Category: uncategorised

  • California Measles Outbreak 2014 (630)

    Instructions are in the files, make it 2 pages not including the APA format title & reference page YOU ARE ONLY DOING THE 2nd CASE STUDY which is called “Case Study: California Measles Outbreak 2014 Assignment Read/Review: Chapter 7, Case Study 7.1″ Also here is the class textbook ” Khaliq, A. A. (2020). Managerial epidemiology: Principles and applications. Jones & Bartlett Learning. ISBN: 9781284082173″

    Attached Files (PDF/DOCX): Case Study Grading Rubric (1).pdf, Case Study Assignment Instructions (1).docx

    Note: Content extraction from these files is restricted, please review them manually.

  • How can a cashless society affect the world we live in?

    I need the Annotated Bibliography and then the next week I need a 4 page essay using the resources from the bibliography, if you accept the bibliography I’ll select you for the essay

  • EBP 8

    Discuss the concept of evidence-based quality improvement from the perspective of ethical and cultural principles and from the perspective of applying evidence-based quality improvement in your current or past place of healthcare employment. Use the Melnyk text and the literature. Analyze the discussion from the perspective of ethical and cultural principles articulated in the text. Support your conclusion/s from the literature.
  • soci 1010 assignment 4

    The purpose of this assignment is to help you gain a greater understanding of socialization and how it impacts each individual in society, and ultimately society overall.

    In doing this assignment, you will apply the concepts of what you have learned from all of the resources available to you for Chapter Four. The examination of these materials will be essential to your success in this course / in school / in this field / in professional life beyond school:

    • Module objective for Chapter Four: Explain the development of sociology, and the key role that scientific research has in it.

    Knowledge

    This assignment is intended for you to gain a greater understanding of sociology as an Interdisciplinary Topic:

    • Content knowledge item 1-Chapter Four
    • Content knowledge item 2-Videos and Other Sources

    Tasks

    Please complete the steps listed below in order, to complete this assignment with the most success.

    Step 1: Read Chapter Four, watch any videos associated with Chapter Four (if applicable), examine any other references or resources I have provided for Chapter Four, or other information you may find outside of our course materials.

    Step 2: Answer the following question(s):

    • Describe how we develop a self through interacting with others.

    Step 3: Click Submit Assignment to complete the submission.

    Submission Format

    • Please type your assignment directly into Canvas using the online text option.

    Time Frame

    You will have multiple days to complete this individual assignment. The assignment is due on Sunday at 11:59 p.m. of the week the assignment is made available for you.

    Criteria for Success

    Please ensure your assignment meets the guidelines below, to obtain the maximum amount of points for this assignment.

    • Please include the question/prompts(s) before each answer.
    • Be sure you have used all of the materials available to you and any outside sources for this week to complete this assignment.
    • The finished assignment should be detailed and thorough.
    • The finished assignment should be free of any spelling or grammar errors. Use full sentences and proper grammar.
    • The finished assignment should have a minimum of two paragraphs (for reference, each paragraph should have 5-10 sentences minimum) for each question(s) and/or prompt. In other words, if there are two questions, you should have a minimum of four paragraphs.
    • Do not expect to receive full credit for only doing the bare minimum.
    • The finished assignment should be more than *350 words.
    • You will not receive credit for this assignment if more than 20% of the assignment is being flagged by ‘Turn it In.’
    • Substantiate your opinion or claim by citing evidence from a reputable and trusted source.
    • You may not use quotes, everything must be in your own words.
    • You may NOT use artificial intelligence (i.e., ChatGPT, OpenAI…) to complete your work. Your work will be examined through a feature embedded in the Canvas software to recognize when AI is being used. If the assignment shows more than a 5% use of AI, you will receive a zero. Period.
    • This assignment is worth 100 points.

  • Acute Otitis Media Pediatric

    Attached Files (PDF/DOCX): Research Based Paper Grading Rubric.pdf, Signature Assignment-Template (1).docx, Sign Assignment Instructions (1).docx

    Note: Content extraction from these files is restricted, please review them manually.

