What are the symptoms and long-term prognoses for a child born with FAS?
Discussion Topic: To Drink or Not to Drink

For a long time mothers have been warned about drinking any amount of alcohol while pregnant for fear of their child being born with Fetal Alcohol Syndrome (FAS). ”There is no known safe amount of alcohol use during pregnancy or while trying to get pregnant. There is also no safe time during pregnancy to drink. All types of alcohol are equally harmful, including all wines and beer. When a pregnant woman drinks alcohol, so does her baby.” (citation is missing). However, over the past few years reports are starting to come out stating that a couple of glasses of wine a week during pregnancy is okay. In fact, some doctors are saying this can be healthy for the baby because it relaxes the mother and lowers her level of stress.Before you start this week’s discussion find at least one article from the online library database about FAS and pregnancy.  See the search method below. Then consider one of the online articles (links) below. Does it oppose or support your journal article? Then answer the following questions:

  • What are the symptoms and long-term prognoses for a child born with FAS?
  • What are the risks to the baby if the mother suffers from chronic stress throughout the pregnancy?
  • Based on all you have read do you feel that the benefits of lowered stress levels by the mother outweigh the minor risks of drinking a glass of wine on a regular basis?
  • Make sure to support your point of view with information from the source(s) you read.
  • Required: Peer-Reviewed Academic Journal article.
Week 1 library suggested article search method: 
  • Sign in to the online library.
  • Databases–>ProQuest–>pregnancy and fetal alcohol syndrome (all subjects and indexing)
  • Limit to full-text peer-reviewed scholarly journals

A peer-reviewed article is required. Any of the following are possible resources for your discussion. How do they agree with or conflict with your peer-reviewed article?

Note: Remember to cite a source in your primary post. Also, refer to the Psychology Discussion Requirements listed under Getting Started.

discuss the STAIR model/tool from our readings and identify the 5 general elements of that model

Assignment 6: In Chapter 5, Topic “The STAIR Tool” we look at one approach to help investigators manage an investigation. In at least one (1-2) pages:

(1) discuss the STAIR model/tool from our readings and identify the 5 general elements of that model;

(2) pick at least one the general elements to discuss in more detail; and

(3) give an opinion at the end of your paper as to whether you think you would find this overall process helpful to conducting an investigation and explain why or why not.

For example, within SITUATION there are 4 elements included in that step – after defining the purpose for the SITUATION step, discuss the 4 more specific steps and explain what you think would happen if an investigator failed to take those steps. Finally, looking at the overall STAIR model and the steps is includes, express an opinion as to whether you think this is a useful approach and support your opinion.

Submission Requirements

  • APA Style elements required
  • Separate Title Page with Name, class, date and topic/title
  • At least one to two pages of your writing on this topic that includes using in-text citations
  • 12 point font
  • Times New Roman or Arial
  • Separate Reference Page – List detailed source information for all references
If libraries were closed and access to information privatized, what would be the impact to communities and schools?
  • If libraries were closed and access to information privatized, what would be the impact to communities and schools? Perform a quick internet search for local libraries. How many did you locate? If they were all to close or become restricted, where would individuals go to receive vital information? Is there a situation in which restricting access to information would be beneficial to society?
  • Build on a classmates’ post by asking questions, offering thoughtful ideas, or sharing personal connections. Be sure to demonstrate respect for classmates’ comments.

Resources:

Write a 1,225- to 1,550-word report of your organization’s supply chain management and how it impacts your organization’s brand.

In the final week of the course, you synthesize the knowledge of health care costs, revenue, and expenses, along with the underlying economic drivers of these considerations to evaluate ways to improve quality of care and to lower costs for patients. You also integrate considerations in supply chain management that can impact your brand and, in turn, affect demand for your services, whether positively or negatively.

 

Write a 1,225- to 1,550-word report of your organization’s supply chain management and how it impacts your organization’s brand. Include the following points:

 

· Based on the assignment in Week 2, analyze how the economics in your market impact your organization’s management of its supply chain.

· Based on the assignment in Week 4, analyze if the expenses in your organization are impacted positively or negatively by how the supply chain is managed.

 

Summarize the state of supply chain management and operations at your organization. Make any recommendations based on supply chain best practices to enhance its performance within the context of the health care sector.

 

Many suppliers and their customers co-brand now (think of Coca-Cola and McDonald’s). Are there opportunities for your organization to co-brand with any of its supply chain partners? If so, what are the advantages?

 

Cite any references to support your assignment.

 

Format your citations according to APA guidelines.

Discuss why Snowden is labeled a criminal by the US government.

If the videos do not play, find similar video online.

1. Discuss examples of peer pressure to engage in delinquent act. Why are some children “immune” to peer pressure; that is, they do not engage in delinquency and others are “more perceptive” to peer pressure; that is, they are easily pressured into delinquency? Is there a connection to parental efficacy?

