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GI Case Study:

Chief complaint: “I have recurrent H. Pylori infection”.
HPI: M.C. a 46-year-old Hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has PMH of dyspepsia, and GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms.
PMH:
H. Pylori infection gastritis
Diabetes Mellitus, type 2
Surgeries: None
Allergies: NKDA
Vaccination History: Up-to-date
Social history:
High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.
Family history:
Both parents are alive. Father has history of DM type 2, Tinea Pedis. Mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis.
ROS:
Constitutional: Negative for fever. Negative for chills.
Respiratory: No Shortness of breath. No Orthopnea.
Cardiovascular: No edema. No palpitations.
Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.
Physical examination:
Vital Signs
Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored
ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.
Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal
Assessment:
Primary Diagnosis: Recurrent H. Pylori infection gastritis
Secondary Diagnoses: Dyspepsia
Differential Diagnosis: Peptic Ulcer Disease
Previous medication plan: two months ago and failed.
1.    Clarithromycin      500 mg po BID for 2 weeks
2.    Omeprazole      40 mg po BID for 2 weeks and then po daily.
3.    Cipro      500 mg po BID for 2 weeks
Plan: Tests
Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results.
Urea breath test 8 weeks after treatment with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test.
Labs: No new labs are needed.  
Referrals: may refer based on effect of medication therapy given for 2 weeks.
Follow up: return to office in 8 weeks to reevaluate symptoms.

it is important that you determine the medications used for recurrent H. Pylori infection.

Please discuss new therapy guidelines for H. Pylori treatment, and provide patient education.

Below is the website for the American Academy of Gastroenterology Clinical Guidelines (ACG) for the updated H. Pylori therapy. Feel free to consult other peer-reviewed articles within 5 years of publication.

Please use this link

http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf

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Ensuring the protection of human subjects is necessary when conducting research projects. What are some methods that can be used to protect personal rights of someone in one of the groups that is labeled as vulnerable? Consider how a patient's values and your own clinical judgment must be considered before applying the evidence in clinical decision making for an individual patient.

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Subject: Anatomy & Physiology Discussion Board 10.1: Body Systems Description In this discussion, you will re-examine some of the body systems that you have studied in this course. Objectives List the major systems of the body, the organs they contain, and the functions of those systems. Instructions Step 1: Respond to the following: This week, you have reviewed body orientation and systems. What has been the one body system that you have struggled with this term, and why? What has made it difficult? Explain. In your chosen profession, will it be critical to understand this particular body system? Why or why not? No peer replies or reference citations are required.

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Five paragraph academic essay. Your essay will discuss over chapter 17: Blood, which will include: 1. Title 2. Body paragraph 3.Body paragraph 2 and 3 will discuss Normal physiology properties 4. Body paragraph 4 will discuss Abnormal physiological condition or disease. 5. Body paragraph 5 is the Conclusion which consist of rewrite the thesis and your opinion 6. Work cited: MLA formatting

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Write 350 words using college level writing to do the following: Within the Strategy, the 7 Priorities provide evidenced-based recommendations that are most likely to reduce the burden of the leading causes of preventable death and major illness. The Priorities are designed to improve health and wellness for the entire U.S. population, including those groups disproportionately affected by disease and injury. The Strategic Directions provide a strong foundation for all of our nation’s prevention efforts and include core recommendations necessary to build a prevention-based strategy. Each Strategic Direction can stand alone and can guide actions that will demonstrably improve health. Together, the Strategic Directions create the web needed to fully support Americans in leading longer and healthier lives Write about each of the 7 priorities and how we can utilize the 4 strategic directions to make it a success. Use 100 of the 350 words to express your thoughts and reactions to the National Prevention Strategy and how it can be implemented.

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In your role as a consultant who has been hired to evaluate a clinical mental health counseling program, you will describe the hypothetical program you will be planning to evaluate. Because this course project is a simulation, you will not actually be evaluating a program; instead, you will create a fictitious but plausible program with hypothetical stakeholders, clients, interventions, and measures. It may be similar to one in your community, or it may be one that you would like to design someday.

