Free sample - Complex Congenital Heart Disease. translation missing

Complex Congenital Heart Disease. Complex Congenital Heart DiseaseComplex Congenital Heart Disease Intrinsic coronary illness is a defectâ or deformity in the structure of the heart or vessels that flexibly it with blood. This imperfection happens as the embryo creates in the uterus and is subsequently present during childbirth (Pampel, 2004). This defectâ meddles with the typical progression of blood through the heart. Complex inherent coronary illness requires quick clinical consideration since it tends to be exceptionally lethal. Complex inborn coronary illness can be ascribed to both hereditary and natural elements. A pregnant lady who endures rheumatic coronary illness produces antibodies which act against the Ro and La auto antigens in the baby (Pampel, 2004).â The piece of the Ro antigen focused by the antibodies from the mother is called p200 protein. The more the quantity of antibodies created against this protein, the more the harm to the core of the hatchling. This neutralizer - antigen response causes the aggravation and resulting calcification of the cardiovascu lar arrangement of the baby henceforth harming the heart structure (Calnan, 1991). Scientists additionally have it that enemy of seizure drug taken by a pregnant lady makes the embryo progressively defenseless against inborn coronary illness. Pregnant ladies who take lithium to treat sadness, just as the individuals who have phenylketonuria (PKU) and don't carefully take the extraordinary eating routine endorsed to them incline the baby to the assault (Calnan, 1991). Ladies who contractâ the Rubella infection and the individuals who get inoculated against a similar have higher potentials for success of bringing forth youngsters with CHD. Different examinations show that this condition has autosomal-prevailing legacy implying that moms who have the condition have around 50% potentials for success of passing it to the kid (Kaplan, 2002). Various Chromosome variations from the norm can likewise result to CHD. These include: Down condition, trisomy 18 and 13, turner’s disorder, cri du talk disorder, wolf †Hirsh horn syndromeâ and Digeorge condition ( erasure 22q11). Hereditary disorder have additionally been appeared to make one progressively powerless against the condition. These are: Marfan disorder, Smith-lemli-optiz condition, Ellis-van Creveld, Holt-Oram disorder, Noonan condition, and Mucopolysaccharidoses (Kaplan, 2002). Blunders at any phase in the embryological improvement of the heart can result inâ inherent heart disease.â This advancement happens between the third and the ninth seven day stretch of the development time frame (American Heart [AH], 2010). The heart is framed when a gathering of cells join to shape sheets of tissue, which at that point join to frame a cylinder whose development brings about the arrangement of the atria and ventricles (AH, 2010). The subsequent tissue experiences exciting bends in the road while the atria, ventricles and truncus experience septation.â The antrioventricular channel and conus adjust the parts of the heart in a way that permits smooth blood stream. On the off chance that any mistake happens during this procedure, at that point heart confusions, for example, the inherent coronary illness result (AH, 2010). Occurrences of inborn coronary illness are on the ascent as per late examinations. Information from analysts in the western industrialized world for example show that the occurrence of the condition has expanded from around three to five for each every one thousand live births to around twelve for every one thousand live births. A few scientists however contend that this expansion can be credited to innovative advances which have seen the creation of increasingly delicate discovery strategies (AH, 2010).  Left to right shunts is the commonest physiology related with innate coronary illness. This happens when oxygenated bloodâ returns to the lungs to get re-oxygenated. This arrival causes an excess in the flow. This prompts an expanded venous come back from the lungs through the pneumonic veins to one side chamber just as the left ventricle. This makes the left ventricle experience volume over-burden (Larsen, 1993). Basically, left to right shunt causes a volume over-burden on the left ventricle, just as pneumonic dissemination and decreased methodical yield. Left to right shunt lesionsâ cause physiological modifications at the ventricular or extraordinary corridor level. Congestive cardiovascular breakdown can happen between week two and six because of an abatement in pneumonic vascular protections which is joined by an expansion in fundamental vascular protections just as physiological nadir in the hemoglobin (Larsen, 1993). Expanded left to right blood shunting at last outco mes toâ aspiratory vasculature which causes hyperplasia of the vessel dividers and resulting hypertension (Kenneth, 1997). Ventricular septal imperfection is a deformity which likewise happens in patients with innate coronary illness. For this situation, there is a left to right shunt over the ventricular level. During this shunting, blood from the left ventrical is launched out during systole to the pneumonic course. This blood causes a volumeâ overloadâ to one side chamber just as the left ventricle (Kenneth, 1997). Patent ductus arteriosusâ is described by a left to right shunt during systole and diastole from the aorta to the aspiratory vein. Attributable to the presenceâ ofâ higher weight in the aorta when contrasted with that in the aspiratory vein, the left to right shunt gets continuous.â This causes a volume over-burden on the left chamber just as the left ventricle. A huge level of PDA brings about aspiratory vascular sickness (Larsen, 1993). Truncus arteriosus happens whereby, the pneumonic supply routes are joined to the aorta. Patients who endure this condition experience higher events of aspiratory hypertension and vascular ailment (Larsen, 1993).  