Study Document
...Obamacare The Effects of Contaminated Lead Water in Newark
Abstract
In recent times, there has been a consistent public outcry on continuous leaching of a significant amount of lead into Newark’s water system. However, the local municipal officials have been refuting the claims despite the fact that more than ten percent of water samples collected in 2018 were found with more than 15.8 parts per billion higher than federal lead limit of 15.0 parts per billion. It is also established that Newark’s officials have not been conducting lead and copper rule sampling as required of them, thus failing to identify high content of lead in drinking water. As a result, state department of environmental protection gave an alarm to Newark officials for exceeding the federal limits of lead in drinking water.
This paper therefore, will therefore focus on establishing the effects of Lead contaminated drinking water in Newark to the residents……
References
Hanna-Attisha, M., LaChance, J., Sadler, R. C., & Champney Schnepp, A. (2016). Elevated blood lead levels in children associated with the Flint drinking water crisis: a spatial analysis of risk and public health response. American journal of public health, 106(2), 283-290.( https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2015.303003 )
Jasey, N. (2019). Assembly Higher Education Hearing (19:00 1/17/2019 A-4866( https://www.billtrack50.com/BillDetail/918815 )
Kiefer, E. (2018). Newark Hands Out Thousands Of Lead Water Filters After Lawsuit ( https://patch.com/new-jersey/newarknj/newark-hands-out-thousands-lead-water-filters-after-lawsuit )
Leyden, L. (2018). A Water Crisis in Newark Brings New Worries (https://www.nytimes.com/2018/12/03/nyregion/newark-drinking-water-lead.html)
Panico, R. (2019). Newark Exceeds Lead Levels Again, Receives 3 Other Water Violations ( https://www.tapinto.net/towns/newark/articles/newark-exceeds-lead-levels-again-receives-3-other-water-violations )
Sax, S. (2018). HOW NEWARK GOT LEAD IN ITS WATER, AND WHAT IT MEANS FOR THE REST OF AMERICA. ( https://news.vice.com/en_us/article/yw7kyb/how-newark-got-lead-in-its-water-and-what-it-means-for-the-rest-of-america )
Sol, M. W. (2019). The lead in Newark’s drinking water has hit a \\\\'jaw dropping’ high level, tests show (NJ Advance Media for NJ.com) ( https://www.nj.com/news/2019/01/the-lead-in-newarks-drinking-water-supply-has-hit-a-jaw-dropping-high-level-tests-show.html )
Wani, A. L., Ara, A., & Usmani, J. A. (2015). Lead toxicity: a review. Interdisciplinary toxicology, 8(2), 55-64.( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4961898/ )
Study Document
...Obamacare What is the most likely diagnosis?
John is believed to be suffering from gigantism or acromegaly.
Symptoms of acromegaly
The term 'acromegaly' has its roots in the Greek terms for "enlargement" and "extremities"; these terms reflect one among the ailment's most commonly occurring signs of abnormally expanding feet and hands (Marieb & Hoehn, 2018a; 2018b). Swollen feet and hands typically manifest as an initial sign. Those suffering from the acromegaly notice changes in their shoe or ring sizes, especially shoe width. Slowly, changes in the bone begin to transform their facial features, with their lower jaw and brow protruding, spacing out of the teeth, and enlargement of their nasal bone (Colao et al., 2019).
Abnormal cartilage and bone growth frequently results in arthritis. Tissue thickening can trap nerves and result in the development of carpal tunnel syndrome (CTS) that in turn produces weakening and numbness of hands. Enlargement may also……
References
Colao, A., Grasso, L. F., Giustina, A., Melmed, S., Chanson, P., Pereira, A. M., & Pivonello, R. (2019). Acromegaly. Nature Reviews Disease Primers, 5(1), 20.
Maffezzoni, F., & Formenti, A. M. (2018). Acromegaly and bone. Minerva endocrinologica, 43(2), 168-182.
