In warning against the 'vice of abstraction' Blackburn suggests that the large existential problem of "the meaning of life" perhaps ought to be resolved by specifying "meaning to whom?" Is that a satisfactory response to the existential problem people pose?

1. Identify and explain how certain water-soluble vitamins regulate proteins through post-translational modifications (altering the function of an existing protein by forming a covalent bond without changing its abundance).

2. Explain how vitamin C interacts with fat metabolism.

3. For carbohydrates (glycolysis/TCA), identify and discuss how vitamins are involved in procuring energy.

4. For lipids (lipolysis/β-oxidation), identify and discuss how vitamins are involved in procuring energy.

Now that you have reviewed Ch. 07 Safety( it is about fire safety and escape plane)  and 08 Inventory procedures( it is about medical office equipment: computers, fax machine, etc.. ), describe how the chapter has influenced changes within your home and/or current place of employment, to be 'more organized and implement safety strategies' for all members of the household. Describe how COVID has had an impact on your household inventory and safety practices. Will those altered COVID inventory and safety practices be the new norm into 2021?

A 64-year-old retired postal worker with a medical history of extensive facial reconstruction for squamous cell carcinoma of the head and neck and a 10 year history of smoking, presented with progressive shortness of breath, productive cough, purulent sputum, and a fever of 39 C 2 days prior to admission to the hospital   On physical examination at the hospital, he had a temperature of 37.3 C, respiratory rate of 18/min, pulse rate of 103 beats/min, blood pressure of 154/107 mm Hg, and pO2 of bibasilar fine crackles. He was seen to have a left lower lobe infiltrate on chest radiograph. His admission white blood count (WBC) was 10,600 with 70% neutrophils, and his hemoglobin was 9.4. Sputum gram stain at admission revealed > 25 polymorphonuclear cell. Two blood cultures obtained at admission revealed the organism grew on blood agar and showed α-hemolysis with optichin (Taxo-P) sensitivity. The gram stain demonstrated gram positive cocci in chain arrangement.   It should be noted that this is the patient’s third episode of this illness in the past month.  Bacterial isolates from all three episodes belonged to the same serotype (type 23). He had been treated with a 10 day dose of Clarithromycin.

case study

1. A 27-year old woman complains of multiple small tender lumps in her right and left axillae. She explains that she has noticed that they seem to make "tunnels" and sometimes open and smell bad.

2. For the case you have chosen, post to the discussion:

3. Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
4. In SOAP format, list:
   • Pertinent positive and negative information
   • Differential and working diagnosis
   • Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Case Scenario: “lapay”
Mr. Lopez, a 60 y/o teacher, presents with a history of a sudden onset of acute upper central abdominal pain radiating to his back. The nurse attending Mr. Lopez asked about how it started. He stated that “this morning after breakfast, I had sudden, severe pain in my abdomen and I vomited a couple of times, but the pain still persists. It hurts here, above my belly button, and feels like it goes
straight through to my back.”

On the client’s past medical history, he had an appendectomy at age 25 and tonsillectomy at 7. He was also diagnosed with hypertension 5 years ago and pre-diabetes 6 months ago. When asked about pertinent family history, he willingly disclosed that he had a sister, 45 yo, was diagnosed with cholelitihiasis 2 years ago, a brother who is 54 yo had a cholecysytectomy 5 years ago for acute
cholecystitis and cholelithiasis and mother who is 80 yo had also underwent cholecystectomy for acute cholecystitis and cholelithiasis 13 years ago.

Mr. Lopez admits to drinking whiskey most evenings but denied that he was never a smoker. The client also stated that he has no known allergies and currently taking Aspirin 325mg every day, Propranolol 30 mg every day and Hydrochlorthiazide 25 mg every day.

Upon PE, vital signs reveals a blood pressure of 110/60 mmHg, HR of 110 bpm, RR of 24 cpm, body temperature of 38.4 OC and a pain scale of 8 out of 10. Upon auscultation, no murmurs or extra cardiac sounds were noted, both lungs are clear and palpation of the abdomen, tender in the mid-epigastrium with guarding and rebound tenderness.

1. Develop a Nursing care plan (ADPIRE, Assessment, Diagnosis, Planning-short term and long term goal, Intervention-Rationale, Evaluation) for Mr. Lopez according to your identified priority plan of care.

A 49-year old man reports feeling fullness in his right armpit and nipple discharge at his right areola. He denies other symptoms, significant medical history, or allergies.

• Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
• In SOAP format, list:
  • Pertinent positive and negative information
  • Differential and working diagnosis
  • Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

what is quality child care? write 4-5 lines.

1. Discuss whether the following are strong arguments. If you consider them weak, explain why.

1. We need to protect American jobs. Therefore, we need stricter laws to keep illegal aliens from crossing the United States–Mexico border.
2. We shouldn’t be making such a big deal about football players and concussions. After all, look at all the people, especially kids, who get concussions falling off their bicycles and no one is arguing that we should ban bicycles!