Right to left shunt happens when the deoxygenated blood that goes to the lungs for oxygenation returns back to the body without reoxygenation. One condition related with this is quadruplicate of fallot. This is a condition happening because of the nearness of RV outpouring obstacle. It results to one side to left shunt over the VSD (Hoffman, 2005). An individual experiencing this condition is cyanotic because of lack of aspiratory blood stream. This blood insufficiency brings about a littler left ventricle than the correct one inferable from a decrease in the pneumonic venous return (Hoffman, 2005). Inherent coronary illness is found sometimes when the mother experiences a ultrasound examine during pregnancy. Different cases are not found during this output and along these lines theyâ are found through indications when the child is conceived (Hoffman,2005). In different cases still, the new conceived doesn’tâ show side effects of the condition until later years. A few people develop to adulthood without demonstrating side effects of the condition. Signs and manifestations of this ailment include: repetitive lung contaminations, brevity of breath which is additionally fast, weariness particularly during works out, absence of hunger, low pace of weight gain, perspiring while at the same time eating, powerless heartbeat in children and cyanosis shading on the skin around the mouth, lips just as the tongue (Niessen, 2008).  The conclusion of intrinsic coronary illness should be possible previously or after birth. Antenatal conclusion is done through a fetal echocardiography which is a kind of ultrasound scanner intended to make an image of the sides of the heart chambers. This test is doneâ over the span of normal antenatal assessments which come during the eighteenth and twentieth seven day stretch of pregnancy (Niessen, 2008).â Post natal conclusion is obligatory if the child presents with a portion of the indications of the malady, for example, blue shading around the lips, taking care of issues, slow pace of development, and so on techniques usedâ during this determination include: Electrocardiogram, a test that gauges the heart’s electrical movement (Niessen, 2008). This strategy includes putting cathodes on the skin over the heart which are then associated with a PC. Electrical signs originating from the heart are then broke down by the PC (Shanley, 2007). Chest x-beam can likewise be utilized to identify the malady. This x-beam fundamentally inspects if there is abundance measure of blood in the lungs or if the heart size is ordinary. Overabundance blood in the lungs and a bigger heart are indications of the illness (Shanley, 2007). Heartbeat oximetry is additionally an identification technique that gauges the measure of blood present in the child’s blood. A unique sensor is put in the child’s fingertip, ear or toe which conveys light waves. Assimilation of the light waves is checked by means of a PC since the ingestion conduct can show the oxygen levels in the blood (Shanley, 2007). Cardiovascular catheterization as a recognition strategy tries to discover blood siphoning conduct. A catheter is embedded in one of the significant veins in the crotch. Its at that point pushed to the heart however the help of x-beams or MRI scanners. Bloodâ pressure readings at various pieces of the heart are then recorded by a little we ight screen connected to the furthest limit of catheter (Larsen, 1993). Treatment of this condition includes managing prescriptions which can make the heart beat ordinary incase its not.â The drugs fundamentally moderate the indications before an activity to fix the issue is controlled. These prescriptions incorporate a prostaglandin inhibitor managed toâ an untimely child to help with shutting a patent ductus arteriosus (Niessen, 2008).â Heart catheterizationâ talked about under finding can likewise be utilized to fix the issue. Medical procedure if vital is fitting when the child is sufficiently able to withstand it. Open heart medical procedure is done if the issue can't be fixed utilizing a catheter. This medical procedure targets shutting openings with the assistance of fastens or fixes, fixing or supplanting harmed heart valves, andâ fixing complex deformities (Niessen, 2008). On the off chance that the issue is too extreme to even think about repairing, a transplant is suggested. The heart to be utilized is ordinarily gotten through a gi ft byâ the group of an infection

Nicolaus Copernicus :: Essays Papers

Nicolaus Copernicus The sixteenth and seventeenth hundreds of years were known as the Scientific Revolution. During these hundreds of years, science was beginning to respond to numerous inquiries regarding the earth. Researchers all around the globe were making their suspicions on how the universe functioned. Nicolaus Copernicus was a Polish space expert that likewise had a hypothesis. The Copernican Theory changed numerous perspectives and greatly affected society. Copernicus carried on with his life in Poland. At the point when he was nineteen, he chose to learn at the University of Cracow. At the college he was required to contemplate syntax, talk and rationale, number juggling, geometry, music and crystal gazing or stargazing. Edward Rosen is the creator of, Copernicus and the Scientific Revolution. He says, The subjects offered during his years there are known structure college records that are as yet saved. The names of the educators who instructed those courses are likewise known. Be that as it may, the students’ records are missing.1 The evaluations that he got in school are obscure. Be that as it may, it is realized that he didn't remain sufficiently long to procure a bachelor’s degree.2 After Copernicus left school he got back to his uncle, Lucas Waczendrode, who was the priest of Ermeland.3 His uncle proposed that he enter the canonry n Frauenburg. The canonry is a gathering of ministers that have a place with a house of God or other church. Entering the canonry would give Copernicus a steady and secure pay for an incredible remainder. While he sat tight for an opening, his uncle sent him for preparing at the University of Bologna.4 While there he considered science and Greek language for three and half years. He additionally turned out to be increasingly acquainted with space science. In 1501 Copernicus came back to Frauenburg where he turned out to be separated of the canonry. He left rapidly and began to concentrate in Italy at the University of Padua. There he examined law and medicine.5 After a lifetime of considering, he is said to have aced the ideas of math, medication, religious philosophy and astronomy.6 As Copernicus examined space science more, he came to unequivocally differ with the Ptolemaic arrangement of stargazing. This framework depended on the possibility that the earth was fixed in the middle and the various eminent bodies moved around it. Stargazers accepted that the earth was in the inside in light of the fact that it was substantial. Copernicus saw numerous issues related with this arrangement of space science. For instance, some of the time the planets gave off an impression of being going the other way and the splendor of the planets would will in general change also.