Marieb, E. & Hoehn, K. (2018a). Human Anatomy & Physiology (11th ed). Boston, MA: Pearson. ISBN: 9780134756363
Marieb, E. & Hoehn, K. (2018b). Study Guide: Human Anatomy & Physiology (11th ed). Boston, MA: Pearson. ISBN: 9780134760230
Melmed, S. (2016). New therapeutic agents for acromegaly. Nature Reviews Endocrinology, 12(2), 90.
Study Document
...Obamacare Etiology
Borderline Personality Disorder (BPD), as is the case with several psychiatric disorders, is viewed widely as a consequence of the complex interaction of many factors such as psychological, neuroanatomical, neurochemical, and genetic factors.
a) Genetic factors: There is growing evidence that BPD is genetic and can run in some families. A study of people with BPD has shown that the prevalence of BPD among the relatives of people suffering from the condition can be up to 20 times higher than the prevalence among people who don’t have a blood relative suffering from the condition. In Monozygotic twins, the concordance rate was 35% relative to a rate of 7% in dizygotic twins. This research was done by Torgersen and colleagues. This high concordance rate is linked to the role played by genetics in BPD etiology.
b) Neurochemical factors: Serotonin has been linked to impulsivity and aggression. If there is a……
Bibliography
Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. Am J Psychiatry, 166, 1355–64.
Biskin, R. S., & Paris, J. (2012). Management of borderline personality disorder. CMAJ, 184(17), 1897-1902. doi: 10.1503/cmaj.112055
Harvard University. (2019). Treating borderline personality disorder. Retrieved from https://www.health.harvard.edu/newsletter_article/treating-borderline-personality-disorder
Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York (NY): Guilford Press.
Study Document
...Obamacare Summarizing a Research Article
Research Question
The research question for the article by Rossi, Barraco and Donda (2004) was based on the fact that there had been no review of the meta-analyses published on Fluoxetine. Fluoxetine is an important drug that was developed for and prescribed to patients with depression starting in the late 1980s. It is considered the first iteration of the generation of Selective Serotonin Re-uptake Inhibitors (SSRIs) commonly associated with youths suffering from mental health problems. However, though it has been widely studied, fluoxetine is still not completely understood. Thus, the authors of this study set out to answer the question: What do the available meta-analyses on this SSRI actually say? The objective of the systematic review of the literature was threefold:
1. to evaluate the strength of the information available in reviewed meta-analyses
2. to understand if the use of fluoxetine is clinically effective and safe……
References
Rossi, A., Barraco, A., & Donda, P. (2004). Fluoxetine: a review on evidence based medicine. Annals of General Hospital Psychiatry, 3(1), 2.
Study Document
...Obamacare Part 1– Case Analysis: Traumatization of Combat Veterans
Today, despite ongoing efforts by the health care community and policymakers to reverse the ugly trend, dozens of combat veterans take their own lives every day, and many of these victims suffered from various trauma-induced conditions including most especially post-traumatic stress disorder or PTSD. The purpose of this paper is to provide a review of the relevant literature concerning the effects of exposure to war on U.S. combat veterans. To this end, a discussion concerning the demographics for this population and the pervasiveness of the problem and an analysis concerning whether particular groups are more vulnerable than others are followed by an examination of factors of the trauma that are most influential in determining the severity of the symptoms. Finally, an assessment of the particular range of reactions to this type of trauma and a discussion concerning what communities and systems could……
References
Beks, T. (2016, April). Walking on eggshells: The lived experience of partners of veterans with PTSD. The Qualitative Report, 21(4), 645-651.
Britvic, D. & Anticevic, V. (2015, May 1). Comorbidities with posttraumatic stress disorder (PTSD) among combat veterans: 15 years postwar analysis. International Journal of Clinical and Health Psychology, 15(2), 81-85.
Howley, E. K. (2019, June 28). Statistics on PTSD in veterans. US News & World Report. Retrieved from https://health.usnews.com/conditions/mental-health/ptsd/articles/ptsd-veterans-statistics.
