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Musculoskeletal Function:
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

Case Study Questions

  1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
  2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
  3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
  4. How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.

Case Study Questions

  1. Name the most common risks factors for Alzheimer’s disease
  2. Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
  3. Define and describe explicit and implicit memory.
  4. Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
  5. What would be the best therapeutic approach on C.J.

Submission Instructions:

  • You must complete both case studies.
  • Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
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July 1, 2023
    

 

21.Whichofthefollowingtypicallyrisesduringarecession?

a.investment.

b.unemployment.

c.taxrevenues.

d.newhomeconstruction.

22.RealGDP

a.movesintheoppositedirectionasunemployment.

b.increasesasproductionfalls.

c.fallswhenhouseholdssaveasmallerfractionoftheirincome.

d.Alloftheabovearecorrect.

23.Asrecessionsbegin,income

a.andunemploymentbothrise.

b.risesandunemploymentfalls.

c.fallsandunemploymentrises.

d.andunemploymentbothfall.

24.BelowarepairsofGDPgrowthratesandunemploymentrates.EconomistswouldbeshockedtoseemostofthesepairsintheU.S.WhichpairofGDPgrowthratesandunemploymentratesisrealistic?

a.10percent,1percent

b.2percent,12percent

c.-1percent,8percent

d.-2percent,2percent

25.BelowarepairsofGDPgrowthratesandunemploymentrates.EconomistswouldbeshockedtoseemostofthesepairsintheU.S.WhichpairofGDPgrowthratesandunemploymentratesisrealistic?

a.5percent,1percent

b.3percent,5percent

c.-1percent,3percent

d.-2percent,4percent

26.Inthelasthalfof1999,theU.S.unemploymentratewasabout4percent.Historicalexperiencesuggeststhatthisis

a.abovethenaturalrate,sorealGDPgrowthwaslikelylow.

b.abovethenaturalrate,sorealGDPgrowthwaslikelyhigh.

c.belowthenaturalrate,sorealGDPgrowthwaslikelylow.

d.belowthenaturalrate,sorealGDPgrowthwaslikelyhigh.

27.Duringthelasthalfof2012,theU.S.unemploymentratewasjustunder8percent.Historicalexperiencesuggeststhat thisis

a.abovethenaturalrate,sorealGDPgrowthwaslikelylow.

b.abovethenaturalrate,sorealGDPgrowthwaslikelyhigh.

c.belowthenaturalrate,sorealGDPgrowthwaslikelylow.

d.belowthenaturalrate,sorealGDPgrowthwaslikelyhigh.

28.Duringrecessionsemploymenttypically

a.fallssubstantially.Astherecessionends,employmentrisesrapidly.

b.risessubstantially.Astherecessionends,employmentdeclinesgradually.

c.fallssubstantially.Astherecessionends,employmentrisesgradually.

d.risessubstantially.Astherecessionends,employmentdeclinesrapidly.

29.Historically,asrecessionshaveendedtheunemploymentratedeclined

a.graduallytonearzero.

b.rapidlytonearzero.

c.graduallytoarateofabout5%-6%.

d.rapidlytoarateofabout5%-6%.

30.HistoricalevidencefortheU.S.economyindicatesthat

a.recessionshaveoccurredroughlyonceeverysixyearssincethe1960s.

b.theunemploymentrateusuallydecreasesduringarecessionandincreasesshortlyaftertherecessionends.

c.realGDPusuallyremainsroughlyconstantduringarecessionanddecreasesshortlyaftertherecessionends.

d.changesinrealGDPoverthebusinesscyclearelargelyattributabletochangesininvestmentoverthebusinesscycle.

31.Whichofthefollowingrisesduringrecessions?

a.layoffsandconsumerspending

b.layoffsbutnotconsumerspending

c.consumerspendingbutnotlayoffs

d.neitherlayoffsnorconsumerspending

32.In2008,theUnitedStateswasinrecession.Whichofthefollowingthingswouldyounotexpecttohavehappened?

a.increasedlayoffsandfirings.

b.ahigherrateofbankruptcy.

c.increasedclaimsforunemploymentinsurance.

d.increasedrealGDP.

33.Whichofthefollowingiscorrectconcerningrecessions?

a.Theycomeatfairlyregularandpredictableintervals.

b.Theyareassociatedwithcomparativelylargeincreasesininvestmentspending.

c.TheyareanyperiodwhenrealGDPgrowthislessthanaverage.

d.Theytendtobeassociatedwithrisingunemploymentrates.

 

 

default image
July 1, 2023
    

 

21.Whichofthefollowingtypicallyrisesduringarecession?

a.investment.

b.unemployment.

c.taxrevenues.

d.newhomeconstruction.

