Dissociative Identity Disorder Case Study Summary Humanities Assignment Help

Dissociative Identity Disorder Case Study Summary Humanities Assignment Help. Dissociative Identity Disorder Case Study Summary Humanities Assignment Help.


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You will read a modern article summarizing a case study of dissociative identity disorder from the 1920s. Your assignment is to write a 2-3 page double-spaced paper summarizing Elena’s dissociative identity disorder, including her symptoms, the cause of her disorder, and her treatment.

You can find the article by Adriano Schimmenti under the module folder Case Study Paper.

You are to write the paper in paragraph format (no bullet points; no lists). Do not use quotations from the article; instead, summarize and paraphrase in your own words. You are welcome to use the textbook to help write about what dissociative identity disorder is.

The objective with this paper is twofold: 1) you will be able to apply what you’ve learned to a real life example, and 2) it allows you to directly engage a journal article and pull some understanding from it.

I will be using the following rubric to grade your papers, which should give you an idea of what it needs to contain.

APA Format

Grading Rubric: Case Study Paper (100 points)

Describe the patient and provide some introduction to concepts (20 points)
Identify the name of the patient and around what time frame (year) she was observed. Identify what Elena was initially diagnosed with (because they didn’t have a good grasp of what dissociative identity disorder was at the time).Describe and define what dissociative identity disorder is. Identify what made Elena’s dissociative identity disorder so unique and remarkable.

Symptoms (20 points)
Identify Elena’s psychological symptoms. Identify Elena’s somatoform (physiological) symptoms. Describe differences in Elena’s personalities (you should have four distinct personalities described).

What caused the disorder? (20 points)
Correctly identify the trauma(s) that likely caused Elena to develop dissociative identity disorder. In your explanation, explain what is meant by ‘betrayal blindness.’ What were the consequences of betrayal blindness? Why did some of her personalities only speak French?

Treatment (20 points)
Describe if integration was successful. Did Elena recover? Did she overcome her dissociative identity disorder? How? Explain.

Structure & Clarity (20 points)
Your papers need to be written in a logical fashion with a clear introduction, body, and conclusion. English and grammatical errors should be kept to a minimum.

Dissociative Identity Disorder Case Study Summary Humanities Assignment Help[supanova_question]

Strayer University Networking at Choice Hotels International Case Study Computer Science Assignment Help

Read the case study, Choice Hotels International.

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Instructions

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Write a fully developed paper in which you:

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1. Assess the two distinct networking functions.

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2. Analyze the issues Choice is likely to experience as it expands its network to full global reach. Provide a rationale for your answer.

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3. Critique Choice implementing free high-speed Internet access for all guests in its Clarion Hotels and Comfort Suites from the security point of view.

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4. Use at least three quality resources in this assignment. Note: Wikipedia and similar websites do not qualify as quality resources. This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the lefthand menu of your course.

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St Thomas University Family and Religion Role in Patient Care Discussion Health Medical Assignment Help

icon Discussion 7


After studying Module 7: Lecture Materials & Resources, discuss the following:

Mr. Perez is a 76-year-old Mexican American who was recently diagnosed with a slow heartbeat requiring an implanted pacemaker. Mr. Perez has been married for 51 years and has 6 adult children (three daughters aged 50, 48, and 42; three sons aged 47, 45, and 36), 11 grandchildren; and 2 great grandchildren. The youngest boy lives three houses down from Mr. and Mrs. Perez. The other children, except the second-oldest daughter, live within 3 to 10 miles from their parents. The second-oldest daughter is a registered nurse and lives out of state. All members of the family except for Mr. Perez were born in the United States. He was born in Monterrey, Mexico, and immigrated to the United States at the age of 18 in order to work and send money back to the family in Mexico. Mr. Perez has returned to Mexico throughout the years to visit and has lived in Texas ever since. He is retired from work in a machine shop.

Mr. Perez has one living older brother who lives within 5 miles. All members of the family speak Spanish and English fluently. The Perez family is Catholic, as evidenced by the religious items hanging on the wall and prayer books and rosary on the coffee table. Statues of St. Jude and Our Lady of Guadalupe are on the living room table. Mr. and Mrs. Perez have made many mandas (bequests) to pray for the health of the family, including one to thank God for the healthy birth of all the children, especially after the doctor had discouraged them from having any more children after the complicated birth of their first child. The family attends Mass together every Sunday morning and then meets for breakfast chorizo at a local restaurant frequented by many of their church’s other parishioner families. Mr. Perez believes his health and the health of his family are in the hands of God.

The Perez family lives in a modest four-bedroom ranch home that they bought 22 years ago. The home is in a predominantly Mexican American neighborhood located in the La Loma section of town. Mr. and Mrs. Perez are active in the church and neighborhood community. The Perez home is usually occupied by many people and has always been the gathering place for the family. During his years of employment, Mr. Perez was the sole provider for the family and now receives social security checks and a pension. Mrs. Perez is also retired and receives a small pension for a short work period as a teacher’s aide. Mr. and Mrs. Perez count on their nurse daughter to guide them and advise on their health care.

Mr. Perez visits a curandero for medicinal folk remedies. Mrs. Perez is the provider of spiritual, physical, and emotional care for the family. In addition, their nurse daughter is always present during any major surgeries or procedures. Mrs. Perez and her daughter the nurse will be caring for Mr. Perez during his procedure for a pacemaker.

  1. Explain the significance of family and kinship for the Perez family.
  2. Describe the importance of religion and God for the Perez family.
  3. Identify two stereotypes about Mexican Americans that were dispelled in this case with the Perez family.
  4. What is the role of Mrs. Perez in this family?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

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MGMT 445 Portland State University Analysis of Portland State University Paper Business Finance Assignment Help

!Do not write an intro so you can ignore the first prompt because I can use the same intro I did for the previous assignment!!