Pressley, J. & Spinazzola, J. (2015, Spring). Beyond survival: Application of a complex trauma treatment model in the Christian context. Journal of Psychology and Theology, 43(1), 8-12.
Sloan, D. M. & Bovin, M. J. (2012, May). Review of group treatment for PTSD. Journal of Rehabilitation Research & Development, 49(5), 689-695.
Vet Centers. (2019). Department of Veterans Affairs. Retrieved from https://www. vetcenter.va.gov/index.asp?from=explore.va.gov.
Study Document
...Obamacare Critique
The article by Lynch et al. (2019) is entitled “Randomized Trial of a Lifestyle Intervention for Urban Low-Income African Americans with Type 2 Diabetes” and appeared in JGIM: Journal of General Internal Medicine. The article by Protheroe et al. (2016) is entitled “The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial” and appeared in Journal of Diabetes Research. This paper will critique the two articles by evaluating information pertaining to their titles, abstracts, introductions, background sections and the authors’ discussion of their respective studies’ significance. Information pertaining to the studies’ statement of problem, research questions or hypotheses, literature review, theoretical framework, ethical considerations and research design will be evaluated as well. The criteria used to critique the articles come from that provided by Polit and Beck (2017).
Title
According to Polit and Beck’s (2017) criteria……
References
Lynch, E. B., Mack, L., Avery, E., Wang, Y., Dawar, R., Richardson, D., … Fogelfeld, L. (2019). Randomized Trial of a Lifestyle Intervention for Urban Low-Income African Americans with Type 2 Diabetes. JGIM: Journal of General Internal Medicine, 34(7), 1174–1183. https://doi-org.ezproxy.loyno.edu/10.1007/s11606-019-04894-y
Protheroe, J., Rathod, T., Bartlam, B., Rowlands, G., Richardson, G., & Reeves, D. (2016). The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial. Journal of Diabetes Research, 1–11. https://doi.org/10.1155/2016/6903245
Study Document
...Obamacare Professional leadership Journal – Value Systems
The art and science of leading people in an effective manner is an increasingly challenging process though it is a great opportunity and serious responsibility (Nahavandi, 2014). Leadership plays a crucial role in the success and effectiveness of any organization including those in the public health sector. Leaders influence the success and effectiveness of an organization through their roles in maintain order and focus and promoting the accomplishment of tasks. However, in light of the complexities associated with the art of leadership, it is increasingly important for leaders to adopt suitable styles and approaches that enhance their effectiveness in an organization. In light of the insights obtained from this course, an individual’s personal values play an important role in leadership.
Values are defined as enduring beliefs that an individual possess that in turn influences his/her code of conduct. Value systems not only shape an……
Reference
Nahavandi, A. (2014). The art and science of leadership (7th ed.). Upper Saddle River, NJ: Pearson.
Study Document
...Obamacare Middle Adulthood (Age 45-60)
Adult’s FIRST name: Claire Age: 54 Gender: Female
Marital Status: Married Children (number, ages): 3 children, 29, 25, 20
Others present during the interview: N/A
Time/place of interview: Claire’s residence, 12:00 pm
1. PHYSICAL CHANGES.
What changes have you noticed occurring in your body in comparison to your teens and twenties?
My ability to run fast has considerably reduced. I spent the better part of my teen years playing tennis. 6 a.m. would daily find me on the tennis court. I now strive to relive those days by strolling in the neighborhood right after I wake up. This routine relaxes me and lights up the rest of the day. I can still see properly as I used to when I was still in my twenties. I, however, wonder how I manage to become heavier with all the morning walks. I suspect it is the effects of……
Study Document
...Obamacare Overview of Africa’s Post-Conflict History
Historical Formal Institutions
Colonial legacies persist in Africa in spite of a post-colonial era (Austin, 2010). These legacies have continued in post-conflict Africa’s history. In Africa, there has been no real unifying factor bringing individuals together, primarily because of the communal aspect of society throughout the continent. Community exists and can be found everywhere in Africa. Structural, dramaturgic and institutional factors in formal institutionalization in Africa of health care has come about as a result of investment, development, and political stability (Ratcliffe, 2013). The relationship among cultural traditions, laws of society, and the symbolic boundaries have served to create the structural meanings behind formal institutions; the expressive dimension, communicative properties and interaction of these elements have made up the dramaturgic, and the actors and organizations themselves have manifested the institutional. An example of this can be seen in Nigeria.
