Case Studies The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. Studies Results Routine laboratory studies Within normal limits (WNL) Intravenous pyelogram (IVP) Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate Uroflowmetry with total voided flow of 225 mL 8 mL/sec (normal: >12 mL/sec) Cystometry Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O) Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O) Electromyography of the pelvic sphincter muscle Normal resting bladder with a positive tonus limb Cystoscopy Benign prostatic hypertrophy (BPH) Prostatic acid phosphatase (PAP) 0.5 units/L (normal: 0.11-0.60 units/L) Prostate specific antigen (PSA) 1.0 ng/mL (normal: <4 ng/mL) Prostate ultrasound Diffusely enlarged prostate; no localized tumor Diagnostic Analysis Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems. Critical Thinking Questions 1. Does BPH predispose this patient to cancer? 2. Why are patients with BPH at increased risk for urinary tract infections? 3. What would you expect the patient’s PSA level to be after surgery? 4. What is the recommended screening guidelines and treatment for BPH?

Urinary Obstruction
Case Studies
The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft.
Studies
Results
Routine laboratory studies
Within normal limits (WNL)
Intravenous pyelogram (IVP)
Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate
Uroflowmetry with total voided flow of 225 mL
8 mL/sec (normal: >12 mL/sec)
Cystometry
Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O)
Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O)
Electromyography of the pelvic sphincter muscle
Normal resting bladder with a positive tonus limb
Cystoscopy
Benign prostatic hypertrophy (BPH)
Prostatic acid phosphatase (PAP)
0.5 units/L (normal: 0.11-0.60 units/L)
Prostate specific antigen (PSA)
1.0 ng/mL (normal: <4 ng/mL)
Prostate ultrasound
Diffusely enlarged prostate; no localized tumor
Diagnostic Analysis
Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems.
Critical Thinking Questions
1. Does BPH predispose this patient to cancer?
2. Why are patients with BPH at increased risk for urinary tract infections?
3. What would you expect the patient’s PSA level to be after surgery?
4. What is the recommended screening guidelines and treatment for BPH?
5. What are some alternative treatments / natural homeopathic options for treatment?

The video is located at https://www.youtube.com/watch?v=XXzRHbISFW0, and the abstract of the article is attached.   Review the Global Education and Global Citizenship video and read the article “A Model of Global Citizenship: Antecedents and Outcomes” by Stephen Reysen and Iva Katzarska-Miller. Please take some time to reflect on how the concept of global citizenship has shaped your identity and respond to the following prompts:   Based on the video, explain the importance of educating others on global citizenship. Address each of the following outcomes of global citizenship as they pertain to the development of your own identity: intergroup empathy, valuing diversity, social justice, environmental sustainability, intergroup helping, and the level of responsibility to act for the betterment of this world (found in the article). Explain how your environment influences these outcomes. Provide at least two personal examples or events in your life that illustrate the development of global citizenship based on the outcomes. Analyze how your general education courses influenced you to become a global citizen.

The video is located at https://www.youtube.com/watch?v=XXzRHbISFW0, and the abstract of the article is attached.
 
Review the Global Education and Global Citizenship video and read the article “A Model of Global Citizenship: Antecedents and Outcomes” by Stephen Reysen and Iva Katzarska-Miller. Please take some time to reflect on how the concept of global citizenship has shaped your identity and respond to the following prompts:
 

Based on the video, explain the importance of educating others on global citizenship.
Address each of the following outcomes of global citizenship as they pertain to the development of your own identity: intergroup empathy, valuing diversity, social justice, environmental sustainability, intergroup helping, and the level of responsibility to act for the betterment of this world (found in the article). Explain how your environment influences these outcomes.
Provide at least two personal examples or events in your life that illustrate the development of global citizenship based on the outcomes.
Analyze how your general education courses influenced you to become a global citizen.
Demonstrate critical thinking by accurately interpreting the evidence (scholarly sources) provided.

Your paper

Must be 750 – 1,000 words in length (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
Must include a separate title page with the following:

Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted

Must cite at least the two sources used for this assignment.
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center

Consider an American automaker like GM with almost 100 production facilities located in 26 countries and sales in over 150 countries! To maximize profits, what decisions does GM have to make in regard to pricing and production?

Need this complete by 1900 EST on 12 Nove 18, not 13 Nov.  Didn’t have the option to make it for today. 
Consider an American automaker like GM with almost 100 production facilities located in 26 countries and sales in over 150 countries! To maximize profits, what decisions does GM have to make in regard to pricing and production?
at least 250 words in length forum post, not an essay.
also nee 75 words to post in response to another student. 

You are a Special Agent in the FBI’s Counterterrorism Division. The country of Fenwick has a state-sponsored terror organization cell in the United States known as Roar. They are planning to go to Battle Creek, Michigan and poison a major cereal brand as a protest for not getting their wheat subsidies from the United States. They plan to coat all of the sugar-coated cereals with anthrax. Information has surfaced that an employee at the cereal plant is a Fenwicky National. Address the following: What areas of intelligence analysis do you think would be appropriate based on the terror organization and the selected target of the terror group? Explain. Considering the type of attack planned, what countermeasures would you employ? Fully justify your response. What agencies under the Department of Homeland Security do you think should be involved? Why? Explain in detail.

