Please read-

 R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.

1. In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
2. Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
3. Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?

Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

1. In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
2. If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
3. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?

Instruction: complete both case studies.

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
• All replies must be constructive and use literature where possible.

 Last year, Mark and Jason started a business called Poker4u, based in the British Virgin Islands, through which they run a gambling website called Poker4u.com.  For a fee, visitors to the website can play poker and other card games against players from around the world.  Game winners earn cash prizes.  Poker4u accepts all major credit cards.  This website has become very popular with players from across the globe and, as a result, Poker4u has become a very profitable business.  Before playing on Poker4u.com, all players must sign a document stating that they are over 18 years of age and agreeing to assume full responsibility for their debts incurred while playing on the site.  Many adults have visited this website, played cards and have lost thousands of dollars.  However, despite warnings on the site to discourage underage players, Alan, a 14 year old in Cincinnati, Ohio visited this website and used his father’s credit card to play and lost $20,000.  In addition, Roger, a 12 year old in Thailand, and Jacob, a 16 year old in Australia, committed similar offenses. The website is now demanding full payment from Alan, Roger and Jacob and each of their parents.Instructions

1) Identify the ethical dilemmas
2) Evaluate who are the stakeholders in this scenario.

3) What are the alternative courses of action. Please discuss the pros and cons of each possible course of action. Make sure you include how the stakeholders will be impacted by the various solutions you are proposing.

4) Discuss the ethical schools of thought in evaluating your decision.

5) Recommend a decision.  Make sure to provide the rationale for your decision.

Discussion 6 

 

Download the free app iNaturalist to your phone or laptop and watch these videos that explain how to use this citizen science species identification tool.

https://www.youtube.com/watch?v=Oe_FRjNg-AY

https://www.youtube.com/watch?v=SL9iQL9YUsI

https://www.youtube.com/watch?v=IdEH-BL8tG8

https://www.youtube.com/watch?v=eS_9KpXgPdk

Create an account (be sure to make note of your account name and password!).

Using the above videos as a guide, practice making observations by taking a photo of any fungi or plant you find (ideally a leaf, fruit, flower, moss, or lichen)

Now upload your photo and select the option “What did you see?” This will list suggested matches. Hit “Compare” to see a side by side comparison.

Select the best match to the species in your photo. If not, try a better photo! 

Now take a series of 10 photos that include (try your best to get these all but if its too hard any 10 will do) :

One fungi or algae (mushroom, lichen on a rock, scrap of seaweed..)

One non-vascular plant (moss on a tree or sidewalk crack)

One seedless vascular plant

Two gymnosperm

Two monocots

Three eudicots

Your images SHOULD  include each of the following (again, if possible but if not, try for at least some)

A fruiting body

A stem/trunk

A simple leaf

A compound leaf

A flower

A seed/nut

A root/tuber

A fruit

These structures can be fresh or dried but must be whole (eg not ground spices). They can be wild (in a park or street) or cultivated (produce aisle, bouquet, pot)

HINT; Look in your vacation photos and see if there is a flower, palm tree, fern leaf hiding in the background you can zoom in on and crop out everything else)

you can take an image of an image of a plant part or fungi such as the label of a can in your kitchen, a pine tree or cone on a Holiday card, etc.

Take a screenshot of your observation screen and post it to the discussion thread. List and identify all 10 items and structures you posted along with their scientific binomial. Briefly describe your experience using iNaturalist to search for urban botanicals. What was the most surprising plant/fungal part you found? Were any items more difficult to identify? If so, how did you solve the problem?

Reply to a classmate who found/identified a taxa similar or the same as yours or who had something familiar that you were surprised to see. Briefly describe where else you have seen that organism in your experience.

Discussion 8

 

Open iNaturalist and find the Explore icon by clicking on the three grey bars at the top left of your screen. The Explore icon is at the top and looks like a compass.

On the top right select the grey bars which indicate Filters. At the top look for the icons for an insect, snail, or spider. Select one at a time and select the map icon to show sightings in your neighborhood (you will need to zoom in to see each dot).

Now pick a member of each group listed below and find one species close to your neighborhood (you may need to zoom out a bit depending on where you live). List it’s common name and scientific binomial, and its approximate location (Neighborhood and Borough). For each, indicate whether it is:

1. deuterostome or protostome or neither

2. bilateral, radial or neither

3. diploblast or triploblast or neither

4.  coelomate, pseudocoelomate, acoelomate or neither

(You can find the answers in the PowerPoints) 

1. Bryozoan moss animal OR Porifera sponge
2.  Ctenophora or Cnidarian jelly 
3. Cnidarian coral, hydra or anemone
4. Mollusk Bivalve clam, mussel or oyster
5. Mollusk Gastropod snail or slug
6. Annelida or Platyhelminthes or Nematode worm
7. Arthropoda Insecta beetle, ant, bee or wasp
8. Arthropoda Crustacean crab, shrimp or lobster
9. Arthropoda Arachnida or Chelicerata spider, tick scorpion or horseshoe crab
10. Echinodermata sea star, sand dollar or urchin

Post your list of 10 organisms and their descriptors in the discussion thread.

