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CHOOSE ONE DISCUSSION QUESTION TO RESPOND TO. USE PROPER APA FORMAT. REFERENCES SHOULD BE LESS THAN 5 YEARS OLD. ALL REFERENCES MUST BE CITED IN-TEXT PROPERLY. I PREFER THE USE OF ELECTRONIC SOURCES FOR REFERENCES. PROVIDE DOI OF REFERENCE OR WEBSITE RETRIEVED FROM. PLEASE BE MORE SPECIFIC AND USE INFORMATION ABOUT MEDICATIONS WITHIN THE RESPONSE.

Discussion Question 1

EP is a fifty-year-old woman who reports experiencing two to three hot flashes per day, occasionally associated with insomnia. She also states she is awakened from sleep about two to three times per week, needing to change her bedclothes and linens due to sweating. Her symptoms began about three months ago, and over that time, her symptoms have worsened to the point where they have become very bothersome. She is concerned about starting any hormonal treatment because she has read news stories that the medication is not safe. She has been successfully treated for depression and is currently doing well on paroxetine. Her current medications include omeprazole 20 mg daily, paroxetine 20 mg, Synthroid 0.075 mg daily, and hydrochlorothiazide 25 mg daily. Her physical exam is normal; her blood pressure is 128/86, her pulse is 78, and her body mass index (BMI) is 30.5. Answer the following questions:

• Is there any additional information you would want to collect?
• What are the variables you would take into account before deciding how to help her?
• What treatment will you recommend?
• What nonpharmacological treatment would you suggest?

For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.

Discussion Question 2

VG is a thirty-one-year-old female who comes in for a routine follow-up. She reports that she has been feeling excessive fatigue over the last month. She also notes that she is having some problems at work, not only because of her fatigue but also because of difficulty concentrating. She also notes that she has gained 10 pounds over the last month, and she is unable to identify the cause of the weight gain. She also notes that her periods are a little heavier and more irregular. She is currently taking daily ferrous sulfate and over-the-counter calcium. According to her medical record, she had a TSH level of 4.2 mIL/L about a year ago. Although this is slightly elevated, no further follow-up was deemed necessary at the time. Repeat blood work today reveals a TSH level of 9.8 mIL/L and a free T4 of 0.72 ng/dL. Answer the following questions:

• What additional findings on the physical exam would you look for?
• What implication does the previous TSH level have?
• What therapy would you institute?
• If VG becomes pregnant, what adjustment, if any, would be needed in her thyroid medication?

For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.

1. Match the composer with this excerpt. https://elearn.southwest.tn.edu/content/enforced/6…

a. Haydn

b. Mozart

c. Beethoven

d. Salieri

2. Match the composer with this excerpt. https://elearn.southwest.tn.edu/content/enforced/6…

a. Beethoven

b. Mozart

c. Haydn

d. Don Giovanni

3. Match the composer with this excerpt. https://elearn.southwest.tn.edu/content/enforced/6…

a. Haydn

b. Mozart

c. Beethoven

d. Salieri

4. Match the composer with this excerpt. https://elearn.southwest.tn.edu/content/enforced/6…

a. Beethoven

b. Haydn

c. Mozart

d. Don Giovanni

5. Match the composer with this excerpt. https://elearn.southwest.tn.edu/content/enforced/6…

a. Haydn

b. Beethoven

c. Mozart

d. Bach

6. Match the composer with this excerpt. https://elearn.southwest.tn.edu/content/enforced/6…

a. Haydn

b. Mozart

c. Beethoven

d. Salieri

7. Match the composer with this excerpt. https://elearn.southwest.tn.edu/content/enforced/6…

a. Don Giovanni

b. Mozart

c. Haydn

d. Beethoven

Thus far, we have read a lot about the influx of immigrants to the US in the nineteenth and early twentieth centuries. While immigration had been a central part of American society since its origins, the turn of the twentieth century was a high point of immigration in terms the percentage of the overall population that was foreign-born, reaching almost 15 percent in 1890. Immigrants came to the US for many reasons, including “push” factors that drove them out of their home nation (drought, famine, war, overpopulation), and “pull” factors that drove them toward the United States in general and to particular areas within the US (higher wages, educational opportunities, freedom from persecution, family reunification).

Immigrants tended to arrive in “waves” due to push and pull factors, as well as US policies toward particular national groups. While nineteenth-century immigration was dominated by Western Europeans—Irish, British, and German—by the late nineteenth and early twentieth century Southern and Eastern Europeans—Italians, Russians, and a significant number of Eastern European Jews —arrived in much larger numbers until the Johnson-Reed Act (1924) severely limited their numbers by imposing a quota system. Meanwhile, Asian immigrants, particularly Chinese men, arrived in large numbers in California until the passage of the Chinese Exclusion Act in 1882. Unlike the relative welcome that European immigrants received on the eastern coast at Ellis Island, Asian immigrants on the west coast faced extended scrutiny and detention until their formal admission to the US. Mexicans crossed the border (or the border crossed them in the case of those living in the acquired territories after the Mexican-American War) providing the necessary labor to fuel economic growth in the US Southwest.

Use this chart to examine the total number of immigrants in the US over time, and their percentage makeup of the total US population. Use this map to explore where different immigrant groups settled in the US over time.

Each group that came to the United States brought its own unique culture. This usually influenced their actions once they arrived: where they lived, what kind of work they did, and how they socialized and practiced their religion. At the same time, native-born American perceptions about these groups also played a role in how these immigrants were received and their ability to integrate into American society.

Immigration and the backlash against it from native-born Americans (xenophobia) drove many of the changes in American society and domestic and foreign policies you discussed in the first three modules, including Western growth and industrialization, Progressivism, American imperialism, scientific racism/eugenics, anti-German sentiment during World War One, and anti-Russian sentiment afterwards.

In this assignment you will synthesize your reading about immigration in this era through the fictional case study of one immigrant which draws on real historical evidence.

Instructions for the Essay:

For this essay, write a short 3-4 page (about 1000 word) essay describing the experiences of an ethnic group that came to the United States between 1870 and 1920. Your essay will take the form of a letter from one immigrant back home to family in the “old country.” In this letter, you will describe your fictional immigrant’s experiences over at least twenty years. Focus on your experiences in the US as well as how you were received by American society. The last part of your letter should start, “I think my experiences have compared/contrasted to other immigrant groups…” and then give examples. Your introductory paragraph should include references to who your letter writer is and what year the letter was written.

Choose one of the following immigrant groups for your essay: Chinese, Irish, Italian, Mexican, or Eastern European Jewish immigrants).

Some factors you may wish to consider in the paper are: reasons for coming to America “pull factors” and leaving the home country “push factors”; typical jobs for that immigrant group; living conditions and where they settled (urban, rural, etc.) and why; any relevant religious traditions; their success at integrating into the existing mainstream American culture (including Americanization attempts such as the Settlement House movement); any particular challenges they faced, including any applicable immigration restrictions and prejudice.

You must include at least two outside primary or secondary source beyond the course readings.

Question 1- A Practical Guide to stakeholder Management

A) A brief summary of the main points that the author made in the article in your own words (don’t use their “Key Findings” ;-), and

B) An analysis of the article. Some points to address in your analysis:

1) Did the author have a clear purpose for the article? What makes you believe so?

2) Was this purpose accomplished? How?

3) Did the author present the information in a way that readers would find appealing? In what way?

4) Is the world a better place for this article being written? How?

5) How does this article relate to the real world, either business-wise, or personally? If it doesn’t, state why.

You don’t have to write in a boring and stilted academic style in your summary and analysis – it’s all right (and encouraged!) to write in an engaging style!