Respond on two different days who selected different treatments and factors than you, in the following ways:
Offer alternative common treatments for the disorders.
Share insight on how the factor you selected impacts the treatment of alterations of digestive function.
Main Post
Many patients will present with disease processes that have the same or similar symptoms, and it will be the responsibility of the practitioner to diagnose and provide treatment accurately. The gastrointestinal tract is one area where misdiagnoses occur due to the common signs and symptoms. Inflammatory bowel disease and irritable bowel syndrome are two common misdiagnosed disorders that will be explored, the pathophysiology explained, proper treatment, and the effects gender has on these diseases.
Pathophysiology of Inflammatory Bowel Disease and Irritable Bowel Syndrome
Inflammatory bowel disease (IBD) comprises three key disorders; Crohn’s disease (CD), ulcerative colitis (UC), and microscopic colitis all attributed to an inflammation process but each affects the body differently. Research by El-Salhy and Hausken (2016) explains that the inflammation in Crohn’s disease is transmural in nature and occurs in any part of the gastrointestinal tract, while the inflammation in ulcerative colitis is more superficial and affects the rectocolonic mucosa, and the inflammation in microscopic manifests as mucosal and submucosal infiltration of immune cells without ulcerations or crypt abscesses and occurs in the colon.
Irritable bowel syndrome (IBS) is a common disease, although the pathophysiology is still not fully understood. Combination of low-grade mucosal inflammation with visceral hypersensitivity and impaired bowel motility could be the underlying etiology for IBS pathogenesis (Chong et al., 2019). Alterations in the gut microbiota and dietary choices play a central role in disease development. According to O’Malley (2019), IBS is complex multifactorial pathophysiology, that involves dysfunction of the bi-directional signaling axis between the brain and the gut, this axis incorporates efferent and afferent branches of the autonomic nervous system, circulating endocrine hormones and immune factors, local paracrine and neurocrine factors and microbial metabolites.
Treatments for Inflammatory Bowel Disease and Irritable Bowel Syndrome
Treatment for IBS and IBD focuses on treating not only the symptoms but the underlying cause of the disease. Treatment for IBS includes; dietary interventions, probiotics, prebiotics, synbiotics, non-absorbable antibiotics, mixed μ-opioid receptor agonist–δ-opioid receptor antagonist and κ-opioid receptor agonist, Serum-derived bovine immunoglobulin (SBI), and fecal microbiota transplantation (FMT). Treatment for IBD is more complex due to IBD being composed of three different diseases, each requires different treatment plans, but there is some crossover. Corticosteroids, probiotics, immunomodulatory drugs, immunosuppressants, antitumor necrosis factor therapy, anti-interleukin 12/23 antibody drugs, janus kinase (JAK) inhibitor, SMAD 7 inhibitor, and FMT are treatments available for IBD. 5-aminosalicylates (5-ASAs) are the first-line therapy for induction and maintenance of remission in patients with UC (Su et al., 2019). Anti-tumor necrosis factor (TNF) therapy works well on both UC and CD, JAK inhibitor works for UC and not CD, SMAD 7 inhibitor works for CD but not UC.
Gender’s Affect on Inflammatory Bowel Disease and Irritable Bowel Syndrome
Research conducted by Kosako, Akiho, Miwa, Kanazawa, and Fukudo (2018) acknowledges that the higher prevalence of IBS in women compared with men may be associated with sex hormone fluctuations, which reportedly affect IBS symptoms, with symptoms appearing stronger before menstruation. Women may also receive a delay in treatment to both IBD and IBS due to the perceived perception of pain being misdiagnosed by the primary care practitioner.
Conclusion
The gastrointestinal tract has many disorders where the signs and symptoms are the same. It is imperative that the practitioner distinguishes between diseases as the therapies can become complicated. The practitioner must do a comprehensive physical exam, as well as a health history with the patient to determine the path towards diagnosis. Laboratory data and imaging can also play a key role in determining the proper treatment plan and diagnosis. Unsuccessful medical treatment will warrant more invasive procedures in an attempt to visualize the underlying issue.