Structurally, dramaturgically and institutionally, Africa has……
References
Afro-centric Alliance, A. (2001). Indigenisingorganizational change: Localisation in Tanzania and Malawi. Journal of Managerial Psychology, 16(1), 59-78.
Asiseh, F., Owusu, A., & Quaicoe, O. (2017). An analysis of family dynamics on high school adolescent risky behaviors in Ghana. Journal of Child & Adolescent Substance Abuse, 26(5), 425-431.
Austin, G. (2010). African economic development and colonial legacies (Vol. 1, No. 1, pp. 11-32). Institut de hautes études internationales et du développement.
Brager, G., Specht, H., Torczyner, J. L., &Torczyner, J. (1987). Community organizing. Columbia University Press.
Bratton, M., & Van de Walle, N. (1997). Democratic experiments in Africa: Regime transitions in comparative perspective. Cambridge university press.
Burnham, G. M., Pariyo, G., Galiwango, E., & Wabwire-Mangen, F. (2004). Discontinuation of cost sharing in Uganda. Bulletin of the World Health Organization, 82, 187-195.
Dillard, C., Duncan, K. L., & Johnson, L. (2017). Black History Full Circle: Lessons from a Ghana Study Abroad in Education Program. Social Education, 81(1), 50-53.
Ehui, S. (2020). Protecting food security in Africa. Retrieved from https://www.brookings.edu/blog/africa-in-focus/2020/05/14/protecting-food-security-in-africa-during-covid-19/
Study Document
...Obamacare Background: Why Teach Sexual Education?
With about half of all high school students admitting to have already had sex, and only 60% of those students claiming they used a condom, sexual education can be considered a public health imperative (National Conference of State Legislatures, 2019). Unwanted pregnancy and sexually transmitted diseases are the most important health-related reasons to teach sexual education in public schools. Research has shown that “when sex education is comprehensive, students feel more informed, make safer choices and have healthier outcomes — resulting in fewer unplanned pregnancies and more protection against sexually transmitted diseases and infection,” (“America’s Sex Education: How We Are Failing Our Students,” 2017, p. 1). Children will seek out and find information related to sex outside the classroom, such as on the Internet, opening them up to potentially poor sources of information. Compounding the problem is that only 13 states currently require sexual education……
References
Abbott, K., Ellis, S. J., & Abbott, R. (2016). “We”ve got a lack of family values’: an examination of how teachers formulate and justify their approach to teaching sex and relationships education. Sex Education, 16(6), 678–691. doi:10.1080/14681811.2016.1169398
“America’s Sex Education: How We Are Failing Our Students,” (2017). USC Department of Nursing. Retrieved from https://nursing.usc.edu/blog/americas-sex-education/
Bauman, S.D. (2018). When sex ed pretends to be secular. Senior Independent Study Theses. Paper 8059. Retrieved from https://openworks.wooster.edu/independentstudy/8059
Kirby, D. B. (2008). The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sexuality Research and Social Policy, 5(3), 18-27
Lepore, J. (2015). The facts of life. 94 Foreign Aff. 144 (2015).
National Conference of State Legislatures (2019). State policies on sex education in schools. Retrieved from http://www.ncsl.org/research/health/state-policies-on-sex-education-in-schools.aspx
Pardini, P. (2019). The history of sexuality education. Rethinking Schools. Retrieved from http://rethinkingschools.aidcvt.com/sex/sexhisto.shtml
Planned Parenthood (2019). What is sex education? Retrieved from https://www.plannedparenthood.org/learn/for-educators/what-sex-education
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