As individuals grow older, they experience biological changes, but how they experience these changes varies considerably. Senescence, or the process of aging, “affects different people, and various parts of the body, at different rates” (Zastrow & Kirst-Ashman, 2016, p. 658).

What factors affect the aging process? Why do some individuals appear to age faster than others? In this Discussion you address these questions and consider how, you, as a social worker, might apply your understanding of the aging process to your work with older clients.

To prepare for this Discussion, read “Working With the Aging: The Case of Francine” in Social Work Case Studies: Foundation Year.

POST BY TOMORROW 10PM NEW YORK TIME a 1-2 page disclusion/paper in which you:

Apply your understanding of the aging process to Francine’s case. How might Francine’s environment have influenced her aging process? How might you, as Francine’s social worker, apply your knowledge of the aging process to her case?

Identify an additional strategy you might use to apply your knowledge of the aging process to social work practice with older clients in general. Explain why you would use the strategy.

Week 2 quiz

Question 1.                       

A 60-year-old woman is suspected of having non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition would help to rule out Hodgkin lymphoma?

Her neoplasm originates in secondary lymphoid structures.

The lymph nodes involved are located in a large number of locations in the lymphatic system.

The presence of Reed-Sternberg cells has been confirmed.

 The woman complains of recent debilitating fatigue.

 

Question 2.                       

Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow?

A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use

  A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM

A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells

  A 9-year-old girl who has a diagnosis of IgA deficiency

Question 3.                       

 

A nurse practitioner is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines?

 

“A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use.”

 

“Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold.”

 

 “Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine.”

 

“Cytokine actions are self-limiting in that activation of one precludes activation of other cytokines with similar actions.”

 

 

 

 

 

 Question 4.                      

 

A 29-year-old construction worker got a sliver under his fingernail four days ago. The affected finger is now reddened, painful, swollen, and warm to the touch. Which of the following hematological processes is most likely occurring in response to the infection?

 

Proliferation of immature neutrophils

 

 High circulatory levels of myeloblasts

 

 Increased segmented neutrophil production

 

Phagocytosis by myelocytes

 

Question 5.                       

 

A 40-year-old woman who experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy?

 

Repeated exposure to offending allergens binds the basophils and mast cells that mediate the allergic response.

 

  Exposure to allergens in large, regular quantities overwhelms the IgE antibodies that mediate the allergic response.

 

Repeated exposure stimulates adrenal production of epinephrine, mitigating the allergic response.

 

Injections of allergens simulate production of IgG, which blocks antigens from combining with IgE.

 

 

 

Question 6.                       

 

A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-deficiency anemia. Which of the following components of her diagnostic blood work would be most likely to necessitate further investigation?

 

Decreased mean corpuscular volume (MCV)

 

 Decreased hemoglobin and hematocrit

 

 Microcytic, hypochromic red cells

 

 Decreased erythropoietin levels

 

Question 7.                       

 

Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed. Which of the following results is most likely to be considered unexpected by the health care team?

 

Increased thrombopoietin levels

 

 Decreased platelet count

 

 Normal vitamin K levels

 

 Normal leukocyte levels

 

 

 

Question 8.                       

 

As part of his diagnostic workup, a 77-year-old man’s nurse practitioner has ordered blood work that includes ferritin levels. The man is very interested in the details of his health care and is unfamiliar with ferritin and its role. He asks his nurse practitioner to explain the significance of it and the rationale for testing it. Which of the following explanations by the nurse practitioner is most accurate?

 

“Ferritin is the activated and usable form of iron that your red blood cells can use to transport oxygen.”

 

“Ferritin is a stored form of iron that indirectly shows me whether you would benefit from iron pills.”

 

“Ferritin is a protein-iron complex that allows your red blood cells to make use of the iron that you consume in your diet.”

 

“Ferritin is the form of iron that is transported in your blood plasma to the red blood cells that need it.”

 

 

 

 

 

Question 9.                       