Please carefully read the instructions and questions in the photo and documents provided. Follow the prompts in the photo labeled “homework instructions”. The assignment is an analysis on Portland State University located in Portland, Oregon regarding Organizational Design and Technology . Use Chapter 9 from the book provided cite where you use it and use it to support your analysis. Use information from the Portland university website, and other relevant online sources dated after 2016 (5 years or newer) if you need to please and thank you. The assignment is 1300 words/3pages single spaced (without the introduction).

I will also upload the feedback and rubric from the previous assignment so you can use it to do a better paper.

Also please demonstrate critical analysis provide examples and link it to real world situations regarding Portland State University! because that is the main reason I got marked down for the previous assignment.

Page numbers might diffrer from the book I sent you but it is still chapter 9 from the book.

Also please read the old homewrok and use the same writing style and vocabulary please

Feel free to reach out if you have any questions.

Requirements: 1300 words, 3 pages single spaced

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Regis Employment Antidiscrimination Title Vii of The Civil Rights Act 1964 Article Law Assignment Help

Hello,

Please write an article suitable for publication in an HR trade journal covering an area of employment/labor law of your choosing. Your article should review and discuss the requirements of the law chosen and its application to the work place. It should also include recommended steps that the Practitioner reading the article could use in their workplace to achieve compliance, communicate the requirements to management and employees and policy changes that should be made. Your written article should be approximately 6-8 pages in length (single spaced) You will be expected to develop a few Power Point slides to be used to discuss the topic with senior leadership.

This assignment should focus on Human Resources and Employment Law. Once the paper is completed please ensure to complete a 5 slide Power Point to include Bullet Points. This should be written in APA and please include all references.

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MGT 325 Grand Canyon Univ Wells Fargo Organizational Change Plan Executive Summary Writing Assignment Help

The purpose of this assignment is to evaluate change management strategies and their impact on organizational outcomes and to effectively communicate a change plan.

Using the research gathered in the Topic 6 and 7 assignments, develop an organizational change plan and communicate it to relevant stakeholders in a bulleted executive summary (500-750 words) composed of the following sections: summary, introduction, method (if applicable), findings, conclusions, and recommendations. The executive summary must that address the following:

  1. Need for change, role of management in change, and importance of change to stakeholders.
  2. Change agents and their future role in the organization.
  3. Identification of area for change and communication of this information from management to employees and change agents.
  4. Identification of two proactive steps the organization needs to take today to avert potential change-related problems.
  5. Identification and explanation of significant obstacles that could be encountered by each of the following: management, employees, change agents, and two other significant stakeholders.
  6. Identification of two potential sacrifices that the organization might need to make to accomplish the goals/objectives of this organization.
  7. The three most essential resources the organization needs to sustain the required changes?
  8. Explanation of change management strategies that would help the organization integrate change and the impact of these strategies on organizational outcomes.
  9. Discussion or revisions that could be made to the vision and mission statements of the organization.
  10. Communication plan identifying techniques and channels to be leveraged to effectively influence the change.
  11. Summarize the estimated timeline for plan implementation.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines. These two files are the ones to refer to for the research.

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CAT 125 Week 4 Your Personal Brand & Significant Impact on You Discussion Writing Assignment Help

This week, I’d like you to start thinking about your personal brand. To do this, I want you to think about a formative event in your life that has had a significant impact on you (i.e. on who you are, how you see the world, what you want to do, or etc.). In this post, I want you to tell us the story of this event and the influence it had on you.

Your goal is to tell your classmates something about you through a compelling story. Your classmates are your audience, write for them, bring them in to your story, captivate them while allowing them get to know you a little better.

Remember, everyone’s story is unique and powerful- this post is a chance to practice refining and sharing a part of your’s.

(As always, length requirement ~150-250 words).

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University of Phoenix Week 2 Congress and the President Discussion Humanities Assignment Help

Wk 2 – Signature Assignment: Congress and the President

Assignment Content

  1. For this assignment, consider:

    • The relationship between the U.S. Congress and the president
    • The changes and challenges in the United States from the time of the Founding Fathers’ original vision until present day

    Write a 350- to 525-word essay discussing the function of and relationship between the U.S. Congress and the president. There is an optional Congress and the President Template available to download and use for formatting this assignment.In your essay:

    • Explain the U.S. Congress’ structure and makeup.
    • Describe the differences between the United States House of Representatives and the United States Senate.
    • Describe how bills become laws.
    • Define the powers granted to the U.S. Congress and the president in the U.S. Constitution.
    • Explain the checks and balances of power between the U.S. Congress, the president, and the judiciary.
    • Define the president’s role and responsibilities.
    • Discuss the evolution of presidential power.

    You are encouraged to incorporate vocabulary terms from this week’s materials into your response.
    Cite references to support your assignment.Format your assignment according to APA guidelines.
    Submit your assignment.Resources

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UMD Converging Evidence Cognitive Neuroscience & Psychiatric Neurosurgery Case Ques Health Medical Assignment Help

1.A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 1 of 4:

Describe the positive symptoms of schizophrenia and relate those symptoms to the case study patient.


2.A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 2 of 4:

Explain the genetics of schizophrenia.


3.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 3 of 4:

The APRN reviews recent literature and reads that neurotransmitters are involved in the development of schizophrenia. What roles do neurotransmitters play in the development of schizophrenia?

4.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 4 of 4:

6.The APRN reviews recent literature and reads that structural problems in the brain may be involved in the development of schizophrenia. Explain what structural abnormalities are seen in people with schizophrenia.

5.A 34-year-old female was brought to the Urgent Care Center by her husband who is very concerned about the changes he has seen in his wife for the past 3 months. He states that his wife has had been depressed and irritable, has complaints of extreme fatigue, has lost 10 pounds and has had insomnia. He has come home from work to find his wife sitting in front of the TV and not moving for hours. In the past few days, she suddenly has become very hyperactive, has been talking incessantly, has been easily distracted and seems to “flit from one thing to another.”. She hasn’t slept in 3 days. The wife went on an excessive shopping spree for new clothes that resulted in their credit card being denied for exceeding the line of credit. The wife is unable to sit in the exam room and is currently pacing the hallway muttering to herself and is reluctant to talk with or be examined the ARNP. Physical observation shows agitated movements, rapid fire speech, and hyperactivity. Based on the history and observable symptoms, the APRN suspects that the patient has bipolar type 2 disorder. The APRN refers the patient and husband to the Psychiatric Mental Health Nurse Practitioner for evaluation and treatment.