  • American Home Product Case Study

    Hey! I just uploaded everything you need for the assignment the case, the list of questions, and the class PPT.

    What you have to do is read the case and answer each question using the concepts from the lecture (especially capital structure, tax shield vs distress costs, coverage ratios, and value vs EPS). The answers should be written in your own words and supported by the exhibits in the case not generic finance theory.

    Important: you cant use AI to generate the answers. Please make sure to run both a plagiarism checker and an AI-detection check before sending it back, because the professor checks that.

    Basically: interpret the numbers, explain the reasoning, and connect it to the lecture logic. Let me know if anything in the files doesnt open.

    Attached Files (PDF/DOCX): Lecture2_2020.pdf, American Home Products Case Questions.pdf, FIN 670 Case Study 2.pdf

    Note: Content extraction from these files is restricted, please review them manually.

  • Case Formulation Paper

    Instructions

    Objective: The objective of this assignment is for the student to demonstrate the ability to organize and describe case material using cognitive and behavioral theories.

    Assignment: The student should identify a case, either from their field-work or some other helping role to use for the paper. A brief bio-psycho-social-spiritual summary of the case should be provided (2-3 pages) that includes the presenting problem of the case as if it were being placed in a medical chart. Please see the detailed rubric located in the Getting Started section of this course. Using some of the examples used in class as a guide, the student should write up a case formulation in a narrative form (NOT a conceptualization chart). First, explain the target issue using behavioral theory, including the terms and concepts of the theory. Second, explain the target issue using a cognitive theory lens, also using the concepts and terms of the theory. Then using the combined CBT approach, describe the case in a NON-JARGON/CIENT FRIENDLY manner (can be written as a summary to a caregiver or colleague or as if you were speaking directly to the client). The connection between the thoughts, feelings, and behaviors should be clear as the student explains why the person is feeling, thinking and behaving in a way that they present to the worker. Students should follow the rubric located in the Getting Started section of the course. This paper should be no more than 7-8 pages. (Please note that “student” and “worker” are used interchangeably in this description)

  • Post-Lab Report Experiment 2

    Specific Requirements from module on canvas:Post-lab Report Experiment 2

    2.1 Buffers

    Prepare a brief report explaining the procedure for preparing and measuring the potential buffers. Include the data from Table 1 and explain which mixture gave you the best buffer. Additionally, calculate the theoretical starting pH of each potential buffers and compare them to the experimental values you measured. Report the theoretical and experimental values in a table along with the % error for each.

    2.2 Amino Acid Titration

    Plot two graphs (titration curves), one showing pH vs mL of HCL added and one showing pH vs mL of NaOH added. Determine and report the pKas for each graph. Indicate how close your pKa values are to the literature values for your amino acid.

    Remember to label the graph axes and provide enough tick marks along each axis to be useful.

    Hint: The pKas should be the pH value at the point where you added half as much acid or base as you have amino acid. This applies to any line shape – your graphs likely won’t look like the one I modeled in class! You will have 2 pKas because amino acids have two ionizable groups.

    NOTE: Attached is the example report, which is a guideline for how the report is supposed to look, as well as the procedures and data collected.

    ADDITIONAL INFO REGARDING FORMATTING: line spacing of 1.5, bolded section titles,

    justified paragraph alignment, Times New Roman font size 12.

    Attached Files (PDF/DOCX): Biochemistry Lab 2 procedures and data.pdf, EXAMPLE Post Lab Results Report-2-1.docx

    Note: Content extraction from these files is restricted, please review them manually.

  • Notes for Lesson 1

    Please answer each question in about 275 words.

    Use clear headings (1.1, 1.2, 1.3, etc.) and keep answers separate.

    Follow my module/lecture materials as the main references (attached).

    Questions:

    1.1

    What is the difference between afferent and efferent neurons? What are interneurons? Come up with your own example going from sensory to cognition to motor, naming the type of neurons along the way.

    1.2

    Which type of glia cells are found in the peripheral nervous system (PNS)? Which types are found in the central nervous system (CNS)? Which type(s) remove waste? Which type(s) myeline axons? Which type(s) help with structural support? Make your own chart or table organizing these types of cells.