Briefly describe your experience using iNaturalist to explore what creatures others have identified in your own neighborhood. Compare this to your first experience with iNaturalist to ID plants last week. 

Reply to a classmate who located a surprising or a familiar taxa. Perhaps something you did not know exists in New York City or perhaps something you have never heard of. Come up with one scientific research question that iNaturalist could be used to answer. 

Discussion 9

 

Open iNaturalist and find the Explore icon by clicking on the three grey bars at the top left of your screen. The Explore icon is at the top and looks like a compass.

On the top right select the grey bars which indicate Filters. At the top look for the icons for a fish, reptile or mammal. Select one at a time and select the map icon to show sightings of members of this group. Or find the search box and look for a particular group (eg sharks, tunicates, rodents etc.)

Now pick a member of each group listed below and find one species close to your current or home state (you may need to zoom out to the East Coast) List its common name and scientific binomial, and its approximate location (Borough/’hood). For each, indicate which below traits it possesses:

1. Endothermic or Ectothermic

2. Chordate, Vertebrate or Gnathostome

3. Amniote, Placental, Marsupial

4. Tetrapod, Terrestrial, Arboreal, Aquatic or Marine

 (you can find the answers to these questions in this week’s PowerPoints)

This is your list of 11 species to find in iNaturalist

1. Tunicate or Lancelet
2. Lamprey OR Myxine
3. Chondrichthyes
4. Osteichthyes
5. Amphibian
6. Testudinae OR Squamate
7. Aves
8. Marsupialia
9. Carnivora
10.  Rodentia
11.  Cetacea

Post your list of 11 organisms and their descriptors in the discussion thread.

Briefly describe your experience using iNaturalist to explore what chordates others have identified in your own state/region. Compare this to your last experience with iNaturalist to ID plants last week.

Reply to a classmate who located a surprising or a familiar taxa. Perhaps something you did not know exists in New York State or the East Coast or perhaps something you have never heard of. Generate one hypothesis about the distribution of these animals that iNaturalist could help answer.

Discussion 10

 

Select a local species of interest to you as the topic for your inquiry lab. This should be a species well represented in iNaturalist (at least 50 sightings in the NY area). Once you have selected a species of animal, post the common and scientific name of your chosen species. (NO REPEATS – so check before you post). Now use iNaturalist to find out the following:

1. The specie’s biome/s (geographic habitat type), range local habitat type (use the map in iNaturalist)

2. What season/months do sightings peak? How might this relate to limiting factors for this species’ biotic potential? (click on the species name to see a green graph showing when its seen)

3. Which gender/sex is sighted more? (Click on the SEX tab) When are juveniles spotted? (click on the LIFE STAGE tab) Based on this, what type of survivorship curve do you think this species exhibits?

4. Do you think members of this species are more r or K selected?

5. Identify one predator OR prey of this species found in the same areas (check iNaturalist)

Now generate a testable hypothesis about the sightings of your species in relation to a limiting factor/resource/prey/predator. eg. It is hypothesized that the red fox (Vulpes. vulpes) population will be highest in areas with a higher density of Eastern chipmunks (Tamias striatus). 

Reply to a classmate’s post with a constructive suggestion for clarification or modification of their hypothesis or species description OR by generating an alternate hypothesis that can be answered using iNaturalist about the population distribution or density of their species as it relates to either a key resource, predator, prey or limiting factor. Eg. Is this species restricted to coastal wetlands? Does their population drop in areas with more predators/competitors?

Discussion 11

 

This will tie in the work you have done in iNaturalist with the concept of Community Ecology. Now that you have selected a species and its predator/prey in iNaturalist, use Google Scholar to find two peer reviewed scientific research articles about the predator-prey relationship between these two species. Type “scholar” into Google and it takes you to Google Scholar. Now type in the scientific binomial of both species and a few search terms such as ”Predator-Prey Interaction” . Now read through the titles of the top articles that seem to include these terms and describe the impact of one on the other (its ok if other species are mentioned since they may be a surrogate for a similar comparison with your species). Its best to focus on the articles with a PDF icon somewhere. These can easily be downloaded for free (never pay!) From these, select two that seem most relevant to helping you understand the nature of the potential predator/prey interaction between these two species.

Post a brief summary of each article using only the Abstract of the articles. Summarize (in your own words!!!) two KEY findings of each study and briefly describe in two sentences how it could shed light on the predator prey relationship and/or population dynamics or distribution patterns of these two species. Begin each summary with the last name of the two lead authors and the year of publication… (eg Colon & Botton (2017) looked at…………and concluded………..).