 
Assignment Guidelines
You are a Special Agent in the FBI’s Counterterrorism Division. The country of Fenwick has a state-sponsored terror organization cell in the United States known as Roar. They are planning to go to Battle Creek, Michigan and poison a major cereal brand as a protest for not getting their wheat subsidies from the United States. They plan to coat all of the sugar-coated cereals with anthrax. Information has surfaced that an employee at the cereal plant is a Fenwicky National.

Address the following:

What areas of intelligence analysis do you think would be appropriate based on the terror organization and the selected target of the terror group? Explain.
Considering the type of attack planned, what countermeasures would you employ? Fully justify your response.
What agencies under the Department of Homeland Security do you think should be involved? Why? Explain in detail.

Post a new topic to the Discussion Board that contains your responses to the above questions.

.Federal Aviation Administration2.National Transportation Safety Board3. European Union Aviation Safety Agency (EASA)4. ICAOthen, you will write a paper discussing the similarities and differences in the roles that each agency plays in aviation and aerospace oversight. For your paper, you must complete the following:Select two agencies from the listDiscuss each agency’s mission in aviation and aerospace oversight

For this activity, you will select two of the agencies.1.Federal Aviation Administration2.National Transportation Safety Board3. European Union Aviation Safety Agency (EASA)4. ICAOthen, you will write a paper discussing the similarities and differences in the roles that each agency plays in aviation and aerospace oversight. For your paper, you must complete the following:Select two agencies from the listDiscuss each agency’s mission in aviation and aerospace oversight.Explain the similarities and differences in each agency’s role in      aviation and aerospace oversight. 

Watch the TED Talk about Compassion Fatigue here: http://compassionfatigue.org/index.html to an external site. (Go to this website and scroll down for the video). Summarize the video in a short (at least 8-9 sentence) paragraph highlighting key points and parts that resonated with you. Take at least one of the three assessments here: http://compassionfatigue.org/self-tests.html Links to an external site.. What were the results and what did you learn about yourself?

12302In the Human Services field, you are giving so much of yourself that it can, at times, become draining. To help you prepare to serve others, it’s important to learn skills like practicing self-care, boundaries and establishing a good support system. Even if this is not a field you want to go into, these skills are still important! For this assignment you will:
Watch the TED Talk about Compassion Fatigue here: http://compassionfatigue.org/index.html to an external site. (Go to this website and scroll down for the video). Summarize the video in a short (at least 8-9 sentence) paragraph highlighting key points and parts that resonated with you.
Take at least one of the three assessments here: http://compassionfatigue.org/self-tests.html Links to an external site.. What were the results and what did you learn about yourself?
Create a Self-Care Plan by specifying at least 5 healthy boundaries or habits you already have or want to incorporate into your life. Examples include daily meditation or prayer, weekly Zumba classes, going camping once a month, starting a gratitude journal, spending quality family fun time on Friday nights, etc. Be intentional and clear about how you will practice “putting in” so you will be full enough to “give out”. Be specific about how you will incorporate this self care into your life.
While there isn’t a word limit for this assignment, its purpose is to prepare you to be a healthy, mindful person, so please be thorough and thoughtful!

?Is nursing theory important to the?nursing profession? In particular, is it important for nurse practitioners? Does theory inform nurse practitioner practice??If you believe that it is important, explain why it is?useful.?If you do not believe that it is useful, explain why nursing theory?is not necessary to the profession.?

?So, let’s have a debate.?Is nursing theory important to the?nursing profession? In particular, is it important for nurse practitioners? Does theory inform nurse practitioner practice??If you believe that it is important, explain why it is?useful.?If you do not believe that it is useful, explain why nursing theory?is not necessary to the profession.?

Discuss the pros and cons of the following: Fossil fuel: oil, natural gas, and coal Nuclear energy Solar energy Wind power Water (hydro) power Bioconversion (biofuel) 

Your organization is about to review its energy use and develop an energy plan, including as many renewable power sources as possible.
You have been asked to prepare a presentation for upper management about fossil fuel, nuclear energy, and alternative or green power sources.
Prepare a PowerPoint presentation of 10-12 slides (not including the Title and Reference slides) and include a minimum of 3 images.
You will prepare a PowerPoint presentation to discuss the following topics: 

Discuss the law of conservation of energy with an explanation of how this law applies to energy use and energy conversions. 

Discuss the pros and cons of the following:

Fossil fuel: oil, natural gas, and coal
Nuclear energy
Solar energy
Wind power
Water (hydro) power
Bioconversion (biofuel) 

Sources should be referenced and cited in APA style throughout the presentation and listed on the reference slide.

Present promotions that will be used to create awareness and increase the value of the experience.Explain how and where advertising will take place.Present personal selling strategies.Describe the promotions selected and explain how these promotions will reach various segments.

Present promotions that will be used to create awareness and increase the value of the experience.Explain how and where advertising will take place.Present personal selling strategies.Describe the promotions selected and explain how these promotions will reach various segments.Have season-long in-game promotions for halftimes and time-outs when applicable.For game promotions, include the contest that the promotion will be used for. You should have a promotion for all home games.

While there is no such thing as an “African terrain,” there are some commonalities that impact most of the continent.  What are those commonalities?  How does the environment help explain the underdevelopment of Africa, in general?

Read materials answer questions :  1-1.5 pages 
 While there is no such thing as an “African terrain,” there are some commonalities that impact most of the continent.  What are those commonalities?  How does the environment help explain the underdevelopment of Africa, in general?  In other words, what is it about the physical environment of the continent deters the continent’s development.  
 Make sure you support your answer with evidence from the readings.