    1.3

    1.4

    What is the difference between the synapse and synaptic cleft? What kind of neurotransmitters bring the neuron closer to firing an action potential?

    1.5

    What is the difference in the distribution of sodium and potassium ions during the resting potential (i.e. which are more concentrated inside versus out)? How does the sodium-potassium pump maintain this difference?

    1.6

    State in your own words why sodium immediately rushes in to the cell as soon as the ion channels for sodium are open. Why might potassium and chloride not be as compelled to move into or out of the cell then their ion channels are open?

    1.7

    Describe the difference between a hyperpolarization and a depolarization. Based on the normal resting potential of -70mV, would a shift to -65 mv be a depolarization or a hyperpolarization? Also based on the normal resting potential of -70mV, would a shift to -75 mv be a depolarization or a hyperpolarization?

    1.9

    What is the difference between the synapse and synaptic cleft? What is the difference between the pre-synaptic neuron and the post-synaptic neuron?

    1.10

    What is the role of exocytosis in the pre-synaptic neuron? How does a graded potential differ from an action potential? What ion channel might open for an excitatory NT? What ion channel might open for an inhibitory NT?

    1.11

    What is the difference between a neurotransmitter and a hormone? If serotonin is metabotropic and Acetylcholine is ionotropic which will take longer to open the ion channel? Which will last longer? Finally, given what you have read which would open CL- and which would open Na+?

    1.12

    Will a serotonin antagonist produce an inhibitory or an excitatory effect? Why? You may need to refer to the previous lesson to find out if serotonin is excitatory or inhibitory.

    Here’s there copy and paste Modules:

    Modules

    1.1 The Purpose of the Nervous System: To Transmit Information

    The nervous system is responsible for conveying all kinds of information. It tells you what is going on outside yourself – i.e. sensory information. Sensory neurons are called afferent neurons and deliver information to the brain.

    o For example: Feeling that its getting too hot, or seeing the fog roll in over the mountains.

    It allows you to access memories and make decisions by transmitting information about the past and current conditions, i.e. information processing. These neurons are called interneurons.

    o For example: Deciding to change the temperature or to stay home because you remember the difficult time you had driving in the last fog.

    It passes on information to muscles so that you can move, i.e. motor. Motor neurons are called efferent neurons and deliver information from the brain to the muscles.

    o For example: Moving your muscles to walk to thermostat or pulling the blankets back over yourself as you are staying in bed!

    And so on from simply breathing to studying something as esoteric as Chaucers influence on Middle English consonant-vowel inflections we can thank the information conveyed by our nervous systems!

    1.2 GLIA CELLS: Not all cells convey information

    Glia cells are a sub-type of cell within the nervous system. These cells support the nervous system by doing thing like creating structure and transporting nutrients, but they typically do not transmit information. Below is a description of certain types of glia cells.

    1.4 Some Important facts about Neurons

    o There are over 85 billion neurons in the nervous system.

    o Neurons do not touch one another in the nervous system.

    o The space in between each neuron is called the Synaptic Cleft.

    o The terminal button of Neuron 1, the space, and the receptor of Neuron 2 is called a Synapse.

    o There may be over 1,000 trillion synapses.

    o When the Neuron fires, it releases Neurotransmitters into the synaptic cleft.

    1.5 The Resting Potential of a Neuron

    The term “resting” potential is a misnomer in that the neuron isn’t actually resting. That is to say, when I am resting, I am on my sofa watching Netflix with some cookies and tea. In a neuron, it is more like a professional baseball player who is prepared for the pitcher to do his thing.

    When we speak of a neuron’s potential, what we mean is the difference in electrical charge between the inside and the outside. The resting potential is this difference in charge when the neuron is not firing an action potential. At the resting potential, the neuron is about 70 millivolts more negative on the inside than the outside (-70 mV). Why? This difference is due to the difference in ions (particles with a postive or negative charge). Look over this graphic:

    Here is a guide to the ions:

    Abbreviation for Ion

    Name of Ion

    Charge Valence

    Concentration at Resting Potential

    A-

    Anions / Protein

    Negative

    More inside Neuron

    K+

    Potassium

    Positive

    More inside Neuron

    Na+

    Sodium

    Positive

    More outside Neuron

    Cl-

    Chloride

    Negative

    More outside Neuron

    Ca++ (not shown)

    Calcium

    Positive

    More outside Neuron

    Inside the resting neuron, these postive and negative charges add up to make the inside about 70 mV more negative. But everything is about to change because sodium really, really wants to get inside the neuron. Why? Find out in the next lesson!

