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Tag: Applied Sciences

  • [Solved] discussion

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    – ## unit1advancedhealthassess.docx **## unit1advancedhealthassess.docx** It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Sub…

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    – ## unit1advancedhealthassess.docx

    **## unit1advancedhealthassess.docx**

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Initial Response

    Instructions:

    During this advanced health assessment course, remember the vision is to become an advanced practice, certified nurse –  as a NE, NL, or NP,. Keep that goal in the forefront of your mind during this course. We will be looking deeper into health assessment, health promotion, and health prevention. Read the article
    [_Improving Healthcare by Embracing Systems TheoryLinks to an external site._](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947551/) _._

    In your future advanced practice role, you will be managing integral processes in the health care system.

    · With an understanding of Systems Theory, describe how you will be able to impact an identified system problem in the health care system from your soon-to-be advanced practice registered nurse role.

    Please be sure to validate your opinions and ideas with citations and references in APA format

    **## unit1advancedhealthassess.docx**

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

    Initial Response

    Instructions:

    During this advanced health assessment course, remember the vision is to become an advanced practice, certified nurse –  as a NE, NL, or NP,. Keep that goal in the forefront of your mind during this course. We will be looking deeper into health assessment, health promotion, and health prevention. Read the article
    [_Improving Healthcare by Embracing Systems TheoryLinks to an external site._](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947551/) _._

    In your future advanced practice role, you will be managing integral processes in the health care system.

    · With an understanding of Systems Theory, describe how you will be able to impact an identified system problem in the health care system from your soon-to-be advanced practice registered nurse role.

    Please be sure to validate your opinions and ideas with citations and references in APA format

  • [Solved] An Ethical Quandry

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    In last week's activity, you described how public health managers can effectively promote an "ethics-focused" organizational culture. Even though an ethics-based culture may exist, applying ethics standards to scenarios presented in public health agencies is still necessary. Leaders need to have a f…

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    In last week's activity, you described how public health managers can effectively promote an "ethics-focused" organizational culture. Even though an ethics-based culture may exist, applying ethics standards to scenarios presented in public health agencies is still necessary. Leaders need to have a framework for analyzing issues to arrive at ethically informed decisions. In this assignment, you will apply an analytical framework to justify a position on an ethics-related topic.
    ## Preparation
    – Identify an ethical issue related to public healthcare that interests you. Examples are nearly endless. Three examples are:
    – The ethics of providing individuals needles for drug use.
    – Releasing a vaccine in an emergency pandemic without completing the usual time-intensive testing and research.
    – Making vaccines mandatory in times of pandemic.
    – Review EXHIBIT 11.3 Framework for Analysis of Ethical Issues in Public Health found in chapter 11 of your textbook. You will use this framework to analyze the issue and arrive at a position regarding it.
    ## Instructions
    Identify your chosen issue and analyze it using the framework for Analysis of Ethical Issues in Public Health found in your textbook. Do the following in 3-4 pages:
    – Analyze the ethical issue by answering at least 4 of the probing questions found in the framework.
    – Briefly evaluate the ethical dimensions of TWO distinct options for resolving the dilemma against the following:
    – Utility.
    – Justice.
    – Respect for individual interests.
    – Respect for legitimate public institutions.
    – State and justify your chosen position on the issue by evaluating it against the following principles:
    – Effectiveness.
    – Proportionality.
    – Necessity.
    – Least infringement.

