MSN5600L Diagnosis, Symptoms and Illness Management

Case Study 1 & 2 Due by 01/29/2022 at 11:59pm

Case Study 1 & 2 (10 Points)

Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Study 1 & 2 topics change every semester. Topic TBA

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case StudyPagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 5th Edition
Systemic Lupus Erythematosus (SLE)


Case Studies
A 24-year-old woman had been complaining of multiple joint and muscular pains and
stiffness in the morning. She also noted some hair loss and increased skin sensitivity to light.
Her physical examination showed slight erythema around the cheek bones and some swelling
in the joints of her hands.
Studies Results
Routine laboratory work Within normal limits (WNL), except for mild
anemia
Urinalysis, p. 956 Profuse proteinuria and cellular casts
Antinuclear antibody (ANA), p. 88 1:256 (normal: <1:20)
Anti-DNA 398 units (normal: <70 units)
Anti-ENA Positive (normal: negative)
Anticardiolipin antibody (ACA), p. 68
Immunoglobulin (Ig) G 96 g/L (normal: <23 g/L)
IgM 78 mg/L (normal: <11 mg/L)
Erythrocyte sedimentation rate (ESR), p. 221 75 mm/hour (normal: ≤20 mm/hour)
Immunoglobulin electrophoresis, p. 312
IgG 1910 mg/dL (normal: 565-1765 mg/dL)
IgA 450 mg/dL (normal: 85-385 mg/dL)
IgM 475 mg/dL (normal: 55-375 mg/dL)
Total complement assay, p. 172 22 hemolytic units/mL (normal: 41-90
hemolytic units/mL)
Diagnostic Analysis
The positive ANA and ACA tests strongly supported the diagnosis of systemic lupus
erythematosus (SLE). The patient also had a facial rash suggestive of SLE. The elevated ESR
indicated a systemic inflammatory process. The immunoelectrophoresis results were
compatible with either RA or SLE; however, a decreased complement assay is commonly
associated with SLE. The abnormal urinalysis indicated that the kidneys also were involved
with the disease process. The patient was treated with steroids and did well for 7 years.
Unfortunately, her renal function deteriorated, and she required chronic renal dialysis.

Critical Thinking

Questions

1. Explain the significance of the urinalysis results as they relate to renal involvement with
SLE.

2. Why is the ESR increased in inflammatory conditions?

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 5th Edition
AIDS (Acquired Immunodeficiency Syndrome)

Case Study 2

The patient, a 30-year-old homosexual man, complained of unexplained weight loss, chronic
diarrhea, and respiratory congestion during the past 6 months. Physical examination revealed
right-sided pneumonitis. The following studies were performed:
Studies Results
Complete blood cell count (CBC), p. 174
Hemoglobin (Hgb), p. 259 12 g/dL (normal: 14-18 g/dL)
Hematocrit (Hct), p. 256 36% (normal: 42%-52%)
Chest X-ray, p. 1014 Right-sided consolidation affecting the posterior
lower lung
Bronchoscopy, p. 587 No tumor seen
Lung biopsy, p. 738 Pneumocystis jiroveci pneumonia (PCP)
Stool culture, p. 855 Cryptosporidium muris
Acquired immunodeficiency syndrome
(AIDS) serology, p. 297
p24 antigen Positive
Enzyme-linked immunosorbent assay
(ELISA)
Positive
Western blot Positive
Lymphocyte immunophenotyping, p. 306
Total CD4 280 (normal: 600-1500 cells/L)
CD4% 18% (normal: 60%-75%)
CD4/CD8 ratio 0.58 (normal: >1.0)
Human immune deficiency virus (HIV)
viral load, p. 297
75,000 copies/mL
Diagnostic Analysis
The detection of Pneumocystis jiroveci pneumonia (PCP) supports the diagnosis of AIDS.
PCP is an opportunistic infection occurring only in immunocompromised patients and is the
most common infection in persons with AIDS. The patient’s diarrhea was caused by
Cryptosporidium muris, an enteric pathogen, which occurs frequently with AIDS and can be
identified on a stool culture. The AIDS serology tests made the diagnoses. His viral load is
significant, and his prognosis is poor.
The patient was hospitalized for a short time for treatment of PCP. Several months after he
was discharged, he developed Kaposi sarcoma. He developed psychoneurologic problems
eventually and died 18 months after the AIDS diagnosis.
Case Studies 2
Copyright 2014 by Mosby, Inc., an imprint of Elsevier Inc.

Critical Thinking Questions

1. What is the relationship between levels of CD4 lymphocytes and the likelihood of
clinical complications from AIDS?

2. Why does the United States Public Health Service recommend monitoring CD4 counts
every 3 to 6 months in patients infected with HIV?



