Tag: Health Medical

I need you to help me complete this Research Proposal Assignment. I ask that though I give you only a day to complete you put maximum effort in please. My research proposal needs to be about why parents choose to not vaccinate their children and what childhood diseases have reappeared because of it. I will attach multiple different documents and resources explaining the project and the instructions. Please ask me if you have any questions. I have completed an assignment already about this topic and will attach that as well as some references. Anything attached should be used. Feel free to add in any other references you find that support the topic. Thank you.

Select a case study of interest to you from the listed scenarios.

Download and complete the Pregnancy Case Review Chart. 

• Make sure to address all sections. Do NOT leave any section blank.
• Include relevant subjective and physical objective findings.
• Identify appropriate diagnostic and laboratory testing needed.
• List at least three differential diagnoses with rationales for choosing.
• Identify usual medications, treatments, or patient education needed.
• Determine referrals for collaborative care.

Generate 2 responses to original discussion posts, each response must be at least 300 words + 3 references no older than 5 years.

Here is the original DIscussion topic : 

Toxins

Differentiate between Endo- and Exotoxins. Using specific examples of bacteria, explain how the toxins they produce contribute to the virulence of those organisms. 

POST 1

According to Pommerville, endotoxins are lipopolysaccharides. They are metabolic poisons. They are produced by gram-negative bacteria that are part of the bacterial cell wall and consequently are released on cell disintegration; composed of lipid-polysaccharide-peptide complexes (Pommerville, 2018).

Example of endotoxin: Salmonella Typhi. Virulence factors are clustered in some areas of the chromosome such as adhesion, invasion, and toxin genes. A protein that permits non-phagocytic cells is also produced and excreted by the bacterium, where it is capable of intracellular living (Al-Khafaji, Al-Bayati, & Al-Dahmoshi, 2021).

Exotoxins are bacterial metabolic poisons. They are composed of protein that is released to the environment. When an exotoxin enters the human body, it can affect various organs and systems (Pommerville, 2018).

An example of an exotoxin is whooping cough. I chose this example because I am allergic to the whooping cough vaccine. According to Carbonetti, pertussis toxin is a secreted protein exotoxin. It is an important virulence factor produced exclusively by B. pertussis. Pertussis toxin is transported across the bacterial outer membrane by a type IV secretion system (Carbonetti, 2010).

One difference between endo- and exotoxins: Endotoxins are produced by Gram-negative bacteria, while exotoxins are secreted by both Gram-negative and Gram-positive bacteria.

Class, you know how some people get faint at the sight of blood? Well, this happens to me when I think of toxins being released. I don’t know why but it makes me feel woozy… ?

References

Al-Khafaji, N. S. K., Al-Bayati, A. M. K., & Al-Dahmoshi, H. O. M. (2021, January 8). Virulence factors of Salmonella typhi. Retrieved from https://www.intechopen.com/online-first/74829

Carbonetti, N. H. (2010). Pertussis toxin and adenylate cyclase toxin: key virulence factors of Bordetella pertussis and cell biology tools. Future microbiology, 5(3), 455–469. https://doi.org/10.2217/fmb.09.133

Pommerville, J. (2018). Fundamentals of microbiology (11th ed.). Jones & Bartlett Learning.

POST 2

Exotoxins are produced inside of some bacteria as part of the growth and metabolism then they are released into the surrounding media. Endotoxins are part of the outer portion of cell wall of gram-negative bacterial. Endotoxins are released during bacterial multiplication and when gram-negative bacteria die the cell walls undergo lysis (Tortora, et al., 2016).

There are a lot of differences between exotoxins and endotoxins. Bacterial source of exotoxins is mostly from gram-positive bacteria while bacterial source of endotoxins is from gram-negative bacteria. Exotoxins are metabolic product of growing cell and endotoxins present in lipopolysaccharide of outer membrane of cell wall and released with destruction of cell or during cell division. Exotoxins are proteins and usually with two parts (A-B) and endotoxins are lipid portion of lipopolysaccharide of outer membrane. The effect of exotoxins on body are specific for a particular cell structure of function in the host, mainly affects cell functions, nerves and gastrointestinal tract. Endotoxins’ effect on body are general and it includes fever, weakness, aches and shock. Exotoxins is heat-unstable and usually can be destroyed at 60-80 degrees. Endotoxins are stable and can withstand autoclaving. The toxicity of exotoxin is high and toxicity of endotoxin is low. Exotoxins do not cause fever while endotoxins cause fever (Tortora, et al., 2016).

There are three types of exotoxins, A-B toxins, membrane-disrupting toxins and superantigens. One examples of membrane-disrupting exotoxins is clostridium perfringens and other species of clostridium which cause gas gangrene and food poisoning. One exotoxin (cytotoxin) causes massive red blood cell destruction which is called hemolysis and exotoxin (enterotoxin) is related to food poisoning and causes diarrhea. All endotoxins produce the same signs and symptoms which include chills, fever, weakness, generalized aches and shock or even death. One example of endotoxins is salmonella typhi which cause typhoid fever (Tortora, et al., 2016).

Reference:

Tortora, G. J., Funke, B. R., & Case, C. L. (2016). Microbiology (12th Edition).

Reply to Thread

This week our assignment focuses on asthma and its treatment. The 6 slide requirement that is in the directions does not include your title slide and the reference slide. Please make sure you focus on the step-wise approach to treatment and why it works as this will be very valuable when treating patients when you are in practice.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

• Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
• Explain the stepwise approach to asthma treatment and management for your patient.
• Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific
• I am attaching some resources for the stepwise approach

Write a short essay (500-600 words) responding to the following prompt. You should submit your response as a Word document.