Ordinary Citizens mediated by professional journalists Essay

Customary Citizens interceded by proficient writers - Essay Example In such manner, the media assumes a urgent linkage job between the social organizations through different classifications and account styles. This paper will consider the motivation behind a particular paper article for instance of media talk to build up the sorts of institutional methodology and practices that may have affected why the substance of the article might be esteemed newsworthy. Notwithstanding that, this paper will analyze whether any of the article’s substance expressly allude to the media’s job as a correspondence medium and how language style and explicit occurrences of wording have been utilized to pass on the story, in addition to other things. Segment One The paper article that is getting looked at because of its motivation for instance of Media talk is by Calmes Jackie, and is titled â€Å"The First Lady Refuses to Let a Heckler Go Unscolded† (Calmes, 2013). This paper article shows up in the New York Times Politics section of June 6, 2013; it is imperative to recognize the source production subtleties of this article for cross reference purposes, to decide legitimacy of the news thing content in the source distribution. ... inds of institutional techniques and practices; in this specific case, the newsworthiness of this article may have been impacted by the commonsense and money related concerns. Foundations are formed by talk, and they thus have the ability to make and force talks (Mayr, 2008); in such manner, it can't generally be ensured that the news media will be obliged to give an unprejudiced and adjusted inclusion of significant social and political occasions that shape the worldwide scene. Like every other organization, the news media’s endeavor to make a widespread picture of unprejudiced nature and adjusted news inclusion is constantly obliged by functional and budgetary real factors, for example, the requirement for continued productivity. For example, the news media is regularly compelled to build income for investors; for this situation, the benefit intention decides the sorts of occasions that are viewed as newsworthy and along these lines, papers have been blamed in the past for t rivializing significant issues (Reah, 1998). The news media methodology and practices in the end figure out what news turns out to be, in this manner the news media just offers a fractional perspective on the world that suits the interests of the socially and monetarily ground-breaking (Bielsa and O’Donnell, n.d). The substance of the article expressly alludes to the media’s job as a correspondence medium since it is purposely organized by talk and comprehensive language that incorporates enthusiastic and moral stacking (Timucin, 2010), for example through framework, or organizing of sentences and passages to influence readers’ reactions. Generally, the article intervenes among importance and socio-social reality, for example, this article looks to intercede reality by and through language (Talbot, 2007); such encoding is essential for the reasons for

The Audio PANCE and PANRE Board Review Podcast Episode 3

Are you bored to death in the car and worriedabout your upcoming PANCE or PANRE? Do you have a long, painful commute to your next OB rotation and had enough NPR? Do you have time while on a run or at the gym that is filled with tracks byMaroon 5 or Katy Perryand you know there must be something better? Problem Solved! Welcome to episode 3 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I created this audio seriesto helpyou fill some downtime when you are unableto read (like in the car) with some useful board review. My favorite places to study are during my morning commute, at the gym, or whiletrudging upa hill on a nice trail run. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. You can download and listen to past FREE episodes here,oniTunes, on Google Play Music or StitcherRadio Listen Carefully Then Take The Quiz Download episode 3 NEW! Take an Interactive Quiz of the Audio Questions! Audio PANCE and PANRE Episode 3 Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Start Congratulations - you have completed Audio PANCE and PANRE Episode 3. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% %%FORM%% Have Your Exam Results Emailed to You Enter your name and email address below to have your results as well as the test questions, your answers and the correct answers delivered to your inbox. Name First Last Email mTouch Quiz Populated FieldsmTouch Quiz will automatically populate the fields below. Feel Free to add additional fields for the Quiz Taker to complete using the "Add Fields" options to the right.Quiz NameThe name of the quizResults SummaryScoreThe number of correct answers. This has the same value as the %%SCORE%% Variable on the Final Screen.Total QuestionsThe total number of questions. This has the same value as the %%TOTAL%% Variable on the Final Screen.PercentageCorrect answer percentage. This has the same value as the %%PERCENTAGE%% Variable on the Final Screen.Wrong AnswersNumber of wrong answers. This has the same value as the %%WRONG_ANSWERS%% Variable on the Final Screen.Time Allowed (Seconds)Time allowed (Requires timer add on). This has the same value as the %%TIME_ALLOWED%% Variable on the Final Screen.Time Used (Seconds)Time used (Requires timer add on). This has the same value as the %%TIME_USED%% Variable on the Final Screen. This iframe contains the logic required to handle Ajax powered Gravity Forms. jQuery(document).ready(function($){gformInitSpinner( 7, 'https://www.thepalife.com/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery('#gform_ajax_frame_7').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_7');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_7').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_7').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_7').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_7').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_7').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_7').val();gformInitSpinner( 7, 'https://www.thepalife.com/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery(document).trigger('gform_page_loaded', [7, current_page]);window['gf_submitting_7'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_7').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_7').