What are your differential diagnoses? What are subjective and objective findings consistent with the various differentials for low back pain? Would you consider imaging for this patient? If so, what imaging would be recommended and why?

Case 1
A 35-year-old, healthy White male is complaining of right-sided, low back pain for 1 day. The pain began suddenly after lifting a box weighting 35 lbs. at work. The pain radiates down the back of his leg to his right ankle. He has tried ibuprofen and ice without relief. His pain is an 8 out of 10 (with 0 being no pain and 10 being the worst pain). He denies bowel or bladder dysfunction, paresthesia, motor weakness, or fever.  

 

Past medical/surgical history: no major medical illnesses; no surgical history; no previous hospitalizations.
Social history: has smoked 1 pack of cigarettes a day for 15 years.
Medications: none.
Allergies: no known drug allergies.
Vital signs: temperature 98.7°F; pulse 90 beats per minute; respirations 18 per minute; blood pressure 126/78 mmHg; pulse oximeter 100%.

Physical examination revealed a well-nourished adult male without any acute distress. Significant right paraspinal tenderness at L4–L5 was present with no midline tenderness. Straight leg raise was positive at 30° to the right lower extremity. Straight leg raise was negative to the left lower extremity. The remainder of musculoskeletal examination was unremarkable (e.g., deep tendon reflexes, strength, and sensation). Other systems examinations were unremarkable (e.g., heart, lungs, etc.). 
Answer the following questions based on the Case 1. 

What are your differential diagnoses? What are subjective and objective findings consistent with the various differentials for low back pain?
Would you consider imaging for this patient? If so, what imaging would be recommended and why?
What are the red flags of low back pain?
What are treatment strategies for this patient? What education would be provided to the patient?
When should you refer this patient to a specialist?

Case 2
A 13-year-old male is complaining of mild recurrent bilateral anterior knee pain without fever, joint swelling, erythema, or limitation of ambulation for the past 3 months. He is accompanied by his mother. 

 

Prenatal and birth history: unremarkable.
Developmental history: mother reports normal development.
Past medical/surgical history: no major medical illnesses; no surgical history; no previous hospitalizations.
Social history: actively involved on his school’s soccer team for 2 years.
Family and environmental risks: none.
Immunization history: up to date.
Medications: none.
Allergies: no known drug allergies.
Vital signs: temperature 98.7°F; pulse 72 beats per minute; respirations 18 per minute; blood pressure 120/70 mmHg; pulse oximeter 100%.

Physical examination revealed a well-nourished adolescent male without any acute distress. Significant bilateral tenderness was noted when palpating the tibial tubercles, and extending his knees against resistance reproduced pain. The remainder of the musculoskeletal examination was unremarkable (e.g., deep tendon reflexes, strength, and sensation). Other systems examinations were unremarkable (e.g., heart, lungs, etc.). 
Answer the following questions based on Case 2. 

What is the most likely diagnosis for this patient?
What is the pathogenesis of this disorder?
What additional information assists in making the diagnosis?
What are treatment strategies for this patient?
What education would the provided to the patient and mother?

Why do some companies like Apple hedge foreign currency sometimes and not at other times and companies like Walmart decide not to hedge currency at all?

Prior to beginning work on this discussion forum, watch the video, Ray Dalio: How to Build a Company Where the Best Ideas WinLinks to an external site.. In the final paper, you will formulate foreign exchange strategies for your target market country of LONDON. After you watch the video, do some brief web/library research to share insights regarding the following:

Why do some companies like Apple hedge foreign currency sometimes and not at other times and companies like Walmart decide not to hedge currency at all?

Think about costs of hedging; variables needed to evaluate hedging; and the time, effort, and staffing needs for continuous hedging management.

Ray Dalio is a hedge fund manager. Based on his TED talk, how do you think he would advise you to prepare foreign exchange strategies and why?

Your initial

Review and reflect on the knowledge you have gained from this course. Based on your review and reflection.  What were the most compelling topics learned in this course? How did participating in discussions help your understanding of the subject matter? Is anything still unclear that could be clarified?