References
Chong, P. P., Chin, V. K., Looi, C. Y., Wong, W. F., Madhavan, P., & Yong, V. C. (2019). The Microbiome and Irritable Bowel Syndrome–A Review on the Pathophysiology, Current Research and Future Therapy. Frontiers in Microbiology, 10, 1136.. https://doi-org.ezp.waldenulibrary.org/10.3389/fmicb.2019.01136
El-Salhy, M., & Hausken, T. (2016). The role of the neuropeptide Y (NPY) family in the pathophysiology of inflammatory bowel disease (IBD). Neuropeptides, 55, 137–144. https://doi-org.ezp.waldenulibrary.org/10.1016/j.npep.2015.09.005
Kosako, M., Akiho, H., Miwa, H., Kanazawa, M., & Fukudo, S. (2018). Impact of symptoms by gender and age in Japanese subjects with irritable bowel syndrome with constipation (IBS-C): A large population-based internet survey. BioPsychoSocial Medicine, 12(1). https://doi-org.ezp.waldenulibrary.org/10.1186/s13030-018-0131-2
O’Malley, D. (2019). Endocrine regulation of gut function – a role for glucagon‐like peptide‐1 in the pathophysiology of irritable bowel syndrome. Experimental Physiology, 104(1), 3–10. https://doi-org.ezp.waldenulibrary.org/10.1113/EP087443
Su, H.-J., Chiu, Y.-T., Chiu, C.-T., Lin, Y.-C., Wang, C.-Y., Hsieh, J.-Y., & Wei, S.-C. (2019). Inflammatory bowel disease and its treatment in 2018: Global and Taiwanese status updates. Journal of the Formosan Medical Association, 118(7), 1083–1092. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jfma.2018.07.005Many patients will present with disease processes that have the same or similar symptoms, and it will be the responsibility of the practitioner to diagnose and provide treatment accurately. The gastrointestinal tract is one area where misdiagnoses occur due to the common signs and symptoms. Inflammatory bowel disease and irritable bowel syndrome are two common misdiagnosed disorders that will be explored, the pathophysiology explained, proper treatment, and the effects gender has on these diseases.
Pathophysiology of Inflammatory Bowel Disease and Irritable Bowel Syndrome
Inflammatory bowel disease (IBD) comprises three key disorders; Crohn’s disease (CD), ulcerative colitis (UC), and microscopic colitis all attributed to an inflammation process but each affects the body differently. Research by El-Salhy and Hausken (2016) explains that the inflammation in Crohn’s disease is transmural in nature and occurs in any part of the gastrointestinal tract, while the inflammation in ulcerative colitis is more superficial and affects the rectocolonic mucosa, and the inflammation in microscopic manifests as mucosal and submucosal infiltration of immune cells without ulcerations or crypt abscesses and occurs in the colon.
Irritable bowel syndrome (IBS) is a common disease, although the pathophysiology is still not fully understood. Combination of low-grade mucosal inflammation with visceral hypersensitivity and impaired bowel motility could be the underlying etiology for IBS pathogenesis (Chong et al., 2019). Alterations in the gut microbiota and dietary choices play a central role in disease development. According to O’Malley (2019), IBS is complex multifactorial pathophysiology, that involves dysfunction of the bi-directional signaling axis between the brain and the gut, this axis incorporates efferent and afferent branches of the autonomic nervous system, circulating endocrine hormones and immune factors, local paracrine and neurocrine factors and microbial metabolites.
Treatments for Inflammatory Bowel Disease and Irritable Bowel Syndrome
Treatment for IBS and IBD focuses on treating not only the symptoms but the underlying cause of the disease. Treatment for IBS includes; dietary interventions, probiotics, prebiotics, synbiotics, non-absorbable antibiotics, mixed μ-opioid receptor agonist–δ-opioid receptor antagonist and κ-opioid receptor agonist, Serum-derived bovine immunoglobulin (SBI), and fecal microbiota transplantation (FMT). Treatment for IBD is more complex due to IBD being composed of three different diseases, each requires different treatment plans, but there is some crossover. Corticosteroids, probiotics, immunomodulatory drugs, immunosuppressants, antitumor necrosis factor therapy, anti-interleukin 12/23 antibody drugs, janus kinase (JAK) inhibitor, SMAD 7 inhibitor, and FMT are treatments available for IBD. 5-aminosalicylates (5-ASAs) are the first-line therapy for induction and maintenance of remission in patients with UC (Su et al., 2019). Anti-tumor necrosis factor (TNF) therapy works well on both UC and CD, JAK inhibitor works for UC and not CD, SMAD 7 inhibitor works for CD but not UC.
Gender’s Affect on Inflammatory Bowel Disease and Irritable Bowel Syndrome
Research conducted by Kosako, Akiho, Miwa, Kanazawa, and Fukudo (2018) acknowledges that the higher prevalence of IBS in women compared with men may be associated with sex hormone fluctuations, which reportedly affect IBS symptoms, with symptoms appearing stronger before menstruation. Women may also receive a delay in treatment to both IBD and IBS due to the perceived perception of pain being misdiagnosed by the primary care practitioner.