 

A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the inflammation of his appendix is playing a role in his body’s fight against the underlying infectious process. Which of the following teaching points should the nurse practitioner eliminate from his teaching for the patient?

 

“Inflammation can help to remove the body tissue cells that have been damaged by infection.”

 

  “Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.

 

  “Inflammation helps your body to produce the right antibodies to fight the infection.”

 

“Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix.”

 

 

 

Question 10.                     

 

A 2-year-old girl has had repeated ear and upper respiratory tract infections since she was born. A pediatrician has determined a diagnosis of transient hypogammaglobulinemia of infancy. What is the physiological origin of the child’s recurrent infections?

 

Antibody production by plasma cells is compromised because of impaired communication between B and T cells.

 

 The child had a congenital absence of immunoglobulin G (IgG) antibodies and her body is only slowly beginning to produce them independently.

 

  The child was born with immunoglobulin A (IgA) and immunoglobulin (IgM) antibodies, suggesting intrauterine infection.

 

The child lacks the antigen presenting cells integral to normal B-cell antibody production.

 

 

 

Question 11.                     

 

A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely?

 

The woman has depleted blood volume due to her ongoing blood loss.

 

She will have iron-deficiency anemia due to depletion of iron stores.

 

 The patient will be at risk for cardiovascular collapse or shock.

 

 She will have delayed reticulocyte release.

 

 

 

Question 12.                     

 

A 16-year-old female has been brought to her primary care nurse practitioner by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the nurse practitioner to rule out infectious mononucleosis?

 

The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph nodes.

 

Her liver and spleen are both enlarged.

 

 Blood work reveals an increased white blood cell count.

 

Chest auscultation reveals crackles in her lower lung fields bilaterally.

 

 

 

Question 13.                     

 

A 30-year-old man has spent 5 hours on a cross-country flight seated next to a passenger who has been sneezing and coughing, and the man has been inhaling viral particles periodically. Which of the following situations would most likely result in the stimulation of the man’s T lymphocytes and adaptive immune system?

 

Presentation of a foreign antigen by a familiar immunoglobulin

 

 Recognition of a foreign MHC molecule

 

 Recognition of a foreign peptide bound to a self MHC molecule

 

  Cytokine stimulation of a T lymphocyte with macrophage or dendritic cell mediation

 

 

 

Question 14.                     

 

A nurse practitioner is explaining to a 40-year-old male patient the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the nurse practitioner’s explanation?

 

Tissue destruction results from neutrophil deactivation.

 

 Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.

 

  Macrophages are unable to digest the bacteria, resulting in immune granulomas.

 

  Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.

 

 

 

Question 15.                     

 

A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms?

 

The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.

 

  Viruses are killing some of his B cells and becoming incorporated into the genomes of others.

 

The EBV inhibits the maturation of white cells within his peripheral lymph nodes.

 

  The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.

 

 

 

Question 16.                     

 

A couple who are expecting their first child have been advised by friends to consider harvesting umbilical cord blood in order to have a future source of stem cells. The couple have approached their nurse practitioner with this request and are seeking clarification of exactly why stem cells are valuable and what they might expect to gain from harvesting them. How can the nurse practitioner best respond to the couple’s inquiry?

 

“Stem cells can help correct autoimmune diseases and some congenital defects.”

 

“Stem cells can be used to regenerate damaged organs should the need ever arise.”

 

  “Stem cells can be used as a source of reserve cells for the entire blood production system.”

 

  “Stem cells can help treat some cancers and anemias, but they must come from your child himself or herself.”

 

Question 17.                     

 

A 71-year-old male patient with a history of myocardial infarction and peripheral vascular disease has been advised by his nurse practitioner to begin taking 81 mg aspirin once daily. Which of the following statements best captures an aspect of the underlying rationale for the nurse practitioner’s suggestion?

 

Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin.

 

  Aspirin helps to inhibit adenosine disphosphate (ADP) action and minimizes platelet plug formation.

 

  Aspirin can reduce unwanted platelet adhesion by inhibiting thromboxane A2 (TXA2) synthesis.

 

  Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.

