Best Writer

Chief Complaint: Abdominal pain, nausea and vomiting

HPI: John Smith is a 52-year-old male with PMH of HTN, Type 2 DM, hyperlipidemia, and hx of ETOH who presents at his primary care provider’s office with complaints of gradually worsening abdominal pain and nausea over the past 7 days. He reports bloody vomiting yesterday afternoon after eating a heavy breakfast. He also states that his stools have been progressively abnormal, noting as black and tarry over the past month. Mr. Smith reports fatigue and weight loss of about 10 pounds over the past month as well. His BMI is down to 18. He denies current ETOH but does report that he has a history of alcoholism and currently goes to Alcoholics Anonymous. He reports multiple relapses but none over the past 6 months. He denies intravenous drug use.

PMH: Essential hypertension, Type 2 DM, Hyperlipidemia, ETOH, depressive d/o

Allergies: NKDA

Medications:

Lisinopril/HCTZ 10/12.5 mg PO QD
Metformin 500 mg PO BID
Lipitor 40 mg PO QD
Lexapro 25 mg PO QD
ASA 81 mg PO QD
APAP 650 mg PO Q4H prn
Colace 100 mg PO QD
Thiamine 100 mg PO QD
Folic acid 1 mg PO QD

ROS: Constitutional symptoms: fatigue, poor appetite, lightheadedness, body tension during visit

Eyes: reports normal vision, no glasses
Ears, nose, mouth, throat: denies congestion, epistaxis, and cough
Cardiovascular: denies chest pain, reports worsening edema in bilateral legs
Respiratory: reports worsening dyspnea on exertion, denies SOB at rest, denies hemoptysis
Gastrointestinal: abdominal pain 6/10 RUQ, hematemesis reported, melena reported
Genitourinary: denies pain on urination or urinary incontinence
Musculoskeletal: reports decrease muscle mass in arms
Integumentary: normal to ethnicity, denies abnormalities
Neurological: reports normal cognitive function, denies neuralgia or neuropathy, occasional dizziness
Psychiatric: reports normal mood
Endocrine: reports blood sugars fasting between 60-90 mg/dL
Hematologic/Lymphatic: uses aspirin daily, no history of excessive bleeding
Allergic/Immunologic: denies environmental or medication allergies
Physical Exam:

Vitals: 98.9 F (oral), 128/88 RA sitting, pulse 110, Resp 18, 96% RA, 6/10 pain (RUQ)
General: unkempt, strong malodor from body, no smell of ETOH, clothes dirty
Skin: palmar erythema, warm, dry, intact
Head: normocephalic
Eyes: bilateral sclera icteric, PERLLA, fundi normal, no signs of nystagmus
ENT: hearing is normal, dry nasal and oral mucosa, fetor hepaticus
Neck: neck is supple, no JVD, trachea midline
Cardiac: 1+ pitting edema bilateral legs, heart rate regular S1-S2, venous hum over epigastric region, pulses strong and equal
Respiratory: pulmonary effort normal, breath sounds clear in all fields
Abdominal: bowel sounds + in all quadrants, distended, + fluid wave test, RUQ 6/10 pain with palpation
Genital/Rectal: stool dark and tarry, no external masses or lesions, urine dark yellow
Neurological: drowsy, oriented to person, place and event, forgetful
Psychiatric: appropriate mood and affect
Lab findings:

CBC

HCT 33% (35%-45%)

Hgb 12 (11.5-15.5)
MCH 33.5 (27.0-33.0)
MCHC 32 (32.0-36.0)
MCV 110 (80-100)
Platelet 135 (140-400)
RBC 4.9 (3.8-5.1)
WBC 11.2 (4.0-10.8)

LFT

AST 40 (10-40 IU/L)

ALT 85 (0-50 IU/L)
ALP 135 (40-150 IU/L)
Bilirubin 1.5 (0.1-1.2 mg/dL)
Albumin 28 (32-45 g/L)
GGT 28 (0-30 IU/L)
Total Protein 4.2 (6-8.3 g/dL)
Serum-ascites albumin gradient (SAAG) >1.1
For Wednesday post, please answer all of these questions below.

1.What are some of the differential diagnoses this patient may be experiencing?
2.What may be some of the contributing factors to the symptoms?
3.What characteristics of the patient might contribute to his disease process?
4.What are some other lab tests that you may want to order?

You are seeing a 46-year-old female named Ms. Jones who presents for an episodic visit. Ms. Jones presents with a rash in her hair line. Ms. Jones states the rash is itchy and she notices a lot of dandruff in her hair. The rash started as red spots on the nap of the neck and quickly spread to the entire hair line with thick scaly patches of skin. Ms. Jones past medical history includes arthritis and bipolar disorder. She was recently increased on her lithium dose and feels her mood swings have stabilized.

#1. Write the History of Present Illness for this patient’s case. (All students must answer this question )

#2. What additional questions would you ask that are relevant to this case? (Ask as many as you would like here)

#3. What assessment findings do you expect on exam?

#4. With the limited information you currently have, looking at the patient’s history: What is the patient at risk for developing?

Find a research article from a peer-reviewed journal using the Waldorf Online Library databases, and save it as a PDF file. It should be a new article for you that you have not read about in the course or the textbook. Make sure the article is about a quantitative research study and not a theory article, literature review, or case study. To complete this assignment, you will complete the items below.
Write an article critique, noting the strengths and weaknesses of the research design, the content of the article itself, and whether or not you think the results can be generalized to a larger population.
Save the critique as a Word file, and submit it along with the PDF file of the article you read.
Your article critique should include a title page, one to two pages of text, and a references page.
All sources used, including the textbook, must be referenced per APA format; all paraphrased and quoted material must have accompanying citations.

project topic: Code in R and report.
data wrangling and visualization. (PLEASE READ THE ATTACHED FILES for complete instructions)

data sources:

*Child Care Regulation Data: https://data.texas.gov/dataset/Child-Care-Facilities-2021-Q1/9sjq-9hymhttps://data.texas.gov/dataset/Child-Care-Facilities-2021-Q1/9sjq-9hym

*Family Child Care Data: https://data.texas.gov/Health-and-Human-Services/Family-Child-Care-Data/we4i-e3jzLinks to an external site.

