Case 6-1: An Adolescent Couple with HIV

Discussion Post

—Word Count Is Your Discretion for All Questions Except Question 6 750 Words Minimum!!!

—MLA Format

— Cite All Sources

— Due 2pm American/ New York Time

— 2/14/18

**Read Case Study 1 Attached & Answer Question 1**

Case 6-1: An Adolescent Couple with HIV

Question 1: “You are the nurse in the clinic on the day Alexa finds out she has HIV. She remains in the clinic for more than an hour with you while you try to support and console her. You have had formal HIV counseling training, so you apply your skills as you communicate with her. Several weeks later, after Alexia is more composed and has had time to think more about her situation, she drops by the clinic and wants to talk with you on a more personal basis. She needs comforting. What approaches will you use with Alexa? Please explore how to use and apply the nursing ethical competencies to help Alexa. Be specific with your approaches and rationales. You can approach this issue keeping in mind the three key ethical principles of autonomy, beneficience and nonmaleficense as they relate to your nursing interventions.

** Read Case Study 2 Attached & Answer Question 2 **

Question 2: CBRT Case Study Attached. Use article to answer questions below

1. Phosgene exposure causes inflammation and pulmonary edema that is deleterious to the function of the lungs. (a) What are the three physical factors that influence pulmonary ventilation? How would each of these factors be affected by inflammation and edema?

2. After exposure to phosgene gas, the partial pressures of both O2 and CO2 would be altered in the blood and tissues, because the mechanism for moving these gases in and out of the body has been compromised. After severe exposure to phosgene, what would you expect to find if you measured the partial pressure of oxygen (PO2) and carbon dioxide (PCO2) in the alveoli, the blood plasma, and the cells of the tissues?

3. The transport of oxygen and carbon dioxide in the blood is critical for survival. The victims with the most severe symptoms would need mechanical ventilation to overcome the inability of their respiratory systems to maintain normal blood levels of oxygen and carbon dioxide. Phosgene gas would reduce the amount of oxygen available for transport to the tissues. In addition, the metabolic waste product carbon dioxide is transported by three mechanisms back to the alveoli in the blood. Here carbon dioxide crosses the respiratory membrane, driven by a pressure gradient that favors its exit via the lungs during exhalation. By knowing which mechanism transports the most CO2, predict what would happen to the blood pH if the CO2 level dramatically increased?

** Read Below & Answer Question 3**

Question 3: Give a brief description of Botox & briefly describes how it affects the nervous system and action potential conduction. You should have a minimum of 2 academically appropriate resources.

** Read Below & Answer Question 4 I Attached Chapters**

Question 4: Please read Controversy 13 in your text, about Childhood Obesity and Early Chronic Diseases. As with many public health concerns, there is a controversy around personal responsibility and environmental influence. This conflict is further complicated when it involves children. Discuss what individuals, groups, or agencies you think are responsible for addressing childhood obesity? Please propose two to three solutions to address this concern and provide evidence to support your ideas.

** Read Below & Answer Question 5**

Question 5: Please read the following scenario and submit a report with a response to each of the associated questions. Cite sources in APA style.

Mini Case Study of Betsy’s Bones

Betsy is a 72-year-old retired teacher who lives alone. She used to love gardening, but since moving to a condo, doesn’t get much time outside, and spends most of her days reading or talking on the phone. She presents to her doctor complaining of right leg pain and muscle weakness. Her laboratory results showed deficient vitamin D and reduced bone density, and a diet recall included:

• Breakfast: two hard-boiled eggs, 1 whole grapefruit with 1 tsp sugar, 12 oz. black coffee

• Lunch: cucumber sandwich (made with a ½ cup of sliced cucumber, 2 slices white bread, and 1 T mayonnaise), 1 oz. potato chips, 16 oz. unsweetened iced tea

• Dinner: pasta (1 c.) with meatless marinara sauce (1/2 c.), small white roll, 1 glass red wine, fun-size Milky Way.