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [7]);window['gf_submitting_7'] = false;}, 50);}else{jQuery('#gform_7').append(contents);if(window['gformRedirect']) {gform Redirect();}}jQuery(document).trigger('gform_post_render', [7, current_page]);} );} ); jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 7) {} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} ); jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [7, 1]) } ); Your answers are highlighted below. Question 1A 45 year-old smoker presents with a sore mouth and increasing difficulty eating for two weeks. Physical examination reveals a 1 cm white lesion on the buccal mucosa that cannot be rubbed off. Which of the following is the most likely diagnosis?AOral cancerBOral candidiasisCAphthous ulcerDNecrotizing ulcerative gingivitisQuestion 1 Explanation: The presence of leukoplakia in a smoker over the age of 40 should be biopsied to rule out the presence of oral cancer.Question 2A 25 year-old female presents to the emergency department after an episode of substernal chest pain with radiation to the middle of her back that came on suddenly and lasted for about four minutes this morning while in bed. She denies previous episodes. Examination is unremarkable, but she appears jittery. Toxicology screen is positive for cocaine. Which of the following medications is contraindicated in this patient?ALorazepam (Ativan)BDiltiazem (Cardizem)CNitroglycerin (Nitrostat)DPropanolol (Inderal)Quest ion 2 Explanation: Pure Beta blockers, such as propranol, can cause a paradoxical hypertension because of unopposed alpha-adrenergic effects.Question 3Abduction of the shoulder against resistance helps localize pain in which of the following muscles of the shoulder girdle?ASupraspinatusBInfraspinatusCTeres minorDSubscapularisQuestion 3 Explanation: Abduction against resistance tests the supraspinatus.Question 4A patient with obsessive compulsive disorder would most likely have which of the following findings?ARaw, red handsBPriapismCMemory impairmentDAbdominal painQuestion 4 Explanation: Common manifestations of obsessive compulsive disorder include phobias of germ and contaminants which results in frequent handwashing leading to chafed and reddened hands. The other answers are inconsistent with obsessive compulsive disorder.Question 5Which immunoglobulin is the first to respond during the primary immune response for a gram positive bacterial infection?AIgMBIgGCIgADIgEQuestion 5 Exp lanation: IgM is the first immunoglobin to respond during the acute exposure. This immunoglobulin promotes opsonization and phagocytosis. IgG is the immunoglobulin that responds during the secondary exposure. IgE is the immunoglobulin that responds during an allergic response as well as during a parasitic infection. IgA is an antibody found in colostrums and GI secretions.Question 6A 62 year-old homeless patient presents complaining of fever, weight loss, anorexia, night sweats and a chronic cough that recently became productive of purulent sputum that is blood streaked. On physical examination, the patient appears chronically ill and malnourished. Which of the following chest x-ray findings supports your suspected diagnosis?AHyperinflation and flat diaphragmsBInterstitial fibrosis and pleural thickeningCCavitary lesions involving the upper lobesDD. "Eggshell" calcification of hilar lymph nodesQuestion 6 Explanation: This patient most likely has tuberculosis. A chest x-ray finding o f cavitary lesions involving the upper lobes would support this suspected diagnosis.Question 7What is the recommended method for screening pregnant women for gestational diabetes?AFasting blood sugar and 2 hour post prandialB50 gram glucose load followed by a blood sugar in 1 hourC75 gram glucose load followed by a blood sugar in 2 hoursD100 gram glucose load followed by a blood sugar at 1 hour, 2 hours, and 3 hourQuestion 7 Explanation: One hour Glucola is the screening test for gestational diabetes. It is a 50 gram glucose load, with a serum glucose obtained 1 hour after the dose. Normal value is less than 140 mg/dL.Question 8As a rule, solid foods such as cereal and fruits are best introduced into an infant's diet at approximatelyA1 to 3 weeks.B4 to 8 weeks.C4 to 6 months.D10 to 14 months.Question 8 Explanation: The inclusion of solid foods in the diet is best done at approximately 4-6 months. Before 4 to 6 months of age does not contribute significantly to the infant's health an d it increases their risk of allergies and atopy.Question 9What is the treatment of magnesium sulfate toxicity?ANifedipineBTerbutalineCPotassium carbonateDCalcium gluconateQuestion 9 Explanation: 10% calcium gluconate is used to treat magnesium sulfate toxicity.Question 10During an influenza epidemic, a 6 year-old male is seen with fever and a severe sore throat. The parents report that his symptoms have not improved despite administration of aspirin. The next day, the parent calls to report that the child has persistent vomiting and increased lethargy. On examination, he is found to be delirious and disoriented with hyperactive reflexes. The liver edge is 3 cm below the right costal margin in the midclavicular line. Which of the following is the most likely diagnosis?A Reye's syndromeBMeasles encephalitisCGuillain-Barre syndromeDAcute bacterial meningitisQuestion 10 Explanation: The suspected influenza associated with development of vomiting, progressive mental status changes, hype rreflexia, and hepatomegaly are consistent with a diagnosis of Reye's syndrome.Question 11A 56 year-old female four days post myocardial infarction presents with a new murmur. On examination the murmur is a grade 3/6 pansystolic murmur radiating to the axilla. She is dyspenic at rest and has rales throughout all her lung fields. Blood pressure is 108/68 mmHg, pulse 70 bpm. Which of the following would be the definitive clinical intervention?A Intra-aortic balloon counterpulsationBMitral valve replacementCCoronary artery bypass surgeryDImmediate fluid bolusQuestion 11 Explanation: MVR is the definitive intervention to correct MR caused by papillary muscle rupture. Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 11 questions to complete. List Return Shaded items are complete. 1234567891011End Return You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All doneNeed more practice!Keep trying!Not bad!Good work! Good work!Perfect! Looking for episode 2? This FREE series is limited to every 3rd episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. There are currently 8 episodes and 90 minutes of audio content available for download from the academy homepage. I will be releasing new episodes every two weeks. The Academy is currently discounted at $35 for the entire year, so sign up now. This Podcast is also available on iTunes and Stitcher Radio for Android iTunes:The Audio PANCE AND PANRE Podcast iTunes Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher And, if you haven't already, make sure to download Brian Wallaces' excellentPhysician Assistant Exam Review Podcast.Follow along with Brian who covers new topics twice monthly and really does an amazing job! document.createElement('audio'); https://traffic.libsyn.com/pasquini/The_Audio_PANCE_and_PANRE_Questions_21-30.mp3Podcast: Download () | EmbedSubscribe: Apple Podcasts | Android | Email | Google Podcasts | Stitcher | RSS | PANCE and PANRE Podcast PlayerView all posts in this seriesThe Audio PANCE and PANRE Board Review Podcast Episode 1The Audio PANCE and PANRE Board Review Podcast Episode 3The Audio PANCE and PANRE Board Review Podcast Episode 