Category: Essays

AIDS (Acquired Immunodeficiency Syndrome)

Case Studies

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
Critical Thinking Questions

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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Create two social work recommendations to address a current barrier and explain how the recommendation proposed addresses the findings.

Discuss how you would collaborate with the research stakeholders (e.g. service providers and community members) to ensure that the data are interpreted accurately and that the practice recommendations made will be culturally appropriate.

Critically reflect on your own culture and explain how your cultural values and beliefs may have influenced how you interpreted the focus group data. What specific cultural knowledge do you think you need to obtain to conduct culturally sensitive research with this group?
Support the assignment with references using assigned readings and/or additional scholarly literature.

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Instructions: You will need to submit research paper topic for approval by no later than the end of third week. You have considerable freedom in choosing a topic. The requirement is that you choose a topic that requires academic research not business research and that you submit both your paper topic (which should not contain question) and a full paragraph statement, that statement must contain a research question to be answered or a hypothesis to be tested. Most “why” questions focus more on workplace related issues and business not academic or scholarly research so they seldom are acceptable questions for scholarly research.Please submit your title and a paragraph describing the topic. Remember, the topic must be directly related to this course or the topic will be denied.Topic needs to be one of the below:
2. Illustrate the importance of the 29 CFR Hazard Communication Standard, requirement for a MSDS to Hazmat transportation3. Define the internationally accepted mathematical technical and scientific terms used in
Hazardous materials transportation
4. Describe the processes and procedures that lead to the promulgation of federal regulations and
recognize all technical terms used.
5. Utilize information in the 49 CFR Parts 100-180 and recall the organization of all Codes of
Federal Regulations
6. Differentiate safety and security issues related to the movement of hazardous materials
7. Recognize areas of specific concern related to packaging and protection of hazardous materials
before, during and immediately after transportation
8. Examine the unique ownership issues related to regulated waste
9. Discuss Life Cycle Management and ownership issues
10. Protective Equipment when it fails.

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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 2. Why is the ESR increased in inflammatory conditions?

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NON EMPIRICAL RESEARCH PROPOSAL
Topic: An investigation of how dementia-friendly practices are promoted in the black and ethnic minority faith-based communities. Key Words:
Dementia friendly practices
Black and Ethnic Minority
Faith based communities.Sources to Consider to include:
Department of Health Articles/Documents
NICE guidelines
BMJ journalsNOTE:
Need the predominant referencing from Current UK journals/Books instead of other countries.

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Instructions The goal of this assignment is to assess your understanding of some of the ideas we have discussed in the Cyborgs and Robots section of the course. The essay you write to answer the question below should be between 900 and 950 words in length. Include your essay word count at the bottom of your essay. Essays should be written in formal English with citations (footnotes). You may wish to review Kimberly Chapman’s “How to Write an Essay” (Blackboard, Resources, General). Please proofread your essay carefully for grammar, style, and syntax, and follow the Department of History Citation Style Sheet, available at: http://lib.guides.umbc.edu/histstyle. You may also use the Chicago-Turabian Style Sheet PDF and the link to the Purdue University Online Writing Lab (OWL) for additional help with your footnotes. QUESTIONS The mechanization of labor that has occurred over the last 150 years is now culminating in what seems to be a new phase, the rise of the robot https://www.wired.com/story/what-is-a-robot/. In your first essay for our class, I want you to grapple with the implications of what our robot future might mean. The essay should address the advantages that robotization offers (the techno-optimist position) and the concerns such a future might bring (the techno-pessimist position). To bring a different perspective to your discussion chose a type of robot (perhaps the sewing robot) and analyze its potential impact using Allenby and Sarewitzs levels of technology. Remember, this is a prompt for writing. Your essay must cover all the points discussed in the prompt but you have freedom to decide how you would like to do so. Any arguments you present MUST be supported by credible sources. https://www.wired.com/story/what-is-a-robot/

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A completed practice-level logic model outline (table) from the Week 7 Assignment handout
A completed program logic model outline (table) in the Week 7 Assignment Handout
23 paragraphs that elaborate on your practice-level logic model outline.
23 paragraphs that elaborate on your program-level logic model and address the following:
Decisions that would need to be made about characteristics of group membership
Group activities
Short- and long-term outcomes
Ways to measure the outcomes

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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/mL)
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.

Critical Thinking Questions

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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Dr. SoutherlyENG 091Writing Project 2 Rhetorical Analysis EssayFrederick Douglass in The Narrative of the Life of Frederick Douglass, an American Slave does more than just tell a story of his life. He is using language and his personal experiences to form an argument about the institution of slavery in the United States. Is Douglass successful in his purpose given his target audience? Does he create an effective argument? Everything is an argument, and it is necessary, as consumers of information, to be able to break down and analyze an argument to best understand what the author is doing and what his or her goals are given the target audience. Using your knowledge of the Rhetorical Situation and TRACE Analysis (using the rhetorical appeals ethos, pathos, logos, and kairos), you will write a rhetorical analysis essay that details the rhetorical strategies that Douglass uses in the two-chapter excerpt provided in class in order to determine whether or not his argument is effective. Do not try and include every example of each argumentation strategy employed by Douglass. Use your best judgement to focus on the best examples of the rhetorical appeals that help to determine the argument, target reader, author, constraints, and exigence. Refer to your notes from class and our discussions of the TRACE analysis method to help in the organization of the essay. You will be graded on the following criteria:Introductory sentences effectively introduce the excerpt title, author, and argumentDiscussion of TRACE and rhetorical appeals use examples from the text to support, demonstrating a strong understanding of the argumentAnalysis of the Rhetorical Situation is focused around the target audienceConclusion provides a clear understanding of the rhetorical situation and provides a statement about the effectiveness of the argumentFormatting (500 words minimum), double-spaced, 12-point academic font, header, title)Editing (spelling, word choice, punctuation, grammar, etc.)The final version of this writing project comprises 15% of your total grade.

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For the Rhetorical Analysis, you will choose two speeches (i.e. public address, speech recorded on YouTube, awards speech, political speech, commencement speech, presidential address, TedTalk) that address the same topic. Your analysis will determine which speech is more effective and clearly explore why you believe which speech is the most effective of the pair. As you analyze, you should comment on ethos, pathos, logos, kairos, and/ or elements of the SOAPStone method.Your essay will:1. Offer a rhetorical analysis of the two chosen speeches on the same topic. The thesis should clearly identify which speech you believe is the most effective.2. Address the writers’ / speakers’ uses of Logos, Ethos, Pathos, and/or Kairos.3. Address the historical context of the speeches.5. The essay should be at least 4 FULL pages in length but no more than 6.6. When the speeches are summarized, paraphrased, or quoted, IN-TEXT citations are necessary and must be correctly incorporated. Remember to use the ICE method.7. The speeches must have corresponding bibliographic citations on the Works Cited page.8. Outside / Additional resources may be used to discuss historical context, audience, reactions, or ethos, pathos, and logos.9. Any additional sources must be properly cited with in-text citations and bibliographic citations (on the works cited page).10. The essay must be in MLA format: MLA heading; headers with last name and page numbers; a title; one inch margins; each new paragraph indented; double spacing with NO extra space between paragraphs, heading, or title; in-text citations (MLA 8th edition); Works Cited page (MLA 8th edition)11. The essay should be predominantly in 3rd person, may use 1st person, but must not be in 2nd person. Instances of 2nd person will result in a loss of points in the Grammar / Mechanics/ Style category on the rubric.

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