  • [Solved] Evaluating a Public Healthcare Leaders Style

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    – **Pick a public leader that responded to the Covid-19 crisis and discuss what leadership style or characteristics they demonstrated. Was their behavior consistent with your expectations for a leader in that position? Why or why not?** – **Be sure to respond to at least TWO of your classmates’ post…

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    – **Pick a public leader that responded to the Covid-19 crisis and discuss what leadership style or characteristics they demonstrated. Was their behavior consistent with your expectations for a leader in that position? Why or why not?**
    – **Be sure to respond to at least TWO of your classmates’ posts.**
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    IMG_4645.png](https://www.sweetstudy.com/files/img-4645-png-10388433 "IMG_4645.png")
    \
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  • [Solved] Need a writer? Text me 0798732112

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    Available for jobs. 0798732112

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  • [Solved] assg

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  • [Solved] research

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  • [Solved] Module 8: Translating Theory to Practice

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    **Module 8:** _Translating Theory to Practice_ – Develop a recorded PowerPoint presentation recording your voice, to explain how to translate theories into Practical actions. The following files provide step by step instructions to record/upload/submit videos and multimedia to assignments. During yo…

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    **Module 8:** _Translating Theory to Practice_
    – Develop a recorded PowerPoint presentation recording your voice, to explain how to translate theories into Practical actions.
    The following files provide step by step instructions to record/upload/submit videos and multimedia to assignments.
    During your presentation, you may also demonstrate how to implement it in your practice with a sample.
    my PRACTICE I AM A HOSPITALIST

  • [Solved] Discussion response

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    ### Peer Response #### Instructions: **Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least two of these prompts:** – **Do you agree with your peers’ assessment?** – **Take an opposing view to a peer and present a logical argument supporting …

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    ### Peer Response
    #### Instructions:
    **Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least two of these prompts:**
    – **Do you agree with your peers’ assessment?**
    – **Take an opposing view to a peer and present a logical argument supporting an alternate opinion.**
    – **Share your thoughts on how you support their opinion and explain why.**
    – **Present new references that support your opinions.**
    **Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.**
    **Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.**
    ### **Reply from Melisa Tennies**
    In a comprehensive health assessment, clinicians identify various risks, strengths, and needs through the health history, physical examination, and preventive services.
    **Hypertension Screening**
    Blood pressure assessment during a wellness visit may identify an elevated reading (≥130/80 mmHg). It is a risk factor because untreated hypertension increases the risk of stroke, heart attack, and chronic kidney disease (Whelton et al., 2018). Identifying this risk is crucial to initiating interventions such as lifestyle counseling and blood pressure management to prevent complications. Screening can be completed in a comprehensive health assessment, as well as through general health screenings and health fairs.
    **Regular Physical Activity**
