Discuss the impact of lifespan development on the perspectives of the various members of the family (

/in /by

To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the “Introduction to the Miller Family” document for specific information on each member of the family.

Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing.  She went into remission for some time, but now the cancer has returned and she is in the hospital.  Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life.  Ella has her preferences, though she is now so weak that she has given up in many ways.  The family members are each experiencing their own fears and are grieving as they face the loss that will occur as Ella’s life comes to a close.  Ella prefers to die at home and has felt stressed by the discord and discomfort of family members since being hospitalized.

You are the social worker for this case.  You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.

For this assignment, you will:

  1. Synthesize the current research that is relevant to this scenario.
  2. Discuss the cultural or traditional issues that could arise at this time.  Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.
    • Describe how the family might react to the following possible scenarios:
      • Ella wishes to stick with alternative and complementary practices.
      • Ella is coerced into following mainstream medical advice.
      • Ella’s husband insists that, as father and husband, his family traditions should be adhered to.
    • Examine the biological basis for care and describe how the choices for care might affect the other family members with respect to their individual problems, if at all.
      • Son Sam, the alcoholic
      • Daughter Lila, with diabetes
      • Grandson Josh, starting to have drug problems
      • Granddaughter Lucy, bipolar with more entrenched drug problems
      • Daughter-in-law, Sarah’s stress related to her family’s medical issues (nephew with leukemia, brother with HIV, and her father’s perspective that they are all “crazy!”)
  3. Discuss the micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella’s medical condition and prognosis.
    • What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?
    • How is the neighborhood and extended family (mezzo) reacting to the situation?
    • If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them.  Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
  4. Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home.  When discussing medical issues in this case, use appropriate medical terminology.
  5. Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time.  How has the fact that this illness has been ongoing (chronic) impacted the family?
  6. Analyze the current scenario as it pertains to diversity, as well as to cultural, psychological, and social perspectives and influences, taking into account the stories that you have been discussing throughout the course.
  7. Discuss the impact of lifespan development on the perspectives of the various members of the family (i.e., their intellect, cognitive abilities, insight, and judgment) as well as their sociocultural perspectives, preferences, understandings, and positions on the situation.

Nervous System Quiz

/in /by

 

SCI250 Week 7 Chapter 24 Nervous System Quiz

 

 

 

 

 

Section: Multiple Choice

 

 

 

 

 

 

 

1. Which of the following is associated with serious infection of the meninges?

 

 

 

 

 

· Clogging of blood vessels

 

· Increased pressure within the skull

 

· Decreased cerebrospinal fluid flow

 

· Impaired central nervous system function

 

· All of the above

 

 

 

 

 

 

 

2. Which of the following is NOT true of the nervous system?

 

 

 

 

 

· Consists of central and peripheral systems

 

· Central nervous system is composed of brain and spinal cord

 

· Ganglia are part of brain

 

· Meninges is membrane that covers brain and spinal cord

 

· Normally free of microbes

 

 

 

 

 

 

 

3. Which of the following is a common cause of meningitis in non-immunized young children?

 

 

 

 

 

· Streptococcus pneumoniae

 

· Escherichia coli

 

· Staphylococcus

 

· Haemophilus influenzae

 

· None of the above

 

 

 

 

 

 

 

4. A complication of infection with this organism (Waterhouse-Friderichsen syndrome) can occur if the

 

 

 

organism becomes widely distributed in the body, leading to endotoxin shock and death. What is this

 

 

 

organism?

 

 

 

 

 

· Haemophilus influenzae

 

· Neisseria meningitidis

 

· Streptococcus pneumoniae

 

· Listeria monocytogenes

 

· None of the above

 

 

 

 

 

 

 

5. What is the microorganism that causes most cases of meningitis among adults?

 

 

 

 

 

· Haemophilus influenzae

 

· Neisseria meningitidis

 

· Listeria monocytogenes

 

 

 

· Streptococcus pneumoniae

 

 

 

 

 

 

 

 

 

6. Which of the following bacteria that may cause meningitis is Gram positive and therefore does not cause

 

 

 

endotoxin shock in infected individuals?