Question 1 of 6:

Discuss the role genetics plays in the development of bipolar 2 disorders.

.Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

7.Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

8.Discuss the role of the amygdala in bipolar disorder.


.9.How does neurochemical dysregulation contribute to bipolar disorders?

10.What is the current status of the use of nutraceuticals in management of depression?


.11.A 27-year-old female presents to the Emergency Room, with a chief complaint of palpitations, rapid heart rate, sweating, tremors, and inability to catch her breath. The symptoms started about 10 hour ago and have gotten worse. She states she has some chest pain that remains constant no matter what. She also has numbness and tingling around her mouth and lips. She says she knows something “terrible is going to happen”. She denies having any similar episode in the past. Past medical history noncontributory. Social history significant for recent stressor of applying for medical school and taking the Medical College Admission Test (MCAT). She had not received the results prior to the episode but is sure that the failed the test. Says she doesn’t know if anyone else in her family has had similar episodes. Physical exam reveals a thin, anxious appearing female who is profusely sweating despite cool ambient air temperature. BP 176/88, Pulse 136, and respirations 26. Electrocardiogram negative for evidence of myocardial infarction and all lab data within normal limits except for mild respiratory alkalosis. The patient’s symptoms are subsiding and the patient states she is feeling better. The APRN suspects the patient has just experienced a panic attack.

Question 1 of 2:

What are panicogens and how do they contribute to the development of panic attack symptoms?

12.How does the GABA-benzodiazepine (BZ) receptor systems contribute to panic attacks/disorders?

13.A 21-year-old female college junior makes an appointment to see the APRN in the Student Health Clinic. The student tells the APRN that it has gotten harder and harder for her to attend classes, especially her history class where the class is preparing for the semester’s end presentations. She says she is terrified to speak to the class and is considering dropping the class so she will not have to present. She has a significant impairment in social activities and has resigned from her sorority. She is unable to go to the library to study as she feels everyone is looking at her and mocking her. She admits to having some of these symptoms in high school, but the guidance counselor was able to work with her to decrease some of her symptoms. Past medical history noncontributory except for the milder symptoms exhibited in high school. Family history noncontributory. Social history positive for anxiety related to social situations that has had a negative impact on both her scholarly and social endeavors. The APRN diagnoses the student with social anxiety disorder (SAD).

Question 1 of 2:

Describe the areas of the brain that are associated with social anxiety disorder.

14.How is oxytocin associated with SAD?

15.A 36-year-old female comes to see the APRN in clinic with a chief complaint of “I’m so and I feel all keyed up all the time”. She states she feels restless, keyed up, and on edge most of the time. She fatigues easily and has difficulty concentrating and says her mind goes blank. She admits to being irritable and snapping at her coworkers which she worries will affect her job. She says the symptoms have been present for about 8 or 9 months. and Increased muscle tension. She has had difficulty falling asleep or stay sleeping. Further questioning revealed that prior to her symptoms, her parents got divorced which has been a great stressor for her. Past medical history noncontributory. Social history positive for a case of “nerves” when she was in high school that seemed to resolve after she graduated from college. No drug or alcohol history. The APRN believes the patient has generalized anxiety disorder (GAD).

Question 1 of 2:

Discuss the role of neurotransmitters in the expression of GAD.

16.Explain the structural brain changes that occur in people with GAD.

17.A 27-year-old man comes to the Veteran’s Administration Hospital at the insistence of his fiancée who accompanies him to the appointment. She tells the APRN that her fiancée has not “been the same” since he returned from his second tour in Iraq. He was an infantryman with a local Marine Reserve unit and served 2 tours and was honorably discharged. Since his return, he has had difficulty sleeping, and says he “sleeps with one eye open” and fears sleep. Deep sleep brings vivid nightmares. He grudgingly admits to having experienced several traumatic events during his second tour of duty. He is unwilling to discuss them and will not reveal specific details. He is short tempered and irritable and is afraid to be around people as he doesn’t want to snap at people and alienate them. He startles easily at loud noises, especially the sounds of cars backfiring. He admits to thinking there are threats everywhere and spends an excessive amount of time searching for them but never finding any. He has intrusive memories almost every day and says he really isn’t interested in doing much of anything. He is very worried that these symptoms are irreparably hurting his relationship with his fiancée who he loves very much. The APRN diagnoses him with post-traumatic stress disorder (PTSD).

Question 1 of 2:

Describe the changes seen in the brain structure in patients with PTSD.

18.Briefly discuss the role glucocorticoids may have on the development of PTSD.

19.A 17-year-old male high school junior comes to the clinic to establish care. He recently moved from a relatively urban area to a very rural area and has just started his junior year in a new school. The mother states that she has noticed that her son has been frequently washing his hands and avoids contact with any dirty or soiled object. He uses paper towels or napkins over the knob on a door when opening it. According to the mother, this behavior has just appeared since moving. The patient, upon close questioning, admits that he is “grossed out” by some of the boys in the boys’ room since they use the toilet and do not wash their hand afterwards. He is worried about all the germs the boys are carrying around. Past medical history is noncontributory. Social history -lives with parents and 2 siblings in a house in a new town. Is an honors student. Based on these behaviors, The APRN thinks the patient has obsessive-compulsive disorder (OCD).

Question 1 of 2:

What is primary pathophysiology of OCD?

20.Describe the role the dorsal anterior cingulate cortex (dACC) has in reinforcement of obsessive behaviors.




