Television Watching Some positives are that children can learn from ce

Television Watching
Some positives are that children
can learn from certain shows – things like dietary preferences, vocabulary,
helpful behaviors, and attitudes. The negatives, on the other hand, include
increases in aggressive behavior, emotional desensitization and exposure to
things we may not want our children to see.

The clear message from all of the
research on television and child development, is that it can be used as an
educational medium. While there have been documented negative affects associated
with television viewing, parents can mediate these affects by having
discussions about what is happening on tv and how it is different than real
life. They can also monitor what their children watch, and how much time they
watch, the television.

Knowing this information, what
advice would you give to a parent that asked your opinion about letting their
children watch TV?

Give an explanation of the genre of the book of Acts as theological hi

Give an explanation of the genre of the book of Acts as theological history. What are the implications for this particular genre on the interpretation of the book? How does the reader differentiate between the theology and the history in the book? What kinds of things should an interpreter look for in Acts so as to understand properly the message of the book? In your opinion, should Acts be read for doctrinal purposes? Why or why not? Please give examples from the book of Acts.Look at the letters to the churches in Revelation 2-3 and make a chart of them showing the message of each letter in light of Jesus’ (1) commendation or praise of the church, (2) complaint or rebuke, (3) warning, and (4) promise. Focus on which of the seven churches are presented positively and which are presented negatively and why they are presented in this manner. Then do the same thing for the church which you currently attend. How do you think the things Jesus says to these seven historical churches applies to your church?

Flabby ExpressionsRevise the following sentences to eliminate flabby e

Flabby ExpressionsRevise the following sentences to eliminate flabby expressions.a. Despite the fact that we lost the contract, we must at this point in time move forward.b. In the event that interest rates increase, we will begin investing in the very near future.c. We cannot fill the order until such time as payment is received for previous shipments.d. As a general rule, we would not accept the return; however, we will in all probability make an exception in this case.e. In very few cases will investors buy stocks that fail to pay dividends or increase in value.Long Lead-InsRevise the following to eliminate long lead-ins and wordiness.a. This message is to let you know that I received your e-mail and its attachments.b. This memo is to notify everyone that we will observe Monday as a holiday.c. I am writing this letter to inform you that your homeowner’s coverage expires soon.d. This is to warn everyone that the loss of laptops endangers company security.e. In the majority of instances, most of the shipping errors can be attributed to mistakes in the preparation of the address label.There is/are and it is/was FillersRevise the following to avoid wordy fillers.a. There are many businesses that are implementing strict e-mail policies for employees.b. It is the CEO who must approve the plan.c. There are several Web pages you must update.d. The manager says that there are many employees who did not return the health surveys.e. It is my personal opinion that there are too many people dying while taking dangerous selfies.RedundaciesRevise the following to avoid redundancies.a. Because the proposals are exactly identical, we need not check each and every item.b. Some of the funniest animated gifs on Twitter, Tumblr, and Reddit combine together clips from movies or TV to produce comedic masterpieces.c. It was the consensus of opinion that all office walls be painted beige in color.d. Our supervisor requested that team members return back to the office.

1:Food taken in by living organisms can be broken down and used to A:b

1:Food taken in by living organisms can be broken down and used to A:build starch molecules from glucose B:break down ATP molecules C:build ATP molecules from ADP D:break the bonds in starch molecules2:What is a difference between ATP and ADP molecules? A:ADP can be used to directly power movement, while ATP cannot. B:ATP molecules provide less energy to the cell than ADP molecules. C:ATP has three phosphate groups, while ADP has two phosphate groups. D:ADP is only made in plants, while ATP is made in both plants and animals.3:Electricity is added to recharge a battery. What is added to ADP to form ATP? A:A second ribose group B:A third phosphate group C:A third ribose group D:A second phosphate group4:What molecules can be used for long-term energy storage? A:ADP and fat B:Starch and fat C:ADP and ATP D:Starch and ATP5:Describe the ADP molecule and its function within a cell.

