or question to which you are replying in the subject line. For example, “Tom’s response to Susan’s comment.” (Also please reply to another student’s comment belowI believe this woman may be suffering from cholelithiasis (gallbladder stones) or cholecystitis.  Cholelithiasis is the formation or presence of stones in the gallbladder or bile duct.  Cholelithiasis symptoms are asymptomatic or mild discomfort to extreme pain, often preceded by ingestion of fatty or greasy foods and the pain is usually steady, lasting from 15-30 minutes up to several hours with a spontaneous resolution.  Nausea, vomiting, bloating, flatulence, abdominal tenderness may also be present.   Cholecystitis is the acute or chronic inflammation due to gallstones blocking gallbladder ducts and can cause sudden severe pain, fever, nausea, vomiting, and tenderness in the right upper quadrant which our patient is suffering with.  The doctor will do a patient history, physical exam and some imagining studies such as ultrasound of the abdomen or an oral cholescintigraphy may also be done to diagnose this patient.  Treatment may be to change their diet such as cutting out fatty foods or surgical removal of the gallbladder may be necessary if the condition is severe. ReferencesColbert, B. J., Ankney, J., & Lee, K. T. (2013). Anatomy, physiology, & disease: An interactive journey for health professionals (2nd ed.). Upper Saddle River, NJ: Pearson Education.

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#065

provide an evaluation of the efficacy of using telehealth with mild, moderate, and severe mental…

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provide an evaluation of the efficacy of using telehealth with mild, moderate, and severe mental health disorders.
The Complexities of E-Therapy
Prior to beginning work on this discussion, please watch the Virtual Clinic video and review the Guidelines for the Practice of Telepsychology (2013). Be sure to also read Baker and Bufka (2011), “Preparing for the Telehealth World: Navigating Legal, Regulatory, Reimbursement, and Ethical Issues in an Electronic Age,” Harris and Younggren (2011), “Risk Management in the Digital World,” Luxton et al. (2014), “Best Practices for Remote Psychological Assessment Via Telehealth Technologies,” and Gros et al. (2013), “Delivery of Evidence-Based Psychotherapy via Video Telehealth” articles.
In your initial post, provide an evaluation of the efficacy of using telehealth with mild, moderate, and severe mental health disorders. As part of your evaluation, assess the integration of evidence-based practices into the telehealth trend in psychotherapy. Consider the population, specialty, and treatment preferences you identified in the Week OneCreating a Specialist Website interactive assignment, and assess the appropriateness of using telephone, text-based, virtual clinics, and/or video telehealth given your client focus, specialty, and treatment preference(s). Analyze ethical and professional issues you might encounter and explain the risks and benefits of using these delivery methods with your identified treatment population.
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Topic: provide an evaluation of the efficacy of using telehealth with mild, moderate, and severe mental health disorders.

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#075

the pathophysiological changes associated with severe burns

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Mr. Cinder is a 55 year old man admitted to the burn unit 48 hours ago with a diagnosis of third degree burns. He was burning leaves in his yard when his clothes caught fire. The RN is going to care for Mr. Cinder, what will she/he expect to find related to: Skin involvement, clinical manifestations, and wound appearance. What are the pathophysiological changes associated with severe burns? When Mr. Cinder eneters the rehabilitative phase of his recovery what are three possible complications? For one of the complications what nursing diagnosis would you identify as a priority and why?

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#065

literature review in ((moderate and severe disability/ special education)) I p

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literature review in ((moderate and severe disability/ special education))I prefer to fine articles related to (intellectual disability)I need to write literature review in Systematic Instruction. Total of 2.5 or 3 pages.include: 1) Articles about the definition and provide studies that have shown effects OF SI with students (mild or severe/ intellectual disability) “ two references”, 2) Articles about using Systematic Instruction to teach life skills “three references”, 3) Articles about SI in life skills election “three references”. The total of 11 references will be provided.*PLEASE, DON’T FORGET TO SEND A pdf COPY FOR THE ORIGINAL ARTICLES
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#065

