Questions
The patient's history for update purposes Patient A age 70. He is obese and 100% sedentary....

The patient's history for update purposes

Patient A age 70. He is obese and 100% sedentary. He needs to do physical exercises, to lose weight, to decrease stress and to eat better (but he does not do that). He has diabetes: 25 years ago, he was diagnosed with diabetes type 2 and he has to take insulin.

Diet: He eats meat 3 times a day and does not eat dietary fiber.

Emotional: He is stressed and anxious, and works hard.

Parents: The mother and father died young because of complications of diabetes. Father: died at age 53 of myocardial infarction.

Symptoms now: shortness of breath, chest pain due to physical exertion (angina).

Has high blood pressure: 140/90. Never had hypertension before. His doctor prescribed for hypertension: Vasotec (enalapril).

He must take the following exams:

FSC: red blood cells, white blood cells and platelets

Lipid profile

Creatinine test

Uremia test (urine in the blood)

Electrolytes test (usually sodium or potassium or an acid-base imbalance)

Clearance of creatinine test

HbA1c test (also called glycated hemoglobin test, and glycohemoglobin)

Stress ECG test

Urine analysis

3 weeks later, the results:

Clearance of creatinine test show to us the GFR (Glomerular Filtration Rate) results:
GFR 55mL/min (normal: 90-125mL/min)

Lipid profile: low level HDL, high level LDL

Plasma creatinine level (creatinine test): 150 mmol/L (normal: 50-110 umol/L)

Uremia test : 8 mmol/L (N : 3 - 6,5 mmol/L)

Urine analysis: 120 mg/L of proteins (normal: < 80 mg/L)

Stress ECG test: Anomalies related to unstable angina

Doctor's conclusion: chronic renal insufficiency (CRI), unstable angina. Needs to do an emergency angiography.

Angiography test results: several atheroma plaques in the coronary arteries. He had to put four stents during the procedure.

He had to take these medicaments:

Clopidogrel (Plavix), Aspirine (acide salicylique, for 1 year), and Crestor (is a statine). And also, the insulin and Vasotec (énalapril).

Question E: What is the link of diabetes with the liver and pancreas? And with the HbA1c? And with the liver and with coagulation, bile and vitamin K (if it causes low absorption of vitamin K)?

In: Nursing

The patient's history for update purposes Patient A age 70. He is obese and 100% sedentary....

The patient's history for update purposes

Patient A age 70. He is obese and 100% sedentary. He needs to do physical exercises, to lose weight, to decrease stress and to eat better (but he does not do that). He has diabetes: 25 years ago, he was diagnosed with diabetes type 2 and he has to take insulin.

Diet: He eats meat 3 times a day and does not eat dietary fiber.

Emotional: He is stressed and anxious, and works hard.

Parents: The mother and father died young because of complications of diabetes. Father: died at age 53 of myocardial infarction.

Symptoms now: shortness of breath, chest pain due to physical exertion (angina).

Has high blood pressure: 140/90. Never had hypertension before. His doctor prescribed for hypertension: Vasotec (enalapril).

He must take the following exams:

FSC: red blood cells, white blood cells and platelets

Lipid profile

Creatinine test

Uremia test (urine in the blood)

Electrolytes test (usually sodium or potassium or an acid-base imbalance)

Clearance of creatinine test

HbA1c test (also called glycated hemoglobin test, and glycohemoglobin)

Stress ECG test

Urine analysis

3 weeks later, the results:

Clearance of creatinine test show to us the GFR (Glomerular Filtration Rate) results:
GFR 55mL/min (normal: 90-125mL/min)

Lipid profile: low level HDL, high level LDL

Plasma creatinine level (creatinine test): 150 mmol/L (normal: 50-110 umol/L)

Uremia test : 8 mmol/L (N : 3 - 6,5 mmol/L)

Urine analysis: 120 mg/L of proteins (normal: < 80 mg/L)

Stress ECG test: Anomalies related to unstable angina

Doctor's conclusion: chronic renal insufficiency (CRI), unstable angina. Needs to do an emergency angiography.

Angiography test results: several atheroma plaques in the coronary arteries. He had to put four stents during the procedure.

He had to take these medicaments:

Clopidogrel (Plavix), Aspirine (acide salicylique, for 1 year), and Crestor (is a statine). And also, the insulin and Vasotec (énalapril).

Question F: What is the link with nutrition and alteroesclerose? What does the system renin angiotensin aldosterone do in this case and why is he involved in this case?

In: Nursing

The patient's history for update purposes Patient A age 70. He is obese and 100% sedentary....

The patient's history for update purposes

Patient A age 70. He is obese and 100% sedentary. He needs to do physical exercises, to lose weight, to decrease stress and to eat better (but he does not do that). He has diabetes: 25 years ago, he was diagnosed with diabetes type 2 and he has to take insulin.

Diet: He eats meat 3 times a day and does not eat dietary fiber.

Emotional: He is stressed and anxious, and works hard.

Parents: The mother and father died young because of complications of diabetes. Father: died at age 53 of myocardial infarction.

Symptoms now: shortness of breath, chest pain due to physical exertion (angina).