Question 2: (20 points)In the yawncat (a rare hypothetical animal), th

Question 2: (20 points)In the yawncat (a rare hypothetical animal), the dominant allele R causes solid tail color, and the recessive allele r results in white spots on a colored background. The black coat color allele B is dominant to the brown allele b, but these genes can only be expressed if the animal has an mm genotype located at the third gene locus. Animals that are M- are yellow regardless of which allele from the B locus is present. A mating between a solid yellow-tailed male yawncat and a solid brown-tailed female yawncat produce 16 offspring with the following tail phenotypes: six solid yellow, two spotted yellow, three solid black, one spotted black, three solid brown, and one spotted brown.a. What are the most likely genotypes of the male and female parents? Explain the strategy used to determine the genotypes. ‘b. What is the probability of the next offspring having a spotted yellow tail? Please show a detailed explanation

Answers for the following: (use terminology that i can understand, not

Answers for the following: (use terminology that i can understand, not familiar at all with biology)1. Observe an ice cube. This is water in a solid form, so it has a high structural order. This means that the molecules cannot move very much and are in a fixed position. The temperature of the ice is zero degrees celsius. As a result, the entropy of the system is low.2. Allow the ice to melt at room temperature. What is the state of molecules in the liquid water now? How did the energy transfer take place? Is the entropy of the system higher or lower? Why?3. If you were to heat the melted water to its boiling point, what would happen to the entropy of the system?

Meet the Smith FamilySmith Family:Mary: 44 mother; Patrick: 42 father,

Meet the Smith FamilySmith Family:Mary: 44 mother; Patrick: 42 father, Michael: 9 son; MaryKate: 7 daughter; Paddy: 4 son; Tommy: 4 son (fraternal twins). Also living with the family are Marys parents, Katie and John Foley.Katie age 65 and John age 75.Clinic setting: large urban city family practice clinic which employs physicians and nurse practitioners.Part 1Today is a busy Monday in your family practice clinic. Your first patients of the morning are a mother and daughter who are both clients of the clinic. The entire family has been coming to the clinic for years. You review the chart before entering the room to familiarize yourself with these patients. Both present today with complaints of pink eye. When you enter the room you note a Caucasian woman who appears to be about 40 years old. She is well groomed and appropriately dressed for the weather. There is a young girl standing near her mother reading the eye chart out loud to her mother. The girl is dressed in clean clothes and appears well groomed. Both smile in response to your greeting. You introduce yourself and state you are the nurse practitioner who will see them today for their visit. You begin your interaction as always by asking what brings them in today for the visit. Mom states MaryKate has had a red eye for two days now. It started in her left eye and then I noticed it spread to her right eye this morning. Shes been complaining of it itching and burning. This morning I had to all this goop in my eye when I woke up and I noticed my eye looks red too. My four year old twins always have pink eye at their preschool so we came in to be checked. HPI: Mom describes herself and MaryKate as healthy. No recent illness for herself but states MaryKate is getting over a cold that last about a week, runny nose and nasal and seems to be improving. Was given some OTC cold medications for congestion which seemed to help. She did not miss school because she did not have a fever.No one else has been sick at home.PMHMary: denied past illness or injuries. Hospitalized x 2 for childbirth, no surgeries. NKDA. Drinks alcohol socially, denies tobacco or illicit drug use. Sleeps 6-7 hours/night. No current medications. Takes a daily multivitamin and a B complex supplement. MaryKate: no past illnesses or surgeries. Up to date on vaccinations per the medical record.SocialMary is a high school graduate and works full time at a local business in the ordering department. MaryKate is a second grader at the local parochial school and is considered a good student. Smith family social historyMary and MaryKate live with Patrick her husband, an electrical engineer, Michael, who is 10 and Paddy and Tommy the four year old twins who attend a local preschool 5 days a week. Marys parents Katie and John also live in the home. Both are retired and help with childcare and household needs since both parents work full time. Patrick and John both smoke but not in the house. Mary has 2 siblings who are in good health. Patrick is an only child whose parents died of old age in their 70s. Katie and John emigrated from Ireland in their 20s and have always lived in this area. Katie has a history of HTN and hyperlipidemia. John has a history of tobacco use since age 10, HTN and hyperlipidemia. They share their home with 2 dogs and a cat.Discussion Part One (Please answer the questions separately for each patient)What further questions do you have for Mary at this visit?Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list for this visit thus far with rationale?Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the course textbook. Link the patient’s presenting symptoms with your differential diagnoses along with rationale.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order? Is there any point of care testing for these differentials?What further questions do you have for MaryKate at this visit?Use your OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list for this visit thus far with rationale?Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature, not the textbook. . Link the patient’s presenting symptoms with your differential diagnoses along with rationale.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order? Is there any point of care testing for these differentials?