Conclusion
The gastrointestinal tract has many disorders where the signs and symptoms are the same. It is imperative that the practitioner distinguishes between diseases as the therapies can become complicated. The practitioner must do a comprehensive physical exam, as well as a health history with the patient to determine the path towards diagnosis. Laboratory data and imaging can also play a key role in determining the proper treatment plan and diagnosis. Unsuccessful medical treatment will warrant more invasive procedures in an attempt to visualize the underlying issue.
Managing and Leading Change in a Health Organization
UncategorizedCourse Outcome
HS450-2: Demonstrate how effective team building optimizes the implementation of strategic
planning.
Unit Outcomes
Differentiate among the different types of teams and task groups and their uses in health care
organizations.
Understand the factors associated with high-performing teams.
Define the communication process and what constitutes effective communication.
Instructions
You are the administrator of a clinic with 50 employees. You have been tasked with facilitating
discussion with other health professionals in your clinic to select a new EHR system, which will be
implemented across the organization. Please complete the assignment as indicated in the instructions
below.
Part 1
Competency Assessed
Build effective teams.
Instructions
Construct a plan to build 1-2 effective teams to collaborate in selecting a new EHR system for the clinic.
Identify the professional roles that should be represented on your team(s). You should be prepared for
possible disagreements regarding priorities and processes, so your plan must include at least three (3)
team/consensus building methods.
Part 2
Competency Assessed
Interpret concepts of change management theories, techniques and leadership.
Instructions
Evaluate the concepts of change management theories, techniques, and leadership by assessing
typical challenges seen with implementing a new EHR system across an organization. Your evaluation
should demonstrate that you have considered how a transition to EHR would result in the need to plan
for change management interventions. Provide two (2) examples of challenges arising from EHR
adoption and detail the change management theories that you would enact to overcome resistance to
change.
Part 3
Competency Assessed
Implement a departmental strategic plan.
Instructions
Demonstrate implementation of a departmental strategic plan by detailing at least two (2) areas of risk
exposure mitigation, organizational or process re-design, training, or communication strategy, as they
relate to EHR implementation.
Part 4
Competency Assessed
Evaluate the stages of the procurement process.
Instructions
Demonstrate understanding of the purpose of the procurement process. What are the purposes of the
Request for Proposal (RFP), the Request for Information (RFI) and the Request for Quotation (RFQ)?
Provide detail for when and how to use each to help an HCO more fully identify its needs and the issues
involved with planning for significant projects or purchases.
Assignment Requirements:
● Please complete all parts in a Microsoft Word document.
● The body of your document should be at least 1200 words in length.
● Quoting should be less than 10% of the entire paper. Paraphrasing is necessary.
● Students must cite and reference at least 4 credible sources from the KU Library.
● Please be sure visit the Kaplan Writing Center to assist you with meeting APA expectations for
written Assignments.
>& Finance homework help
UncategorizedAssignment
For this assignment, you will study southern california, and its unique distribution industry. In a three page paper you will address these issues:
Full APA format and bibliography required.
(3 page)
HOW AN INFORMED MANAGER WOULD ASSESS THE CURRENT OVERALL HEALTH OF AN ORGANIZATION AND MAKE DECISIONS REGARDING FUTURE OPPORTUNITIES AND PERFORMANCE.
UncategorizedModule Overview
The real value of a dollar in your hand today is much more than what you will earn after a year. Why is it so? It is the value of time.
Imagine you won a cash prize worth $50,000 and you can choose to receive your payment either now or two years later. Which option would you choose?
Instinctively, you would not want to wait for two years when you can get the same amount now. By receiving the $50,000 now, you will be able to increase its future value (FV) by gaining interest over a period of time if you placed it in an interest-bearing bank account. If you choose to receive the cash prize two years later, the amount will be the same—$50,000.
So how do you calculate how much more the first option is worth as compared to the second option?
In this module, you will learn about the concepts of present value (PV), FV, and compound interest and how you can use these concepts as business valuation tools to make day-to-day investment decisions.
In business, time value of money is one of the most important concepts used to make various financial decisions. This concept becomes critical for you as a manager, especially, if you contemplate raising capital, expanding operations or product offerings, selling a portion or all of the business, or merging with other organizations. Understanding time value of money will help you assign value to all aspects of your business operations, and recognize the level of risk and the expected return.