Betsy is 5’4†and weighs 126# (57kg). She says she loves to cook, but since it’s just her, she usually just prepares something quick and easy. Every Sunday she goes to church and to the grocery store, but otherwise, she doesn’t leave the house much.

1. Estimate how much protein Betsy is getting. How much does she need? Is her intake adequate? What recommendations do you have regarding Betsy’s protein intake?

2. What about Betsy’ fluid intake? Is she getting enough water? What are potential consequences of not taking in enough fluid?

3. Her doctor recommended a vitamin D supplement. What other ways can Betsy improve her vitamin D status? List some foods that are good sources of vitamin D.

4. Betsy’s mom had osteoporosis and she’s concerned about developing it too. What steps can Betsy take to maintain her bone health? Are there specific nutrients other than vitamin D and calcium that are important to bone health?

5. Why is vitamin D deficiency more common in the elderly?

** Read Below & Answer Question 6**

Question 1: You are required to post 750-word summary of a personal response to a attached article (MATERNAL-FETAL CONFLICT). The summary should reflect self-awareness and critical thinking regarding why you chose both the article and the subject matter. Validate your opinion with references to the code of ethics. Articles and references used in researching the topic summary must be cited using proper APA format.

* Provide some background describing it and why it is timely and worth consideration.

* What are the pro and con arguments about the problem? Refer to ethical concepts, theories and principles in your book.

* What is your position on this problem and why? How do you think it could be resolved?

.

** View the Video Below & Answer Question 7**

https://www.youtube.com/watch?v=gE4ef0yQZRU&feature=youtu.be

Question 7: Reflection: After viewing the “Unusual Support Group” material, why is it that infection rates went up AFTER better sanitation? If Polio had infected the human population for centuries and only a small percentage has long-lasting damage, why were we so determined to “fight” this infection and eradicate it?

 
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Lab 12 Model Ecosystems Lab Activity

Lab 12 Model Ecosystems Lab Activity

 

Complete your answers in the spaces provided. USE YOUR OWN WORDS – Yes even for definitions! Remember to add your last name and first initial to the file name prior to saving and submitting your completed assignment through Canvas.

 

The lab website has post lab questions – these are not necessary – you only have to complete the questions in this lab assignment document.

 

Use your textbook, notes and this website to answer the pre lab questions. http://www.vtaide.com/png/foodchains.htm http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/F/FoodChains.html http://www.mbgnet.net/

 

 

 

Pre Lab Questions:

 

1. What is the ultimate source of energy for all organisms on this planet?

 

 

 

 

2. List the biomes of the Earth.

 

 

 

 

 

 

 

 

 

 

 

3. What biome do we live in here in Philadelphia?

 

 

 

 

4. What attributes define a biome?

 

 

 

 

Click on the link below to access the online lab. http://www.mhhe.com/biosci/genbio/virtual_labs_2K8/pages/ModelEcosystems.html

 

Download and print the instructions for reference as you work through the lab. As you work through the lab fill in the table below. Use this information to answer the questions that follow contained in this document.

 

5. Complete all five ecosystems and record your data in Table 1. The different ecosystems are listed across the top. Fill in the data for each trophic level for each ecosystem. For the numbers click on the [Pyramid of Numbers] button. Next click on the [Pyramid of Energy] button. Calculate the Energy Conversion Efficiency Ratio (ECE) by dividing the higher trophic level energy by the energy one trophic level down.

 

List the organisms by name. Provide the number of organisms present. Provide the amount of energy present. Calculate the ECE value. This value will be a decimal value. There is no ECE calculation for producers as you would have to divide the producer energy by the amount of energy provided by the sun. We don’t have that value. I have done the first column for you. :)

 

If you have any organisms out of place in the pyramid you will not be able to get the numbers you need to complete the calculations. You need to move the various organisms to their correct positions in order to continue.