 

 

 

 

 

· Escherichia coli

 

 

 

· Neisseria meningitidis

 

 

 

· Listeria monocytogenes

 

 

 

· Haemophilus influenzae

 

 

 

· None of the above

 

 

 

 

 

 

 

 

 

7. The disease associated with Chronic meningitis is caused by ________

 

 

 

A. Streptococcus pneumoniae.

 

 

 

B. Mycobacterium tuberculosis.

 

 

 

C. Staphylococcus.

 

 

 

D. Treponema pallidum.

 

 

 

E. B and D

 

 

 

 

 

8. Meningitis caused by Listeria monocytogenes is usually transmitted by ________

 

 

 

 

 

· food.

 

 

 

· water.

 

 

 

· aerosols.

 

 

 

· sexual contact.

 

 

 

· physical contact.

 

 

 

 

 

 

 

 

 

9. What causes Hansen’s disease (leprosy)?

 

 

 

 

 

· Mycobacterium tuberculosis

 

 

 

· Mycobacterium leprae

 

 

 

· Listeria monocytogenes

 

 

 

· Clostridium botulinum

 

 

 

· Prions

 

 

 

 

 

 

 

 

 

10. What is the only bacterium known to damage peripheral nerves?

 

 

 

 

 

· Naegleria fowleri

 

 

 

· Mycobacterium leprae

 

 

 

· Streptococcus pneumoniae

 

· Neisseria meningitidis

 

 

 

· Haemophilus influenzae

 

 

 

 

 

 

 

 

 

11. Muscle spasms that can lead to an arched back and spasms of the jaw muscles (lockjaw) can be caused

 

 

 

by infections with ________

 

 

 

 

 

· Clostridium tetani.

 

 

 

· Clostridium botulinum.

 

 

 

· Mycobacterium leprae.

 

 

 

· Mycobacterium tuberculosis.

 

 

 

· Poliovirus.

 

 

 

 

 

 

 

 

 

12. A vaccine that was developed in 1933 has proven effective in reducing the incidence of disease caused

 

 

 

by ________

 

 

 

 

 

· Clostridium botulinum.

 

 

 

· Mycobacterium leprae.

 

 

 

· Clostridium tetani.

 

 

 

· Streptococcus pneumoniae.

 

 

 

· Listeria monocytogenes.

 

 

 

 

 

13. What is the most common form of disease caused by Clostridium botulinum?

 

 

 

· Infant

 

 

 

· Wound

 

 

 

· Lung, followed by exposure to aerosols

 

 

 

· Foodborne

 

 

 

· None of the above

 

 

 

 

 

 

 

 

 

14. A toxin that causes paralysis by preventing the release of acetylcholine at the junctions between neurons

 

 

 

and muscles is produced by strains of ________

 

 

 

 

 

· Clostridium botulinum.

 

 

 

· Mycobacterium leprae.

 

 

 

· Streptococcus thermicos.

 

 

 

· Clostridium tetani.

 

 

 

· Listeria monocytogenes.

 

 

 

 

 

 

 

 

 

15. Preventing African sleeping sickness is nearly impossible because ________

 

 

 

A. the trypanosomes change their surface glycoproteins evading the host immune response.

 

 

 

B. the tsetse fly has a wide range and eradication is difficult.

 

C. vaccines must target many antigens.

 

 

 

D. All of the above

 

 

 

E. A and B

 

 

 

 

 

16. Poliovirus infections may cause no symptoms and go undetected in ________

 

 

 

 

 

· small children.

 

 

 

· teenagers.

 

 

 

· young adults.

 

 

 

· elderly.

 

 

 

· All of the above

 

 

 

 

 

 

 

 

 

17. Which form of poliovirus vaccine is better at eliminating viruses in the gastrointestinal tract?

 

 

 

 

 

· Live attenuated vaccine

 

 

 

· Formalin-killed vaccine

 

 

 

 

 

 

 

 

 

18. A major difference between infections with prions and other agents is that infections with prions:

 

 

 

 

 

· Do not lead to an inflammatory response

 

 

 

· Are not transmissible

 

 

 

· Do not cause an increase in the size of astrocytes

 

 

 

· Are not fatal

 

 

 

· All of the above

 

 

 

 

 

 

 

 

 

 

 

Section: Matching

 

 

 

 

 

 

 

 

 

19. Tissue necrosis, brain edema, headache, fever, occasionally seizures

 

 

 