    History taking may reveal that a patient engages in at least 150 minutes of moderate exercise per week, which is a strength. Regular physical activity is associated with reduced risk of obesity, diabetes, hypertension, and depression. Exercise also improves overall quality of life (Piercy et al., 2018). Identifying this strength provides an opportunity for the provider to reinforce the positive behavior and encourage its maintenance.
    **Preventive Screening and Vaccines**
    A patient who did not have a colonoscopy at age 50 or is not up to date on recommended vaccines (e.g., influenza, shingles) needs preventive services. Identifying this need helps ensure timely interventions that can prevent morbidity and mortality (U.S. Preventive Services Task Force [USPSTF], 2021).
    In conclusion, a comprehensive health assessment enables providers to identify various risks (e.g., hypertension), strengths (e.g., exercise), and needs (e.g., preventive screenings) to guide care and promote wellness.
    **References**
    Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018). The physical activity guidelines for Americans. JAMA , 320 (19), 2020–2028. https://doi.org/10.1001/jama.2018.14854
    U.S. Preventive Services Task Force. (2021). USPSTF A and B recommendations. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
    Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison Himmelfarb, C., DePalma, S. M., Gidding, S., Jamerson, K. A., Jones, D. W., MacLaughlin, E. J., Muntner, P., Ovbiagele, B., Smith, S. C., Spencer, C. C., Stafford, R. S., Taler, S. J., Thomas, R. J., … Wright, J. T. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Journal of the American College of Cardiology, 71 (19), e127–e248. https://doi.org/10.1016/j.jacc.2017.11.006
    ### **Reply from Emily Byrd**
    **How can we identify health risks, strengths, and needs in our comprehensive health assessment?**
    **Example 1:** Medical History Review
    The medical history review includes family history, lifestyle factors, previous health history, and current symptoms and conditions. It is critical to inquire about conditions such as cancer or heart disease that run in the family, this may indicate a genetic predisposition to certain risks (FastStats – Diseases and Conditions, 2020).  Ask the patient about diet, exercise, smoking, alcohol use, or illicit drug use as these directly influence a person's health.  By accessing past medical records, this provides information on existing conditions and patterns of patient care. Health assessments can be used to identify what’s happening in the body at this current moment in time and allows us the tools needed to provide perspective on what could happen in the future based on lifestyle choices, the patient’s family history, current medications, allergies, and other risk factors ( _How to Perform a Health Assessment in Nursing_, 2025). A proper assessment is a full head to toe assessment, including vital signs.
    **Example 2:** Social Assessment
    As health care providers, it is important to evaluate the patient's support system and family structure. We should also respectfully assess household and environmental risk factors, including issues such as abuse, homelessness or unemployment that may impact a person's health. We should also determine the patient's willingness to change lifestyle modifications if needed and understand their receptiveness to interventions we may recommend to improve their health. By understanding the patient's unique psychological, social, and spiritual needs, as providers we are able to provide appropriate care (Toney-Butler & Unison-Pace, 2023).
    References:
    How to Perform a Health Assessment in Nursing. (2025, May 5). Holy Family University. [https://onlinenursing.holyfamily.edu/blog/how-perform-health-assessment-nursingLinks to an external site.](https://onlinenursing.holyfamily.edu/blog/how-perform-health-assessment-nursing)
    FastStats – Diseases and Conditions. (2020). [https://www.cdc.gov/nchs/fastats/diseases-and-conditions.htmLinks to an external site.](https://www.cdc.gov/nchs/fastats/diseases-and-conditions.htm)
    Toney-Butler, T., & Unison-Pace, W. (2023). Nursing Admission Assessment and Examination. National Library of Medicine; StatPearls Publishing. [https://www.ncbi.nlm.nih.gov/books/NBK493211/](https://www.ncbi.nlm.nih.gov/books/NBK493211/)