 

Table 1

  Deciduous

Forest

Hot Desert Grassland Antarctic

Ocean Shore

Freshwater

Lake

Producers

Organisms

Present

Deciduous

trees ferns wildflowers berry bushes Grasses

       
Energy: 6011        
Numbers: 7996        
           
First Order

Heterotrophs Organisms Present

Chipmunks

Chikadees Insects Rabbits Deer

       
Energy: 623        
Numbers: 4559        
E.C.E.*: .103 (A)        
           
Second Order

Heterotrophs Organisms Present

Snakes

Woodpeckers

Opossum

Fox Owls Toads Frogs

       
Energy: 61        
Numbers: 1418        

 

 

E.C.E.*: .097 (B)        
           
Third Order

Heterotrophs Organisms Present

Wolves

Hawks

       
Energy: 6        
Numbers: 50        
E.C.E.*: .098 (C)        

 

Just so you know exactly how to calculate the ECE

A = 623/6011 = .103

B = 61/623 = .097

C = 6/61 = .098

 

Post Lab Questions

 

6. What is the relationship of numbers to energy as you go up the trophic levels?

 

 

 

 

 

 

7. From the ecosystems you studied in this lab, which one is the most efficient? Explain how you determined your answer.

 

 

 

 

 

 

 

 

 

 

 

8. What would happen to an ecosystem without decomposers?

 

 

 

 

 

 

 

9. From the ecosystems you studied in this lab, which one is the most productive? (This cannot be the same as question 7) Explain how you determined your answer.

 
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HSA 530 QUIZ 4

1. The expertise of a consultant may improve the credibility of an organization concerning a decision that has been made but experienced consultants view such a use as highly unethical.

2. Non-competitive proposals should be identified and notified that their proposals have been rejected.

3. Which of the following is not true about consultants?

4. HR should always be involved when resolving wage complaints.

5. Which of the following is not true about informal channels of communication?

6. Informal channels are slower than most legitimate means of communication.

7. Individuals who are approaching termination for cause should be allowed to resign in lieu of discharge.

8. Which of the following is true about HR responses to claims for unemployment compensation?

9. Which of the following is true regarding unemployment compensation?

10. When laying off employees, seniority is the fairest and safest means of determining who leaves and who remains.

11. Which of the following is true regarding the decision made by the CEO?

12. A chief executive officer is responsible for policy implementation and day-to-day operations including all personnel matters.

13. Which of the following is true about ethical decision making by a CEO?

14. Which of the following statements is false concerning the board member and her hidden agenda?

15. Which of the following statements is not true about job organization?

16. The goal of scientific management was efficiency.

17. Which of the following is not a true statement?

18. Which of the following statements is not a primary reason why workers join labor unions?

19. The National Labor Relations Act of 1937, commonly known as the Wagner Act, is the basis of most of the labor laws in the United States.

20. When discussing union formation, managers can compare existing wages and benefits with those in unionized facilities.

21. Which of the following is a reason why employees seek to form unions?

22. Which of the following is a true statement about Human Resources arbitration?

23. Arbitration is used to resolve problems rather than simply stating or restating opinions.

24. Which of the following is not a true statement about HR arbitration?

 
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Anthropology

Anthropology 130 Research Simulation 2

Preparing to go to Tibet
 50 points total

Instructions

This assignment will go over how biological adaptations can allow people to survive in

high altitude environments. Just as there are different ways that people have adapted to

hot and cold environments, people living in high altitudes today possess traits that allow

them to thrive where others would have a very hard time.

A section at the Understanding Evolution website describes what anthropologists have

found when studying a group of Tibetans who were apparently adapted to high altitude

living. The webpage contains both text and video interviews explaining the concept. This

week’s assignment involves thinking about this case study and linking it to what we

have learned.

Type your answers into the separate answer sheet, which is just a list of numbers.

Answers can be incomplete sentence unless otherwise stated in the question.