 

 

 

Question 18.                     

 

A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points should the nurse practitioner exclude?

 

“Interferon can help your father’s unaffected cells adjacent to his infected cells produce antiviral proteins that limit the spread of the infection.”

 

  “Interferon can help limit the replication of the virus that’s affecting your father.”

 

  “Interferon helps your father’s body recognize infected cells more effectively.”

 

“Interferon can bolster your father’s immune system by stimulating natural killer cells that attack viruses.”

Week 1 – Assignment 

 

Week One Homework Problems

 

Complete P1-3B and P1-4B from Problems: Set B Chapter 1 and P2-7B from Problems: Set B  Chapter 2. These problems are located under “Additional Exercises and Problems” on the Textbook Student Companion Site. Use the following Workbook Template Week OnePreview the document. Submit your work to your instructor by the posted due date. Show all your work in order to earn full credit.

 

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

 

BUS591 – Financial Statement and Analysis

 

Week 1 Homework Assignment Templates

 

Instructions: Only enter data in the yellow boxes. The remaining areas are already completed for you. 

 

Save the file as follows:  lastnamewk1.docx

 

Submit to the assignment box before the due date.(Late assignments will receive a late penalty).

Question 1.                        

A community health nurse practitioner is teaching a group of female high school students about the importance of regular Papanicolaou (Pap) smears. The nurse recognizes that which of the following items underlies the rationale for this teaching?

The active substitution of normal cells in the cervix correlates to cancer risk.

Undifferentiated stem cells are an early indicator of cervical cancer.

Cancer of the uterine cervix develops incrementally at a cellular level.

Dysplasia in the connective tissue of the cervix is a strong precursor to cancer.

 

Question 2.                        

A patient who has a diagnosis of lung cancer is scheduled to begin radiation treatment. The NP providing pretreatment education is explaining some of the potential unwanted effects of the treatment. Which of the following statements by the nurse is most accurate?

“Some patients experience longer-term irritation of skin adjacent to the treatment site.”

  “Sometimes you might find that your blood takes longer to clot than normal.”

  “The changes that you might see are normally irreversible.”

  “The unwanted effects will be limited to the exposed portions of your skin.”

Question 3.                        

Which of the following patients of a primary care nurse practitioner would not require extra screening for cancer?

A 51-year-old woman whose grandmother died of breast cancer

A 48-year-old man who takes immunosuppressant drugs following a kidney transplant

 A 50-year-old male who is obese and has a low-fiber, high-fat diet

  A 38-year-old female with Down syndrome and congenital scoliosis

 

Question 4.                        

A nurse practitioner is educating a patient with a recent diagnosis of diabetes about the roles that glucose and insulin play in the disease pathology and the fact that glucose must enter the cell in order to provide energy for the patient. The nurse practitioner knows that which of the following processes allows glucose to enter body cells

Osmosis

 Facilitated diffusion

 Active transport

 Diffusion

Question 5.                        

A student nurse practitioner asks her preceptor about the origins of different tissues, and their cellular origins during the process of development. Which of the following statements by the preceptor best describes the process of cell differentiation?

“Cells of the hematopoietic system produce the appropriate body cells that are required at each stage of development.”

“A single stem cell differentiates into approximately 200 different types of cells.”

“A fertilized ovum undergoes a series of divisions, yielding many different cell types.”

“Cells differentiate into necessary body cells, peaking after conception, and ceasing near the time of birth.”

Question 6.                        

The nurse practitioner is seeing a client who has an acute exacerbation of Crohn’s disease. The NP recognizes the fact that the disease involves the inflammation and irritation of the intestinal lining. Which of the following types of tissue is most likely involved in the patient’s pathology?

Simple columnar epithelium

Glandular epithelium

 Simple cuboidal epthelium

 Stratified epithelium

Question 7.                        

A nurse practitioner employed in a hospitalist notices that a patient is experiencing muscle atrophy following 2 weeks in traction after a motor vehicle accident. Which of the following factors has most likely contributed to the atrophy of the patient’s muscle cells?