You will combine at least two sources of data (Provided link above), tidy the resulting datasets, and create summary statistics and visualizations. By completing this assignment, you will produce:
✓ A report (a knitted R Markdown file)

When combining, the resulting/final dataset must have at least 50 observations
(i.e., rows), at least 4 different variables in addition to the variables in common between the
datasets, This is an important part of starting your project: finding the data. You need to find two datasets (i already found and provide the link above) with one variable in common (e.g., states, countries,…)

***THE VARIABLE IN COMMON FOR SOURCES THAT I PROVIDE IS stateID I think. you can change it if you think is wrong.**

Report:

1. Title and Introduction.
2. Tidying.
3. Joining/Merging.
4. Wrangling.
5. Visualizing.
6. Discussion6.
7. Formatting.

What have you learned from each of these agents of socialization: family, peers, church, media, and school? How did each of these agents manipulate symbols to socialize you?
Which two agents of socialization have influenced you the most? Give examples of their influence on your attitudes, beliefs, values, or other orientation to life.
What is the importance of biological and cultural factors in the socialization process? Provide your rationale for your response.What have you learned from each of these agents of socialization: family, peers, church, media, and school? How did each of these agents manipulate symbols to socialize you?
Which two agents of socialization have influenced you the most? Give examples of their influence on your attitudes, beliefs, values, or other orientation to life.
What is the importance of biological and cultural factors in the socialization process? Provide your rationale for your response.

The ergogenic aid project will require the student to perform research on commercially available substances purported to improve performance or health. Students will be assigned an ergogenic aid and a scenario. They will then be asked to conclude, based on the research, whether the substance would be of benefit to the person in their scenario. The ergogenic aid project will require the student to perform research on commercially available substances purported to improve performance or health. Students will be assigned an ergogenic aid and a scenario. They will then be asked to conclude, based on the research, whether the substance would be of benefit to the person in their scenario.
Is this substance or activity legal or illegal? The answer to that may be a bit nuanced. Maybe it is legal below certain amounts. Maybe it depends upon the sport.
– Does this substance or activity actually improve athletic performance? All of them there are people who believe they improve athletic performance, but what does the actual scientific evidence indicate or suggest.
– Does this substance or activity have risks for those you use it? If so, what could happen and how likely is it?Is this substance or activity legal or illegal? The answer to that may be a bit nuanced. Maybe it is legal below certain amounts. Maybe it depends upon the sport.
Does this substance or activity actually improve athletic performance? All of them there are people who believe they improve athletic performance, but what does the actual scientific evidence indicate or suggest.
– Does this substance or activity have risks for those you use it? If so, what could happen and how likely is it?Is this substance or activity legal or illegal? The answer to that may be a bit nuanced. Maybe it is legal below certain amounts. Maybe it depends upon the sport.
– Does this substance or activity actually improve athletic performance? All of them there are people who believe they improve athletic performance, but what does the actual scientific evidence indicate or suggest.
– Does this substance or activity have risks for those you use it? If so, what could happen and how likely is it?

What is a rocket? How do rockets work? How does one adjust fuel and design parameters to efficiently create a small rocket that attains a maximum vertical launch?How dose newtons three laws of motion explain how any type of rockets work? How does the mass of rocket affect its motion? What is propulsion?What chemicals and quantities will influence the outcome of a reaction? What physical processes may cause propulsion? What type of materials should be used in creating a miniature rocket?

My Instructor asks for very specific details about the report.
1- the report must be between 1000-1200 word
2- the report must have 6 paragraphs: a introduction, 4 body, and a conclusion
3- the introduction must have background information, a scope, a debate and a thesis with THREE reasons with parallel grammar.
4- 3 body pargragh arguing for your point using the THREE reasons with at least one citation and after each citation write an interpretive move.
5- the fourth body paragraph must be a counter argument with at least one citation and after each citation write an interpretive move.
6- there must be 6 citations in the four body paragraphs (at least one of them is figure or you can use 2 figure maximum) using only 4 sources only. if you are using figures from (Statista.com and similar websites only for statistics) it is not considered in the 4 sources.
there are some more instructions, but I think it would be easier to provide a sample.
I will attach a report sample provided by the professor. And, the rubric for the report.

After discussed such things as the job interview process and proper letter writing techniques, going to try your hand at composing an appointment letter AND a rejection letter. I will provide a case scenario. You write letters under two assumptions: you are hiring the individual in the case and you are not hiring the individual in the case.

Choosen Scene: Feste’s song “O Mistress Mine” in Twelfth Night

Write an essay in which you compare two or more of the versions of the scene you’ve chosen to write about. You should discuss how the films interpret the original text, and what techniques the filmmakers have used to convey those interpretations. You may write about any aspect(s) of the productions that particularly interest you, including camera work, music, composition of specific frames, visual metaphor, re-arrangement and/or omission of original text, lighting, insertion of non-verbal material, costume, blocking, acting style, anything else that you find particularly noteworthy Please don’t attempt to discuss all of these. Choose aspects of the films that will allow you to produce an intelligent and interesting discussion.

Find the scenes attached