2. Watch the video “Cyber Bullying Tragedy” at http://www.youtube.com/watch?v=C7eojUV3n7Q    

You can also google Cyberbullying Videos!

  • The Newsshow Sunrise7 reports about the growing problem of cyberbullying.
  • Discussion: How did you experience cyberbullying in school or, if you have children, have they experienced cyberbullying? What do you think what the most appropriate punishment would be for the case shown in the video?

3. Watch the video “NSA Whistleblower Edward Snowden” at http://www.youtube.com/watch?v=5yB3n9fu-rM

  • In this video, Edward Snowden explains his decision to talk about the NSA practices.
  • Discussion: What did Snowden do?
  • Discuss why Snowden is labeled a criminal by the US government.

How do the European countries react to the surveillance of their data by the US?

What interventions would you perform (safety, patient care, medication, etc)

CHF nursing situation

Patient is a 82 year old male who presented to the ED at 5am for shortness of breath worsening over the past day, PMH includes CHF, HTN, hyperlipidemia, CAD s/p cardiac stents in 2014, DM, osteoarthrtis, BPH, depression, CKD st 3

Admitted for CHF exacerbation, pneumonia, acute on chronic renal disease

You receive him on the floor at 11:30 am, he appears to be alert and oriented, but lethargic, states he hasn’t taken any home meds yet today, has not eaten yet either.  Lives at ALF, uses walker

In the ED, he received IV furosemide 40mg, 650mg Tylenol, 500mg IV levofloxacin and an albuterol/ipratropium nebulizer treatment

Selected labs, diagnostics, and orders

WBC

18.2

Hgb

10.4

K (potassium)

3.1

creatinine

4.1

blood glucose

308

BNP

8023

Urine – blood

large

Urine – leukocytes

+3

Urine – culture

pending

COVID 19 PCR – negative

chest x-ray

bilateral infiltrates, pleural effusions

sputum sample to be collected

normal sinus rhythm on tele monitor

vital signs

170/64, P55, R23, O2 90% room air, temp 100.4, ht 178cm, wt 90kg

Diet: cardiac, 1800 ADA, 1 liter free water restriction

Activity: as tolerated

Strict I&O

home medications – have all been profiled to  MAR

Hospital meds

metoprolol

25mg

BID

albuterol/ipratropium

Q6hrs

amlodipine

5mg

QAM

furosemide IV

40mg

once 6pm

lisinopril

20mg

QAM

levafloxacin IV

500mg

Q24hrs

atorvastatin

40mg

QPM

tylenol

650mg

Q6hrs  PRN

tamsulosin

0.4mg

QPM

IV potassium  10 meq

x3

clopidogrel

75mg

QAM

aspirin

81mg

QAM

escitalopram

10mg

QAM

metformin

1000mg

BID

tramadol

50mg

Q8hrs PRN

gabapentin

200mg

BID

temazepam

7.5mg

QHS PRN

Consults pending – cardiology, ID, nephrology

Personal history

former smoker, quit 35 years ago

does not drink alcohol

did not get flu shot this year

Discussion 

What would you expect breath sounds may be like (document this in EHR)?

What would you expect skin condition/lower extremities to be like (document this in EHR)?

What interventions would you perform (safety, patient care, medication, etc)

What else are you concerned about when assessing?

Think about questions to ask the patient so you have a better report to give to consulting providers if they call

What does each medication do?  Would you hold any?

develop a recommendation in the form of a memo to acquire outsourcing services for the purposes of having a totally external IT operation for one of the companies provided below.

Please develop a recommendation in the form of a memo to acquire outsourcing services for the purposes of having a totally external IT operation for one of the companies provided below. Identify the needs of the company based on the scenario to select the appropriate cloud service (PaaS, IaaS, or Identity as a Service). The memo should include the following: define the scope of the problem, review of the cloud provider, estimated cost, describe the services to be provided, and explain the justification.

Paper Requirements:

  • Select a valid cloud vendor
  • Specify which scenario you are addressing by naming the business from the scenario in your paper.
  • Paper length: 2 pages
  • Minimum References: 3
  • APA

For the below scenario, research a cloud platform to address its needs. The solution must be of the following: PaaS, IaaS, or Identity as a Service

  1. JML DevOps Inc. – JML is working on a major project with limited funding. The project requires the build on new servers for their developers to create, design, and deploy a new web application. JML does not have any server administrators available to work on the hardware infrastructure which leaves the developers in a critical bind. The project will also need storage for its content as the application will collect over 10Gb of data daily. Although, the project has limited funds, if a solution is found to complete the project in a timely fashion without pulling from the server admins, they are open to additional funding for the project.