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Tulsa Community College Floor Beam Supports on Construction Problems Engineering Assignment Help

1- W18 X40 (A992) floor beam supports a 4 – inch thick reinforced concrete slab with an effective width b of
81 inches. Sufficient shear connectors are provided to make the beam fully composite, fc = 4 ksi
A) Compute the (DMn of the the composite beam.
B) How many 3/4 inch X 3 inch shear studs are required for the beam.

2- A W21 X 57 (A992) floor beam supports a 4.5 – inch thick reinforced concrete slab with an effective width b of
78 inches. Sufficient shear connectors are provided to make the beam fully composite, fc = 4 ksi
A) Compute the (DMn of the the composite beam.
B) How many 5/8 inch X 3 inch shear studs are required for the beam.

from the book:Unified Design of Steel Structures, 3rd Edition, by Geschwindner, Liu, & Carter;
ISBN 987-1-987-02836-2 ,Geschwindner, 2017

27. A beam is required to carry a uniform dead load of 3.4 kip/ft plus its self-weight, and a concentrated dead load of 12 kips and a concentrated live load of 20 kips, both at the center of a 40 ft span. For bending only, determine the least-weight W-shape to carry the load. Consider only the limit state of yielding and use A992 steel. Design by (a) LRFD

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 273). Kindle Edition.

33. Determine the least-weight W-shape to support a concentrated dead load of 24 kips plus the beam selfweight and a concentrated live load of 15 kips on a 30 ft span. The concentrated loads are located at the midpoint of the span. Lateral supports are provided at the supports and at the load point. Use A992 steel and Cb = 1.0. Design for flexure by (a) LRFD

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 273). Kindle Edition.

49. A 32 ft simple span beam carries a uniform dead load of 2.4 k/ft plus its self-weight and a uniform live load of 3.0 k/ft. The beam is laterally supported at the supports only. Determine the minimum-weight W-shape to carry the load using A992 steel. Use the correct Cb, check shear, and limit live load deflection to 1/360 of span. Design by (a) LRFD Cb = 1 for 49

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 274). Kindle Edition.

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UMD Converging Evidence Cognitive Neuroscience & Psychiatric Neurosurgery Case Ques Health Medical Assignment Help

1.A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 1 of 4:

Describe the positive symptoms of schizophrenia and relate those symptoms to the case study patient.


2.A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 2 of 4:

Explain the genetics of schizophrenia.


3.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 3 of 4:

The APRN reviews recent literature and reads that neurotransmitters are involved in the development of schizophrenia. What roles do neurotransmitters play in the development of schizophrenia?

4.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 4 of 4:

6.The APRN reviews recent literature and reads that structural problems in the brain may be involved in the development of schizophrenia. Explain what structural abnormalities are seen in people with schizophrenia.

5.A 34-year-old female was brought to the Urgent Care Center by her husband who is very concerned about the changes he has seen in his wife for the past 3 months. He states that his wife has had been depressed and irritable, has complaints of extreme fatigue, has lost 10 pounds and has had insomnia. He has come home from work to find his wife sitting in front of the TV and not moving for hours. In the past few days, she suddenly has become very hyperactive, has been talking incessantly, has been easily distracted and seems to “flit from one thing to another.”. She hasn’t slept in 3 days. The wife went on an excessive shopping spree for new clothes that resulted in their credit card being denied for exceeding the line of credit. The wife is unable to sit in the exam room and is currently pacing the hallway muttering to herself and is reluctant to talk with or be examined the ARNP. Physical observation shows agitated movements, rapid fire speech, and hyperactivity. Based on the history and observable symptoms, the APRN suspects that the patient has bipolar type 2 disorder. The APRN refers the patient and husband to the Psychiatric Mental Health Nurse Practitioner for evaluation and treatment.

Question 1 of 6:

Discuss the role genetics plays in the development of bipolar 2 disorders.

.Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

7.Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

8.Discuss the role of the amygdala in bipolar disorder.


.9.How does neurochemical dysregulation contribute to bipolar disorders?

10.What is the current status of the use of nutraceuticals in management of depression?


.11.A 27-year-old female presents to the Emergency Room, with a chief complaint of palpitations, rapid heart rate, sweating, tremors, and inability to catch her breath. The symptoms started about 10 hour ago and have gotten worse. She states she has some chest pain that remains constant no matter what. She also has numbness and tingling around her mouth and lips. She says she knows something “terrible is going to happen”. She denies having any similar episode in the past. Past medical history noncontributory. Social history significant for recent stressor of applying for medical school and taking the Medical College Admission Test (MCAT). She had not received the results prior to the episode but is sure that the failed the test. Says she doesn’t know if anyone else in her family has had similar episodes. Physical exam reveals a thin, anxious appearing female who is profusely sweating despite cool ambient air temperature. BP 176/88, Pulse 136, and respirations 26. Electrocardiogram negative for evidence of myocardial infarction and all lab data within normal limits except for mild respiratory alkalosis. The patient’s symptoms are subsiding and the patient states she is feeling better. The APRN suspects the patient has just experienced a panic attack.

Question 1 of 2:

What are panicogens and how do they contribute to the development of panic attack symptoms?

12.How does the GABA-benzodiazepine (BZ) receptor systems contribute to panic attacks/disorders?

13.A 21-year-old female college junior makes an appointment to see the APRN in the Student Health Clinic. The student tells the APRN that it has gotten harder and harder for her to attend classes, especially her history class where the class is preparing for the semester’s end presentations. She says she is terrified to speak to the class and is considering dropping the class so she will not have to present. She has a significant impairment in social activities and has resigned from her sorority. She is unable to go to the library to study as she feels everyone is looking at her and mocking her. She admits to having some of these symptoms in high school, but the guidance counselor was able to work with her to decrease some of her symptoms. Past medical history noncontributory except for the milder symptoms exhibited in high school. Family history noncontributory. Social history positive for anxiety related to social situations that has had a negative impact on both her scholarly and social endeavors. The APRN diagnoses the student with social anxiety disorder (SAD).

Question 1 of 2:

Describe the areas of the brain that are associated with social anxiety disorder.