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Human resources planning, recruitment, and selection

Reflective Paper

The primary function of human resource management is to increase the effectiveness and contribution of employees in the attainment of organizational goals and objectives. Consider all the areas of HRM that have been discussed in class:

  • EEO and Affirmative Action,
  • Human resources planning, recruitment, and selection,
  • Human resources development,
  • Compensation and benefits,
  • Safety and Health, and
  • Employee and labor relations.

Submit a Reflective Paper in which you explain how these aspects work together to perform that primary function. Are any aspects more important than the others? Why or why not? How do you believe the HRM role can be optimized for shaping organizational and employee behavior?

The Reflective Paper must: (a) identify the main issues in the chosen area, (b) demonstrate new learning that has occurred, (c) include class activities or incidents that facilitated learning and understanding, (d) identify specific current and/or future applications and relevance to your workplace, and (e) reflect the potential impact to your future career plans or even in your personal life at home. The emphasis of the Reflective Paper should be on parts ‘d’ and ‘e,’ and on the application of new learning. Explore, in depth, the benefits of the new learning and understanding that has taken place.

Writing the Reflective Paper
The Reflective Paper:

  • Must be seven to eight double-spaced pages in length, excluding the cover page and reference page, and formatted according to APA style as outlined in the Ashford Writing Center. (Links to an external site.)Links to an external site.
  • Must include a title page with the following:
    • Title of paper
    • Student’s name
    • Course number and name
    • Instructor’s name
    • Date submitted
  • Must begin with an introductory paragraph that has a succinct thesis statement.
  • Must address the topic of the paper with critical thought.
  • Must end with a conclusion that reaffirms your thesis.
  • Must use at least five scholarly sources, in addition to the text.
  • Must document all sources in APA style, as outlined in the Ashford Writing Center.
  • Must include, on the final page, a Reference List that is completed according to APA style as outlined in your approved style guide and has at least five references in addition to the text.

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UL Exercises Are Very Important Things to Our Body Discussion

Please complete the initial post for discussion.   My guess is that many of us have heard the benefits of exercise for our bodies and maybe even our mental health. In this talk neuroscientist Wendy Suzuki shares her personal experience and her research on how short and long-term exercise can change our brain.  Once you have listened, respond to the prompt below.  • Share at least 1 new term or idea that you were introduced to in this talk about exercise and the brain. https://www.ted.com/talks/wendy_suzuki_the_brain_changing_benefits_of_exercise?utm_campaign=tedspread&utm_medium=referral&utm_source=tedcomshare

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5 essay questions On crime scene and Autopsy

All answersshould be 3 to 4 paragraphs. In APA format with InTEXT citations. Some references are listed below or you can use your own references as long as scholarly .

Question 1.

As an investigator you have been tasked with solving a hit and run homicide case involving a pedestrian and unknown vehicle. Explain what wounds you may expect to see and how these injuries may help reconstruct the crime.

Question2.

One of the biggest challenges to medical examiners today is determining whether an infant died of Sudden Infant Death Syndrome (SIDS) or whether foul play was involved. Discuss the research behind SIDS and what evidence assists the medical examiner in concluding a death was the result of SIDS. Summarize the protocol an investigator should use at a crime scene when investigating a possible SIDS death.

Question 3.

Define carboxyhemoglobin and explain its relationship to the MGM Grand Hotel in Las Vegas.

Question 4.

Two children were playing hide and seek with friends. With the assistance of another friend, the two children were lowered down into an abandoned well. The well was approximately 15 feet deep. After two days of searching, a police officer located the two missing children deceased inside the well. Neither child had any signs of injury and did not die as a result of exposure, starvation, or dehydration.

What was the cause of death? Explain your rationale using the assigned readings as well as and external research.

Question 5.

woman sunbathing at the beach in a bikini is found dead of a gunshot wound to the upper right thigh. Black markings can be seen surrounding the entrance wound.

Did the victim die from a contact shot that pierced her femoral artery or is it possible the victim was shot from a distance and the black markings are the ring of dirt? Explain your answer.

References

D.L. Karch, K.M. Lubell, J. Friday, N. Patel, D.D. Williams, Centers for Disease Control and Prevention (CDC)

Surveillance for violent deaths—National Violent Death Reporting System, 16 states, 2005

MMWR Surveill. Summ., 57 (2008), pp. 1-45

View Record in Scopus

[2]

V. Scolan, N. Telmon, A. Blanc, J.P. Allery, D. Charlet, D. Rouge

Homicide–suicide by stabbing study over 10 years in the Toulouse region

Am. J. Forensic Med. Pathol., 25 (2004), pp. 33-36

CrossRefView Record in Scopus

[3]

B. Karger, E. Billeb, E. Koops, B. Brinkmann

Autopsy features relevant for discrimination between suicidal and homicidal gunshot injuries