22.RealGDP

a.movesintheoppositedirectionasunemployment.

b.increasesasproductionfalls.

c.fallswhenhouseholdssaveasmallerfractionoftheirincome.

d.Alloftheabovearecorrect.

23.Asrecessionsbegin,income

a.andunemploymentbothrise.

b.risesandunemploymentfalls.

c.fallsandunemploymentrises.

d.andunemploymentbothfall.

24.BelowarepairsofGDPgrowthratesandunemploymentrates.EconomistswouldbeshockedtoseemostofthesepairsintheU.S.WhichpairofGDPgrowthratesandunemploymentratesisrealistic?

a.10percent,1percent

b.2percent,12percent

c.-1percent,8percent

d.-2percent,2percent

25.BelowarepairsofGDPgrowthratesandunemploymentrates.EconomistswouldbeshockedtoseemostofthesepairsintheU.S.WhichpairofGDPgrowthratesandunemploymentratesisrealistic?

a.5percent,1percent

b.3percent,5percent

c.-1percent,3percent

d.-2percent,4percent

26.Inthelasthalfof1999,theU.S.unemploymentratewasabout4percent.Historicalexperiencesuggeststhatthisis

a.abovethenaturalrate,sorealGDPgrowthwaslikelylow.

b.abovethenaturalrate,sorealGDPgrowthwaslikelyhigh.

c.belowthenaturalrate,sorealGDPgrowthwaslikelylow.

d.belowthenaturalrate,sorealGDPgrowthwaslikelyhigh.

27.Duringthelasthalfof2012,theU.S.unemploymentratewasjustunder8percent.Historicalexperiencesuggeststhat thisis

a.abovethenaturalrate,sorealGDPgrowthwaslikelylow.

b.abovethenaturalrate,sorealGDPgrowthwaslikelyhigh.

c.belowthenaturalrate,sorealGDPgrowthwaslikelylow.

d.belowthenaturalrate,sorealGDPgrowthwaslikelyhigh.

28.Duringrecessionsemploymenttypically

a.fallssubstantially.Astherecessionends,employmentrisesrapidly.

b.risessubstantially.Astherecessionends,employmentdeclinesgradually.

c.fallssubstantially.Astherecessionends,employmentrisesgradually.

d.risessubstantially.Astherecessionends,employmentdeclinesrapidly.

29.Historically,asrecessionshaveendedtheunemploymentratedeclined

a.graduallytonearzero.

b.rapidlytonearzero.

c.graduallytoarateofabout5%-6%.

d.rapidlytoarateofabout5%-6%.

30.HistoricalevidencefortheU.S.economyindicatesthat

a.recessionshaveoccurredroughlyonceeverysixyearssincethe1960s.

b.theunemploymentrateusuallydecreasesduringarecessionandincreasesshortlyaftertherecessionends.

c.realGDPusuallyremainsroughlyconstantduringarecessionanddecreasesshortlyaftertherecessionends.

d.changesinrealGDPoverthebusinesscyclearelargelyattributabletochangesininvestmentoverthebusinesscycle.

31.Whichofthefollowingrisesduringrecessions?

a.layoffsandconsumerspending

b.layoffsbutnotconsumerspending

c.consumerspendingbutnotlayoffs

d.neitherlayoffsnorconsumerspending

32.In2008,theUnitedStateswasinrecession.Whichofthefollowingthingswouldyounotexpecttohavehappened?

a.increasedlayoffsandfirings.

b.ahigherrateofbankruptcy.

c.increasedclaimsforunemploymentinsurance.

d.increasedrealGDP.

33.Whichofthefollowingiscorrectconcerningrecessions?

a.Theycomeatfairlyregularandpredictableintervals.

b.Theyareassociatedwithcomparativelylargeincreasesininvestmentspending.

c.TheyareanyperiodwhenrealGDPgrowthislessthanaverage.

d.Theytendtobeassociatedwithrisingunemploymentrates.

 

 

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July 1, 2023
    

 

Present day forecasts and markers paint a somber standpoint for the planet and shockingly it is all because of human activities. Deforestation and the spread of desolate, parched and pointless land is expanding in speed and we are the ones in particular who can call it to an end. The inquiries that need nothing rapidly before it is past the point of no return are the way and when. 

At the point when it is self-evident, except if we act quickly we will be past the point of no return, how is less clear however except if we discover the appropriate responses soon then we could get ourselves left with only a parched barren desert of a planet and sooner than you may suspect. 

Deforestation for Profit 

Woods contain numerous important regular assets and the land they cover is additionally significant to a consistently expanding human populace. Individuals have been utilizing these assets since the time we originally showed up. According to this essay about the deforestation, it is a method of getting by, the lumber can be sold, and the land can be utilized for developing yields or brushing groups or to give land to homes and organizations. For what reason is this permitted to occur?