14.How is oxytocin associated with SAD?

15.A 36-year-old female comes to see the APRN in clinic with a chief complaint of “I’m so and I feel all keyed up all the time”. She states she feels restless, keyed up, and on edge most of the time. She fatigues easily and has difficulty concentrating and says her mind goes blank. She admits to being irritable and snapping at her coworkers which she worries will affect her job. She says the symptoms have been present for about 8 or 9 months. and Increased muscle tension. She has had difficulty falling asleep or stay sleeping. Further questioning revealed that prior to her symptoms, her parents got divorced which has been a great stressor for her. Past medical history noncontributory. Social history positive for a case of “nerves” when she was in high school that seemed to resolve after she graduated from college. No drug or alcohol history. The APRN believes the patient has generalized anxiety disorder (GAD).

Question 1 of 2:

Discuss the role of neurotransmitters in the expression of GAD.

16.Explain the structural brain changes that occur in people with GAD.

17.A 27-year-old man comes to the Veteran’s Administration Hospital at the insistence of his fiancée who accompanies him to the appointment. She tells the APRN that her fiancée has not “been the same” since he returned from his second tour in Iraq. He was an infantryman with a local Marine Reserve unit and served 2 tours and was honorably discharged. Since his return, he has had difficulty sleeping, and says he “sleeps with one eye open” and fears sleep. Deep sleep brings vivid nightmares. He grudgingly admits to having experienced several traumatic events during his second tour of duty. He is unwilling to discuss them and will not reveal specific details. He is short tempered and irritable and is afraid to be around people as he doesn’t want to snap at people and alienate them. He startles easily at loud noises, especially the sounds of cars backfiring. He admits to thinking there are threats everywhere and spends an excessive amount of time searching for them but never finding any. He has intrusive memories almost every day and says he really isn’t interested in doing much of anything. He is very worried that these symptoms are irreparably hurting his relationship with his fiancée who he loves very much. The APRN diagnoses him with post-traumatic stress disorder (PTSD).

Question 1 of 2:

Describe the changes seen in the brain structure in patients with PTSD.

18.Briefly discuss the role glucocorticoids may have on the development of PTSD.

19.A 17-year-old male high school junior comes to the clinic to establish care. He recently moved from a relatively urban area to a very rural area and has just started his junior year in a new school. The mother states that she has noticed that her son has been frequently washing his hands and avoids contact with any dirty or soiled object. He uses paper towels or napkins over the knob on a door when opening it. According to the mother, this behavior has just appeared since moving. The patient, upon close questioning, admits that he is “grossed out” by some of the boys in the boys’ room since they use the toilet and do not wash their hand afterwards. He is worried about all the germs the boys are carrying around. Past medical history is noncontributory. Social history -lives with parents and 2 siblings in a house in a new town. Is an honors student. Based on these behaviors, The APRN thinks the patient has obsessive-compulsive disorder (OCD).

Question 1 of 2:

What is primary pathophysiology of OCD?

20.Describe the role the dorsal anterior cingulate cortex (dACC) has in reinforcement of obsessive behaviors.




[supanova_question]

Tulsa Community College Floor Beam Supports on Construction Problems Engineering Assignment Help

1- W18 X40 (A992) floor beam supports a 4 – inch thick reinforced concrete slab with an effective width b of
81 inches. Sufficient shear connectors are provided to make the beam fully composite, fc = 4 ksi
A) Compute the (DMn of the the composite beam.
B) How many 3/4 inch X 3 inch shear studs are required for the beam.

2- A W21 X 57 (A992) floor beam supports a 4.5 – inch thick reinforced concrete slab with an effective width b of
78 inches. Sufficient shear connectors are provided to make the beam fully composite, fc = 4 ksi
A) Compute the (DMn of the the composite beam.
B) How many 5/8 inch X 3 inch shear studs are required for the beam.

from the book:Unified Design of Steel Structures, 3rd Edition, by Geschwindner, Liu, & Carter;
ISBN 987-1-987-02836-2 ,Geschwindner, 2017

27. A beam is required to carry a uniform dead load of 3.4 kip/ft plus its self-weight, and a concentrated dead load of 12 kips and a concentrated live load of 20 kips, both at the center of a 40 ft span. For bending only, determine the least-weight W-shape to carry the load. Consider only the limit state of yielding and use A992 steel. Design by (a) LRFD

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 273). Kindle Edition.

33. Determine the least-weight W-shape to support a concentrated dead load of 24 kips plus the beam selfweight and a concentrated live load of 15 kips on a 30 ft span. The concentrated loads are located at the midpoint of the span. Lateral supports are provided at the supports and at the load point. Use A992 steel and Cb = 1.0. Design for flexure by (a) LRFD

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 273). Kindle Edition.

49. A 32 ft simple span beam carries a uniform dead load of 2.4 k/ft plus its self-weight and a uniform live load of 3.0 k/ft. The beam is laterally supported at the supports only. Determine the minimum-weight W-shape to carry the load using A992 steel. Use the correct Cb, check shear, and limit live load deflection to 1/360 of span. Design by (a) LRFD Cb = 1 for 49

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 274). Kindle Edition.

[supanova_question]

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[supanova_question]

UMD Converging Evidence Cognitive Neuroscience & Psychiatric Neurosurgery Case Ques Health Medical Assignment Help

1.A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 1 of 4:

Describe the positive symptoms of schizophrenia and relate those symptoms to the case study patient.


2.A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 2 of 4:

Explain the genetics of schizophrenia.


3.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 3 of 4:

The APRN reviews recent literature and reads that neurotransmitters are involved in the development of schizophrenia. What roles do neurotransmitters play in the development of schizophrenia?

4.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 4 of 4:

6.The APRN reviews recent literature and reads that structural problems in the brain may be involved in the development of schizophrenia. Explain what structural abnormalities are seen in people with schizophrenia.