For this assignment in Unit 4, use the template linked in Resources to write an introduction and a description of the program to be evaluated, including the vision and mission, clinical interventions, stakeholders, and short- and long-term outcomes of the program. You will need to:

Establish your research base for the program evaluation by reviewing published evaluations and relevant research. Critique how the research and the program evaluations inform the practices of similar programs. This is the basis of your literature review.
Select, justify, and apply a model of evaluation you will use in your program evaluation.
Describe your plan for needs assessment, including culturally sensitive strategies for conducting the assessment.
Identify ethical standards that apply to program evaluations, and discuss how you will ensure they are met.
Requirements
To achieve a successful project experience and outcome, you must include the following sections for Part 1:

Title Page.
Introduction and Description of Program (approximately one page).
Literature Review (approximately two pages).
Program Evaluation Model Selected (approximately one page).
Needs Assessment (approximately one page).
Ethical and Evaluation Standards (approximately one page).
References.
Additionally, your paper must:

Be a total of 5–7 pages of text (excluding the title page and the references page).
Include scholarly references to support your ideas about research on the kind of program you are evaluating (population, clinical focus, counseling approach), and program evaluation procedures (program evaluation model, needs assessment, ethical and cultural considerations).
Be free from errors that detract from the message.
Be written in the third person.
Use the current APA style and formatting throughout.
Be in Times New Roman, 12-point font.

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Choose two infectious diseases and analyze how they are spread, using the chain of infection. Discuss the means of transmission, chain of infection, and how the chain of infection was interrupted as well as what public health were taken. Properly cite your sources using APA style.
o Examples are AIDS, rabies, cryptosporidiosis, cholera, malaria, smallpox, syphilis.

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Locate the name of a (<5yrs) research professional, nursing journal related to the area of nursing you are interested in pursuing. (neurology) type a one-page article using APA format. Make sure to you in-text citations including page numbers if you use a direct quote.

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Assignment Description
Select a specific aspect of sport management that may interest you (stadium naming rights) to research. The following should be included in the paper:

•    An introduction of the topic. Tell me a little bit about your research. Why is this a critical topic within sport management. (1-2 pages)
•    History – Tell me about the history of the topic. Where it began and how it has impacted the sport world. (1-2 pages)
•    Recent Trends – Why is this relevant to sport? What is going on in the field that makes this important? How has it been successful? How has it not been successful? (3-5 pages)
•    Conclusion – Give your feelings on the topic. This is an opportunity for you to give your feelings on how this topic is effecting the sports world. (1 page)
•    References – A total of 10 references must be used in this paper with five being from a  peer-reviewed journal articles are required for this paper. Additionally, popular press, blogs, social media and other sources will help guide you with this paper. This is a research paper there is plenty of information is out there.  

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Health Budget Analysis 

Access the following analysis of the 2015–16 Health Budget in California: http://www.lao.ca.gov/reports/2015/budget/health/health-analysis-021215.aspx 

Now, imagine you are a healthcare administrator in the Los Angeles County health care sector, employed in one of the systems that has been analyzed (Medi-Cal, Department of State Hospitals, or the Department of Public Health). Review the analysis of the budget within your system. After carefully reviewing the budget summary (including actual and estimated costs from previous years), perform a budget analysis.
Your analysis should cover the following:
Are the spending allocations being anticipated in alignment with trends from previous years?
If you could, how would you allocate spending differently?
Is the report sufficient to predict future trends? Why or why not?
Which variance do you find most significant? Why? Is it favorable or unfavorable?
Do you agree with the LAO and the governor regarding the proposed budget for your system? Why or why not?
Your paper should be three to four pages in length and include support from the required readings and at least one outside source

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you will research and describe the internal and external factors currently affecting a healthcare organization of your choice.
Select a healthcare organization that you are familiar with (for-profit or not-for-profit hospital, a health system, a clinic, etc.).Explain what three (3) internal and three (3) external factors are affecting the organization. Explain whether the impacts are positive or negative, and why they are positive or negative. 
Provide the name of the organization, the URL of its website, and a short introduction of the selected organization.

Your assignment should be 1–2 pages in length, include evidence or information from at least one credible external source and follow APA formatting and citation.

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Please state the difference between Type 1 and Type 2 Diabetes. State which one is more common and the first line of treatment for both. Why are we seeing more and more patients with Type 2 Diabetes? What general dietary suggestions would you recommend?