Category: Medicine

Essays are used to test a student’s ability to:
assess information
formulate arg

Essays are used to test a student’s ability to:
assess information
formulate arguments
critically evaluate different alternatives to issues or problems.
The ability to access and write information will be vital skills in your professional life.
In this assessment, you are tasked with writing a major essay or minor research ‘thesis’ as a special topic within the broad Clinical Aesthetic Practice environment that is associated with Evidence-Based Practice. (This could be a null hypothesis where you write about lack of EBP).
Assessment 3: Minor research ‘Thesis’ Essays are intended to test your ability to assess information, to formulate arguments and to critically evaluate different alternatives to issues or problems. In this assessment, you must write minor research ‘thesis’ on a special topic within the broad Clinical Aesthetic Practice environment that is associated with Evidence Based Practice (This could be a null hypothesis where you write about lack of EBP). The focus is on the special topic in clinical aesthetics and how EBP has informed the practice of your special topic. The topic cannot be the same as provided in other units of this degree. Using at least one meta-analysis literature review where you must identify and report what previous studies have shown in relation to your special topic. It is expected that you carefully review your chosen special topic, to identify papers/studies to find commonalities and disagreements that emerge from the studies. Your paper must be logically developed with sequential information flow. Ensure you cover above criteria and these specifics: • You need to have a clear introduction of context information and a concise thesis statement. (Do check ‘how to write a Thesis Statement’ in the assessment resources). • A clinical aesthetic topic is defined, and rationale is provided to its importance. • Use of a meta-analysis review informing EBP. • Use of various methodologies used in the research. • Identification of constraints or limitations in or of the research. • Exploration of ethical considerations of the research papers and relating to the special topic. • Establish a clear argument of EBP implementation and practice of your special topic. • How is EBP interconnected with your minor thesis topic is clearly documented. • Use of full current APA citation and referencing aligned with ACHW APA Referencing Guidelines. Assignment length is 3000 words.
All ideas and information must be reflected in text and end of text using quality accedemic refrences and DOI must be as close to 3000 words as possible 10% over ir under is not acceptable

Create a presentation that addresses the elements below:
A proposed triangulated

Create a presentation that addresses the elements below:
A proposed triangulated evaluation strategy for the collaborative strategy or intervention identified in your Part 1 assignment.
Utilize one, or more, slides for each of the evaluation strategies.
Conclude with an overall summary of your thoughts about the ability of this collaborative initiative to impact the identified clinical/practice issue from your Part 1 assignment.
No speaker notes needed

I’ve attached the copy of the research paper – so i;ll need one slide for an int

I’ve attached the copy of the research paper – so i;ll need one slide for an introduction – 2 slides on methods and 3 slides for findings or vice versa depending on if you need an extra slide for methods or findings

A personal statement letter (three pages, excluding cover and references in AMA

A personal statement letter (three pages, excluding cover and references in AMA format) addressing the
following:
1. A clear statement of your goals and expectations for entering the program
2. Your understanding of the role of a Certified Registered Nurse Anesthetist (applicants are
required to shadow a CRNA)
3. Include at least one article supporting your understanding of the role of a Certified Registered
Nurse Anesthetist, cited according to current AMA Format standard.

Provide a concise summary of the given article, covering:
o Key objectives, me

Provide a concise summary of the given article, covering:
o Key objectives, methodology, and major findings.
o Highlight any limitations or areas of uncertainty identified by the authors.
o Analyze the significance of the study’s findings in the context of your specialty.
o Discuss how the insights gained can be applied to your specific field.
o Explore potential implications for future research directions.
Guidlines:
· Submit the summary in a Word document format.
· Ensure proper grammar and avoid plagiarism.
· Length: 1000–1500 words.
· Format: Typed, double-spaced, using a Harvard citation style

Please describe the role of the mesolimbic dopamine pathway in the development o

Please describe the role of the mesolimbic dopamine pathway in the development or continuation of impulsive/compulsive behaviors.
Please provide two examples of current research on interventions to reduce or eliminate compulsive/impulsive behavior related to addiction.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.