5.A 34-year-old female was brought to the Urgent Care Center by her husband who is very concerned about the changes he has seen in his wife for the past 3 months. He states that his wife has had been depressed and irritable, has complaints of extreme fatigue, has lost 10 pounds and has had insomnia. He has come home from work to find his wife sitting in front of the TV and not moving for hours. In the past few days, she suddenly has become very hyperactive, has been talking incessantly, has been easily distracted and seems to “flit from one thing to another.”. She hasn’t slept in 3 days. The wife went on an excessive shopping spree for new clothes that resulted in their credit card being denied for exceeding the line of credit. The wife is unable to sit in the exam room and is currently pacing the hallway muttering to herself and is reluctant to talk with or be examined the ARNP. Physical observation shows agitated movements, rapid fire speech, and hyperactivity. Based on the history and observable symptoms, the APRN suspects that the patient has bipolar type 2 disorder. The APRN refers the patient and husband to the Psychiatric Mental Health Nurse Practitioner for evaluation and treatment.

Question 1 of 6:

Discuss the role genetics plays in the development of bipolar 2 disorders.

.Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

7.Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

8.Discuss the role of the amygdala in bipolar disorder.


.9.How does neurochemical dysregulation contribute to bipolar disorders?

10.What is the current status of the use of nutraceuticals in management of depression?


.11.A 27-year-old female presents to the Emergency Room, with a chief complaint of palpitations, rapid heart rate, sweating, tremors, and inability to catch her breath. The symptoms started about 10 hour ago and have gotten worse. She states she has some chest pain that remains constant no matter what. She also has numbness and tingling around her mouth and lips. She says she knows something “terrible is going to happen”. She denies having any similar episode in the past. Past medical history noncontributory. Social history significant for recent stressor of applying for medical school and taking the Medical College Admission Test (MCAT). She had not received the results prior to the episode but is sure that the failed the test. Says she doesn’t know if anyone else in her family has had similar episodes. Physical exam reveals a thin, anxious appearing female who is profusely sweating despite cool ambient air temperature. BP 176/88, Pulse 136, and respirations 26. Electrocardiogram negative for evidence of myocardial infarction and all lab data within normal limits except for mild respiratory alkalosis. The patient’s symptoms are subsiding and the patient states she is feeling better. The APRN suspects the patient has just experienced a panic attack.

Question 1 of 2:

What are panicogens and how do they contribute to the development of panic attack symptoms?

12.How does the GABA-benzodiazepine (BZ) receptor systems contribute to panic attacks/disorders?

13.A 21-year-old female college junior makes an appointment to see the APRN in the Student Health Clinic. The student tells the APRN that it has gotten harder and harder for her to attend classes, especially her history class where the class is preparing for the semester’s end presentations. She says she is terrified to speak to the class and is considering dropping the class so she will not have to present. She has a significant impairment in social activities and has resigned from her sorority. She is unable to go to the library to study as she feels everyone is looking at her and mocking her. She admits to having some of these symptoms in high school, but the guidance counselor was able to work with her to decrease some of her symptoms. Past medical history noncontributory except for the milder symptoms exhibited in high school. Family history noncontributory. Social history positive for anxiety related to social situations that has had a negative impact on both her scholarly and social endeavors. The APRN diagnoses the student with social anxiety disorder (SAD).

Question 1 of 2:

Describe the areas of the brain that are associated with social anxiety disorder.

14.How is oxytocin associated with SAD?

15.A 36-year-old female comes to see the APRN in clinic with a chief complaint of “I’m so and I feel all keyed up all the time”. She states she feels restless, keyed up, and on edge most of the time. She fatigues easily and has difficulty concentrating and says her mind goes blank. She admits to being irritable and snapping at her coworkers which she worries will affect her job. She says the symptoms have been present for about 8 or 9 months. and Increased muscle tension. She has had difficulty falling asleep or stay sleeping. Further questioning revealed that prior to her symptoms, her parents got divorced which has been a great stressor for her. Past medical history noncontributory. Social history positive for a case of “nerves” when she was in high school that seemed to resolve after she graduated from college. No drug or alcohol history. The APRN believes the patient has generalized anxiety disorder (GAD).

Question 1 of 2:

Discuss the role of neurotransmitters in the expression of GAD.

16.Explain the structural brain changes that occur in people with GAD.

17.A 27-year-old man comes to the Veteran’s Administration Hospital at the insistence of his fiancée who accompanies him to the appointment. She tells the APRN that her fiancée has not “been the same” since he returned from his second tour in Iraq. He was an infantryman with a local Marine Reserve unit and served 2 tours and was honorably discharged. Since his return, he has had difficulty sleeping, and says he “sleeps with one eye open” and fears sleep. Deep sleep brings vivid nightmares. He grudgingly admits to having experienced several traumatic events during his second tour of duty. He is unwilling to discuss them and will not reveal specific details. He is short tempered and irritable and is afraid to be around people as he doesn’t want to snap at people and alienate them. He startles easily at loud noises, especially the sounds of cars backfiring. He admits to thinking there are threats everywhere and spends an excessive amount of time searching for them but never finding any. He has intrusive memories almost every day and says he really isn’t interested in doing much of anything. He is very worried that these symptoms are irreparably hurting his relationship with his fiancée who he loves very much. The APRN diagnoses him with post-traumatic stress disorder (PTSD).

Question 1 of 2:

Describe the changes seen in the brain structure in patients with PTSD.

18.Briefly discuss the role glucocorticoids may have on the development of PTSD.

19.A 17-year-old male high school junior comes to the clinic to establish care. He recently moved from a relatively urban area to a very rural area and has just started his junior year in a new school. The mother states that she has noticed that her son has been frequently washing his hands and avoids contact with any dirty or soiled object. He uses paper towels or napkins over the knob on a door when opening it. According to the mother, this behavior has just appeared since moving. The patient, upon close questioning, admits that he is “grossed out” by some of the boys in the boys’ room since they use the toilet and do not wash their hand afterwards. He is worried about all the germs the boys are carrying around. Past medical history is noncontributory. Social history -lives with parents and 2 siblings in a house in a new town. Is an honors student. Based on these behaviors, The APRN thinks the patient has obsessive-compulsive disorder (OCD).