Assignment Start

Fresh from your trip to the Philippines, you run into your anthropology instructor! He

wants your help on a research project:

“It’s great that I ran into you since you know about anthropology. I am working on a

study of human biological adaptation to hypoxia at high altitude. While we have cultural

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adaptations today, such as oxygen tanks, people who have traditionally lived in high

altitude have picked up biological traits from natural selection that give them an

advantage in that extreme environment.” Thinking that this is a great way to get another

adventure under your belt, you keep listening.

Part One – Hypoxia and Acclimatization

Your instructor continues: “I actually have experience traveling to a high elevation area

during my studies. During one trip to Perú to conduct a study on ancient human health

and disease, I had some spare time to see the wonderful country. I wanted to see

Machu Picchu and Cusco, which is 11,150 feet above sea level. When I was planning

the trip, I received a lot of advice about adjusting to the altitude. One thing that I heard

was that I should never run or even walk fast on the first day there.”

You feel that you should reply and continue the conversation: answer the following

questions based on the lecture or textbook material on hypoxia. You can also search the

Internet, but you have to phrase the answer in your own way and you are responsible

for the trustworthiness of the information you find.

1. How does hypoxia harm the body? Answer in at least one sentence. (2 points)

Your instructor welcomes your response and continues his story: “I flew to Cusco and

made an effort to not exert myself. The air really did feel thinner than I was used to!

After a few days, I felt that I could be more active, though I still could not run.â€

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2. What biological acclimatizations did your instructor’s body activate to adjust to the high altitude to make him feel a little better? Answer in at least one sentence. (2 points)

“Yeah, you get it! Giving myself time to adapt to the environment resulted in a great trip

to the Andes mountains. I even made it to Machu Picchu, one of the UNESCO World

Heritage Sites and a gorgeous location.†Your instructor pulls out his phone and flips

through his photos before showing one to you. “This is me at Machu Picchu!”

{ Caption: “I still have those boots!†}

“When I returned to sea level, my adaptations made me more physically able for a little

while. I could exert myself like I have never done before. It was like having

superpowers! My adaptations faded, though, since they were temporary by definition.â€

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Part Two – Hypoxia and Genetic Adaptations

You agree to help your instructor’s research project. “I’ve heard that studies of native

Tibetan populations have found some evidence of biological adaptations. My own

undergraduate school, U.C. Berkeley, has a write-up of these findings as part of their

Understanding Evolution website. (Fun fact: I took an undergraduate class with the

researcher in charge of that site, Dr. Roy Caldwell.) Could you go there and tell me what

you find?†Ready to get to work, you find a computer and go to the website that your

instructor suggested:

A. Go the webpage “Evolving altitude aptitude†in the Understanding Evolution site at

the following address: http://evolution.berkeley.edu/evolibrary/news/101001_altitude

B. Read the text, but stop before the “Discussion and extension questions†section. I

have my own questions! You can also watch the videos, but they are not required for

these questions.

C. Answer the following questions. Direct answers can be found in the article, so don’t

look in other sites.

The “Evolving altitude aptitude†article mentions that the Tibetans are genetically

adapted to high altitude since their population have lived in that environment for

thousands of years.

3. At approximately what altitude do Tibetans live? (1 point)

4. What do the bodies of the Tibetans do to adapt to the thinner air that is not seen in other people? (2 points)

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Researchers conclude that a certain allele in a gene called EPAS1 allows the Tibetans

to adapt to high altitude compared to the low altitude-living Han Chinese nearby.

5. For all people, the EPAS1 gene codes for a protein that does what for the human body? (2 points)

6. How many years ago did the Tibetan and Han Chinese lineages separate, leading to different genetic trajectories? (1 point)

Since the article was first written, a new discovery has added more knowledge about

the Tibetan EPAS1 allele. This discovery is described in a 2014 update inside a blue

box on the webpage. The update gives us a glimpse into future lecture topics on human

ancestors.