Int. J. Legal Med., 116 (2002), pp. 273-278

View Record in Scopus

Basso, C., Burke, M., Fornes, P., Gallagher, P. J., de Gouveia, R. H., Sheppard, M., … & van der Wal, A. (2010). Guidelines for autopsy investigation of sudden cardiac death. Pathologica, 102(5), 391-397. doi: 10.1007/s00428-007-0505-5

Ceelen, M., van der Werf, C., Hendrix, A., Naujocks, T., Woonink, F., de Vries, P., … & Das, K. (2015). Sudden death victims< 45 years: agreement between cause of death established by the forensic physician and autopsy results. Journal of Forensic and Legal Medicine, 34, 62-66. doi: 10.1016/j.jflm.2015.05.005

Dudley, M. H. (2016). Forensic investigative systems. In Forensic medicolegal injury and death investigation. CRC Press. ISBN: 978-1-4987-3489-9

Dudley, M. H. (2016). Forensic pathology. In Forensic medicolegal injury and death investigation. CRC Press. ISBN: 978-1-4987-3489-9

Dudley, M. H. (2016). Cause, mechanism, and manner of death. In Forensic medicolegal injury and death investigation. CRC Press. ISBN: 978-1-4987-3489-9

Ginsberg, M. D. (2013). The Confrontation Clause and forensic autopsy reports – A testimonial. Louisiana. Law Review, 74, 1-22. ISSN: 0024-6859

Gulczyński, J., Iżycka-Świeszewska, E., & Grzybiak, M. (2009). Short history of the autopsy Part I. From prehistory to the middle of the 16th century. Polish Journal of Pathology, 60(3), 109-114. ISSN: 1233-9687

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American Public University System Types of Research Studies Discussion

W5: Research and Discussion
Research and discuss a disease or disorder (in detail) affecting one or both of the systems (urinary & nervous systems) we are examining this week. Be sure to begin with the name of disease or disorder – break it down into its component parts. Continue with the symptoms. Finally, how is the disease or disorder treated and what is its prognosis? What is the prognosis? How would you breakdown and define the components of the medical term

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Option 1: AICPA Code of coduct

Option #1: AICPA Professional Code of Conduct-Integrity and Objectivity Standard

Jon Williams, CPA, is in the middle of a quandary related to his audit and tax client Oneway Corporation.
The three directors of Oneway are the officers and the only three stockholders, each owning exactly one-third of the shares.

  • President Raul Jack founded the company and is now nearing retirement. As an individual, he is also Williams’ tax client.
  • Vice President Sandra Smith manages the day-to-day operations. She has been instrumental in increasing the business and its profits. Her individual tax work is done by a third party CPA.
  • Treasurer Chris Barnes has been a long-term, loyal employee responsible for many innovative financial transactions and reports of great benefit to the business. He is Williams’s close personal friend and an individual tax client.

At his annual tax planning meeting with Williams, Raul Jack discussed the tax consequences of selling his one-third interest in Oneway Corporation to Sandra Smith. Raul believes that Sandra’s business development efforts have contributed significantly to the growth of the business, so he would like to reward her with a majority ownership upon his retirement. He realizes this may be a challenge with Chris Barnes, so he wants to think more about possible incentives for Chris if this plan occurs.

Around the same timeframe, over an afternoon golf game with Chris Barnes, Barnes confides in Williams that he fears that Raul Jack and Sandra Smith will make a deal, put him in a minority position, and try to force him out of the company. Barnes says, “Jon, we’ve been friends a long time. Please keep me informed about Raul’s plans. My interest in Oneway Corporation represents my life savings and I have a lot invested personally and professionally in the company.”

Jon was clearly unsure of what to do given his roles in both relationships. He acknowledged to himself that he does not have a strong relationship with Sandra at this time, and she uses another CPA for her tax return. As such, he may lose the Oneway engagement if Sandra acquires Raul’s shares and controls the corporation. On the other hand, Chris will probably suffer a great deal financially from the ownership change transaction if he does not know about Raul’s plans, and Jon’s unwillingness/inability to keep him informed will probably ruin their close friendship.

Jon ponders the problem.

Required:

Give Williams advice about alternative actions, considering the constraints of the AICPA Code of Professional Conduct.

Your written response paper should be 3-4 pages in length. Please type your assignment in a Word document and follow APA format, according to CSU-Global Guide to Writing and APA. Include a title page and reference page. Use two (2) outside academic sources other than the textbook, course materials, or other information provided as part of the course materials.

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Research (read instructions)

Research component:

Find at least five related articles and/or research/statistical reports on the current trends in Health Care Market in the USA.