 

 

· Bacterial meningitis

 

 

 

· Listeriosis

 

 

 

· Rabies

 

 

 

· Encephalitis

 

 

 

· Hansen’s disease

 

 

 

· Tetanus

 

 

 

· Botulism

 

 

 

· Poliomyelitis

 

 

 

· Transmissable spongiform encephalopathies

 

· Chagas’ disease

 

 

 

 

 

 

 

 

 

20. A kind of meningitis seen in fetuses and immunodeficient patients

 

 

 

 

 

· Bacterial meningitis

 

 

 

· Listeriosis

 

 

 

· Rabies

 

 

 

· Encephalitis

 

 

 

· Hansen’s disease

 

 

 

· Tetanus

 

 

 

· Botulism

 

 

 

· Poliomyelitis

 

 

 

· Transmissable spongiform encephalopathies

 

 

 

· Chagas’ disease

 

 

 

 

 

 

 

 

 

21. Invades nerves and brain; headache, fever, nausea, partial paralysis, coma, and death ensue unless

 

 

 

patient has immunity

 

 

 

 

 

· Bacterial meningitis

 

 

 

· Listeriosis

 

 

 

· Rabies

 

 

 

· Encephalitis

 

 

 

· Hansen’s disease

 

 

 

· Tetanus

 

 

 

· Botulism

 

 

 

· Poliomyelitis

 

 

 

· Transmissable spongiform encephalopathies

 

 

 

· Chagas’ disease

 

 

 

 

 

 

 

 

 

22. Range of symptoms from loss of skin pigment and sensation to lepromas and erosion of skin and bone

 

 

 

 

 

· Bacterial meningitis

 

 

 

· Listeriosis

 

 

 

· Rabies

 

 

 

· Encephalitis

 

 

 

· Hansen’s disease

 

· Tetanus

 

 

 

· Botulism

 

 

 

· Poliomyelitis

 

 

 

· Transmissable spongiform encephalopathies

 

 

 

· Chagas’ disease

 

 

 

 

 

 

 

 

 

23. Fever, back pain, muscle spasms, partial or complete flaccid paralysis from destruction of motor neurons

 

 

 

 

 

· Bacterial meningitis

 

 

 

· Listeriosis

 

 

 

· Rabies

 

 

 

· Encephalitis

 

 

 

· Hansen’s disease

 

 

 

· Tetanus

 

 

 

· Botulism

 

 

 

· Poliomyelitis

 

 

 

· Transmissable spongiform encephalopathies

 

 

 

· Chagas’ disease

 

 

 

 

 

 

 

 

 

24. Death of brain cells leave holes, creating spongiform brain tissue; amyloid plaques form; long delay

 

 

 

before symptoms appear; then spasms rapidly worsening to collapse; no cure

 

 

 

 

 

· Bacterial meningitis

 

 

 

· Listeriosis

 

 

 

· Rabies

 

 

 

· Encephalitis

 

 

 

· Hansen’s disease

 

 

 

· Tetanus

 

 

 

· Botulism

 

 

 

· Poliomyelitis

 

 

 

· Transmissable spongiform encephalopathies

 

 

 

· Chagas’ disease

 

 

 

 

 

 

 

 

 

25. Subcutaneous inflammation, damage to lymphatic tissues, muscle, and nerve ganglia; muscle pain and

 

 

 

paralysis of intestinal, heart, and skeletal muscle

 

· Bacterial meningitis

 

 

 

· Listeriosis

 

 

 

· Rabies

 

 

 

· Encephalitis

 

 

 

· Hansen’s disease

 

 

 

· Tetanus

 

 

 

· Botulism

 

 

 

· Poliomyelitis

 

 

 

· Transmissable spongiform encephalopathies

 

 

 

· Chagas’ disease

 

SCROLL AT THE VERY BOTTOM TO PURCHASE THE ANSWER

 

 

Other CHEAP Resources:

SCI 250 v3 appendix C
http://www.homeworkmarket.com/content/sci-250-v3-appendix-c

SCI250 Week 1 Chapter 3 Staining Lab Quiz
http://www.homeworkmarket.com/content/sci250-week-1-chapter-3-staining-lab-quiz