Assignment Help-Homeless Veterans with severe mental illness

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Homeless Veterans with severe mental illness
1. Identify how homeless veterans w/severe mental illness can benefit from a Critical Time intervention group? at least 1 reference
2. What are three key values or benefits of using a group approach with this population? Examples are feeling normal, opportunity to hide, evoking different and new aspects of ones personality, creating new behavioral norms, imitating behavior, all of us are smarter than any one of us, development of social skills, appreciating diversity, getting the job done, empowerment.
At least 1 reference
3. Using models and theories of group practice, what type of group approach would you propose? Require 3 references
4. What are key challenges or obstacles in group interventions with this population? How would you address each of these challenges? At least two references.
A. In the agency context? Department of Veterans Affairs
B. In the community context? Homeless Shelters, Public Housing
C. In the client context?
5. Identify and briefly discuss three readings from the course that were particularly useful in developing your plan and beginning strategy. 3 references
6. Discuss your plans for an initial group session or describe how you conducted the first session. What are/were your goals for these initial sessions?
7. Based on the Skill Inventory in the Standards for Social Work Practice with Groups, discuss three critical skills you used, or expect to use in the beginning stage of the group. The Standards are available at: http://www.aaswg.org/node/377
8.  What challenges do you anticipate and what are your strategies to address them for a proposed group that has not met. Keep in mind that they are Homeless Veterans with severe mental illness
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#075

Case Study:In addition to the severe health disorders, cigarette smoking has also significant role…

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Case Study:In addition to the severe health disorders, cigarette smoking has also significant role…

Case Study:In addition to the severe health disorders, cigarette smoking has also significant role in oral health and oral diseases. According to the study of Agnihotri and Gaur (2014) as a result of chronic exposure to toxins, geriatric populations are suffering more from different systematic and oral disorders including tooth decay, loss of tooth, failure in implants as well as cancer. The study also showed immune-inflammatory imbalances are resulted from the enhanced oxidative stress due to s …
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#065

“Pharmaceuticals in the water are being blamed for severe reproductive problems

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Smart students don’t copy paste information from all over the web hoping to get a good grade! Watch the video below to learn what they do:

“Pharmaceuticals in the water are being blamed for severe reproductive problems in many types of fish: The endangered razorback sucker and male fathead minnow have been found with lower sperm counts and damaged sperm; some walleyes and male carp have become what are called feminized fish, producing egg yolk proteins typically made only by females.Meanwhile, female fish have developed male genital organs. Also, there are skewed sex ratios in some aquatic populations, and sexually abnormal bass that produce cells for both sperm and eggs”.There are problems with other wildlife as well: kidney failure in vultures, impaired reproduction in mussels, or inhibited growth in algae.”After reading the above paragraph, a population fish is decreasing every year. Flushing medicine down the toilet is an action that has produced changes in the marine ecosystem. You are the company’s chemist responding to a government finding about pharmaceuticals contaminating the fishing waterways of NJ.What design possibilities might save the marine ecosystem?What tests could you use to indicate what macromolecules are overly abundant in the water system?What macromolecules are responsible?Why are these kinds of macromolecules responsible for feminizing fish??How would youconvince the FDA that you have a possible solution.”Pharmaceuticals in the water are being blamed for severe reproductive problems in many types of fish: The endangered razorback sucker and male fathead minnow have been found with lower sperm counts and damaged sperm; some walleyes and male carp have become what are called feminized fish, producing egg yolk proteins typically made only by females.Meanwhile, female fish have developed male genital organs. Also, there are skewed sex ratios in some aquatic populations, and sexually abnormal bass that produce cells for both sperm and eggs”.There are problems with other wildlife as well: kidney failure in vultures, impaired reproduction in mussels, or inhibited growth in algae.”After reading the above paragraph, a population fish is decreasing every year. Flushing medicine down the toilet is an action that has produced changes in the marine ecosystem. You are the company’s chemist responding to a government finding about pharmaceuticals contaminating the fishing waterways of NJ.
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#065

What do they tell you about the special (and sometimes severe) operating requirements for a hypersonic wind tunnel?

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1. Consider an airplane :flying at a standard altitude of25,000 at a velocity of 800 . To experience the same dynamic pressure at sea level, how fast must the airplane be :flying? 2. In Sec. 4.9 we defined hypersonic :flow as that :flow where the Mach number is 5 or greater. Wind tunnels with a test-section Mach number of 5 or greater are called hypersonic wind tunnels. From Eq. (4.88), the exit-to-throat area ratio for supersonic exit Mach numbers increases as the exit Mach number increases. For hypersonic Mach numbers, the exit-to-throat ratio becomes extremely large, so hypersonic wind tunnels are designed with long, high-expansion-ratio nozzles. In this and the following problems, we examine some special characteristics of hypersonic wind tunnels. Assume that wish to design a Mach 10 hypersonic wind tunnel using air as the test medium. We want the static pressure and temperature in the test stream to be that for a standard altitude of 55 km. Calculate (a) the exit-to-throat area ratio, (b) the required reservoir pressure (in ), and (c) the required reservoir temperature. Examine these results. What do they tell you about the special (and sometimes severe) operating requirements for a hypersonic wind tunnel?
 

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#055