  1. Use the FNU-Electronic databases and external sources like www.ceoexpress.com (not limited to) to find the material needed above.
  2. Craft a “report” based on the findings after studying the materials and arriving at conclusions from their content.
  3. Do not make comments/descriptions separately by articles; make comments based on the interpretation of the material; use tables, figures, etc. if needed to illustrate your rationale. So, the material to be used must be all related.
  4. The submittal must follow the APA style requirements and must be more than four pages long.

Submission Requirements:

1. Written answer of 100 words or more in APA style for all the questions, so ample explanations in your own words based on your rationale and experience are needed to get an “A”.

2. This assignment must be sent through the Turnitin link shown below. It must be 100% original

Due day by Monday, June 18th, 2018, end of the day.

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HIV/AIDS Prevention Programs

At the 2009 World AIDS Day, Ban Ki-moon, who was the Secretary General of the United Nations, spoke about the next steps to combat AIDS. Ban said (Global Commission, 2011):

I urge all countries to remove punitive laws, policies and practices that hamper the AIDS response…Successful AIDS responses do not punish people; they protect them…We must ensure that AIDS responses are based on evidence, not ideology, and reach those most in need and most a­ffected. (p. 1)

In 2010, The Global Commission on HIV and Law was launched by the United Nations Development Programme (UNDP) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to make recommendations to countries for better HIV response and treatment. This commission was formed to help eradicate HIV/AIDS globally by changing cultural beliefs about the illness through legal changes, health prevention, and education. Consider how culture-specific concepts of HIV/AIDS, among other psychological processes, may impact the likelihood of successful prevention programming.

For this Discussion, review the learning resources. Use the Hispanic culture in comparison to the American culture in terms of attitudes, beliefs, and practices related to HIV/AIDS.

With these thoughts in mind:

Post a brief description of the two cultures. Then describe two cultural attitudes, two cultural beliefs, and two cultural practices regarding HIV/AIDS in those cultures. Finally, explain two factors that may impede the success of an HIV/AIDS prevention program among those cultures and why.

APA Format. 3-4 Paragraphs. In-text citations to support writing.

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The Moth assignment

  • The Moth assignment

Due Date:(uploaded online) Points: 5 Length: N/A

Go to The Moth websie or The Moth Youtube channel and choose TWO stories to watch. After watching both of them, type up your observations and answer these questions for BOTH:

  • First, summarize the story into a thesis statement and give a few sentences of what the story was about.
  • Did you like the story? Yes or no? Please be specific about why you liked it or did not like it.
  • What was a lesson that might have been learned by listening to this story?
  • How did the speaker do in telling this story? What was effective and what might have made this better?

When you’re done with this assignment. You will upload it here from your computer. The file you upload must be a Microsoft Word document or a PDF. Please just have one document where you’ve done two stories.If it is not either of those and I cannot read it, you will not get points. You cannot print this and bring it to class and you cannot email this paper to me. If it is emailed, I will delete it.

This assignment is worth a possible 10 points. If you do not do the assignment or do it poorly, you will receive 0 points and also lose participation points.

When writing a college paper for my class you may either write it up in essay form or simply answer the questions, but you must be thorough in your writing. You should use spell check. You should proof read. You should answer each question as clearly and as descriptively as you can. Here is an example of poor writing that will get zero points:

2. What was a lesson that might have been learned by listening to this story?

Don’t get into abusive relationships.

Why is this poor? because it’s too quick. It’s weak. it’s obvious and it looks like you’re writing this 5 minutes before it’s due.

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Public vs. Private Space is Graffiti an Art or Crime? (Hip_hop class Discussion board) (300-400 words)

Part III: Week 7 Public vs. Private Space is Graffiti an Art or Crime?

33 unread replies.33 replies.

Graffiti transgresses boundaries between the public and private domains. It textures the canvas of a city in new ways. It is considered by some to be an illegal practice of vandals. It iscriminalized. It is considered by others to be a revolutionary act allowing people who might be otherwise invisible in a populous and largely anonymous city to be seen and to have a voice.

Of the founding elements, Graffiti Art may provoke more controversy than any of the other elements, precisely because it challenges notions of what public space is, who “belongs” in it and who gets to decide how public space is used.

For this week, Consider the historical nature of graffiti art as presented in Bomb It as well as in the readings.

Use an Example (paste it in) and Discuss both:

  • how the responsibilities of good citizenship & democracy relate to graffiti in the city and
  • whether or not you believe graffiti is an art or a crime. (Is the line between the two clear?)

(Consider: Does graffiti become art when it enters a museum? (Is it still graffiti then?) How do the Graff writer in Bomb It discuss their code of ethics and where they paint?

BOMB IT page:

:

Another website to use for the assigment : “Graffiti Art.” by Saucier, Paul K in Encyclopedia for Activism and Social Justice. Sage, 2007. pdf. Graffiti.pdf

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