Question 1 of 2:

What is primary pathophysiology of OCD?

20.Describe the role the dorsal anterior cingulate cortex (dACC) has in reinforcement of obsessive behaviors.




[supanova_question]

Tulsa Community College Floor Beam Supports on Construction Problems Engineering Assignment Help

1- W18 X40 (A992) floor beam supports a 4 – inch thick reinforced concrete slab with an effective width b of
81 inches. Sufficient shear connectors are provided to make the beam fully composite, fc = 4 ksi
A) Compute the (DMn of the the composite beam.
B) How many 3/4 inch X 3 inch shear studs are required for the beam.

2- A W21 X 57 (A992) floor beam supports a 4.5 – inch thick reinforced concrete slab with an effective width b of
78 inches. Sufficient shear connectors are provided to make the beam fully composite, fc = 4 ksi
A) Compute the (DMn of the the composite beam.
B) How many 5/8 inch X 3 inch shear studs are required for the beam.

from the book:Unified Design of Steel Structures, 3rd Edition, by Geschwindner, Liu, & Carter;
ISBN 987-1-987-02836-2 ,Geschwindner, 2017

27. A beam is required to carry a uniform dead load of 3.4 kip/ft plus its self-weight, and a concentrated dead load of 12 kips and a concentrated live load of 20 kips, both at the center of a 40 ft span. For bending only, determine the least-weight W-shape to carry the load. Consider only the limit state of yielding and use A992 steel. Design by (a) LRFD

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 273). Kindle Edition.

33. Determine the least-weight W-shape to support a concentrated dead load of 24 kips plus the beam selfweight and a concentrated live load of 15 kips on a 30 ft span. The concentrated loads are located at the midpoint of the span. Lateral supports are provided at the supports and at the load point. Use A992 steel and Cb = 1.0. Design for flexure by (a) LRFD

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 273). Kindle Edition.

49. A 32 ft simple span beam carries a uniform dead load of 2.4 k/ft plus its self-weight and a uniform live load of 3.0 k/ft. The beam is laterally supported at the supports only. Determine the minimum-weight W-shape to carry the load using A992 steel. Use the correct Cb, check shear, and limit live load deflection to 1/360 of span. Design by (a) LRFD Cb = 1 for 49

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 274). Kindle Edition.

[supanova_question]

https://anyessayhelp.com/

[supanova_question]

UMD Converging Evidence Cognitive Neuroscience & Psychiatric Neurosurgery Case Ques Health Medical Assignment Help

1.A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 1 of 4:

Describe the positive symptoms of schizophrenia and relate those symptoms to the case study patient.


2.A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 2 of 4:

Explain the genetics of schizophrenia.


3.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 3 of 4:

The APRN reviews recent literature and reads that neurotransmitters are involved in the development of schizophrenia. What roles do neurotransmitters play in the development of schizophrenia?

4.Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 4 of 4:

6.The APRN reviews recent literature and reads that structural problems in the brain may be involved in the development of schizophrenia. Explain what structural abnormalities are seen in people with schizophrenia.

5.A 34-year-old female was brought to the Urgent Care Center by her husband who is very concerned about the changes he has seen in his wife for the past 3 months. He states that his wife has had been depressed and irritable, has complaints of extreme fatigue, has lost 10 pounds and has had insomnia. He has come home from work to find his wife sitting in front of the TV and not moving for hours. In the past few days, she suddenly has become very hyperactive, has been talking incessantly, has been easily distracted and seems to “flit from one thing to another.”. She hasn’t slept in 3 days. The wife went on an excessive shopping spree for new clothes that resulted in their credit card being denied for exceeding the line of credit. The wife is unable to sit in the exam room and is currently pacing the hallway muttering to herself and is reluctant to talk with or be examined the ARNP. Physical observation shows agitated movements, rapid fire speech, and hyperactivity. Based on the history and observable symptoms, the APRN suspects that the patient has bipolar type 2 disorder. The APRN refers the patient and husband to the Psychiatric Mental Health Nurse Practitioner for evaluation and treatment.

Question 1 of 6:

Discuss the role genetics plays in the development of bipolar 2 disorders.

.Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

7.Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.

8.Discuss the role of the amygdala in bipolar disorder.


.9.How does neurochemical dysregulation contribute to bipolar disorders?

10.What is the current status of the use of nutraceuticals in management of depression?


.11.A 27-year-old female presents to the Emergency Room, with a chief complaint of palpitations, rapid heart rate, sweating, tremors, and inability to catch her breath. The symptoms started about 10 hour ago and have gotten worse. She states she has some chest pain that remains constant no matter what. She also has numbness and tingling around her mouth and lips. She says she knows something “terrible is going to happen”. She denies having any similar episode in the past. Past medical history noncontributory. Social history significant for recent stressor of applying for medical school and taking the Medical College Admission Test (MCAT). She had not received the results prior to the episode but is sure that the failed the test. Says she doesn’t know if anyone else in her family has had similar episodes. Physical exam reveals a thin, anxious appearing female who is profusely sweating despite cool ambient air temperature. BP 176/88, Pulse 136, and respirations 26. Electrocardiogram negative for evidence of myocardial infarction and all lab data within normal limits except for mild respiratory alkalosis. The patient’s symptoms are subsiding and the patient states she is feeling better. The APRN suspects the patient has just experienced a panic attack.

Question 1 of 2:

What are panicogens and how do they contribute to the development of panic attack symptoms?

12.How does the GABA-benzodiazepine (BZ) receptor systems contribute to panic attacks/disorders?