Summative Discussion Board
Review and reflect on the knowledge you have gained from this course. Based on your review and reflection. 

What were the most compelling topics learned in this course?
How did participating in discussions help your understanding of the subject matter? Is anything still unclear that could be clarified?
Particular to the classroom engagement, what approaches could have yielded additional valuable information, in terms of faculty participation and/or the discussion boards?

Review the important themes within the sub questions of each bullet point. The sub questions are designed to get you thinking about some of the important issues. Your response should provide a succinct synthesis of the key themes in a way that articulates a clear point, position, or conclusion supported by research. • Perceived value of a product is directly related to its perceived quality and inversely related to its price. o Assuming that we keep the perceived quality constant, explain what would happen to the perceived value of the product if we increase its price. o Explain what will happen if we decrease its price.

12315Review the important themes within the sub questions of each bullet point. The sub questions are designed to get you thinking about some of the important issues. Your response should provide a succinct synthesis of the key themes in a way that articulates a clear point, position, or conclusion supported by research.
• Perceived value of a product is directly related to its perceived quality and inversely related to its price.
o Assuming that we keep the perceived quality constant, explain what would happen to the perceived value of the product if we increase its price.
o Explain what will happen if we decrease its price.
o Conversely, if we keep the price constant, explain what will happen to the product’s perceived value if we increase its perceived quality.
o Explain what will happen if we decrease its perceived quality.
Your initial posting should be the equivalent of 1.5 single-spaced pages (

Have you empowered a patient to believe they could make needed lifestyle modifications irrespective of the barriers that exist in their environment? Please provide examples. If so, you were engaged in health promotion activities as part of your nursing role. Were there any strategies used in this simulation exercise that you use to improve patient health literacy? Are there any that you use that were not mentioned here? In your experience, how effective are these strategies?

Have you empowered a patient to believe they could make needed lifestyle modifications irrespective of the barriers that exist in their environment? Please provide examples. If so, you were engaged in health promotion activities as part of your nursing role.
Were there any strategies used in this simulation exercise that you use to improve patient health literacy? Are there any that you use that were not mentioned here? In your experience, how effective are these strategies?
What are some of the biggest challenges you encounter when trying to improve health literacy? What solutions can you offer to manage these challenges?

what are the roles and responsibilities of the advanced nurse practitioners in prescribing?

what are the roles and responsibilities of the advanced nurse practitioners in prescribing?
APA and 2 pages in length, excluding the title, abstract and references page.

Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Textbook References provided 

Describe the background of the nurse you selected. Discuss the major social issues occurring at the time this nurse lived. Describe two contributions this nurse made to the nursing profession including an explanation of how these two unique contributions influenced current nursing practice.

1Describe the background of the nurse you selected.

Discuss the major social issues occurring at the time this nurse lived.
Describe two contributions this nurse made to the nursing profession including an explanation of
how these two unique contributions influenced current nursing practice.
You may use your textbook, readings, and the following for background information.

  ANA Hall of Fame American Association for the History of Nursing Museum of Nursing History – Slide Show Gallery Strout, K. (2012). Wellness promotion and the institute of medicine’s future of nursing report: Are nurses ready? Holistic Nursing Practice 26(3), 129-136.    

Describe the social psychology concept. What does it mean? How has it  been studied in the field of social psychology? What have you learned  about it this semester?

 
Locate  a film or book (popular fiction, not a psychology text or  instructional/academic film) that illustrates one of the concepts we’re  discussing this semester. For example, the film/book might depict  situations that are relevant to the concepts of obedience, conformity,  altruism, persuasion techniques, groupthink, interpersonal attraction,  etc… Any topic discussed in our readings is fair game, but the concept  needs to be clearly depicted in the source you chose.
For  the purposes of this assignment, films/books that actually depict any of  the classic experiments we’re discussing this semester (e.g., the  recent film titled “Stanford Prison Experiment”) are explicitly not  allowed. Work to “stretch” and use your critical thinking skills to  determine whether your source is clearly related to a social psychology  concept or not.
After  referring to the film or reading the book, please use any of the  following formats to report your observations: Power Point slides,  narrated slideshow, or video diary (e.g., “vlog”). This  assignment is not intended to be a formal writing assignment. Rather,  the intent is to see you make connections between your readings and  “real-life” situations as depicted in popular media sources and to  express your thoughts succinctly and coherently. Be creative, but be  sure that the reader/viewer is able to clearly discern that you can  critique the film/book in a scholarly way as related to course material  (e.g., don’t just give a “book report” in which you describe the plot of  the movie/book).
 