Those individuals that are dependent on us with the planet are the individuals who are obliterating it. Governments give allowances and licenses to the individuals who have the means to purchase them; they then, at that point, strip the land and bring in their cash. The administrations are frequently poor and the land is more important to huge partnerships than utilized for protection and the travel industry. However, these administrations are auctioning off the planet's life emotionally supportive network and that can't proceed. 

We might be disappointed even with such inconceivable obstructions yet we can challenge these enormous partnerships by declining to purchase their items and campaign governments to secure forested regions. In the event that enough individuals say no, they will be compelled to act. 

The planet has been endowed to us all and it is dependent upon us to save it even presently past the point of no return it isn't past the point of no return. Indeed, even little activities whenever done by sufficient individuals amount to a huge impact. 

What is Deforestation? 

As of late, humanity has felt the anger of nature. An ever increasing number of cataclysmic events are occurring because of human instigated environmental change. This has led to an expanding consciousness of our effect in the world we call home and it's regular assets. Woodlands are a portion of our most mishandled territories because of the way that wood is a crude material with a wide scope of employment and fills basically all of our fundamental necessities, especially food, fuel and safe houses. 

Another significant impacting factor for deforestation is the requirement for more land, so backwoods are cleared to clear a path for mechanical turn of events, lodging or horticulture (either animals or crops) or even a dump. 

For what reason does Deforestation Happen? 

We are currently learning the results of attempting to fight against nature, yet change is moderate and we are as yet mishandling the normal world. With our insight we ought to do everything we can to stop encouraging deforestation so for what reason does deforestation proceed notwithstanding the damage we realize it does to the climate and in this way ourselves? 

The appropriate responses are not clear yet without a doubt lie with us and our urgent requirement for the assets the backwoods gives. The requirements of a monstrous human populace must be met day by day putting the regular world under huge pressing factor. We continually search for better approaches to get what we need quicker and all the more effectively. 

Be that as it may, the more productively we exploit nature the speedier regular assets are spent and vanish. This prompts better approaches for getting what we need or discovering new assets to take advantage of draining the normal world considerably quicker, it's an endless loop that prompts the obliteration of our excellent planet. 

Impacts of Deforestation 

People have consistently and likely consistently will rely upon woodlands to a lesser or more prominent degree. Trees give food, cover from the components and hunters to people as well as by far most of life ashore. Sadly the woodland's assets and allure is its destruction. 

Deforestation is most likely probably the best test we face. We need the woodlands to keep up with the environment close by the consuming of petroleum products. Our obliteration of the woodlands is a significant contributory factor to the rising degrees of carbon dioxide and an unnatural weather change, the impacts of which we are simply now starting to feel. 

Enormous scope deforestation for farming and modern purposes changes rich and different living space in desolate bone-dry land. The assets are immediately rehashed and another gigantic area of woods must be annihilated to give yet more. The harm to the land and soil has been done and little can develop on these spaces whenever they have been done with. Deforestation should be halted before we end up with a planet that is minimal in excess of a parched no man's land unequipped for supporting life. 

Deforestation and Climate Change 

From the beginning of time woodlands have spread and withdrawn as the climate changed now they are quickly vanishing. They cover by far most land creatures and hold a large portion of the land biodiversity. These wonderful and complex biological systems are vital for the climate and help to manage the environment. Thus deforestation and environmental change are firmly associated and can handle each other. 

Sadly the woodlands, which ought to be our first line of safeguard against rising carbon dioxide levels, are evaporating quickly. 80% of our recently forested regions are gone, radically decreasing the planet's capacity to retain carbon dioxide and adding to the significant levels of the greenhouse gas by delivering it in the wake of being chopped down exacerbating things. 

The way that deforestation can additionally influence the air should mix us right into it to forestall any further decrease on the planet's timberlands. We will simply be adding to the overwhelming impacts of environmental change in the event that we don't make a move to stop further deforestation. 

Environmental Change 

A mix of deforestation and the consuming of petroleum derivatives delivering a lot bigger measures of carbon dioxide in the environment than would happen normally while at the same time crippling the planets capacity to retain and adapt to this inundation in greenhouse gases has lead to the current environment changes and recognizable a worldwide temperature alteration. 

The fundamental impacts of environmental change have been an ascent in temperature over time prompting inescapable natural change species moving their reaches further north to follow the increment in temperature. Liquefying of the polar ice covers prompts a decrease in range for polar species. A resulting ascend in ocean levels prompts flooding of low lying land. More savage and outrageous climate frameworks lead to the pulverization of influenced regions and causing enormous death toll. 

This isn't an expectation of what will occur later on it's going on now and possibly irreversible as of now. So presently a quick harm constraint practice needs to happen to guarantee the environment doesn't gain out of power; this needs to include the insurance and rebuilding of the world's woodlands.

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