7. What is the name of the ancient human group that also had the Tibetan hypoxia- adapted EPAS1 allele? (2 points)

8. Where did this ancient human live? And around how many years ago did they live? Look for the specific answers! (2 points)

9. Based on the updated information, what is the researchers’ explanation of how the prehistoric ancestors of Tibetans first got the hypoxia-adapted EPAS1 allele? (2 points)

Part Three – Allele Frequencies

You start to see how the course topics are connected to each other. Wanting to learn

more, you search on Google Scholar to learn more about Tibetan adaptations to

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hypoxia. A paper by Xin Yi and over twenty other authors (!!) (2011) has data on EPAS1

allele frequencies in the Tibetan and Han populations. The researchers found that the

frequency of the hypoxia-adapted allele in Tibetans is 0.87. You remember that the

frequency scale goes from 0.0 to 1.0, with 0.0 meaning the allele is not there at all, and

1.0 meaning that everyone has the same allele.

10. If the frequency of the hypoxia-adapted allele in Tibetans is 0.87, then what is the

frequency of the non-hypoxia-adapted allele in Tibetans? For a gene with two

alleles, the frequency of one allele equals 1.0 minus the frequency of the other

allele. (2 points)

11. In the Tibetan population, is the hypoxia-adapted EPAS1 allele more common, or is

the non-hypoxia-adapted allele more common? (1 point)

The Yi paper states that the Han Chinese allele frequencies are 0.10 for the hypoxia-

adapted EPAS1 allele and 0.90 for the non-hypoxia-adapted allele.

12. Which EPAS1 allele is more common in the Han Chinese population, hypoxia-

adapted or non-hypoxia-adapted? (1 point)

13. Based on these results, do you think that gene flow between the Tibetans and Han

Chinese is high or low? (1 point)

The different allele frequencies between Tibetans and Han shows that the hypoxia-

adapted allele is far more common in Tibetans due to the natural selection spreading

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that allele where it is an adaptation. Outside of Asians, no one has the hypoxia-adapted

EPAS1 allele.

14. What is the number for the frequency of the hypoxia-adapted allele outside of Asia,

based on the above sentence? (2 points)

Part Four – Connections to the Course

You have a good sense of the research on Tibetan adaptation to hypoxia. Satisfied, you

take a short break, but you keep thinking of the discoveries about modern Tibetans. A

lot of the things you learned tie back to what you learned in class. You feel it would be

good to show your instructor these connections in your report. Finishing your break and

feeling refreshed, you get back to writing.

This section has more questions that build off of the article on Tibetan high altitude

adaptation, but are answered using material from the lectures and textbook. The goal is

to form connections across the topics we have learned in class, in order to remember

everything more concretely. The general topic is given for each question to give you a

lead on finding the answer.

15. Genetics: It is confusing that genes and proteins are given the same name, such as EPAS1. Let’s sort them out with the basics. A gene is a section of what type of molecule? (2 points)

16. Genetics: When a gene is used by an organism, the instructions are first transcribed into mRNA, which is then translated into a chain of what other type of molecule as the final step in synthesis? (2 points)

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The article was focused mostly on genetics. Another way to study Tibetan high altitude

adaptation is to measure their actual lung power and compare them to the Han

Chinese. A new study found that Tibetans had larger and more powerful lungs than the

Han Chinese (Weitz, Garruto, and Chin, 2016). Interestingly, Tibetans must have

developed their more-powerful lungs in their adolescent period since Tibetan and Han

had the same lung power from infancy through the juvenile period.

17. Life History: What is the life history period that spreads new hormones through the body, causing new developments in adolescence? (2 points)

18. Life History: Why is it extremely unlikely for people to develop powerful lungs after the adolescent period? (2 points)

Researchers are still studying the Tibetans to learn more about their biological

adaptations to hypoxia. Anthropologists are also studying the indigenous people of the

Andes Mountains to compare and contrast their biological adaptations with the Tibetans.

Part Five – Textbook Nutrition

Working with allele frequencies was rewarding, but also very tiring. You start to get

hungry, but can’t decide what to eat. For inspiration about essential nutrients, you open

the textbook Essentials of Physical Anthropology by Clark Spencer Larsen. You start

reading at the section “Nutritional Adaptation†and quiz yourself as you go to make sure

that you understand the main points.

