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Select one of the articles you have found during the literature review for your research proposal topic that uses a qualitative approach.
Write a short critique of the study providing the following:
Summary of the research purpose and question
Description of the research design and methods
Critique of the design and methods – identify one area you might change and why.
Identification of limitations, bias, and ethical concerns
choose either depression or anxiety and answer the following questions. Remember to use your own words when explaining these concepts. Support your opinion with valid research and cite your sources appropriately.
How does depression/anxiety affect neurotransmitters?
How does depression/anxiety affect synapses?
How does depression/anxiety affect neuron function?
how various treatments may improve the physiology of the disorders discussed. Since these are common disorders, you may choose to share personal experiences.
Read Angelhead: My Brother’s Descent Into Madness. Please choose TWO of the following topics and post your thoughts.
Which characters in this memoir resonated the most with you? Why?
The portrayal of Michael was sometimes brutal. Did you think it was an honest portrayal, or colored by the narrator’s view of his life with his older brother?
Did class play a role in how this family dealt with Michael’s mental illness? How?
How would Michael’s narration of the same events differ?
Do you think the decision to have no further contact with Michael was a good one? Why or why not?
Given the recent events that have been occurring, did this memoir give your insight into the lives of the shooter’s families?
Can you think of some things that we could change in how we deal with mental health that would have made this family’s lives – and Michael’s life – different? What are they?
Governor Greg Abbott and the state’s Republican leadership have become very hostile to local governments. In the legislative sessions, they have pushed such items that diminish local control such the removing cities’ ability to annex, regulate certain industries, cap cities’ ability to raise money, restrict membership into the Texas Municipal League, etc.. The arguments for such matters are that people who are about to get annexed don’t really have much of a say in the matter, even though they would receive municipal services in exchange for a tax bill. Or, that city tax bills are getting too high and that people are ‘taxed out of their homes’. Or that city tax dollars should not be used to pay for lobbying activities. One big example of this was the plastic bag ban in the New Braunfels area. The City voted to ban plastic bags because they were polluting the river there. Some people felt that was over reach.
Fundamentally, there is the concept of Dillon’s Rule (that says a city is a creation of the state and can do only what the state allows it) versus Home Rule (the idea that a city knows how best to handle local issues). I want you to explore this conflict in Texas that has been going on for about the last five years. Should the state place restrictions on the ability for cities’ to govern themselves? Or, should the rules be uniform across the state?
Janice is a 56 years old mother of two teenagers she complains of difficulty sleeping and staying up all night with a burst of energy. She has been cleaning her house for the past 2 nights non –stop. You also notice that her speech is marked by a flight of ideas, when she is admitted, she is heard telling her roommate that she wishes that she could kill herself because she is tired of living like this. Discuss the probable DSM-V diagnosis that she is experiencing. Explain what would be the priority nursing diagnosis and included in her plan of care containing both pharmacologic and non-pharmacologic interventions.
Gastrointestinal Function: R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (34 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friends advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.
Case Study Questions
In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?
Endocrine Function:C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the states annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt perfectly fine at the time and could not afford any more medications. Except for a number of female infections, she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.
Case Study Questions
In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?
Disciplinary Research Paper: The Criminal Justice System in Its Environment Assignment Instructions
Overview
Since 1963, a series of United States Supreme Court case decisions have clarified that in criminal cases, prosecutors must disclose to the defense evidence favorable to the defendant. This includes information that may be used to impeach the credibility of government witnesses, including law enforcement officers. These decisions mean that police officers who have documented histories of lying in official matters are liabilities to their agencies, and these histories may render them unable to testify credibly.
Instructions
Write a professional memorandum summarizing the main issues that are involved in the following United States Supreme Court cases. Brady v. Maryland, 373 U.S. 83 (1963); Giglio v. United States, 405 U. S. 150 (1972); United States v. Agurs, 427 U. S. 97 (1976)
· 3 peer-reviewed sources.
· Acceptable sources (course textbooks, academic books, .gov websites, peer-reviewed journal articles published within the last 5-10 years only).
This research assignment requires each student to research issues surrounding whether to castrate or not castrate a convicted rapist who has demonstrated his intent to continue this behavior upon his release from prison.
Research and define castration from an historical perspective, identify a specific case whereby castration was imposed by the Court, again, carefully research this troubling issue from an historical and current perspective. Outline the formal criminal charges, the criminal sentence and, finally, express your personal views on whether you would support or condone this form of punishment. Would you castrate or not castrate, why or why not?
As such, define castration, its purpose, procedure, success/failure rate and any other methods or insightful information your research has disclosed.
As an argumentative assignment, clearly and strongly express your support or opposition expressing your side of the argument
Prioritize nursing interventions when caring for pediatric clients with health disorders.
Scenario
A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read:
He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode.
Your Assessment
Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA
General Appearance: appears drowsy; face flushed, quiet
Neuro: oriented X3
Cardiovascular: unremarkable
Respiratory: lungs clear
Integumentary: very warm, dry
GI/GU: abdomen normal
Physician Orders
Complete Blood Count (CBC)
Complete Metabolic Panel (CMP)
Urinalysis with culture and sensitivity (U/A C&S)
Blood Cultures x 2
X-rays kidneys,
Influenza screening
Acetaminophen 15 mg/kg PO now
Ibuprofen 10 mg/kg PO now
Pad side rails
Suction at bedside with seizure precautions
Radiographs of right arm
Cast to right arm
Start PO fluids and increase as tolerated
The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna.
Discharge orders include:
Follow up with pediatrician in 7 days
Follow up with pediatric orthopedics in 7-10 days
Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250/5ml?
Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days
Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL.
What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose?
Instructions
Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.
The technical review part of the report should cover the following topics:
Networking in the Cloud
a. Explanation of AWS VPC and associated networking components
b. Discussion on how Ballot Online will take advantage of AWS VPC, regions, and availability zones to secure and assure availability of its infrastructure
Cloud Command Line Interfaces
a. Explanation and advantages of cloud CLIs
b. Discussion how Ballot Online can use CLI in provisioning and maintenance of its cloud deployments
Declarative Resource Definitions
a. Explanation and advantages of declarative cloud resource definitions
b. Discussion how Ballot Online can use declarative tools such as AWS Cloud Formation in provisioning and maintenance of its cloud deployments
Cloud APIs
a. Explanation and advantages of cloud APIs, definition and purpose
b. Discussion how Ballot Online can use cloud APIs such as AWS Python SDK in development, provisioning, and maintenance of its cloud deployments