Please provide citations when answering the following case studies. At least 2 r

Please provide citations when answering the following case studies. At least 2 references are present (text, outside scholarly source less than 5 years old). See the attached rubric
A 35-year-old woman has recent onset hypertension. The review of systems reveals several months of weight gain and menstrual irregularity. On examination, she is obese, with a plethoric appearance. The blood pressure is 165/98 mm Hg. There are prominent purplish striae over the abdomen and multiple bruises over both lower legs. She is diagnosed with hypercortisolism (Cushing syndrome).
1. What other history and physical examination features should be sought?
2. Assuming that the diagnosis of hypercortisolism is correct, what is the underlying pathogenesis of this patient’s hypertension, weight gain, and skin striae?
3. List four causes of Cushing syndrome, and discuss the relationships among the hypothalamus, pituitary, and adrenal in each. Which is the most likely cause in this patient?
4. How can the diagnosis of hypercortisolism be established in this patient?

Background
Performance-based assessments, including those that employ simulation

Background
Performance-based assessments, including those that employ simulation, are subject to many sources of error. The purposes of this exercise are a) to get you to think about reliability (of assessment scores) from the standpoint of sources of measurement error, some that can be controlled and others that cannot, and b) to make you more aware of the importance of validity evidence in judging the adequacy of assessments.
In each situation indicate whether the event described contributes to random or systematic measurement error in an examinee’s assessment score. (Explain your answer and provide some suggestion, where applicable, to mitigate the potential sources of measurement error):
An observer rating communication skills during a simulation exercise tends to rate female physicians more highly than males
An examinee who is interviewing a standardized patient is distracted by noise in the hallway and forgets to ask pertinent history questions
Dr. Frank becomes so anxious in testing situations that he often skips procedural steps
An observer looking at a performance video skips over the first few minutes of a patient interview before providing communication ratings
A student in a physical examination class misinterprets the instructions and later performs poorly on an OSCE station
A hospital plans to institute a minimal competency testing program for hiring new nursing staff. A study is undertaken to assess the adequacy of 2 commercially available assessments to decide which is more appropriate for assessing performance on the nursing skills and competencies valued by this hospital. A panel of “experts” matched the items on each assessment to a list of required skills. Each assessment was found to consist of 50% of items that matched one or more of the skills. What additional data might be useful in deciding which assessment to use?
IMPORTANT*******
IN YOUR ANSWERS, YOU SHOULD USE CITATIONS TO JUSTIFY YOUR RESPONSES. THE SOURCES THAT YOU SHOULD USE FOR YOUR CITATIONS ARE LISTED BELOW.
CITATIONS MUST BE GIVEN IN APA FORMAT (AND INCLUDE A REFERENCE PAGE LISTING THE SOURCES).
THE QUESTIONS THAT YOU NEED TO EXPLICITLY ANSWER ARE ON THE LINK LABELED ASSIGNMENT #2.

I WANT A REPLY ENCOURAGING POSSITIVE THE WRITER FOR THE BELOW MENTIONED DISCUSSI

I WANT A REPLY ENCOURAGING POSSITIVE THE WRITER FOR THE BELOW MENTIONED DISCUSSION BLOG
What is the most likely form of anemia in this man? What is the probable underlying cause?
The most likely form of anemia this patient has is Iron Deficiency Anemia given his presenting symptoms and guaiac-positive stool. Cooper et al. (2020) mentions that Guaiac fecal occult blood testing is a screening tool used to test for upper and lower GI bleeding and used commonly as a non-invasive diagnostic aid in cases of anemia and positive results suggest the presence of GI bleeding. According to Norris (2012) iron deficiency anemia in adults is due to chronic blood loss which may occur from gastrointestinal bleeding because of peptic ulcers, vascular lesions, intestinal polyps, hemorrhoids or malignancies.

What is the mechanism by which this disorder results in anemia?
Cotter et al. (2020) defines Anemia as the reduction in circulating red-cell mass below normal levels and iron is essential for the production of hemoglobin. According to Cotter et al. (2020), blood loss often originating from lesions in the Gastrointestinal Tract is the most common cause of excessive iron loss in the body, especially in older adult patients. Cotter et al. (2020) establishes that during chronic blood loss as in the case of the referenced patient, iron stores are depleted faster than they are produced, the deficiency of iron therefore leads to microcytic hypochromic anemia otherwise known as iron-deficiency anemia when analyzed on the peripheral blood smear

What might one expect to see in the peripheral blood smear?
As Norris (2012) suggests in Iron Deficiency Anemia red blood cells are decreased in number, smaller in size (microcytic) and have decreased red color (hypochromic) caused by the decreased iron reserves of the body. According to Chaudry and Kasarla (2023) A peripheral smear will show the smaller sized red blood cells that have a large zone of central pallor and small peripheral rim of hemoglobin.