1.  Describe which social psychology concept you are choosing (e.g.,  conformity, obedience, altruism, persuasion, etc…) and indicate how you  see it manifested in the film/book you chose.
2.  Describe the social psychology concept. What does it mean? How has it  been studied in the field of social psychology? What have you learned  about it this semester?
3.  Briefly describe the film/book you chose (e.g., its plot, characters,  themes, etc…). This description does not need to be really lengthy (you  don’t need to summarize the entire plot; hit the high points), but  should be sufficient to demonstrate that you actually viewed the entire  film or read the entire book.
4.  Clearly describe how you feel the film/book you chose relates to the  social psychology concept. If you chose altruism, for example, how do  the characters in the film/book behave in a prosocial manner toward  others? If you chose group think, how did the characters get caught in a  situation that resulted in a group think mentality?
5.  Finally, take time to ensure that your finished product is polished (no  grammatical/spelling errors in written work, no grammatical issues or  unclear language in video submissions), flows well, and looks  professional. While you aren’t expected to submit Spielberg-quality  films, your submission should be at least as professional-appearing as  reasonable videos seen on YouTube or PowerPoint presentations made in a  work setting.

Discuss the value of oral histories in understanding historical events such as the  Bracero Program and Japanese American internment. What are the pros and cons of using oral histories in research?

 Question:
Discuss the value of oral histories in understanding historical events such as the  Bracero Program and Japanese American internment. What are the pros and cons of using oral histories in research?
Week 10: Post-War America
Themes:
Oral History Interviews  
 The Roots of the Civil Rights Movement 
Reading Assignment:
This week we are exploring the value of oral histories at the same time as we study the Bracero Program and Japanese American internment.
Please go to this page, read all of the introductory material on the Bracero Program and explore the archives at:
https://www.labor.ucla.edu/what-we-do/research-tools/the-bracero-program/ (Links to an external site.)Links to an external site.
For a brief overview of Japanese American internment and primary sources related to it, please explore this page from the National Archives.
https://www.archives.gov/education/lessons/japanese-relocation (Links to an external site.)Links to an external site.
Listen to the “The Creative Art of Coping in Japanese Internment”
NPR (6 minutes) at:
https://www.npr.org/templates/story/story.php?storyId=126557553 (Links to an external site.)Links to an external site.
Additional Reading:
Kim Lacy Rogers, “History and the History of the Civil Rights Movement,” The Journal of American History 75:2 (1988): 567-576
Mae M. Ngai, “The Liberal Brief for Immigration Reform
Primary Documents:
Civil Rights Oral History Collection, Washington State University.
http://content.libraries.wsu.edu/index.php/cdm/landingpage/collection/cvoralhist

In the two pairs of images provided, (Eshnunna figurines vs. head of Sargon), (Palette of Narmer vs. Stele of Naram-Sin), discuss how the objects functioned and were intended to be viewed.  Consider the importance of propaganda, magic, and religion in the images. How did the needs and expectations of the patron and the underlying cultural ideas and expectations shape the form and function of these objects and their history?

In the two pairs of images provided, (Eshnunna figurines vs. head of Sargon), (Palette of Narmer vs. Stele of Naram-Sin), discuss how the objects functioned and were intended to be viewed.  Consider the importance of propaganda, magic, and religion in the images. How did the needs and expectations of the patron and the underlying cultural ideas and expectations shape the form and function of these objects and their history?  Use references to the readings to support your statements.

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