19. According to the textbook, what are two consequence of being undernourished? (2

points)

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20. Based on James Neel’s research, why would a “thrifty genotype†be an adaptation

for prehistoric Native Americans? Answer in at least a whole sentence in your own

words. (3 points)

21. Why would the “thrifty genotype†now be maladaptive in modern times? Think of the

change in environment from prehistoric times to today. Answer in at least a whole

sentence in your own words. (3 points)

Part Six – Thinking About Blood

Not feeling particularly hungry anymore, you put the textbook away and go out to get a

little exercise. You recall how the adaptation to hypoxia in the “Evolving altitude

aptitude†article involved the blood of Tibetans. As you work up a sweat and raise your

pulse, you realize that the topic of blood has appeared in several lectures.

22. Thinking about other types of human adaptation, how is blood flow controlled by the

body in response to an extremely hot environment or to overexerting yourself? (1

point)

23. How is blood flow controlled in an extremely cold environment? (1 point)

24. One lecture described the ABO blood system. With at least a whole sentence,

explain why someone with O blood is a universal donor. Incorporate the word

‘antigen’ correctly in your explanation. (3 points)

“Hey, you! Are you there?â€

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Startled back to your surroundings, you see a good friend peering at you and waving

her hand side-to-side at your face.

“Funny running into you here. Looks like you’re working out too! Hey, you are taking

anthropology. I have a question: I heard that I should eat a diet of mainly dairy products

because I have B type blood. Do you know anything about whether the ‘Blood-Type’ diet

has any scientific research supporting it?†You promise to look up some information.

Back at home, you find a news story from a science website about a team that

scientifically tested the ABO blood-type diet. You email your friend back with information

based on that news story:

A. Go the webpage “Theory behind popular blood-type diet debunked†in the

ScienceDaily site at the following address: https://www.sciencedaily.com/

releases/2014/01/140115172246.htm

B. Read the full story.

C. Write a short paragraph of a few complete sentences that explains the research

to your friend.

25. In a single short paragraph, address the following questions:

A. What is the name of the popular book that started the ABO Blood Type diet idea,

and who is the book’s author? (2 point)

B. Is there evidence that people with different blood types should eat different types

of foods to improve their health? (2 points)

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C. What types of diets do the researchers recommend to help all people, regardless

of blood type? (2 points)

Hint: start with a thesis statement introducing the topic, such as “I read a news story that

tested the ‘Blood-Type’ diet and made some conclusions.â€

The next day, an email arrives in your inbox. “You really learned a lot in that class! Well,

I won’t keep you. Thanks for the info!†Feeling satisfied from helping your friend, you

wrap up the work you have done.

Conclusion

You turn in all of the information you found to your very grateful instructor. “Wow, you

went above and beyond with the connections that you made. This will help a lot as I try

to get funding to go study the Tibetans on their home turf.†He takes a deep breath: “I

hope my lungs are ready!†He runs off to the associate instructor offices.

Be sure to have answered every question in the answer sheet. Please submit the report

sheet under the assignment link in Canvas or hand in a paper copy in class.

References (to the real research featured here if you want more) Wang, J., García-Bailo, B., Nielsen, D. E., & El-Sohemy, A. (2014). ABO genotype, ‘blood-type’ diet and cardiometabolic risk factors. PLoS ONE, 9(1), e84749.

Weitz, C. A., Garruto, R. M. and Chin, C.-T. (2016), Larger FVC and FEV1 among Tibetans compared to Han born and raised at high altitude. Am. J. Phys. Anthropol., 159: 244–255.

Yi, X., Liang, Y., Huerta-Sanchez, E., Jin, X., Cuo, Z. X., Pool, J. E., . . . Wang, J. (2010). Sequencing of 50 human exomes reveals adaptation to high altitude. Science, 329(5987), 75-8.

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