    But first, what keeps the resting potential going? One of the most well-studied ways is the sodium-potassium pump. This is an active transport system (a biological system that requires energy) that transports 2 potassium into the cell while transporting 3 sodium ions out. This system is constantly at work, so it is a mechanism that maintains the resting potential. Here is a video about the Na+ – K+ pump:

    The receptors the receiving (postsynaptic) are along the dendrites. The postsynaptic neuron picks up the neurotransmitter, which may be Excitatory or Inhibitory.

    Excitatory neurotransmitters bring the neuron closer to conveying an electric charge down the axon called an Action Potential.

    Action potentials cause neurotransmitters to be released into the synaptic cleft.

    But before that happens, there is the resting potential, which is described next.

    1.6 Ions Move Against their Gradients

    As I’ve said, Sodium wants to come in … it is poised and ready because of 2 forces moving Neuron away from the Resting Potential and toward an Action Potential: the Electrical Gradient and the Concentration Gradient.

    o Electrical Gradient: Difference in the distribution of Charge between inside and outside (ignoring the type of ions producing that charge)

    More negative inside than out – usually a difference of 70 millivolts

    o Concentration Gradient: The distribution of Ions between inside and outside (ignoring the charge – focusing only on the kinds of ions)

    Sodium more concentrated outside (Sodium is more positive than potassium)

    Think about it this way: Nature seeks balance. So if there is more outside, it wants to come inside to make it even. In other words, ions move against their gradients as if they are attempting to make the charge and the concentration even across the membrane.

    Speaking of the membrane, it is useful to think of it like skin covered in pores. These pores are often called “gates” or “channels” which are open at certain times to selective ions. In other words, the neuron is covered with a semi-permeable membrane. There are different ways to open the gates to open these gates. The two main ways are 1) through voltage or 2) through chemicals that can bind to a receptor (aka ligands). This makes for 2 important ion channels”

    1) Voltage-gated ion channels: Open in response to the membrane reaching a certain voltage

    2) Ligand-gated ion channels: Open in response to a specific chemical attaching to the neuron.

    The two major ion players here are Sodium and Potassium. What happens when the gates for Sodium and Potassium open???

    Electrical Gradient

    Concentration Gradient

    Sodium (Na+) Channels Open

    Sodium moves in due to it being more negative inside the cell

    Sodium moves in due to there being less Sodium inside the cell

    Potassium (K+) Channels Open

    Potassium moves in due to it being more negative inside the cell

    Potassium moves out due to there being less Potassium outside the cell

    So, when the gates open, sodium rushes in because both the electrical and concentration gradients compel it in the same direction. In contrast, potassium gradients compelling it to move in opposite directions. This is why sodium will enter the cell as soon as its ion channels open.

    1.7

    Action Potentials

    An action potential is an electrical impulse that travels down the axon. In an action potential, the polarization is going to reverse and the charge is going to temporarily be more positive inside the neuron. Let’s consider 2 terms:

    Hyperpolarization: Increased Polarization, i.e. an increased difference in charge between the inside and outside. For example, when the difference in charge goes to -90 (a 90 mV difference between the inside and the outside – further from 0 compared to the baseline of 70). A hyperpolarization moves the neuron away from reaching an action potential.

    Depolarization: Reduction of polarization toward 0: For example, when the difference in charge goes to -50 (a 50 mV difference between the inside and the outside – closer to 0 compared to the baseline of 70). A depolarization moves the neuron toward from reaching an action potential.