5The Audio PANCE and PANRE Board Review Podcast Episode 7The Audio PANCE and PANRE Board Review Podcast Episode 9The Audio PANCE and PANRE Board Review Podcast Episode 11The Audio PANCE and PANRE Board Review Podcast Episode 13The Audio PANCE and PANRE Board Review Podcast Episode 15The Audio PANCE and PANRE Board Review Podcast Episode 17The Audio PANCE and PANRE Board Review Podcast Episode 19The Audio PANCE and PANRE Board Review Podcast Episode 21The Audio PANCE and PANRE Board Review Podcast Episode 23The Audio PANCE and PANRE Board Review Podcast Episode 25Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39Episode 41: The Audio PANCE and PANRE Board Review PodcastEpisode 43: The Audio PANCE and PANRE Board Review PodcastMurmur Madness: The Audio PANCE and PANRE Episode 45Episode 47: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 49: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 51: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 53: General Surgery End of Rotation Exam The Audio PANCE and PANRE PodcastEpisode 55: The Audio PANCE and PANRE Board Review PodcastEpisode 57: The Audio PANCE and PANRE Board Review PodcastEpisode 59: Emergency Medicine EOR The Audio PANCE and PANRE Board Review PodcastEpisode 61: The Audio PANCE and PANRE Board Review PodcastEpisode 63: The Audio PANCE and PANRE PA Board Review PodcastPodcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-CPodcast Episode 67: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 69: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 71: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 77: The Audio PANCE and PANRE Board Review Podcast You may also like -The Audio PANCE and PANRE Board Review Podcast Episode 1 Welcome to episode 1of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in []The Audio PANCE and PANRE Board Review Podcast Episode 17Welcome to episode 17of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes10 Multiple Choice PANCE and PANRE Board Review Questions in each []The Audio PANCE and PANRE Board Review Podcast Episode 13Welcome to episode 13 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes10 Multiple Choice PANCE and PANRE Board Review Questions in each []

Physician-Assisted Suicide The Law and Professional Ethics - Free Essay Example

Sample details Pages: 4 Words: 1152 Downloads: 2 Date added: 2019/05/31 Category Law Essay Level High school Topics: Assisted Suicide Essay Did you like this example? The discussion to make physician-assisted suicide legal has created mixed reactions among the US citizens. Despite its ethical prohibitions, some people continue to express their interest in the act. People have increasingly shown their concerns and fears regarding how their lives will end. Don’t waste time! Our writers will create an original "Physician-Assisted Suicide: The Law and Professional Ethics" essay for you Create order Some people have voiced out their opinions on euthanasia, and surprisingly, a section of them continue to advocate for the legalization of the process. Others have expressed their disgrace in the debate surrounding legalization of the process as it is against the ethical code of living. As a result, the American College of Physicians (ACP), continue being attentive to all concerns raised by people. It makes sense that patients suffering from some terminal, painful illnesses and patients from tragic accident experience a lot of pain and some may prefer death to life. Cases of this type lead to a debate on whether physicians should be allowed to terminate life. In a society where the laws of land give everyone a right to life, a discussion about whether people have the right to end their lives under whichever conditions have attracted divergent views among citizens. Although it is the wish of most people to live long and enjoy life, some life situations like excessive pain after an accident or a long severing resulting from terminal diseases may make life unbearable forcing some people to prefer death to life. As a result, most Americans are concerned whether on whether dying patients have the right to acquire assistance from a physician (Emanuel et al. 78) The debate has drawn its fair share of critics as against work ethics for the physicians and patients who subscribe to the belief that one has the right to die peacefully should have their concerns addressed (Battin and Margaret P 67). However, before the rights of such citizens are treated, difficulties posed the procedure should be discussed. For instance, it has proven quite hard to control euthanasia. Whatever the case, the decision to grant terminally ill patients the right to euthanasia should be considered. Patients autonomy should be respected, and the argument that is aiding patientrs sickness is in line with the role of a physician to relieve pain and suffering in ailing people. It is argued that allowing physicians aide in the death of a pertinent is a breach of their ethical traditions. Although it is quite understanding as the traditional physicians work ethics are centered in caring and protecting patients lives, the wish of the patient should be granted (Quill et al. 246). The suffering of dying patients may be unbearable as a result of nausea, extreme pain and other physiologic conditions like anxiety and depression (Emanuel et al. 80). In such circumstances, some patients prefer to be given the freedom of timing the time of their demise. Medical assistance to such patients should be checked. Similarly, the role of medicine to relieve pain through induced death under patients wish should be considered. The main subject in euthanasia debate should be the patient and not the physician. The possibility of people taking advantage of the right to physician-assisted death is still a significant concern. Sometimes people undergoing solvable problems in life such as stress resulting from family and marriage conflicts and tough economic times may choose death over living. The rights to euthanasia should be limited to conditions of extreme pain and possibly long time coma and severe memory loss. Measures prohibiting people from taking advantage of medically and physically and psychologically solvable problems should be put in place. Such an action can bring order and prevent people from taking power. The decision to end life should be exclusively left to patients to avoid cases of ill-fated physicians killing eternally ill patients in life supporting machines and intensive care units (Battin and Margaret P 70). Patients expressing the will to euthanasia should have their conditions examined to determine their fate. For instance, patients suffering from some diseases or in stages of illness can be advised appropriately upon medical cross-examination. Should such patients choose euthanasia, their wishes can be granted. A judge named Stephen Reinhardt backed the claims whether anyone has the right to assisted suicide in the United States. When presented with the case whether any person has the right to