Has high blood pressure: 140/90. Never had hypertension before. His doctor prescribed for hypertension: Vasotec (enalapril).

He must take the following exams:

FSC: red blood cells, white blood cells and platelets

Lipid profile

Creatinine test

Uremia test (urine in the blood)

Electrolytes test (usually sodium or potassium or an acid-base imbalance)

Clearance of creatinine test

HbA1c test (also called glycated hemoglobin test, and glycohemoglobin)

Stress ECG test

Urine analysis

3 weeks later, the results:

Clearance of creatinine test show to us the GFR (Glomerular Filtration Rate) results:
GFR 55mL/min (normal: 90-125mL/min)

Lipid profile: low level HDL, high level LDL

Plasma creatinine level (creatinine test): 150 mmol/L (normal: 50-110 umol/L)

Uremia test : 8 mmol/L (N : 3 - 6,5 mmol/L)

Urine analysis: 120 mg/L of proteins (normal: < 80 mg/L)

Stress ECG test: Anomalies related to unstable angina

Doctor's conclusion: chronic renal insufficiency (CRI), unstable angina. Needs to do an emergency angiography.

Angiography test results: several atheroma plaques in the coronary arteries. He had to put four stents during the procedure.

He had to take these medicaments:

Clopidogrel (Plavix), Aspirine (acide salicylique, for 1 year), and Crestor (is a statine). And also, the insulin and Vasotec (énalapril).

Question D: What is the link of diabetes with the chronic renal insufficiency (CRI)? What is the role of the kidneys in this case?

In: Nursing

The patient's history for update purposes Patient A age 70. He is obese and 100% sedentary....

The patient's history for update purposes

Patient A age 70. He is obese and 100% sedentary. He needs to do physical exercises, to lose weight, to decrease stress and to eat better (but he does not do that). He has diabetes: 25 years ago, he was diagnosed with diabetes type 2 and he has to take insulin.

Diet: He eats meat 3 times a day and does not eat dietary fiber.

Emotional: He is stressed and anxious, and works hard.

Parents: The mother and father died young because of complications of diabetes. Father: died at age 53 of myocardial infarction.

Symptoms now: shortness of breath, chest pain due to physical exertion (angina).

Has high blood pressure: 140/90. Never had hypertension before. His doctor prescribed for hypertension: Vasotec (enalapril).

He must take the following exams/tests:

FSC: red blood cells, white blood cells and platelets

Lipid profile

Creatinine test

Uremia test (urine in the blood)

Electrolytes test (usually sodium or potassium or an acid-base imbalance)

Clearance of creatinine test

HbA1c test (also called glycated hemoglobin test, and glycohemoglobin)

Stress ECG test

Urine analysis

3 weeks later, the results:

Clearance of creatinine test show to us the GFR (Glomerular Filtration Rate) results:
GFR 55mL/min (normal: 90-125mL/min)

Lipid profile: low level HDL, high level LDL

Plasma creatinine level (creatinine test): 150 mmol/L (normal: 50-110 umol/L)

Uremia test : 8 mmol/L (N : 3 - 6,5 mmol/L)

Urine analysis: 120 mg/L of proteins (normal: < 80 mg/L)

Stress ECG test: Anomalies related to unstable angina

Doctor's conclusion: chronic renal insufficiency (CRI), unstable angina. Needs to do an emergency angiography.

Angiography test results: several atheroma plaques in the coronary arteries. He had to put four stents during the procedure.

He had to take these medicaments:

Clopidogrel (Plavix), Aspirine (acide salicylique, for 1 year), and Crestor (is a statine). And also, the insulin and Vasotec (énalapril).

Question B: Do a reflection on why the doctor prescribed all these 9 tests (have to do links with disease of the organs of the body, like behavior of cells with according to diagnosis, organ failure, blood circulation, heart cell oxygenation, kidney and lung compensations, involvement of the pancreas, liver and bile with the diagnosis, the diabetes and anything that is relevant to and important to this case).

In: Nursing

Project update: Provide a review of your Plan stage of the PDSA Improvement Model on Stress...



Project update: Provide a review of your Plan stage of the PDSA Improvement Model on Stress Management/Relief. Include:
1. Aim statement
2. Changes made
3. Changes based on evidence based sources meditation,breathing techniques,diet,....etc?
4. What criteria have you chosen to measure success?
Length at least 250-350 words


In: Nursing

Write pseudocodes for the procedure StackFull; Update the Push procedure to consider the exceptional situation where...

Write pseudocodes for the procedure StackFull;
Update the Push procedure to consider the exceptional situation where the stack is full;
Write pseudocodes for the procedures QueueFull and QueueEmpty; In particular, how would
you revise the queue-full condition \head[Q]==tail[Q]+1", when \head[Q]==1" thus you
need to wrap around the array index?
Update the Enqueue procedure to consider the exceptional situations where the queue is full;
Update the Dequeue procedure to consider the exceptional situations where the queue is empty;
Implement the pseudocodes in Java. That is,
{ Use an array S[1...n] and the attribute top[S] to implement a Stack of n Elements,
where top[S]==0 means the stack is empty.
{ Use an array Q[1...(n+1)] and the attributes head[Q] and tail[Q], for a Queue of
n Elements. Again, implementation of head[Q] and tail[Q] should strictly follow the
pseudocodes.