    For an action potential to take place, the threshold of excitation must be reached. This is the point when the voltage-gated sodium channels snap open. Because sodium rushes into the cell, this produces a sudden and massive depolarization. The depolarization is so big, the inside of the neuron becomes more postive – usually reaching about +30 mV. This begins at the axon hillock, and propagates all the way down the length of the axon. So, more specifically, the action potential then is this postive charge zipping down the length of the axon.

    An action potential is interesting because it follows the allor nonelaw: The amplitude, velocity of an Action potential is always the same no matter how intense the initial stimulus was. So, it doesn’t matter if it is a kitten in the gutter or Pennywise the terrifying clown – the action potentials in your heart will not go any faster or slower down the axon! What changes? The frequency of producing action potential can change.

    Following an Action Potential, there is a period where the neuron is not likely to produce another one. this is the refractory period. There are two stages to the refractory period: 1) Absolute refractory period: Can not fire an action potential, sodium is closed. Relative refractory period: unlikely to fire an action potential, potassium is open.

    1.9

    Synapses

    There are about neurons. To do their job, each one of these has to be able to send signals to other neurons. This connection between 2 neurons is called a synapse. Each neuron can make connections with thousands of other neurons, making over in the cortex alone!

    Understanding these Connections: Terms

    Synaptic cleft: Gap between one neuron and the next. Also called the synaptic gap.

    Pre-synaptic: 1st (sending) neuron

    Post-Synaptic: 2nd (receiving) neuron

    Synapse: includes pre-synaptic neuron, synaptic cleft, and post-synaptic neuron

    When an action potential occurs in the pre-synaptic neuron, chemicals called neurotransmitters are released into the synaptic cleft to be picked up by the post-synaptic neuron.

    1.10

    Processes in the Synapse

    2

    In the Pre-Synaptic Neuron:

    Neurotransmitters (NTs) are stored in vesicles: Little sacs or packets full of neurotransmitter!

    When the action potential reaches the axon terminal, calcium gates open.

    Calcium allows vesicles to bind to the inside of the axon membrane

    This binding allows an opening into the synaptic cleft and the NT is excreted into the gap.

    This is called exocytosis: releasing the NT into the synaptic cleft.

    In the Post-Synaptic Neuron:

    The neurotransmitters released by the pre-synaptic neuron are picked up by the dendrites of the post-synaptic neuron. more specifically, the dendrites are lined with receptors, and these receptors are specifically shaped for a particular neurotransmitter. We will review the different kinds of neurotransmitters in the next lesson – but you can understand some important principles here. Each receptor only fits with one kind of neurotransmitter, what is called lock and key. In other words, dopamine receptors won’t accept any neurotransmitter other than dopamine and likewise for glutamate and GABA, etc. It is kind of like these receptors are bouncers at a very exclusive club!

    An important thing to remember is that whereas the action potential is an all-or-nothing process along the axon, the activity in the dendrites and soma are far from all-or-nothing. In the dendrites, shifts in the relative positive/negative valence follow what is called graded potentials. This means that there is a big effect at the receptor site that gets smaller and smaller the further away this potential travels from the receptor.

    Neurotransmitters may be excitatory or inhibitory. Excitatory NTs open ion channels that depolarize the neuron and bring it closer to firing an action potential. This is called an excitatory post-synaptic potential or EPSP. In contrast, inhibitory NTs open ion channels that hyperpolarize the neuron and bring it further away from firing an action potential. This is called an inhibitory post-synaptic potential or IPSP.

    To get the neuron to fire, the polarization has to shift to -55 mV at the axon hillock. Because the potentials in the dendrites are graded potentials, they have to add up in some way to reach this threshold. There are 2 ways these potentials may add up: temporal summation and spatial summation. Temporal summation happens at only one synapse on the post-synaptic cell. Here, EPSPs (or IPSPs) happen so close together on time they add up – cause a larger depolarization to travel further through the cell body. Spatial summation, in contrast, happens along several synapses on the post-synaptic cell. For spatial summation, EPSPs (or IPSPs) happen all along the cell at the same exact time.