SCI250 Week 5 Chapter 19 Integumentary System Quiz
http://www.homeworkmarket.com/content/sci250-week-5-chapter-19-integumentary-system-quiz

 

SCI250 Week 6 Chapter 21 Respiratory System Quiz
http://www.homeworkmarket.com/content/sci250-week-6-chapter-21-respiratory-system-quiz

 

SCI250 Week 7 Final Examination
http://www.homeworkmarket.com/content/sci250-week-7-final-examination

 

SCI250 Week 7 Chapter 24 Nervous System Quiz

 

http://www.homeworkmarket.com/content/sci250-week-7-chapter-24-nervous-system-quiz

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

When a bond is selling for more than its face value, it’s selling at a

/in /by

1. Calculate acid test.

A. 1.52

B. 1.45

C. .152

D. .145

2. When a bond is selling for more than its face value, it’s selling at a

A. coupon rate.

B. premium.

C. discount.

D. debenture

3. Ramon owns a home that was appraised for $132,600. Ramon’s credit union is willing to

loan an amount up to 70% of the appraised value of a home. Based on this information,

what is the maximum potential amount of credit that’s available to Ramon for a home

equity loan?

A. $92,820

B. $89,340

C. $62,538

D. $49,560

1. Renaissance composers used which of the following to create polyphonic textures?

A. Elision

B. Counterpoint

C. Ternary forms

D. Word-painting

2. A measured performance that adheres consistently to the duple meter would be read as

A. 1-2-3-4.

B. 1-2-3-4.

C. 1-2-3.

D. 1-2-3-4.

3. A capella choral music is meant to be

A. played in church on an organ.

B. sung by women only.

C. sung by men only.

D. sung without instrumental accompaniment.

1. A single, long note held underneath a melodic line is known as a

A. plainchant.

B. drone bass.

C. phrase.

D. homophonic line.

2. The volume of sound is known as

A. frequency.

B. dynamics.

C. amplitude.

D. pitch.

3. Native American chant incorporates meaningless sung syllables that serve as a form of melodic instrument called

A. duple meter.

B. drone bass.

C. vocables.

D. pulse.

1. In plainchant, a sentence of text almost always ends with

A. the note D.

B. a minor chord.

C. cadence.

D. disjunct motion.

2. Smooth, stepwise movement within a melodic phrase, sub phrase, or statement is known as _______

motion.

A. harmonic

B. conjunct

C. chordal

D. tonal

3. An example of a percussion instrument is the

A. lute.

B. shawm.

C. violin.

D. drum.

1. Roy will play a melody in triple meter and place the pulse of the meter on the first beat. Chuck will play the triple meter melody and place the pulse of the meter on the third beat. Who is playing the melody with the correct pulse?

A. Roy

B. Chuck

C. Neither is playing the melody correctly.

D. Both are playing the melody correctly.

2. The texture of GregorXXXXX XXXXXt is said to be

A. homophonic.

B. polyphonic.

C. heterophonic.

D. monophonic.

 

3. Accented notes that run against the regular pulse of the musical meter are referred to as

A. iambic.

B. duple meter.

C. anapestic.

D. syncopated.

Petroleum Engineering

/in /by

PE4511 Name ClassID

1. Short answers (3 pts each)

1) Please define instantaneous gas oil ratio

2) Please define the production gas oil ratio

3) Please specify the reasons for the need to adjust oil saturation for gravity drainage drive reservoirs

4) Please briefly specify the procedure to adjust oil saturations for water drive reservoirs

2. (10 pts) Please plot the solution gas oil ratio and instantaneous gas oil ratio with pressure relations, and explain the changes alone the instantaneous GOR plot.

3. (15 pts) A saturated oil reservoir has a bubble point pressure of 2100 psi at 175F. The initial reservoir pressure is 2400 psi, original oil in place is 10 MMSTB, connate water saturation is 15%, porosity is 20%, cw=3.2*10-6 1/psi, cf=3.1*10-6 1/psi. The PVT data is listed in table 1 and relative permeability information is listed in table 2. Please calculate the following:

1) The oil compressibility at different pressure using oil formation volume factors

2) Cumulative oil and gas production when pressure decreases to 2100 psi, 1800 psi, and 1500 psi.

Table 1. Reservoir PVT Data

 

Table 2. Relative permeability with liquid (oil and water) saturation