euthanasia, Judge Reinhardt ruling stated that any adult person who has lived almost all his/ her life has the paramount liberty to select a civil and humane death instead of being subjected to a natural diapered state when if they are terminally ill. This was one of the landmark rulings that defends aided suicide. People should therefore not be subjected to severe suffering by denying them the right. Human beings suffering from terminal illnesses have rights just as healthy people and should be not be subjected to inhuman suffering when they can choose to end their lives peacefully. Nonetheless, terminating life should not be the case in the United States. Continued improvements in medicine have produced drugs capable of treating severe human pain. Although medicine may not address some conditions today, future advanced in the area may come up with such medications. Additionally, society should learn to give people nearing the end of their lives good care both emotionally and physically. A 1997 research in the United States by IOM about approaching death found out that there was insufficient end-of-life care in the country. Research from proceeding years has backed up the claims. Cases of patients receiving poor or no care at all during their weak moments are quite familiar. The society should learn to give adequate care and support to their ailing and terminally suffering people. Adopting such a culture would reduce the number of people seeking aided death. The observation that most people worry about how they will die should be looked in to keenly. Americans should consider subscribing to programs that take care of people in their end of life moments. Disease prone and ailing older adults should be moved to nursing homes where they can receive quality care and diet in their dying moments (Quill et al. 245). Americans should also prioritize palliative care which takes care of terminally ill people and families. People should be encouraged to plan for palliative care programs which would take care of their conditions in case they become terminally ill. Finally, research in the United States has documented the elderly and people who have cancer as prone to subscribing to euthanasia drugs. For instance, research in Oregon State in 2014, established that 69% of people taking lethal medication had cancer while 68% of all those taking the drugs were above the age of 65 years. From the findings, the government and the society should increase their support care and compassion to such groups of people. Aided death should be used severe critical conditions of acute suffering and for elderly people with terminal illnesses. The country revises physician-aided suicide law and sets in combat regulations to allow terminally-ill people choosing euthanasia death path enjoy their right.

Mcts Guide to Microsoft Windows 7 Chapter 1 Solutions Essay

Review Questions 1. A friend of yours has asked which version of Windows 7 should be purchased to start a new multimedia-based home entertainment system. Your friend will not require business support features, but they will require support communicating with their Xbox 360. You recommend: a.Windows 7 Ulitmate b.Windows 7 Home Basic c.Windows 7 Home Premium d.Windows 7 Enterprise 2. Windows 7 supports only cooperative multitasking. True or False? 3. The Graphical Processing Unit is a hardware component capable of quickly drawing items to the screen. 4. A graphics card capable of running the Aero Theme must have drivers certified to which standard (select two)? a. DirectX b. WDDM c. WDF d. WDM e. Vendor 5. All device drivers are†¦show more content†¦Updated drivers for the hardware can be obtained from the manufacturer and from which Microsoft web site? a. Windows Marketplace b. Windows Driver Distribution c. Microsoft support d. Windows Update 19. Some hardware can be added to the computer without having to restart or power down the computer. After a short period of time the device driver automatically loads and the hardware is available to applications and the user. This type of hardware is considered compatible with what type of technology? a. Teredo b. WDDM c.Plug and Play d. legacy 20. You have purchased a new 72 GB disk drive and would like to format it in Vista with a single partition that uses up all the space on the drive. You can format the file system on the partition as (choose all that apply): a. FAT16 b. FAT32 c. CDFS d. NTFS 21. Software assurance customers can take advantage of extra applications provided with Windows 7 Enterprise edition. What feature included with this edition will allow legacy applications to run at the same time as other Windows 7 applications? a. BitLocker drive encryption b. NTFS c. UNIX native application support d. XP Mode e. Terminal Services 22. Which of the following is an advantage of HomeGroup computing? a. requires one or more expensive servers b. supports 20 workstations c. no security enforced d. simple to set up initially 23. A thread represents the files, data, and instructions that make up a single running task or application. True orShow MoreRelatedTop 1 Cause for Project Failure65023 Words   |  261 PagesFeatured discussion In your experience, what is the TOP #1 cause for Project failure? From experience, the following are the TOP10 causes of Project failure that Mathew can think of (they are not in any kind of order): #1. Lacking Sponsor s Involvement/Ownership #2. Halo Effect (Wrong Man for the Job) #3. Poor HR Management #4. Poor/Inadequate Project Communications #5. Ignoring Project Stakeholders #6. Absence of Risk Management #7. Scope Creep/Unrealistic Expectations ( scope creep: FrequentRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pages Timothy A. Judge. — 15th ed. p. cm. Includes indexes. ISBN-13: 978-0-13-283487-2 ISBN-10: 0-13-283487-1 1. Organizational behavior. I. Judge, Tim. II. Title. HD58.7.R62 2012 658.3—dc23 2011038674 10 9 8 7 6 5 4 3 2 1 ISBN 10: 0-13-283487-1 ISBN 13: 978-0-13-283487-2 Brief Contents Preface xxii 1 2 Introduction 1 What Is Organizational Behavior? 3 The Individual 2 3 4 5 6 7 8 Diversity in Organizations 39 Attitudes and Job Satisfaction 69 Emotions and Moods 97 Personality and

Marketing Plan for Small Business-Free-Samples-Myassignmenthelp