SettingLarge urban city family practice clinic which employs physician

SettingLarge urban city family practice clinic which employs physicians and nurse practitioners.Today is another busy in your family practice clinic. You note your next visit is a work in for ear pain. The patients are a set of four year old twins. The entire family has been coming to the clinic for years which is probably why they were worked in despite your full schedule. You review the chart before entering the room to familiarize yourself with these patients.When you enter the room you note a Caucasian woman who appears to be about 40 years old. She is well groomed and appropriately dressed for the weather. There are also two boys who appear to be about 4 years old who are sitting on the exam table playing games on their tablets and chatting to each other.You introduce yourself as you always do and ask what brings them to the clinic today.The mother states Tommy woke up in the middle of the night saying his ear hurt so badly it woke him up. He says it hurts to touch. Paddy has had a cold for a few and been talking about his ears popping and feeling stuffy. I thought it was just the cold. He woke up this morning and said his ear really hurts too. He also feels warm to meHPIMom describes the boys as overall healthy and active 4-year-old children. Their older sister just got over a cold. The rest of the family has been well but Mom noticed she has a sore throat this morning and asks if you can look at her too as long as they are here. Her throat has hurt since yesterday, and hurts worse when she swallows. She has not eaten or drank anything because it hurts too much.PMHPaddy: age 4. Full-term pregnancy, NSVD twin gestation 5 pounds 2 ounces. No hospitalizations. NKDA. Daily medication chewable childrens multivitamin with iron.Tommy: age 4. Full-term pregnancy, NSVD twin gestation 5 pounds 4 ounces. No hospitalizations. NKDA. Daily medication chewable childrens multivitamin with iron.Mary (mom): denied past illness or injuries. Hospitalized x 2 for childbirth, no surgeries. NKDA. Drinks alcohol socially, denies tobacco or illicit drug use. Sleeps 6-7 hours/night. No current medications. Takes a daily multivitamin and a B complex vitamin. SocialPaddy and Tommy live with both their parents, Mary and Patrick, and two older siblings. They are in a half day K4 program and Mom states they are doing well and like going to school. Marys parents also live with the family and care for the children after school. They have 2 dogs and a cat. Patrick and Marys father John Foley both smoke, but not in the house.Discussion Part One (Please answer the questions separately for each patient)What further questions do you have forMary at this visit?Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list for this visit thus far with rationale? Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook. Link the patient’s presenting symptoms with your differential diagnoses along with rationale.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?What further questions do you have forPaddy at this visit??Use your OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list for this visit thus far with rationale?Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook. Link the patient’s presenting symptoms with your differential diagnoses along with rationale.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?What further questions do you have forTommy at this visit??Use your OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list for this visit thus far with rationale? Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook. Link the patient’s presenting symptoms with your differential diagnoses along with rationale.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?