How
should the Chief Nursing Officer impact nurses in their everyday
duties? Use the following excerpt from the IOM report, “The Future of
Nursing,” to help you develop your discussion, and you can use your own
experience as a healthcare professional to support your argument.
Personal narrative is not appropriate for this assignment; rather,
include your own critical and analytical ideas based on your
experiences. Because this is a relatively short essay, do not attempt to
address every aspect of the Chief Nursing Officer’s impact on nurses.
Instead, focus on two or three areas you think are most important.
Incorporate the research from your sources from Unit 3, as well as the
IOM report. Below is a brief excerpt from the IOM report:

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Harolds, J. A., & Miller, L. B. (2020). Quality and Safety in Healthcare, Part LXXVII: Major Roles of the Chief Nursing Officer. Clinical nuclear medicine.[MM1]

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Ingwell-Spolan, C. (2018, June). Chief Nursing Officers’ Views on Meeting the Needs of the Professional Nurse: How This Can Affect Patient Outcomes[MM2] . In Healthcare 6(2), page range. DOI or URL

Will Chief Nursing Officers Hear the Call?

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Although
chief nursing officers (CNOs) typically are part of the hierarchical
decision-making structure in that they have authority and responsibility
for the nursing staff, they need to move up in the reporting structure
of their organizations to increase their ability to contribute to key
decisions. Not only is this not happening, however, but CNOs appear to
be losing ground. A 2002 survey by the American Organization of Nurse
Executives (AONE) showed that 55 percent of CNOs reported directly to
their institution’s CEO, compared with 60 percent in 2000. More CNOs
described a direct reporting relationship to the chief operating officer
instead. Such changes in reporting structure can limit nurse leaders’
involvement in decision making about the most important product of
hospitals—patient care. Additionally, the AONE survey showed that most
CNOs (70 percent) have seen their responsibilities increase even as they
have moved down in the reporting structure (Ballein Search Partners and
AONE, 2003). CNOs face growing issues of contending not only with
increased responsibilities, but also with budget pressures and
difficulties with staffing, retention, and turnover levels during a
nursing shortage (Jones et al., 2008).

More CNOs need to prepare themselves and seek out
opportunities to serve on the boards of health-related institutions. If
decisions are taking place about patient care and a nurse is not at the
decision-making table, important perspectives will be missed. CNOs
should also promote leadership activities among their staff, encouraging
them to secure important decision-making positions on committees and
boards, both internal and external to the organization.

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Institute of Medicine of the National Academies. (2010). The future of nursing: Leading change, advancing health. The National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK209867/

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Your instructor will evaluate your revision according to the following criteria:

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• The introduction clearly identifies the topic and establishes a specific argument
• The paper includes a clear thesis statement that provides direction and focus for the essay
• Each body paragraph develops the argument established in the introduction
• Each body paragraph has a clear focus on one idea
• Each body paragraph includes a precise topic sentence
• Transitions establish logical connections between paragraphs
• Within paragraphs, transitions create connections and relationships between sentences
• The language used is appropriate to the academic community
• The tone is objective in keeping with the scientific academic audience
• The paper incorporates the source effectively, using it as part of a meaningful discussion of the topic

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Hi,

I would like to write 4 page double spaced paper describing the government in Saudi Arabia, its origins, and what, if any, input individuals outside of the government have on legislative/ruling policy.. Are there any democratic processes, are there political parties? How does the Saudi government function? As a health care provider what is your role related to the functioning of the government. ?

For further details please refer to the attachment with all the points that I would like to include in the paper

I’m working on a health & medical question and need an explanation to help me understand better.

Imagine you are involved in the planning of a new health program in your community. One of the first things you do is identify social determinants for the community, based on information you gathered from a national database. Discuss which database and social determinants you would utilize. Explain how the social determinants could affect your community.

I’m working on a nursing question and need an explanation and answer to help me learn.

· Develop your position about the individual rights to control the spread of communicable diseases for the good of society.

· Survey the role of boards of health in your community and state to determine how communicable diseases are prevented and controlled. 

I’m working on a Nursing exercise and need support.

Grandfathering is the term used to grant certain people working within the profession for a given time period or prior to a deadline date the privilege of applying for a license without having to take the licensing examination. Grandfathering clauses have been used to allow licensure for wartime nurses—those with on-the-job training and expertise—even though they did not graduate from an approved school of nursing.

Some professional nursing organizations are once again proposing that the Bachelor of Science in Nursing (BSN) become the entry-level requirement for professional nursing. Some have suggested that as a concession to current associate degree in nursing and diploma-prepared nurses, all nurses who have passed the registered nursing licensure examination before the new legislation, regardless of educational preparation or experience, would retain the title of professional nurse. Non-baccalaureate-educated nurses after that time would be unable to use the title of professional nurse.

DQ: Do you believe that the “BSN as entry level” proposal advocates the advancement of the nursing profession? Is grandfathering conducive to meeting this goal? Would you personally support both proposals? Does the long-standing internal dissension about making the BSN the entry level into professional nursing reduce nursing’s status as a profession? Do lawmakers or the public understand this dilemma or care about it?

Discussion Protocol. Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)

Discussions must have a minimum of two references, not older than 2016.