13.A 21-year-old female college junior makes an appointment to see the APRN in the Student Health Clinic. The student tells the APRN that it has gotten harder and harder for her to attend classes, especially her history class where the class is preparing for the semester’s end presentations. She says she is terrified to speak to the class and is considering dropping the class so she will not have to present. She has a significant impairment in social activities and has resigned from her sorority. She is unable to go to the library to study as she feels everyone is looking at her and mocking her. She admits to having some of these symptoms in high school, but the guidance counselor was able to work with her to decrease some of her symptoms. Past medical history noncontributory except for the milder symptoms exhibited in high school. Family history noncontributory. Social history positive for anxiety related to social situations that has had a negative impact on both her scholarly and social endeavors. The APRN diagnoses the student with social anxiety disorder (SAD).

Question 1 of 2:

Describe the areas of the brain that are associated with social anxiety disorder.

14.How is oxytocin associated with SAD?

15.A 36-year-old female comes to see the APRN in clinic with a chief complaint of “I’m so and I feel all keyed up all the time”. She states she feels restless, keyed up, and on edge most of the time. She fatigues easily and has difficulty concentrating and says her mind goes blank. She admits to being irritable and snapping at her coworkers which she worries will affect her job. She says the symptoms have been present for about 8 or 9 months. and Increased muscle tension. She has had difficulty falling asleep or stay sleeping. Further questioning revealed that prior to her symptoms, her parents got divorced which has been a great stressor for her. Past medical history noncontributory. Social history positive for a case of “nerves” when she was in high school that seemed to resolve after she graduated from college. No drug or alcohol history. The APRN believes the patient has generalized anxiety disorder (GAD).

Question 1 of 2:

Discuss the role of neurotransmitters in the expression of GAD.

16.Explain the structural brain changes that occur in people with GAD.

17.A 27-year-old man comes to the Veteran’s Administration Hospital at the insistence of his fiancée who accompanies him to the appointment. She tells the APRN that her fiancée has not “been the same” since he returned from his second tour in Iraq. He was an infantryman with a local Marine Reserve unit and served 2 tours and was honorably discharged. Since his return, he has had difficulty sleeping, and says he “sleeps with one eye open” and fears sleep. Deep sleep brings vivid nightmares. He grudgingly admits to having experienced several traumatic events during his second tour of duty. He is unwilling to discuss them and will not reveal specific details. He is short tempered and irritable and is afraid to be around people as he doesn’t want to snap at people and alienate them. He startles easily at loud noises, especially the sounds of cars backfiring. He admits to thinking there are threats everywhere and spends an excessive amount of time searching for them but never finding any. He has intrusive memories almost every day and says he really isn’t interested in doing much of anything. He is very worried that these symptoms are irreparably hurting his relationship with his fiancée who he loves very much. The APRN diagnoses him with post-traumatic stress disorder (PTSD).

Question 1 of 2:

Describe the changes seen in the brain structure in patients with PTSD.

18.Briefly discuss the role glucocorticoids may have on the development of PTSD.

19.A 17-year-old male high school junior comes to the clinic to establish care. He recently moved from a relatively urban area to a very rural area and has just started his junior year in a new school. The mother states that she has noticed that her son has been frequently washing his hands and avoids contact with any dirty or soiled object. He uses paper towels or napkins over the knob on a door when opening it. According to the mother, this behavior has just appeared since moving. The patient, upon close questioning, admits that he is “grossed out” by some of the boys in the boys’ room since they use the toilet and do not wash their hand afterwards. He is worried about all the germs the boys are carrying around. Past medical history is noncontributory. Social history -lives with parents and 2 siblings in a house in a new town. Is an honors student. Based on these behaviors, The APRN thinks the patient has obsessive-compulsive disorder (OCD).

Question 1 of 2:

What is primary pathophysiology of OCD?

20.Describe the role the dorsal anterior cingulate cortex (dACC) has in reinforcement of obsessive behaviors.




[supanova_question]

Tulsa Community College Floor Beam Supports on Construction Problems Engineering Assignment Help

1- W18 X40 (A992) floor beam supports a 4 – inch thick reinforced concrete slab with an effective width b of
81 inches. Sufficient shear connectors are provided to make the beam fully composite, fc = 4 ksi
A) Compute the (DMn of the the composite beam.
B) How many 3/4 inch X 3 inch shear studs are required for the beam.

2- A W21 X 57 (A992) floor beam supports a 4.5 – inch thick reinforced concrete slab with an effective width b of
78 inches. Sufficient shear connectors are provided to make the beam fully composite, fc = 4 ksi
A) Compute the (DMn of the the composite beam.
B) How many 5/8 inch X 3 inch shear studs are required for the beam.

from the book:Unified Design of Steel Structures, 3rd Edition, by Geschwindner, Liu, & Carter;
ISBN 987-1-987-02836-2 ,Geschwindner, 2017

27. A beam is required to carry a uniform dead load of 3.4 kip/ft plus its self-weight, and a concentrated dead load of 12 kips and a concentrated live load of 20 kips, both at the center of a 40 ft span. For bending only, determine the least-weight W-shape to carry the load. Consider only the limit state of yielding and use A992 steel. Design by (a) LRFD

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 273). Kindle Edition.

33. Determine the least-weight W-shape to support a concentrated dead load of 24 kips plus the beam selfweight and a concentrated live load of 15 kips on a 30 ft span. The concentrated loads are located at the midpoint of the span. Lateral supports are provided at the supports and at the load point. Use A992 steel and Cb = 1.0. Design for flexure by (a) LRFD

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 273). Kindle Edition.

49. A 32 ft simple span beam carries a uniform dead load of 2.4 k/ft plus its self-weight and a uniform live load of 3.0 k/ft. The beam is laterally supported at the supports only. Determine the minimum-weight W-shape to carry the load using A992 steel. Use the correct Cb, check shear, and limit live load deflection to 1/360 of span. Design by (a) LRFD Cb = 1 for 49

Geschwindner, Louis; Liu, Judy; Carter, Charles. Unified Design of Steel Structures (p. 274). Kindle Edition.

[supanova_question]

Dissociative Identity Disorder Case Study Summary Humanities Assignment Help

Dissociative Identity Disorder Case Study Summary Humanities Assignment Help

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