  • [Solved] Discussion response

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    ### Peer Response #### Instructions: **Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:** – **Compare and contrast your initial posting with those of your peers.** – **How are they similar or ho…

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    Assignment Prompt & Instructions

    ### Peer Response
    #### Instructions:
    **Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:**
    – **Compare and contrast your initial posting with those of your peers.**
    – **How are they similar or how are they different?**
    – **What information can you add that would help support the responses of your peers?**
    – **Ask your peers a question for clarification about their post.**
    – **What most interests you about their responses?**
    **Please be sure to validate your opinions and ideas with citations and references in APA format.**
    ### **Reply from Talibah Tyson**
    **Ion Channels**
    The two major classes of ion channels that target drug action include ligand gated ion channels and voltage gated or voltage sensitive ion channel. Ligand gated ion channels are linked to receptors that regulate the opening and closing action of the neurotransmitter. They act as both a receptor and form an ion channel. The voltage gated or voltage sensitive ion channels opening and closing is regulated by the voltage potential or ionic charge across the membrane (Stahl, 2021.) This class of ions has voltage sensitive sodium and calcium channels that many drugs such as anticonvulsants bind to. Voltage gated ions channels are the most common drug targets (Alexander et al., 2021.)
    A full agonist is characterized by the full array of downstream signal transduction which is the maximum activation of the signal transduction cascade. Antagonists block the action of the agonist by causing no change in the signal transduction. An antagonist is thought to be neutral as is has no action of its own (Stahl, 2021.) Partial antagonists are thought to be stabilizers of neurotransmission as they do not give the full amount of signal transduction. It has the capability to boost insufficient neurotransmitter activity and block any excessive activity. Inverse agonist creates a functional reduction in transducing signals opposite of the agonist.
    **Reference**
    Alexander, S. H., Mathie, A., Peters, J. A., Veale, E. L., Striessnig, J., Kelly, E., Armstrong, J. F., Faccenda, E., Harding, S. D., Pawson, A. J., Southan, C., Davies, J. A., Aldrich, R. W., Attali, B., Baggetta, A. M., Becirovic, E., Biel, M., Bill, R. M., Catterall, W. A.,…Zhu, M. (2021). The concise guide to pharmacology 2021/22: Ion channels. _British Journal of Pharmacology_, _178_(S1). [https://doi.org/10.1111/bph.15539Links to an external site.](https://doi.org/10.1111/bph.15539)
    Stahl, S. M. (2021). _Stahl's essential psychopharmacology: Neuroscientific basis and practical applications_ (5th ed.). Cambridge University Press.
    ### **Reply from Ralph Annam**
    **The Two Major Classes of Ion Channels**
    **Ligand-gated ion channels (LGICs):** Open upon neurotransmitter or ligand binding. Multimeric proteins (pentamers, tetramers, or trimers) are responsible for fast synaptic signaling. They often have multiple modulatory sites (e.g., GABA, NMDA, and nicotinic AChR). (Rao et al., 2022; Alexander et al., 2023).
    **Voltage-gated ion channels (VGICs):** Open in response to membrane potential changes. The system is constructed from large subunits with voltage-sensing domains. The brain is responsible for driving action potentials, pacemaking, and muscle contraction. Represent primary drug targets for anesthetics, antiarrhythmics, and analgesics. (Jiang et al., 2022; Harris et al., 2024).
    In contrast, LGICs convert chemical → electrical signals, while VGICs convert voltage → gating changes. Pharmacologically, LGICs are well suited for orthosteric/allosteric drugs, while VGICs demand state- or subtype-selective modulators.
    **Agonists and Related Ligands**
    **Full agonist**: Binds and produces a maximal effect (high efficacy).
    **Partial agonist: Causes a less than maximum effect even when all receptors are occupied; can block the effects of full agonists (for example, ar** (Mohr et al., 2022).
    **Antagonist:** Binds without changing basal activity and blocks the action of an agonist.
    **Inverse agonist:** Opposes constitutive activity by reducing it below baseline and stabilizing inactive receptor conformations. (Qin et al., 2022; Michel et al., 2020).
    **Key point:** Whether a ligand is an agonist, partial agonist, or antagonist depends on receptor reserve, tissue context, and constitutive activity. (Watts et al., 2023).
    **References**
    Alexander, S. P. H., et al. (2023). _The Concise Guide to PHARMACOLOGY 2023/24: Ion channels._ **Br J Pharmacol, 180**(Suppl 2), S145–S222. https://doi.org/10.1111/bph.16178
    Harris, B. J., et al. (2024). Toward high-resolution modeling of small molecule–ion channel interactions. _Front Pharmacol, 15,_ 1411428. https://doi.org/10.3389/fphar.2024.1411428
    Jiang, D., et al. (2022). Structural advances in voltage-gated sodium channels. _Front Pharmacol, 13,_ 908867. https://doi.org/10.3389/fphar.2022.908867
    Mohr, P., et al. (2022). Dopamine receptor partial agonists: Do they differ in clinical efficacy? _Front Psychiatry, 12,_ 781946. https://doi.org/10.3389/fpsyt.2021.781946
    Qin, J., et al. (2022). Molecular mechanism of agonism and inverse agonism in ghrelin receptor. _Nat Commun, 13,_ 300. https://doi.org/10.1038/s41467-022-27975-9
    Rao, R., et al. (2022). Ligand-gated ion channels as therapeutic targets. _Front Physiol, 13,_ 839437. https://doi.org/10.3389/fphys.2022.839437
    Watts, S. W., et al. (2023). Receptor theory and hypertension therapy. _Am J Hypertens, 37_(4), 248–260. https://doi.org/10.1093/ajh/hpad121
    Michel, M. C., et al. (2020). Inverse agonism at adrenoceptor subtypes. _Cells, 9_(9), 1923. https://doi.org/10.3390/cells9091923
    – Reply to post from Ralph Annam **Reply**

  • [Solved] needs A1 similarity check

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