Create a conceptual map using the case scenarios as guide. Conceptual map should
include pathophysiology, medical diagnosis, signs and symptoms, and risk factors, if
any. 3 Nursing diagnosis with nursing interventions, and expected outcomes

Case Scenario for CNS-Brain Cancer
This is a case of a 45-year-old female, smoker, non-diabetic, non-hypertensive who was having on and off headache for 5 months prior to consult (April, 2015), this is associated with nausea and vomiting. The headache was becoming recurrent until August of 2015
she decided to consult her doctor. Aside from nausea and vomiting, symptoms include weakness of the left side of the body and numbness and tingling sensation. Apparently, complete neurological examination was done and it was unremarkable. A CT scan was
done on Sept 30, 2015 with the following findings:

A contrast-enhanced brain MRI demonstrated a 3 × 3 cm right fronto-parietal resection cavity surrounded by a 5 × 4 cm area of heterogeneous contrast enhancement extending to the right corona radiata and periventricular white matter with associated
cerebral edema. The mass was not technically resectable due to location and biopsy was consistent with GBM (Glioblastoma multiforme), wild-type isocitrate dehydrogenase and unmethylated O6-methylguanine DNA methyltransferase (MGMT),
with an MIB-1 index of 50%.

T1-weighted brain MRI with contrast at the time of diagnosis of radiation-induced glioblastoma multiforme.

Radiation-induced glioblastoma multiforme demonstrating increased cellularity with marked nuclear atypia, necrosis, and vascular endothelialization.

On January 25th of 2016, the patient underwent surgical therapy, including fronto-parietal craniotomy, with total resection of the tumor. On February 7th of 2016, a histopathology examination, confirmed a diagnosis of the GBM IV stage.

In February 2017, approximately 13 months after her brain tumor surgery, PatientCarlota had a follow-up diagnostic work-up, no brain tumor recurrence was found. Due to the absence of tumor, no radiotherapy was considered, and “watchful waiting” was recommended including brain imaging studies (CT or MRI) to be repeated every 3 months. Due to the lack of the patient's consent, no chemotherapy was implemented. During the irradiation period, Patient Carlota had the first seizure episode, and was started on antiepileptic therapy (Depakine 200 mg a day). she continued this therapy for the rest of her life. After the radiotherapy, diagnostic follow-up examinations were conducted every 3 months.

At the beginning of March 2018, tumor recurrence was found, and the tumor was localized in an upper part of the tumor bed, within the previously irradiated area (its size was 3.7 cm × 2.6 cm × 2.3 cm). Surprisingly, Patient Carlota had not experienced any
symptoms, and her physical and neurological examinations were unremarkable.

On March 13th of 2019, stereotactic radiotherapy was done, using a single dose of 8 Gy applied to the area of recurrent tumor was performed. Unfortunately, on follow up examination, on July 6th of 2018, further progression of the GBM was found, due to the
tumor expansion, resulting in cerebral edema, herniation, and multi-organ failure.

SuperSportsGames is a famous sport competition, held in Riyadh every year. Since its first edition in 2001, it has gone through several major changes regarding its structure, length and location, but the tickets have always been sold in a traditional way: through two events agencies. The organizers decided to completely modernize the tickets selling system and created the following concept. From this year on, the tickets will be sold in three distinct ways: traditionally, i.e. by the two events agencies, in electronic format directly on the competition website, and through SuperAirLines. All parties will have access to the same unique tickets database of the new system, to avoid double selling. A partnership with the SuperAirLines company needs to be set up, such that SuperAirLines can sell combi-tickets including both the competition admission fee and the flight travel to the competition venue at reduced price, from anywhere in Saudi Arabia. This way, more sport fans would have easier and cheaper access to SuperSportsGames. Moreover, the system will have to be extended to support not only Arabic, but also English. Since tickets will also be sold online, SuperSecurePayment will be contracted to provide and ensure the security of the online payment service. The SuperSportsGames event manager will take care and negotiate all these details with the involved parties. Additionally, upon arrival at the competition venue, each participant has to self-check in at a touch screen terminal, which scans the barcodes on his/her ticket and issues a bracelet with an electronic chip. This bracelet can be used to load money, such that whenever (s)he wants to purchase snacks or beverages, (s)he does not have to use cash any more, thus reducing waiting times. This measure was initiated by the program manager and will be deployed by SuperRestaurants Inc. Lastly, the way the payment transactions are performed has to be audited by an external company at the end of the competition, since this is a public event, where the municipality of Riyadh is also involved - allowing free use of the public space.

Q2: Identify one business goal, two functional requirements and two non-functional requirements.

What entities both government and non-government that oversees the governance and adoption of telehealth in the United States?

How does mass incarceration affect society? Consider that the majority incarcerated are non-violent offenders.

proximal upper extremities what are they? how would you define them in non medical terms?

outline the major causes of error that are due to sampling and non sampling processess in the conduct of survey reserach.

Transfected cells often grow and divide more slowly than non-transfected cells. Why?

how is demand for money affected by risk, liquidity and expected return of monetary and non monetary assets?