High levels of insulin and IGF-1 in the patient’s blood during immobilization

Denervation of the affected muscles during the time of traction

A reduction of skeletal muscle use secondary to the traction treatment

Reduced oxygen consumption and cellular function that ensures muscle cell survival

Question 8.                        

A 7-year-old boy is admitted to the hospital with a suspected diagnosis of lead toxicity. Which of the following assessment findings is most congruent with the patient’s diagnosis?

Decreased deep tendon reflexes

 Hemoglobin 9.9 g/dL

 Diffuse muscle pain

 White blood cells (WBC) 11,000/mm3

Question 9.                        

The NP is teaching a group of older adults about the value of including foods containing antioxidants in their diet. Which of the following statements best captures the rationale underlying the NPs advice?

Antioxidants inhibit the actions of reactive oxygen species (ROS).

 Antioxidants prevent the formation of superoxide dismutase.

 Antioxidants react nonspecifically with molecules.

 Antioxidants prevent the occurrence of cell dysplasia.

Question 10.                      

Which of the following statements most accurately conveys an aspect of cell injury due to impaired calcium homeostasis?

Normal intracellular calcium ion levels are higher than extracellular levels.

  Ischemia and certain toxins cause a decrease in cytosolic calcium.

Injured cells tend to accumulate calcium.

 Low calcium levels cause an activation of damaging enzymes.

Question 11.                      

The NP is providing care for a 21-year-old female patient with gas gangrene of a compound fracture in her arm. Which of the following assessment findings would the nurse most reasonably expect to find when caring for a patient with a diagnosis of gas gangrene?

Inflammation of the affected tissue

 A positive culture for Staphylococcus

 Spreading edema

 Impaired alveolar gas exchange

Question 12.                      

A 45-year-old patient who experienced exposure to radiation during an industrial accident several years prior is being assessed. Which of the following phenomena may underlie the genetic changes that have been noted in the patient?

Base pairs may have been rearranged by the radiation exposure.

 Endonucleases may have influenced the DNA structure following exposure.

  Two paired bases may have exchanged helical positions after the accident.

The radiation may have produced redundant or degenerate genetic code.

Question 13.                      

A child possesses a trait that is the result of the interaction of two different genes, neither of which could have produced the trait independently. Which of the following explanations best captures the genetic explanation for this?

 

                                                 The trait is an expression of multiple alleles.

 

                                                 Epistasis has dictated the phenotypic outcome.

 

                                                 The phenomenon is an example of polygenic inheritance.

 

                                                 The outcome is the result of the interaction between collaborative genes.

 

Question 14.                      

A group of researchers has identified that the prevalence of two particular genetic disorders share a statistical correlation. Which of the following statements best conveys the genetic rationale for this situation?

There is likely a cause-and-effect relationship between the two genes responsible.

The chromosomes containing each gene are likely closely situated.

The genes causing each disorder are likely in the same section of the same chromosome.

 The disorders likely share the same locus.

Question 15.                      

A researcher is involved in the production of insulin through recombinant DNA technology. Which of the following statements could the researcher best provide as a rationale for her work?

The gene fragment responsible for insulin production can be isolated and reproduced.

  Particular bacteria are capable of insulin production.

 It is possible to reproduce the chromosome responsible for insulin production.

  Recombination of DNA base pairs can result in a gene that will produce insulin.

Question 16.                      

An infant who is four days postpartum has been diagnosed with a single-gene disorder. The parents of the child have a number of questions about the etiology of the health problem, which the physician is attempting to address in detail. Which of the following teaching points most accurately captures an aspect of single-gene congenital disorders?

Affected genes are present on autosomal chromosomes rather than sex chromosomes.

  The majority of single-gene disorders manifest near the time of puberty.

  A particular defect can be caused by mutations at one of several different loci.

  Single-gene disorders are associated with existing rather than new mutations.

Question 17.                      