Week 3: Discussion Part One11 unread reply.3333 replies.Setting: large

Week 3: Discussion Part One11 unread reply.3333 replies.Setting: large urban city family practice clinic which employs physicians and nurse practitioners.It is Monday here at your clinic. In addition to your regularly scheduled you are being asked to add some additional patients. You note your next visit is a work-in for cough. You review the chart before entering the room to familiarize yourself with this patients chart. Katie has been coming to the clinic for years and she and her husband are well known to you but you still review the chart prior to entering the room to assure you are familiar with her history and previous visits. Most of her visits have been for yearly wellness checkups and her labs and vitals are great, even at age 65.When you enter the room you see a well-dressed woman looking her stated age sitting on the exam table. Also present is a man who appears to be about 40, the woman introduces him as her son Patrick. Patrick has brought his mother in-law to the clinic today because he is concerned about her cough, it is not getting better. Katie says her son-in-law is worried for nothing but she has had the cough for a bit and it does not seem to be getting better at all.HPIKatie describes herself as normally really healthy. This cough started a week ago and it is worse at night. The cough wakes her up. Her chest is starting to hurt from all the coughing. She has noticed that she has been more tired and gets easily winded when she takes her daily walks. She has not gone to Curves this week like she usually does because she doesnt have the energy. She doesnt think she has fever, did not take her temperature.PMHHad chicken pox, measles and rubella as a child. Katie has a history of osteopenia, HTN and hyperlipidemia. Takes a daily multivitamin, Evista 60 mg daily and HCTZ 25 mg daily. No reports of past injuries. Previous surgeries include a tonsillectomy and cholecystectomy. Hospitalized for surgeries and childbirth. Has seasonal allergies to pollen and reports hayfever. She is allergic to Demerol, it makes her vomit. No alcohol or tobacco use.SocialMarried to John, they live with their married daughter and her family. Takes care of the kids and home as Mary and her husband work. Her husband and son-in-law both smoke, but not in the house.Discussion Part One:What further questions do you have for Katie at this visit??Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literatureor the textbook.Include the patients signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests would you order?Week 3: Discussion Part Two11 unread reply.2929 replies.KatieInterview information: Upon further questioning about sore muscles, she points to area on right side where she is sore from coughing. It hurts in that spot every time she tries to take a deep breath. No reports of headache, fever, or vision changes. No reports of nasal congestion, or discharge. States she has not been hoarse. No report of wheezing or shortness of breath with rest. No reports of palpitation, dizziness or enlarged lymph nodes. No reports of heartburn, or indigestion. Tried some cough syrup but that does not stop the cough for long, nothing seems to make it better.Physical examVS: Height: 62 inches weight: 140 pounds. T: 100.4, BP 130/90, P 80, R 22, even, oxygen saturation: 96%GeneralCooperative, talkative, appropriate. Skin color is pale pink, no cyanosis or pallor. HEENT: Head normocephalic, Hair thick and distributed throughout entire scalp. Conjunctiva clear, non-icteric, PERRLA, EOMs intact. Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender. Nares patent without exudate. Oropharynx moist, no lesions or exudate. Teeth in good repair, no cavities noted. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small, firm. CARDIOPULMONARY: Heart RRR w/o murmur. Respiratory: Lung sounds are clear left side. Right side: crackles noted on inspiration, did not clear with coughing. On assessment of expansion a slight lag was noted on right side. Tactile fremitus symmetrical. An asymmetrical dullness was noted over right side of back. Abdomen soft, non-tender, bowel sounds auscultated in all four quadrants fields. No organomegaly noted.Based on the exam findings you decide to order a chest x-ray (CXR) on Katie.While waiting on the CXR results you review her chart more thoroughly. You note she was in for her annual exam one month ago and review her labs. All labs are normal, you note that her CMP results: BUN 19 mg/dl, Creatinine 0.9 mg/dl.Her CXR report comes back: The CXR shows a dense shadow in the RLL.After you are discuss the X-ray findings with Katie, she asks if you will take a look at her sons elbows. Is there any cream he can put on it?PatrickStates he has itchy, dry flaky skin area on his elbows which started 2 weeks ago.Patrick reports he has been picking at skin and it bleeds when he pulls off skin. He states he has been working a lot of overtime, feels really stressed and tired. He has been having tension headaches, taking NSAIDS almost daily for about 3 weeks. The ibuprofen seems to help the headaches a little He has used wifes hand lotion on the dry skin but did not seem to make a difference. No new foods, soaps or detergents.Additional interview responses: No reports of vision changes, ear pan, nasal discharge or sore throat. No reports of difficulty breathing, palpitations or heartburn. No history of health problems or join pain. The rash doesnt really bother him, but his wife things it is unsightly. Has had a rash on elbows like this once before a few years ago but went away on its own. No surgeries. Previous hospitalization for broken leg requiring traction at age 8. No prescription medications. No herbal medication use. No reports of ETOH, tor illicit drug use. Smokes 1-2 packs/day. NKDA. Reports hayfever in the spring and fall. Immunizations are up to date. Works as a plumber. Sleeps 5-6 hours a night. Parents are deceased. Mother at age 51 from a brain tumor and father age 53 leukemia. Has one brother in good health.VSHeight: 5 feet 9 inches weight: 195 pounds T: 98.4, BP 130/78, P 76, R 20 Sao2 98%.Focused examAlert, oriented and cooperative Eyes without exudate, sclera clear, PERRLA. Nares patent without exudate Heart RRR w/o murmur. Lung sounds are clear bilaterally. Tympanic membranes gray and intact with light reflex noted Skin: well-circumscribed deep red, scaling oval plaques noted to bilaterally elbows R>L. Scale is silvery white. No lesions noted on rest of body.Discussion Part TwoSummarize the history and results of the physical exam for each patient in a separate SOAP note for each case study patient.Calculate the BMI for each patient.List the primary diagnosis with ICD 10 code. Include your rationale for choosing the primary diagnosis. The diagnostic rationale in the assessment section should include your patients symptoms, exam findings and the interpretation of all presented lab findings. Include one evidence-based journal article or clinical guideline that supports your rationale for each patient. Develop a complete evidence-based treatment (EBP) plan for each patient that includes medications, any additional diagnostic tests, patient education, possible referrals, and a plan for follow up with you, the PCP. Each step of the plan must include an in-text citation to an approved reference as listed on the Reference Guidelines document. The guidelines for SOAP note documentation is located under Course Resources and can assist you in writing this post and your SOAP note.