Question: Identify three Investment Opportunities for a Small Business that would be a profitable venture in Malaysia at the current scenerio. Justify your reasons. Answer: Overview In every industry and market, there are many investment opportunities in the market. Investment opportunity can be described as the understanding and knowing about the possibilities and types of the markets which will grow in future. There are various kinds of opportunities related to the investments in every market i.e. stocks, mutual funds, real states, commodities, cash investments, tourists, debt securities etc. This report focuses on the investment opportunities for the small business in the country Malaysia. The report focuses on the three major investment opportunities in the country. Based on the identified opportunities, the report selects a small business for the further analysis. Based on the information, report focuses on the consumer profile, target market and the marketing strategy for the chosen business in Malaysia. The marketing plan for the business will be helpful in gaining higher customer base in the country (Armstrong Cunningham, 2012). Investment opportunities For any investor, it is important to understand the most profitable market so that they can gain maximum profit in the business. Malaysia is the hub of various businesses and in the country; investors can get many opportunities to earn maximum profit by investing in those businesses. The country Malaysia has a unique position in the South East Asia. The country is setting new growth targets and it is expected that the economy of the country will be double by 2020. The government of the country is putting the various measures to encourage the investors to explore various business opportunities available in the country. Fashion The people of the country Malaysia love fashion. They show high level of concern for what they wear. Although there are many fashion outlets in all over the country so, there are enough opportunities for the new investors to earn profit. If someone wants to start a fashion business in Malaysia then it should be noted that local fashion sells best. So, investors have many opportunities in the fashion business to invest their money. Tourism This is highly attractive business in the Malaysia as the country is the popular tourism destination. Malaysia hosts many tourists every year and by this investors earn lots of profit in the tourism sector of the country. If the investors have big budget, then they can build a hotel and resort in the country Malaysia and provide the services to the tourists that visit the country on vacations. Small business of the hotel or resort can earn huge amount of profit by offering products and services to the tourists. So, in the tourism sector of Malaysia, investors can always make money with the small budget. Food Food business is very profitable in all over the world. In every country, investors earn huge amount of profit by investing in the food and beverage business. In case of the country Malaysia, people are fond of fast food and snacks. So, there is the huge opportunity for the investors and businesses to invest in the packaging and selling the fast foods and snacks such as ice-cream and yoghurt. Starting a food business in the country is very easy and requires little capital. Investors in this business can quickly make money from the business of food. So, based on the above analysis of the above investment opportunities, it is analyzed that the tourism business will be appropriate in the Malaysia. It is analyzed that investors can start the business of hotel or resort with the small budget also under the tourism sector. So, the small business of hotel will be taken for the analysis in this report (Godsmark Godsmark, 2010). For the discussion, the existing hotel Cameron Highlands has taken in this report. This hotel is operating in the country Malaysia and trying to improve the performance in the tourism industry. Market analysis To get success in any kind of business, it is important for the investors to understand about the consumer market and the marketing strategy so that they can earn maximum profit by the business. Tourism sector is highly attractive business and it has big consumer base. So, to understand about the consumer profile, it is necessary to do the market analysis of the country Malaysia. Customer profile Cameron Highlands Resort understands the needs of the travelers who come in the country every year. To get higher profit, it is important to understand the types of the customers who want to stay in hotel. Analysis of the customer profile is an important step in the marketing of tourism business. In the customer profile, the hotel will focus on the demands and needs of the customers, and their motives to avail the services. The determinants will be focused by the hotel and general information about the customers will be gathered (Lovelock, 2011). Segmentation and targeting The hotel Cameron Highlands Resort in Malaysia has aim to target huge customer base in terms of travelers. So it is important for the hotel to divide the consumer market into various segments based on their needs and requirements. For the hotel business, the segmenting and targeting strategy is as follows. Segmentation Market segmentation can be described as defining the geographical segmentations, demographic segmentation, psychographic segmentation and behavioral segmentation as per their needs and requirements. For the hotel business, the following market segmentation can be done in the country Malaysia (Peck et al, 2013). Geographic: From the point of view of geographic segmentation, the hotel will provide worldwide services by hospitalizing people from various countries. It will successfully segment its customers according to their country, hobbies, culture, taste and preferences, food habits and interest. This will be helpful in retaining the customers coming from various countries. Demographic: In the demographic segment, the hotel will divide its customer groups on the basis of size of family, age, gender, life cycle of families and income. The hotel will provide some services which will favored by men, some services which will suited to women, some according to the preferences of young people and some according to retired people. By this kind of segment, hotel will be able to attract the customers for long term basis (Daniels, 2002). Psychographic: This is the most important segmentation as the business is always successful upon the perception and the thinking of the customers towards the business. If the Cameron Highlands Resort will provide best services then the customers would like to visit the hotel again and again. The hotel will also divide its customers on the basis of social class, lifestyle, and their personality. It will enable its customers to choose their services according to their economic level. To the rich customers, the hotel will provide royal services and to the middle class customers, the hotel will provide luxury services (Assaf et al, 2015). Behavioral: By using this element, the hotel will be able to divide its customers on the basis of their attitude, knowledge and responses to a product. Some customers prefer to travel around metropolis for shopping while some customers prefer to travel around countryside, the hotel will able to project travel routes according to customers preferences. Targeting The Cameron Highlands will mainly target on wealthier customers however it doesnt mean that it will not focus on middle class customers. The company is planning to provide more holidays with exclusive add-ones using innovation. Target market is the important aspect for the success of the business. The hotel will mainly focus on the