1. What responsibility do you think schools have in addressing the childhood obesity epidemic and why?
2. The predisposition for childhood obesity can be genetic, socioeconomic, lifestyle and/or cultural and can result in multiple co-morbidities. What are two health promotion strategies/interventions aimed at changing lifestyle behaviors you can use in addressing this epidemic?

Mr. Tom Costa, age 71, had a stroke last year that made his right upper and lower extremities quite weak. He has smoked for 55 years and is obese. He was diagnosed with atrial fibrillation, high blood pressure, and type 2 diabetes mellitus while he was hospitalized with his stroke. His father died of a heart attack at age 50; his paternal grandfather had a stroke and died a year later after a second stroke. His mother and both of her parents had type 2 diabetes mellitus. Questions: 1. What technical term should be used to describe Mr. Costa’s weak right upper and lower extremities? 2. The lesion that caused his motor dysfunction is located on which side of his brain? 3. Given his history, is it more likely that Mr. Costa had an ischemic or a hemorrhagic stroke? 4. What is a potential relationship between Mr. Costa’s atrial fibrillation and his stroke? 5. What is a potential relationship between Mr. Costa’s other risk factors and his stroke? Mention at least two other risk factors and describe the reason for these factors to increase the risk of stroke.

A Case Study on the Muscular System The Overzealous Gardener On Monday, Carmen, a 35-year-old woman, complains to her physician of chest and arm pain. The pain started after Carmen worked hard in the backyard the previous Saturday, lifting and carrying plants, fertilizer, and concrete blocks. She says that had continued working despite arm pain that developed about midday. Carmen has no problem breathing, but she cannot raise her arms above her shoulders, and her shoulder and chest muscles are sore to the touch. On questioning, Carmen reports that her hands are not numb and her urine is not dark. On physical examination, muscles around the elbows, arms, shoulders, and anterior chest are swollen and tender. Carmen can move her fingers and wrists normally, but she has some pain in the proximal forearm muscles. The ranges of motion at the elbow and shoulder joints are reduced. No bruises are evident, and Carmen has normal sensation in her fingertips. On inspection, her urine is cloudy and light brown; on dipstick testing, it tests positive for protein and hemoglobin (or myoglobin). Microscopically, there are no RBCs in the urine. Blood tests are ordered to check for CPK (creatine phosphokinase) and LDH (lactate dehydrogenase). Kidney function tests are also done to check for the levels of BUN (Blood Urea Nitrogen) and creatinine. Treatment initially consists of pain medication, ice applied to the sore muscles, and a high fluid intake; at least 4 quarts every 24 hours. Carmen is asked to call the physician if her urine remains cloudy, if the volume decreases, or if her hands or forearms feel worse. Carmen returns the next day to have her urine rechecked and to get the results of her lab tests. Her arms and chest are still sore and swollen, her hands still have normal sensation, and her urine is clear and dilute, but tests still show traces of protein and hemoglobin. Her lab tests from the previous day show CPK and LDH levels 10 times normal values, but kidney tests are normal. Questions: 1. On the basis of the case description which starts with chest pain, try to determine the possible causes of these symptoms. Please consider several body systems to build your hypothesis and try to rank those causes from high probability to low probability. 2. Why was Carmen asked about her hands and her urine? 3. What might the observations such as tenderness, range of motion, sensation and lack of bruising, indicate? 4. Why are these blood and urine tests selected? 5. Would you be able to form a diagnosis for Carmen? 6. What problems might be present if Carmen’s urine remains cloudy or declines in volume or if her peripheral sensation changes?

What does an extraordinary nurse look like to you?

Show how you multiply 5 3/4 inches by 2.54cm.

Describe the healthcare systems in Turkey in term of:

• Funding
• Future challenges regarding the healthcare system both financially and politically.
• Some of the positive and negative aspects of both public and private healthcare funding

explain regarding postpartum care

DISCUSSION

1) Which is more important, knowing blood type or knowing cholesterol level?

2) What is the difference between blood chemistry and blood serum?

3) How does diet affect the course of diabetes mellitus and coronary heart disease?

Construct a good research problem about Public Ordinance and “Stay at Home”: Perceptions and Awareness to Combat Covid 19

Give a few sentences about public health advocacy and ethics.

Please answer the following questions below.

1. Briefly discuss the hospital surveillance system that exists in the Philippines,  and how SARI surveillance can be incorporated into an existing system or a new system in order to create a sustainable program.

2. Briefly discuss the flow of information within the SARI surveillance system in the Philippines. If your country has yet to establish a SARI surveillance system, discuss how you envision the information flow will be.