A male patient of a nurse practitioner has an autosomal dominant disorder. The patient and his partner are considering starting a family. Which of the patient’s following statements indicates the patient has an adequate understanding of the genetic basis of this health problem?

“I know there’s no way of accurately determining the chance that my child will inherit the disease.”

“My children who don’t have the disease still run the risk of passing it on to their children.”

“I know that new genetic mutations won’t occur between generations.”

“I know that a single mutant allele is to blame for the health problem.”

Question 18.                      

A 6-year-old girl with a diagnosis of Marfan syndrome is being assessed at a community health clinic. Which of the following assessments would be the health care professional’s lowest priority?

A test of the child’s visual acuity

 A musculoskeletal assessment

Tests of kidney function

Cardiovascular assessment

Question 19.                      

A new older female patient at a long-term care facility has a diagnosis of type 1 neurofibromatosis (NF-1). As part of the intake assessment protocol for the facility, the clinical educator is teaching the care staff about the diagnosis. Which of the following statements most accurately conveys an aspect of neurofibromatosis?

“The neurofibroma lesions are unsightly for the patient, but they are not painful.

  “Her diagnosis puts her at higher risk of developing a malignant neoplasm.”

“She is living with an example of an autosomal recessive disorder.”

  “The patient is likely to be photosensitive as a result of the disease.”

Question 20.                      

As part of an orientation to a genetic counseling practice, a group of medical students is differentiating between autosomal recessive disorders and autosomal dominant disorders. Which of the following statements is true of autosomal recessive disorders?

They can manifest when present in one or both gene pairs.

 There is a one in two chance of an affected child in each pregnancy with an affected mother.

They tend to have a more uniform symptomatology than autosomal dominant disorders.

  The associated disorders are usually attributable to abnormalities in structural proteins.

Question 21.                      

Which of the following pregnant women has most likely encountered the greatest increase in the risk that her child will have a fetal anomaly?

A woman with diagnoses of syphilis and cirrhosis of the liver

 A woman who has herpes simplex and recently recovered from endocarditis

A woman with chronic obstructive pulmonary syndrome and tuberculosis

A woman with diagnoses of insulin-dependent diabetes mellitus and peripheral neuropathy

Question 22.                      

A 77-year-old male patient with a diagnosis of stomach cancer has been found to have metastases in his liver. The patient and his family are surprised at this turn of events, stating that they don’t see how he could have developed cancer in his liver. Which of the following facts would underlie the reply that the care team provides?

The parenchymal tissue of the liver is particularly susceptible to secondary malignancies.

  The portal circulatory system brings venous blood from the gastrointestinal tract into the liver.

Hepatic stromal tissue shares characteristics with cancerous cells, including lack of anchorage dependence.

  The proximity of the liver to the stomach allows for direct spread of cancerous cells due to a lack of contact inhibition.

 

Question 23.                      

A woman is surprised to read on the Internet that certain infections can cause cancer and has sought clarification from her nurse practitioner during an office visit. How can the NP best respond to the woman’s query?

“Though it’s not particularly common, it’s true that certain bacteria and viruses can lead to cancer.”

  “Most cancers that cannot be attributed to family history or lifestyle are in fact associated with viruses.”

“There are many viruses, but only a very few of them have been shown to cause cancer in humans.”

 “This is true; for example, HIV has been shown to cause cancer in some patients.”

 

Question 24.                      

The family of a 68-year-old man who is in the end stages of small cell lung cancer is distraught at his visible body wasting that has worsened in recent weeks. Which of the following phenomena best accounts for the patient’s anorexia and cachexia?

Inadequate cellular metabolism of glucose results from tumor factors

  High fat losses coupled with preservation of muscle mass exaggerate the appearance of wasting

 Products of the tumor itself as well as a hypermetabolic state cause cachexia

  Inadequate food intake due to symptoms and treatment results in loss of both muscle and fat

Question 25.                      

The nurse practitioner working in occupational health has been asked to speak to a group of factory workers about the importance of wearing gloves when working with strong chemicals such as turpentine and paint thinner. Which of the following characteristics of cell membranes underlies the nurse’s teaching?