    Here is a summary of what is going on in the Post-synaptic membrane:

    EPSP: Excitatory; causes depolarization and increases probability of action potential

    IPSP: Inhibitory causes hyperpolarization and reduces the probability of an action potential

    Temporal Summation: Postsynaptic neuron receives messages close together that will add together and have a cumulative effect

    Spatial Summation: Postsynaptic neuron receives simultaneous information at many locations which has a cumulative effect.

    Interesting fact – some neurons have a Spontaneous Firing Rate or production of action potentials without any synaptic input. They still have IPSPs and EPSPs – it is just that IPSPs decrease rate of firing action potentials and EPSPs increase this rate.

    1.11 Neurotransmitters: Chemicals that Excite or Inhibit

    The process of neural communication is electrochemical and neurotransmitters represent the chemical side of this (potentials are the electrical).

    A neurotransmitter (NT) is a chemical substance released at the axon terminal of the pre-synaptic neuron after an action potential. After diffusing across the synapse cleft these chemicals cause an IPSP or EPSP bringing the synaptic neuron closer to or further away from firing an action potential of its own. NTs differ from hormones which are secreted by a gland (vs. neuron) and conveyed by blood to other organs whose activity it influences. Hormones coordinate long lasting changes in multiple parts of the body, whereas NTs only effect local synapses.

    Neurotransmitters open gates for some ions as soon as they bind with receptor. When glutamate binds it opens sodium causing and EPSP, making it an excitatory NT. When GABA it opens chloride and causes an IPSP, making it an inhibitory NT. There are 2 ways NTs ca open ion channels:

    Ionotropic Effects: NT Immediately opens gates for some ion polarization is immediately changed. Also, short lived no longer than 30 msecs Usually around 10 msecs. Acetylcholine and Nicotine Smokers know immediate.

    o These effects are common in vision and muscle movements.

    Metabotropic Effects are slower and longer lived. The effects can last hours but they usually last for minutes. Here is what happens:

    o When the NT bind, it bends protein along the membrane

    o The protein reacts with other molecules which increases the concentration of another substance (specifically cyclic AMP). This is called a “second messenger”

    o This second messenger opens the ions channels

    Here are 2 of the major NTs and the ion channels they open:

    NTIonEffect

    Glutamate

    Na+

    EPSP

    Gamma-aminobutyric acid (GABA)

    K+ leaves and Cl- enters

    IPSP

    And here are the major neurotransmitters we will study in this class:

    NTBehavior Associated EPSP or IPSP?

    Adrenaline (Epinephrine) *

    Fight or Flight

    Excitatory

    Nordrenaline (Norepinephrine) *

    Fight or Flight; Concentration

    Mostly Excitatory

    Dopamine*

    Reward; Movement

    Mostly Inhibitory

    Serotonin

    Mood; Impulse; Sleep

    Inhibitory

    GABA

    Calm; Focus, Sleep

    Inhibitory

    Acetylcholine

    Learning; Attention; Wakefulness

    Excitatory

    Glutamate

    Memory

    Excitatory

    Endorphins

    Euphoria; Pain Reduction

    Inhibitory

    Catecholamines an important class of neurotransmitters include the following:

    Dopamine

    Norepinepherine

    Epinepherine

    Where do Neurotransmitters come from?

    Neurotransmitters are derived from food and are synthesized in the neuron itself.

    Acetylcholine comes from Choline found in milk and cauliflower

    Serotonin comes from Tryptophan which comes from turkey

    Dopamine comes from Phenylalanine which comes from chicken or liver

    1.12 Drugs and Behavior

    There are 2 kinds of drugs: Antagonists and Agonists.

    Antagonist: Block effects of NT

    Agonist: Increase the effects of NT

    Don’t be deceived! it can be confusing sometimes: What is it when a NT is inhibitory and the drug blocks the effect so that the result is excitatory. = Antagonist! In other words, antagonist does not equal inhibitory and vice versa.

    How do drugs produce effects on NTs? The drug can:

    Disrupt or facilitate synthesis of the NT

    Cause the NT to leak from vesicles

    Stop the NT’s breakdown into inactive chemicals

    Increase the NT release

    Block reuptake of the NT so it stays in synapse longer to continue effecting the post-synaptic neuron

    Can just pretend it is the… [Content truncated to 3000 words]