What other tests might be ordered to confirm diagnosis?
Cotter et al. (2020) suggests a complete blood count (CBC) and serum ferritin are recommended laboratory tests in diagnosing Iron Deficiency Anemia. Cooper et al. (2020) recommends ordering an Upper GI endoscopy and colonoscopy to further test for bleeding in the upper and lower GI Tract.

What is the pathophysiologic mechanism of this patient’s fatigue, weakness, and shortness of breath? Why is he pale?
As Norris (2012) suggests iron is a component of heme, and a deficiency leads to decreased hemoglobin synthesis and impairment of oxygen delivery causing fatigue, dyspnea, palpitations, tachycardia and even causing persons skin to turn pale due to the decreased red color in the blood cells.

References
Chaudhry, H. S., & Kasarla, M. R. (2023, August 14). Microcytic hypochromic anemia. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK470252/
Cooper, R. E., Hutchinson, E. K., & Izzi, J. (2019). Evaluation of the guaiac fecal occult blood test for detection of gastrointestinal bleeding in the rhesus macaque (Macaca mulatta). Journal of Medical Primatology, 49(1), 16–25. https://doi.org/10.1111/jmp.12446
Cotter, J., Baldaia, C., Ferreira, M. L., Macedo, G., & Pedroto, I. (2020). Diagnosis and treatment of iron-deficiency anemia in gastrointestinal bleeding: A systematic review. World Journal of Gastroenterology, 26(45), 7242–7257. https://doi.org/10.3748/wjg.v26.i45.7242
Norris, T. L. (2012). Lippincott CoursePoint for Norris: Porth’s Pathophysiology (10th ed.).
Wolters Kluwer Health. https://coursepoint.vitalsource.com/books/9781975101145

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Background
Performance-based assessments, including those that employ simulation

Background
Performance-based assessments, including those that employ simulation, are subject to many sources of error. The purposes of this exercise are a) to get you to think about reliability (of assessment scores) from the standpoint of sources of measurement error, some that can be controlled and others that cannot, and b) to make you more aware of the importance of validity evidence in judging the adequacy of assessments.
In each situation indicate whether the event described contributes to random or systematic measurement error in an examinee’s assessment score. (Explain your answer and provide some suggestion, where applicable, to mitigate the potential sources of measurement error):
An observer rating communication skills during a simulation exercise tends to rate female physicians more highly than males
An examinee who is interviewing a standardized patient is distracted by noise in the hallway and forgets to ask pertinent history questions
Dr. Frank becomes so anxious in testing situations that he often skips procedural steps
An observer looking at a performance video skips over the first few minutes of a patient interview before providing communication ratings
A student in a physical examination class misinterprets the instructions and later performs poorly on an OSCE station
A hospital plans to institute a minimal competency testing program for hiring new nursing staff. A study is undertaken to assess the adequacy of 2 commercially available assessments to decide which is more appropriate for assessing performance on the nursing skills and competencies valued by this hospital. A panel of “experts” matched the items on each assessment to a list of required skills. Each assessment was found to consist of 50% of items that matched one or more of the skills. What additional data might be useful in deciding which assessment to use?
IMPORTANT*******
IN YOUR ANSWERS, YOU SHOULD USE CITATIONS TO JUSTIFY YOUR RESPONSES. THE SOURCES THAT YOU SHOULD USE FOR YOUR CITATIONS ARE LISTED BELOW.
CITATIONS MUST BE GIVEN IN APA FORMAT (AND INCLUDE A REFERENCE PAGE LISTING THE SOURCES).
THE QUESTIONS THAT YOU NEED TO EXPLICITLY ANSWER ARE ON THE LINK LABELED ASSIGNMENT #2.