Be sure to include a LINK to each article abstract so I can review that as well. 

INQUIRY INVESTIGATION DATA & GRAPH 

 

Select one of the two following hypotheses to test using data generated in iNaturalist:

1. Sightings of my selected species will INCREASE in areas with relatively higher sightings of the prey/predator species I selected.

2.  1. Sightings of my selected species will DECREASE in areas with relatively higher sightings of the prey/predator species I selected.

Now, open iNaturalist and search for each species one at a time in 12 adjacent areas moving from East to West (or along the coastline for marine species).  In each area, record the sighting count for each species to generate your data (see format below). Be sure to search the SAME area for each species. Do not change the size of your search frame each time you shift to an adjacent search area. 

Sightings of Species A   Sightings of Species B

# in area 1                                        # in area 1

# in area 2                                        # in area 2

# in area 3                                        # in area 3

etc.

# in area 12                                     # in area 12 

Now paste these 12 paired sightings plus the header into Excel. Highlight them and select “Line Chart”. Add appropriate labels, data points. Add a descriptive title. Now cut and paste it into a Word file containing the title of your study and your hypothesis. Be sure to include the descriptive statistics in Excel (Mean and Range) and also include the Correlation value. Based on your understanding of the correlation statistic and the value it shows, do the data support or refute your hypothesis?  

INQUIRY INVESTIGATION FINAL REPORT- 3 PAGES (RUBRIC AN FILE IS ATTACHED EXPLAINING EVERYHTING)

 

Respond to the scenario below in a paper using correct APA formatting. Double space your work. Use Times New Roman 12 points. You must include both a separate title and reference page.

You are being graded on your ability to formulate a logical solution to the problem. You should focus on critical thinking skills, ability to analyze the problem and come up with a solution to the problem described below.

You are working as an IT security professional for an organization (called Web Site 101) that has 300 employees, one large corporate office with three floors. Your organization is a website development company with gross revenue of two million dollars per year.

Recently security problems have become a hot topic with management and you have been asked by the CISO (chief information security officer) to write a security recommendation paper for your organization. Security problems include:

• Data loss due to employee negligence
• Physical break ins
• Employees complain they do not understand what is expected of them from a security standpoint
• The network administrators complain the company allows free access to anything on the network for anyone who asks
• Web Site 101 home Web page was recently hacked

You are to write a paper making recommendations to help correct the security issues at Web Site 101. The paper should cover access control methods, physical access controls, risk assessment and environmental controls and other items you feel important to ensure future information security at Web Site 101.

Parameters/Expectations:

1. Include a title page.
2. Font size 10 or 12.
3. At least one full double-spaced page in length, not counting the title page.
4. Includes a highly developed viewpoint, purpose and exceptional content.
5. Demonstrates superior organization, is well-ordered, logical, and unified.
6. Free of grammar and spelling errors.
7. No evidence of plagiarism.

Project 3: Case Study Evaluation  

Due Date: February 19 by 11:59pm  

Final Draft Word Count and Setup Requirement: 

 •1000-1200 words (plus an APA cover page and a References page)  

•Double-spaced lines •Case study source identified with APA in-text citations and on a Reference page  

•12-point Times New Roman font  

•3rd person point of view  

WHAT: After gathering evidence from a case study provided by your instructor, write an essay in which you evaluate how effectively a real-life company solved a problem. Use the Rhetorical Structure defi ned in the HOW section. 

HOW:  

BRAINSTORM: Carefully read the case study provided by your instructor and then ask yourself the following questions before drafting this assignment:  

What was the problem encountered by the company? 

 What solution was implemented? What steps were involved?  

Who implemented the solution? (What company? What agents within that company?) 

 What did people within the company have to say about the solution?  

When was the solution implemented?  

Where was the solution implemented? 

 Why this solution? (Was it effective? How do you know?) 

 FOCUS/THESIS:  Try using this as a thesis statement model: The solution ___________________________ Company X implemented to solve (define the problem) ___________________________________________ did/did not work effectively because ________________________________________________________. (You can list more than one reason).  

RHETORICAL STRUCTURE or ARRANGEMENT: (Use these subheadings)  

Introduction: Inform the reader of the company your evaluation will discuss, the problem the company faced, and the solution the company implemented. You can use 2 or 3 paragraphs for your introduction. End your introduction with your thesis statement.  

Evaluation of Solution: Using evidence from the Case Study and your own reasoning, discuss, point by point, why you think the solution did or did not work effectively. Remember, any solution to a problem must address the root cause of the problem. 

 Conclusion: End this essay with a one-paragraph summary of your Case Study Evaluation’s main points. REVISE the entire document several times to ensure you have conveyed your thoughts clearly, you have developed your paragraphs with details, facts, reasons, examples or evidence, and you have shown logical transitions from one paragraph to the next.