tourists and travelers who come from the different countries. The aim of the attracting these customers is that they come for the long time and once they are satisfied with the services, they will come again and again. The hotel will seek to provide the services within luxurious and relaxed environment. The hotel will always develop mutual relationship with the customers in terms of money, efficiency, and dependability by providing them required support (Bickhoff, Hollensenn Opresnik, 2014). Positioning strategy It is well known that Malaysian tourism market is well, established and there are many other hotels who are providing same services to customers. In such case, it is important for the hotel start up to set some effective strategies to deal with the competitors. To get strong position in the market, the hotel will use penetration and skimming pricing strategy. By keeping the prices low, hotel will be able to attract more customer base as the customers always want quality services with the affordable prices. So, by this strategy, hotel will be able to get effective position in the market (Chakravarthy Coughlan, 2011). Customer benefit In case of customer benefit, they will get quality hospitality services at the affordable prices. Hotel will provide luxury experience and other benefits with the technical advantages to the customers. Customers will get more benefits with the help of new technology. Targeting strategies of the hotel will include business hotel segment which will provide maximum benefit to the customers. Marketing strategy Marketing mix To establish the business successfully in the market, it is important to develop effective marketing strategy. For establishing the hotel business in Australia, the strategy of marketing mix is necessary. The identification of marketing for the hotel business is described below: Product: For the Cameron Highlands, the core products are the services provided by the hotel to the potential customers. The product for the hotel will be hotel rooms in which the customer will stay for a specific period of time. Hotel will provide a set of some facilities such as bars, restaurants, online reservation facilities and other customer services. There will also be the range of supporting products i.e. 24/7 room services, free magazines and newspapers etc. Along with this, the hotel will also offer luxurious rooms, membership discounts, and relaxed hotel environment. Place: The hotel business can be as a leading retailer in tourism by providing easiest routes to travel in both local routes and international routes. They can also locate their branches outside Malaysia. They can also provide online booking services to customers as internet is used worldwide by the people. The company can also put up small agents in every town for ease of access of local people (Cavusgil, 2012). Price: As price is the important factor to be considered in deciding the marketing plan of any industry, price should be decided keeping in mind price of the competitors for the similar product or service. In case of pricing strategy, the hotel will use low pricing strategy where there the demand is low and will use high pricing strategy where demand is high. Prices will be kept same whether booking is made online or offline to avoid the costing issues (Ellickson, Misra, 2008). Promotion: Impact of creating awareness about the product always leads to success of any organization. The hotel will use various components of promotion so that it will able to increase the number of habitual users. Various methods will be included such as advertisement, direct marketing and public relation. The Cameron Highlands will communicate with its customers through radio, television, newspapers and social networks which is most popular now days (Pealoza, Toulouse Visconti, 2013). People: People refer to employees, customers, management and other people who are interested in operations of the hotel. The authority of the hotel will have to keep in mind that customers are the valuable asset for their hotel so they will have to take care of their customers. Employee of any organization is like the blood and therefore the company will provide them proper training, job rotation, job enrichment and motivation. Process: The process of any organization helps it develop an effective market value. The company can use internet services to provide services to its customers. Good process strategy also helps in improving the relation between employers and employees as employees have already know about the method of providing services (Fifield, 2012). Physical evidence: Physical evidence of any hotel is an important part. The Cameron Highlands can include air conditioned as well as will furnished rooms, banquet halls, restaurants, swimming pool etc. It will help in attracting customers as first impression is always the last impression. Justification The identified marketing strategies will be beneficial for the Cameron Highlands in the Malaysia. The hotel will be able to get competitive advantage by adopting these strategies. To establish in the Malaysian market, positioning strategy for the hotel will include unique service proposition effective design and infrastructure based on the needs and the requirements of the customers (Roger, 2013). This would be helpful for the hotel to gain the trust of the customers and high level of profit for the investors. So, it is clear that by investing in the tourism, investors can earn high level of profit with the small budget. References Armstrong, G., Cunningham, M. H., (2012). Principles of marketing. Australia: Pearson publication Assaf, G. A., Josiassen, A., Knez?evic?, C. L., Woo, L., (2015). The effects of customer voice on hotel performance: International Journal of Hospitality Management. 44. 77-83 Bickhoff, N., Hollensen, S., Opresnik, M., (2014). The Quintessence of Marketing: Strategic and Operative Marketing PlanningSegmenting, Targeting, Positioning.pp. 47-11 Cavusgil, S. T., (2012). International Business: The New Realities. Australia: Pearson Education Chakravarthy, B., Coughlan, S., (2011). Emerging market strategy: innovating both products and delivery systems. 40(1). 27-32 Daniels, P. (2002). Restaurant business start-up guide: A complete guide to establishing your business. Chino Hills, Calif: Venture Marketing Ellickson, P. B., Misra, S., (2008). Supermarket Pricing Strategies: Marketing Science, 27(5), 811-825 Fifield, P. (2012). Marketing strategy (2nd edition), Berlin: Reed educational publishing Pvt Ltd Godsmark, C., Godsmark, C., (2010). Start and run a restaurant. Oxford: How To Books Lovelock, C., (2011).Services Marketing. (7th edition). India: Pearson Education Peck, H., Christopher, M., Clark, M., Payne, A., (2013).Relationship Marketing, Burlington: Linacre house, Jordon hill Pealoza, L., Toulouse, N., Visconti, L. M., (2013).Marketing management: A cultural perspective. USA: Routledge Roger, A.K., (2013). Marketing In Asia.(2nd). Columbus, OH: McGraw-Hill Education