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Question: Research Topic: How does maternal stress during pregnancy impact the cognitive development of a child?
Must Include:
o Title Page
o Abstract
o Introduction
o Statement of The Problem
o Research Question/Hypothesis
o Overview of Relevant Research
o Reference Page(s)
o Total Length Should Be 4-6 Content
Pages (Not including Title Pg, Abstract, or References
A 26-year-old woman who has never been pregnant is seeking preconception care as she is planning to pursue pregnancy in a couple of months. Currently, she has no symptoms to report and on review of body systems, there were no concerns. Her past medical history is significant for a history of rheumatic fever as a child. She subsequently underwent valve replacement with a mechanical heart valve. She is followed by a cardiologist who has already evaluated her cardiac function and she has received clearance from her cardiologist to pursue pregnancy. Records from her cardiologist include a recent cardiac echocardiography report that reveals a normal ejection fraction indicating normal cardiac function.
She has no alterations in her daily activities related to her heart. She has no other significant medical or surgical history. She is a non-smoker, drinks occasionally but has stopped as she is attempting to conceive, and does not use any non-prescription drugs.
Current Medications: Her current medications include only prenatal vitamins, which she has begun in anticipation of pregnancy, and warfarin. She has no known drug allergies.
Vital Signs: On examination, her pulse is 80 beats per minute, blood pressure is 115/70 mm Hg, respiratory rate is 18 breaths per minute, and she is afebrile.
Measurements: Weight = 152 pounds, Height = 5′5 ″, BMI= 25.29
Q4. How is warfarin metabolized? Does warfarin cross the placental barrier?
Q5. Explain the hepatic drug metabolism of children 1 year and older. How do they compare with the hepatic drug metabolism of infants and adults?
Q6. Explain protein binding in the neonate.
Expectations
A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam.
Q1. Explain the cause of this patient’s difficulty in maintaining her balance?
Q2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented?
Technology and information systems are important tools that shape the healthcare system because it involves integrating computer science and technology to improve health. New and innovative approaches continue to develop and will one day become the new norm. We saw the rise of telehealth with the Coronavirus pandemic. Some of these trends have shaped the future of healthcare.
Assess the trends in health information technology and healthcare.
Include the following aspects in the assignment:
1) Compose a 3-page paper in which you cover the following:
a) Examine the trends that are likely to shape the future of healthcare and provide some examples of them.
b) Explore some of the challenges associated with implementing emerging technologies.
c) How does the U.S. compare to other developing countries (list 2 of them) in reference to innovations?
d) Discuss how data analytics can impact healthcare decisions and policies.
2) Cite any references used. As always, proper grammar, sentence structure, and spe
Research and learn possible testing methodologies that validate the functionalities of the proposed solution. In 750-1,000 words, address the following:
Cite a minimum of three scholarly resources to complete this assignment. Sources must be published within the past 5 years and appropriate for the health care and health informatics content.
Assistance with 2-page Perspective Assignment. Why are team communication skills so important in today’s workplace? What is the impact of social media in today’s business? Additional details to be provided.
During the last Class Week session, we discussed the leasing and purchasing of vehicles. It was also mentioned that in these times auto dealers are often offering long-term loans by which to purchase vehicles, even perhaps as long as seven years.
Discuss if you think it is ever justifiable to take out a seven year auto loan. What are the advantages and disadvantages to this and, in the end, does it generally make sense?
Every one is required to make a posting. You may also post back and forth responding to what anyone says, but you are not required to do this. Please keep in mind that some will do this exercise later in the Course after the regular schedule of Class Session 8. Thus, depending on your own personal interest for this topic, you may come back to this Forum later to read more comments that will have been posted at that time.
Question 1
Think about your own experience as a consumer. Identify a product or service for which you personally realize a large amount of consumer surplus. Why is your surplus so large for this product or service?
An obese patient, age 45, comes to your office. She recently moved from another state three weeks ago and told you that her FNP diagnosed her with type 2 diabetes mellitus. She is currently not on any medicine for her diabetes, and she wishes to avoid insulin, if possible. She is a non-smoker. Her blood pressure is 138/74 mmHg. Labs from 3-weeks ago was hemoglobin A1C = 8.4%; total cholesterol = 260 mg/dL, triglycerides = 290 mg/dL, HDL = 49 mg/dL, LDL = 170 mg/dL (calculated 10-year ASCVD risk = 6.2%). You discuss current treatment goal recommendations endorsed by the ADA regarding glycemic control, blood pressure control, and lipid management. She agrees to start any medications that you recommend with lifestyle modification and a DASH diet to treat hypertension.
Q1. Which classes of diabetes medications are either weight neutral or cause weight loss? Please give one (1) example of a drug’s generic and trade name in that class.
Q2. Based on the current guidelines of the ADA, it would be appropriate to treat her with monotherapy since the patient is hesitant to take any injections. What agent would you recommend? Please provide the trade name, generic name, the dose you would start the patient with frequency, and route.
Q3. What are the contraindications of your selected diabetic therapy?
The patient returns to your office six months later complaining of fatigue for the past two months, constipation, and heavy, irregular menses. Upon examination, you note that her skin is dry, and her fingernails are brittle. You suspect she has hypothyroidism.
Q4. What lab workup should you obtain? What sort of results will you see in patients who have hypothyroidism and hyperthyroidism?
Q5. What is the treatment of choice for hypothyroidism? What is the mechanism of action? Please provide the initial dose, trade, and generic name of the drug, route, and frequency.
Q6. What are the adverse effects, and what important teaching will you provide this patient on thyroid replacement therapy?