Cell membranes are impermeable to all but lipid-soluble substances.

  Cell membranes have lipids that have a hydrophilic head and a hydrophobic tail.

 Cell membranes contain receptors for hormones and biologically active substances.

 Transmembrane proteins can pass through the cell membrane into the intracellular environment.

Unit V Scholarly Activity

 

Fire code violations have increased in your area over the past 2 years. Local business owners are complaining to city officials about the fines and costs to mitigate the code violations. The chief has asked you to conduct a cost–benefit analysis of fire code compliance. This analysis should provide an overview of non-enforcement versus enforcement of the fire code.

 

Try to research the number of commercial fires that occur within your jurisdiction, and determine if the fires could have been prevented if fire codes were enforced.

 

Your analysis should be two to three pages in length and follow APA guidelines. Make sure to use the textbook and at least one scholarly reference to support your statements. The title and reference pages are not included in the page-count requirement.

Case Study: Cell Biology and Genetics 

 

Below are several case studies that will be discussed this week. 

 

Your instructor will either assign you a case study or have you select one.

 

If all of the case studies have not been covered, your instructor may assign a case study that no one has covered. 

 

Case Study Posting Requirements 

 

Make sure all of the topics in the case study have been      addressed.

 

Cite at least three sources; journal articles,      textbooks, or evidenced-based websites to support the content. 

 

All sources must be within five years.

 

Do not use .com, Wikipedia, or up-to-date, etc., for      your sources.

 

Post your initial response by Day 4 (Saturday) and respond to your classmates by Day 7 Tuesday. 

 

Case Study 1 

 

Marsha and Clement are both carriers of sickle cell disease, a disease that is autosomal recessive. Their first child, Amelia, does not have the disease. Marsha and Clement are planning another pregnancy, but they are concerned about their second child having the condition. Clement’s dad died from complications of sickle cell disease shortly before Amelia was born. 

 

Draw a Punnett square to determine the likelihood of      Marsha and Clement having a baby with sickle cell disease. What is the      chance the baby will be a carrier of the disease, just like the parents? 

 

Marsha suggested to the nurse at the local family      planning clinic that if the baby were a boy he might have a higher risk      for developing the disease, just like his grandfather. If you were this      Practitioner, how would you respond? 

 

When Amelia, who does not have sickle cell disease,      grows up and marries someone who does have the disease, how likely is it      that her children will have the disease? 

 

Case Study 2 

 

Maria is a sedentary, 68-year-old woman who is overweight. She complains that her hands and feet are always cold, and she tires quickly when cleaning the house. At her most recent visit to her doctor, her blood pressure was 184/98 mm Hg. She has edema around her ankles and legs, and her physician is concerned about an echocardiogram that indicates Maria has an enlarged heart. 

 

Identify two reasons why Maria will have tissue      ischemia. How might this lead to hypoxia? 

 

What two early and reversible changes occur to tissue      cells when they are hypoxic? 

 

What specific type of cellular adaptation has taken      place in Maria’s enlarged heart? What made you come to this conclusion? 

 

Predict why Maria’s heart has become enlarged. Why      doesn’t this enlargement give her the same cardiac strength and endurance      as a well-trained athlete? 

 

Case Study 3 

 

Kevin worked for 10 years at a uranium mine, excavating uranium for a nearby nuclear power plant. Now, 25 years later, he has small cell lung cancer. Kevin is anorexic and has lost a considerable amount of weight. His muscles are wasting, and he is weak. He tries to move around the house throughout the day but tires easily. It has been difficult for him to access care, and the treatment for his cancer is just starting. 

 

With the ongoing exposure to the ionizing radiation,      DNA damage occurred. Outline the three stages of carcinogenesis that      occurred after his exposure to radiation. 

 

Kevin is normally a fit and active man, and his wife      often commented on how much food he used to eat after a day at mine. Why      would there be muscle wasting and weight loss now? Explain your answer      using your knowledge of the metabolic changes seen with cancer. 