3. People need to pass a driving test to get a license to drive a car. People should also have to take a parenting test and get a license before they can have a child. After all, parenting is a greater responsibility and requires more skill than driving.
4. We should allow fraternities on our campus. After all, they provide volunteers to do a lot of charitable work.
5. My dog Rex growls only at people who are untrustworthy. Rex growled at Bob when he brought me home after our date. Therefore, I should not trust Bob.
6. If you’re going to buy a new car, you should buy a Toyota Camry. They’re one of the safest cars on the road, according to Consumer Reports.
7. Abdul is a freshman at state community college. All freshmen at state community college are residents of Texas. Therefore, Abdul is a resident of Texas.

Good argument

8. Marijuana use should be legal in the United States. After all, both Presidents Barack Obama and George W. Bush as much as admitted that they had used marijuana.
9. God is all powerful. God is all good. Terrible things happen to people through no fault of their own. Therefore, God does not exist.
10. You should stay away from Gloria because she’s a troublemaker.

2. Identify the unstated premise(s) in each of the following arguments. Evaluate each of the arguments. Does leaving out the premise weaken or change the argument?

1. Maria is a single mother. We should reject her application to the pre-med program.
2. Buck’s father is a successful doctor and a graduate of State University. Buck should do well in the pre-med program.
3. If you want to save money, buy your textbooks on Amazon.com instead of the college bookstore.
4. Cats don’t bark. Therefore, Friskie doesn’t bark.
5. If you’re traveling in Europe you should buy a rail pass instead of renting a car.
6. I hear you’d like to do a semester in an African country. Given that the only languages you speak are Portuguese and German, you should consider doing an internship in Angola or Mozambique.
7. I wouldn’t trust Ben around children. I hear he was abused as a child.

1. Identify the conclusion and premises in the argument in this advertisement. Evaluate the argument.

2. What is the objective of this ad? Is the ad effective in meeting its objective? Discuss the strategies, including rhetorical devices and fallacies,

Based on "Case Study: Fetal Abnormality" and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Patients Profile

History of Present Illness

            Mr. James is a 58 year old insurance broker who seeks consultation to FUMC due to an episode of "chest pain" that he experienced earlier in the day during a golf game. Although he minimizes the severity of the pain and attributes it to being "out of shape," his wife insisted that he see a physician because he has had similar episodes during the past six months. Mr. James was admitted for treatment and management with the following medications:

1. Aspirin 325 mg q4h PRN

2. Nitro-Patch Patch 2x a day q12h

3. Inderal (Propranolol) 80mg q12h

4. Atorvastatin 20mg OD PO

5. Amlodipine 5mg OD PO

Mr. James describes the pain as being more of a discomfort or heaviness. It is localized to "my breast bone" and does not radiate. Today, following a brief rest, the pain subsided and he returned to his golf game. Previous episodes of the heavy feeling tended to occur following large meals and one occasion, while dancing at a wedding. None of the episodes lasted more than "several minutes."

Although Mr. James did not experience nausea or vomiting today, he notes many episodes in the past of feeling a burning sensation in his chest. He describes the sensation as being "like acid behind my breast bone." This feeling occurs most often late at night when he lays down. Usually he has had a large meal or drank alcohol. The sensation does not radiate.

Patient's perspective: When asked about how he feels about these episodes, he admits to being concerned about his health and longevity, considering his father died at age 52 of "heart problems." He says, business is poor, my kid is always in trouble. "Who’s going to take care of things?"

Past Medical history: Not significant

Past Surgical History: None

Family History:   Father died of "heart problems" at the age of 52.

Social History: Mr. James smokes at least 1 pack of cigarettes per day. He drinks 2-3 cocktails per nights to "settle my nerves."

Medications:    Vitamins

Allergies:    None

Review of systems:   No significant problems

Physical Examination

Mr. James is a short, moderately obese man who appears somewhat anxious but is in no apparent distress. He is wearing clean casual shirt/pants. Vital sings: BP right arm 162/94; left arm 160/92. Weight 176lbs; Height 5’7". Respiratory rate is 16/minute. Temperature, 98.4F. Examination of cardiovascular system reveals a regular, apical heart rate of 86/minute. S1 is heard best at the apex; a loud S2 is heard best in the R2ICS and L parasternal border. A questionable S4 is heard at the apex. There are no murmurs or apical prominence. There is no peripheral edema.

Lungs are clear to percussion and auscultation. An indirect hernia is noted in the right inguinal region. The abdomen is examination is negative for abnormalities.

Laboratory Tests:

CBC: WBC = 5,600/mm3, hemoglobin = 15.2g/dL, hematocrit = 45%, platelet count = 320,000/mm3

Chemistries: Glucose 110mg/dL, Blood Urea Nitrogen (BUN) 11mg/dL, Creatinine 0.9mg/dL

Urinalysis: Specific gravity: 1.016; Protein, Glucose, Ketones = negative.

Chest X-ray: Normal

Questions:

1. What are your discharge plan or recommendation to C.D. using the mnemonic
METHOD

a. M-Medication
b. E-Environment/Exercise
c. T-Treatment
d. H-Health Teaching
e. O-Observation/Out-patient
f. D-Diet

2. Trace the pathophysiology of the disease.

3. Nursing considerations while taking the drug.

4. Make at least 2 nursing care plan based on your assessment that needs to prioritize.