Week 4: Discussion Part One77 unread replies.3030 replies.Setting: lar

Week 4: Discussion Part One77 unread replies.3030 replies.Setting: large urban city family practice clinic which employs physicians and nurse practitioners.Your next patient is a work in for abdominal pain.When reviewing the chart you see that this is Patrick Smith, age 42. You met him last month when he brought his mother-in-law in for a sick visit. You remember because you treated him as well for a skin condition.You enter the room and introduce yourself again to Patrick. He is not the jovial man you met last visit; he appears to be uncomfortable as he reaches forward to shake your outstretched hand.Patrick says he is in a lot of pain. He thought it would go away but it is lasting and seems to be getting worse. He is also nauseous. He doesnt think it is anything that he ate and no one at home has had the stomach flu. It is getting worse as he has been sitting in the office. He cannot find a comfortable position to sit.HPIWoke up at 5 a. m. started out as pain on one side of his back. He thought he pulled a muscle. Now pain is spreading to his stomach and is getting worse. The pain sometimes shoots down into his groin. He feels nauseous. He seems to be going to the bathroom more often. He thinks he might have a fever because he has been sweating.PMHDescribes health as good. Has hay fever and psoriasis, medication which was given at last visit worked, not using at this time. No previous back injuries. No daily medications. No herbal medication use. Had his appendix out at age 10.. Previous hospitalization for broken leg requiring traction at age 8. Smokes cigarettes, a pack a day. No ETOH or illicit drug use. Sleeps 5-6 hours a night.NKDA. Immunizations UTD. SocialMarried, has four children. Lives with his immediate family and in-laws. Works full time as a plumber. Work has been so busy no time lately for regular exercise.FamilyParents are deceased. Mother died at age 51 from a brain tumor and father died age 53 leukemia. Has one brother in good health.Discussion Questions Part One:What further questions do you have for Patrick at this visit?? Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature or the textbook. List the patients signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests would you order?Week 4: Discussion Part Two33 unread replies.3434 replies.On further questioning Patrick has no report of further headaches, no fever, or vision changes. No report of nasal congestion, or discharge. No report of wheezing or shortness of breath with rest, palpitation, dizziness or enlarged lymph nodes. No reports of heartburn, or indigestion. Position changes and Tums did not relieve the pain, he did not try to take any other medication, he did not think he could keep it down if he tried because he is so nauseous. Physical exam:VS Height: 5 feet 9 inches weight: 198 pounds T- 98.9, BP 160/96, P 100, R 22, oxygen saturation: 98%.Reports current pain as 8/10. Describes back and stomach pain as throbbing. The pain seems come in waves and at time shoots down into his groin.GeneralAlert, oriented and cooperative. HEENT: head normocephalic. Hair thick and distribution throughout scalp. Sclera clear, conjunctiva white.Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender. Nares patent without exudate. Oropharynx moist, no lesions or exudate. Tonsils bilaterally. Teeth in good repair, no cavities noted. Neck supple. No lymphadenopathy. Thyroid midline, small and firm without palpable masses. Cardiopulmonary: Heart S1 and S2 noted, no murmurs, noted. Lungs clear to auscultation bilaterally. Respirations unlabored. Abdomen appears slightly distended, symmetric with no visible masses. RLQ scar noted. Decreased bowel sounds noted. No vascular sounds. Tympany noted in all four quadrants on percussion. Abdomen is soft, no organomegaly, no masses or tenderness. Positive CVAT on right side.Urinalysis: Positive WBCs, Small blood. Trace protein, pH 7.0 specific gravity 1.030, negative nitrites, negative ketones, negative glucoseCBC: WBC 6000 mm3 RBC 5 million Hbg 15g Hct 46% MCV 90 fL MCHC 35 g/dLYou send Patrick to the in-house ultrasonographer. The report states a 5mm smooth round calculus is noted at the junction of the ureter and the bladder:Discussion Part Two:Calculate Patricks BMI, does the finding impact his diagnosis or treatment?Summarize the history and results of Patricks physical exam and then answer the additional case study questions below.List the primary diagnosis with ICD10 code. Include your evidence-based rationale for choosing the primary diagnosis. The diagnostic rationale in the assessment section should include your patients symptoms, exam findings and the interpretation of all presented lab findings. Include one evidence-based journal article or clinical guideline that supports your rationale for each patient. Develop a complete evidence-based treatment (EBP) plan for each patient that includes medications, any additional diagnostic tests, patient education, possible referrals, and a plan for follow up with you, the PCP. Each step of the plan must include an in-text citation to an approved reference as listed on the Reference Guidelines document. The guidelines for SOAP note documentation is located under Course Resources and can assist you in writing this post and your SOAP note.Answer these additional questions in this post regarding this case:What should the NP do if Patrick continues to come back for pain medication?What are possible warning signs of prescription drug abuse?List three of the twelve 2016 CDC recommendations that would help the provider in handling this case.