 

In some cancer patients, muscle weakness may result      from the production of onconeural antigens. Describe the effects of these      antigens. What form would this process likely take in Kevin’s situation? 

 

Case Study 4 

 

Felicity is a very busy 29-year-old woman in a professional career. She has diabetes mellitus, and is also pregnant for the first time. Due to her busy schedule, it took her three weeks to visit the family doctor to have the pregnancy confirmed. Felicity became very concerned when her physician asked whether she had been taking folic acid. It was all Felicity could do to remember to manage her insulin levels, and taking folic acid supplements was something she hadn’t even considered. Her doctor told her to take 600 μg of folic acid daily and advised Felicity to return later for maternal serum marker testing. 

 

Explain the potential teratogenic effect of folic acid      deficiency on the developing fetus. What other risk factor is noteworthy      in Felicity’s case? 

 

What is the benefit of maternal serum marker testing?      What other test would be particularly useful to monitor the development of      Felicity’s baby in this situation? 

 

When is the fetus most vulnerable to the effects of      teratogens and why? 

 

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home. 

For this assignment, read Mark Twain’s essay The Late Benjamin Franklin.

Article can be found at: http://www.crummy.com/writing/hosted/The%20Late%20Benjamin%20Franklin.html

Next, in a 1-page essay, provide an analysis that identifies fallacious reasoning in the story and explain why.

Resource: Twain, M. (1983). THE LATE BENJAMIN FRANKLIN. Saturday Evening Post, 255(2), 18-93. Retrieved from Academic Search Complete database.

Be sure to proofread your paper to eliminate spelling and grammar errors

Week Two Homework Problems

 

Complete the following Workbook Template Week TwoPreview the document. Problems P3-2B and P3-5B from Chapter 3 are located under “Additional Exercises and Problems” on the Textbook Student Companion Site. Problems E4-15, E4-19, E4-14, E4-21, E4-22, and E4-23 are at the end of Chapter 4 of your text. Submit your work to your instructor by the posted due date. Show all your work in order to earn full credit.

 

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

 

Week 2 Homework Template

 

Problem 3-2B: (a) Show the effects of each transaction on the accounting equation. Enter each amount in the proper column. Assume the note payable is to be repaid within the year.

 

REMEMBER: each transaction affects TWO accounts! Use the + or – signs to indicate whether the amount increased or decreased the account. Total up each account in the last line of the worksheet then “check” your work by totaling up Assets, Liabilities and Equity.  Put each transaction on a separate line.

 

Remember the accounting equation: assets = liabilities + equity.Note any changes in Retained Earnings on the page below the worksheet. 

SCS 100 Theme 2: Marriage Graphic Organizer

 

Using the three different representations of marriage presented in the learning block (polyandry, arranged marriages, and walking marriages), fill in the graphic organizer below. In Part A, you will have to first identify the biases you have regarding marriage and their influence on your perspective of marriage. In Part B, you will then take an objective stance and discuss the advantages and disadvantages of these types of marriage. In Part C, you will create a question a social scientist might ask to further the investigation of marriage.

PART ONE

 

The resources in this learning block are examples of artifacts that have helped create new attitudes toward women and the LGBT community while at the same time being influenced by society’s changing views. Use these examples and the information presented in the overview to complete the first table on this week’s worksheet:

 

In the first column, provide an example of a contemporary artifact that either helps create change in the way women or LGBT people are perceived, or has been influenced by society’s changing views of women and LGBT members. In the second column, state in two to three sentences the reason you selected this artifact.

An example of an artifact that may have changed the perception of women is the novel The Hunger Games and its film adaptation, featuring the strong lead female character Katniss. An example of an artifact that may help shape society’s views of LGBT individuals is the TV show Modern Family, featuring Mitch and Cam.

 

PART TWO:

 

In one to two sentences, answer the following question: Based on the description in the article Making Asian American Women Visible: The Joy Luck Club, what influence might Tan’s novel, and similar artifacts, have on broader American culture? Can you think of another artifact that has had a similar impact?