Prof Marcos A 19028533

Discussion 

A five-month-old Caucasian female is brought into the clinic as the parent indicates that she has been having ongoing foul-smelling, greasy diarrhea. She seems to be small for her age and a bit sickly but, her parent’s state that she has a huge appetite. Upon examination you find that the patient is wheezing and you observe her coughing. After an extensive physical exam and work-up, the patient is diagnosed with cystic fibrosis.

  1. What is the etiology of cystic fibrosis?
  2. Describe in detail the pathophysiological process of cystic fibrosis.
  3. Identify hallmark signs identified from the physical exam and symptoms.
  4. Describe the pathophysiology of complications of cystic fibrosis.
  5. What teaching related to her diagnosis would you provide the parents?

In addition to the textbook, utilize at least one peer-reviewed, evidence based resource to develop your post.

 
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Prof Marcos A 19028483

eliability

Discussion.

From the U.S. Preventive Task Force website https://www.uspreventiveservicestaskforce.org/BrowseRec/Index (Links to an external site.)Links to an external site., choose one screening test that might be considered in primary care.

Define the test, its positive predictive value, reliability and validity. Discuss patient medical or family history that may alter your recommendation for screening?

 

  

Direct Quotes 

Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category. 

Sample 

One screening test that might be considered in primary care is cervical cancer screening. Cervical cancer is a leading cause of cancer deaths among women worldwide, however, the number of cases and number of deaths in the United States have decreased drastically. In 2014, 12,578 women were diagnosed and 4,115 women have died from cervical cancer (Centers for Disease Control and Prevention [CDC], 2017). It is commonly diagnosed and is one of the most successfully treated cancers.

     Cervical cancer screening is an essential part of a woman’s routine health checkup. Cytology screening or papanicolaou (Pap) test and the human papillomavirus (HPV) test are used for early detection of cervical cancer. Pap test is used to detect abnormal cervical cells including precancerous lesions before developing into cancer or cancer itself. It can also detect other conditions such as infections and inflammation. The HPV test is used to detect the virus in cervical cells that may have changed (CDC, 2017). The U.S. Preventive Services Task Force (USPSTF) recommends women ages 21-29 to screen for cervical cancer using cytology every 3 years. For women ages 30-65 a combination of cytology and HPV testing is recommended every 5 years (Hofmeister, 2016).

     Positive predictive value is the probability of patients who test positive who have the disease (Gordis, 2014). According to Gordis (2014), validity determines between who has a disease and who does not have a disease. Sensitivity and specificity are two elements within validity. Sensitivity tests to identify those who have the disease and specificity tests to identify those who do not have the disease (Gordis, 2014). Reliability refers to consistency. For example, a test that is repeated more than once resulting with the same or similar results.

     Patient history may alter recommending cervical cancer screening more than family history because it is mostly sexually transmitted. Women who have a compromised immune system, who have human immunodeficiency virus (HIV) infection, who have had prior abnormal results, who have been exposed to diethylstilbestrol (DES) in utero, who have a hysterectomy, and who have had previous treatment of a high-grade precancerous lesion are at an increased risk for cervical cancer (Hofmeister, 2016). Cervical cancer screening should be provided to all women in a primary care setting. It is a preventable disease with the effectiveness of early detection and early treatment.

 Reference

Centers for Disease Control and Prevention. (2017). Cervical cancer statistics. Retrieved from https://www.cdc.gov/cancer/cervical/statistics/index.htm (Links to an external site.)Links to an external site.

Gordis, L. (2014). Epidemiology (5th ed.). Philadelphia, PA: Elsevier Saunders.

Hofmeister, S. (2016). Cervical cancer screening: How our approach may change. Journal of Family Practice, 65(8). 551-553.

 
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Prof Marcos A 19010319

max 2 page paper, see and follow rubrics

 
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Prof Marcos A 19003929

power point 

 
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Prof Marcos A 19003909

from previous work same topic 

 
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Prof Marcos A 18996901

By the due date assigned, post your response of at least 150-200 words to the Discussion Area. To support your comments, your discussion answers should include specific information from the readings.

By the end of the week, comment on at least two of your classmates’ submissions. Your replies to classmates should be at least a paragraph in length and made with an eye to expand, clarify, defend, and/or refine their thoughts. Consider asking questions to further meaningful conversation. Be clear and concise, referring to specific ideas and words from your classmates’ postings. Participation must be completed by the end of the week to earn credit.

 Prompt:

Choose a poem from the assigned readings, except “The Chimney Sweeper,” which was used as an example in this week’s lecture. Post a response of at least 150-200 words, focusing on the elements below.

Identify the key images in the poem, which you believe are vital to understanding it.
Provide a detailed discussion of how those images function in the poem.
Do the images work together to form a coherent pattern?
What ideas or feelings are conveyed by the images?
How do the images contribute to the overall meaning of the poem?
Remember to provide evidence for your claims in the form of quoted passages from the poem. Quotations, paraphrases, and summaries should be cited according to APA rules of style, including in-text and reference citations. Quoted material should not exceed 25% of the document.

Use the APA Citation Helper resource for properly citing resources.

Post directly to the discussion; do not attach a document. Make sure you check spelling and grammar, and use APA style for citations.

Example APA Reference from the eBook
Blake, W. (2013). The chimney sweeper. In X.J Kennedy and D Gioia (Eds.) The Literature Collection: An E-Text [VitalSource digital version] (p. 239). Boston, MA: Pearson Education, Inc.
Sent from my iPhone

 
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Prof Marcos A 19372117

please see rubric and attached sample paper. Follow the rubric. due Sunday am 

Topic is HIV in woman same as sample paper 

 
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Prof Marcos A 19250967

Sample of the paper attached you can use the same topic just reword everything so it doesn’t show plagiarism follow rubric read it all 

 
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Prof Marcos A 19202563

mental health physical assessment is the topic of this week 

 
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Prof Marcos A 19193021

Gastrointestinal. GI same as always 

 
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