{ Add to the Java Starter two Java classes ArrayStack.java and
ArrayQueue.java. Speci cally, these two classes MUST implement respectively the in-
terfaces Stack.java and Queue.java.
{ You should NOT make any change to the three les: Element.java, Stack.java and
Queue.java.

public interface Stack {
   public void push(Element e);
   public Element pop();
   public boolean stackEmpty();
   public boolean stackFull();
   public int getTopValue();
}

public interface Queue {
   public void enQueue(Element e);
   public Element deQueue();
   public boolean queueEmpty();
   public boolean queueFull();
   public int getHeadValue();
   public int getTailValue();

}

public class Element {
   private int key;
   private String info;
  
   public Element(int key, String info) {
       this.key=key;
       this.info=info;
   }
  
   public int getKeyValue() {
       return this.key;
   }
  
   public String getStringValue() {
       return this.info;
   }
}

In: Computer Science

In 1998, the governor of New York, George Pataki, formulated a $185 million plan to update...

In 1998, the governor of New York, George Pataki, formulated a $185 million plan to update old Amtrak trains. The purpose of such a project was to make the old trains faster than the more current Amtrak trains. Such a reconstruction would allow for a high-speed rail system between Albany and New York City. Unfortunately, Amtrak produced only one train, and though millions of dollars were poured into the company to fund the project, auditing showed that the company showed little spending on the trains. Problems stemmed in part from the lack of engineering expertise of the Steel Company that was picked to work on the trains. Also, the state's Department of Transportation (DOT) was not experienced in overseeing projects of this type, so little oversight was given to Amtrak. Furthermore, unforeseen problems arose such as air conditioning malfunctions and the removal of asbestos from train cabins. After the plan seemed as though it would never be successful and Amtrak was extremely low on money due to normal operations, the company tried to settle with the state to escape the project. However, the state filed a lawsuit against Amtrak. Amtrak's defense was that both parties made a unilateral mistake because neither party foresaw the problems or extra costs associated with the project that made it unrealistic. How do you think the court decided? [New York v. AMTRAK,2007 U.S. Dist. LEXIS 13045 (N.D.N.Y, Feb. 23, 2007).]

In: Accounting

22. When you attempt to update a Web page and data is received by your system,...

22. When you attempt to update a Web page and data is received by your system, how can this be determined by an email the is received by a software such as Outlook? A. The system used the trailer of the packet with the number assignment. B. A combination of the IP address and the computer name is used. C. The service of DNS is used to apportion the correct information. D. Port numbers are used 23. Which of the following is not considered a factor that would cause delay on a VoIP system? A. How many routers are in the path B. The IP address of the destination system C. How efficient the codec is D. The very processing of the various packets traveling the line E. A level of potential congestion 24. You decide to make a phone call to one of your best friends who is currently traveling to Tokyo. You dial the phone but get a busy signal. After three attempts, your friend finally picks up the phone and she starts to recount all the exciting things she is experiencing, including the yummy foods she has been tasting during her trip. Which of the following are your using--for certain? A. SIP B. PBX C. SS7 D. H.323 25. Which of the following is considered a newer implementation in the VoIP environment? A. SIP B. TCP C. UDP D. H.323

In: Computer Science

Pleasant Beverages Ltd has the following audit problems: • The company did not update the listing...

Pleasant Beverages Ltd has the following audit problems:

• The company did not update the listing for the changes in shareholding of the company

• The director’s minutes were not prepared for the current year • No annual general meeting (AGM) was held last year

• There was no written consent from the directors to act

• The company did not even justify the reason for not keeping proper records and holding the AGM

Required : For this scenario discuss the audit issues to be considered and what impact these issue would this have on the audit opinion. You may also justify the answer using relevant legislation such as the Corporations Act and relevant auditing standards.

In: Accounting

In 1998, the governor of New York, George Pataki, formulated a $185 million plan to update...

In 1998, the governor of New York, George Pataki, formulated a $185 million plan to update old Amtrak trains. The purpose of such a project was to make the old trains faster than the more current Amtrak trains. Such a reconstruction would allow for a high speed rail system between Albany and New York City. Unfortunately, Amtrak produced only one train, and though millions of dollars poured into the company to fund the project, auditing showed that the company showed little spending on the trains. Problems stemmed in part from the lack of engineering expertise of the Steel company that was picked to work on the trains. Also, the state’s Department of Transportation was not experienced in over seeing projects of this type, so little oversight was given to Amtrak. Furthermore, unforeseen problems arose such as air condition malfunctions and the removal of asbestos from train cabins. After the plan seemed as though it would never be successful and Amtrak was extremely low on money due to normal operations, the company tried to settle with the state to escape the project. However, the state filed a lawsuit against Amtrak. Amtrak’s defense was that both parties made a unilateral mistake because neither party foresaw the problems or extra costs associated with the project that made it unrealistic. How do you think the court decided?

In: Operations Management