Module Readings:
Complete the following readings early in the module:
Module 3 overview
From your course textbook, Managerial economics: Economic tools for today’s decision makers, read the following chapters:
Capital Budgeting and Risk
Assigned Reading:
From the Argosy University online library resources, read:
Lawler, E. E., III, & Toole, E. (Eds.). America at work: Choices and challenges. Gordonsville, VA: Palgrave Macmillan. Retrieved from http://site.ebrary.com.libproxy.edmc.edu/lib/argosy/docDetail.action?docID=10150440
McGrath, R. G., & MacMillan, I. C. (2009). How to rethink your business during uncertainty. MIT Sloan Management Review, 50(3), 25–30. (ProQuest Document ID: 224971863) http://search.proquest.com.libproxy.edmc.edu/docview/224971863?accountid=34899
Assignment: Required Assignment 1—Organizational Assessment
Instructions:
As a manager, you have to continually evaluate the organization and its strategy and consistently adapt the business model to ensure that the overall business plan is one step ahead of the competition.
In this assignment, you will get an opportunity to learn, from actual experiences, how an informed manager would assess the current overall health of an organization and make decisions regarding future opportunities and performance.
Tasks:
Select an industry relevant to your career. If you lack work experience, you can base your selection on real-life market situations or business areas that you may have knowledge about. You can also consult sources such as the Wall Street Journal, Financial Times, Bloomberg Markets, the Economist, US News and World Report, and the Argosy University online library resources.
Research the growth opportunities in the industry, competitive strategies that were employed, typical customers, and other relevant information related to the industry. Specific opportunities will differ depending on the industry selected, but be sure to consider current economic events and news relating to the industry that may influence the future direction of your industry.
Within this industry, select a midrange-performing company that provides goods or services. Then, address the following:
Analyze why this company maintains the level of success it does from an economic and financial perspective. Develop at least two visual aids (e.g., charts, graphs, or tables) to support your argument.
Evaluate whether the company’s pricing and positioning decisions contribute to or hinder that success.
Evaluate whether the strategy currently used by your industry, as discussed in previous sections, appears to be sustainable over time.
Create a 4- to 5-page research paper. At the end your paper, include a reference page and cite scholarly sources in APA style.
Turned-in on time, Grading criteria followed All assignment qualifications addressed correctly, Grading Criteria followed, Include Question followed by the answer Reference Page Included Cover page Included, Paragraphs Indented, Running-head included, main heading should be centered; all new paragraphs should be indented; paper should be right ragged, not right justified; references, should always go on a standalone page. abstracts are not usually indented; acronyms should be spelled out when using them for the first time, for example HR. references as listed are APA standard. When you submit your papers through turnitin.com, your overall similarity index score should not be exceedingly high, with ten to fifteen percent being the maximum, Please make sure your APA formatting of citations. I have provided the APA resource cite for you. https://owl.english.purdue.edu/owl/resource/560/01, Please work on using literature within the span of the last 5 years, keep in mind there should not be any one, two, or three sentence paragraphs
Your response should be thorough and address all components of the discussion question in detail, include citations of all sources, where needed, according to the APA Style, and demonstrate accurate spelling, grammar, and punctuation
Submission Details:
By Monday October 29,2018, save your paper and submit your document to the Submissions Area.
This assignment is worth 200 points.
Assignment: Required Assignment 1—Organizational Assessment Grading Criteria & Maximum Points
The assignment showed in-depth research into the growth opportunities in the industry, competitive strategies that were employed, typical customers, and other relevant information related to the industry. 16pts.
Selected a midrange-performing company that provides goods or services within the industry. 16pts.
Analyzed why this company maintains the level of success it does from an economic and financial perspective, and developed two visual aids to support your argument. 68pts.
Evaluated whether the company’s pricing and positioning decisions contribute to or hinder that success. 60pts.
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; displayed accurate spelling, grammar, and punctuation. 40pts.
Theoretical Models.
Nursing HomeworksPortfolio Development
As you assemble your assignments into your ePortfolio, consider how the various aspects of human services professional standards lead to results in the field. With the pace of daily work and expectations in all aspects of our lives, this may not be a topic to which you normally devote a great deal of time.
For this assignment, step back and take a higher-level viewpoint. Write a synthesis of what you have learned about each of the areas in your portfolio (listed below) and include the synthesis in that category of your ePortfolio. Include in each synthesis a description of how the work in your portfolio supports what you have learned in each area. Each synthesis should require 1–2 pages to complete so that the overall length of this paper could be as brief as five pages or as long as ten pages.
Once you have created a draft, select the synthesis you wrote for one aspect and take advantage of the first discussion in this unit to obtain peer feedback. You can then use the feedback to enhance your assignment before submitting it to your instructor.
As a reminder, here are the expected categories for your ePortfolio:
Submit a document that includes all five of your syntheses in the assignment area by the end of this unit.
Paste the link to your ePortfolio in the WRITE SUBMISSION text box in the assignment submission area for your instructor.
Requirements
Bio 111 Lecture Research Paper
Nursing HomeworksRESEARCH PAPER GRADING RUBRIC
Bio 111 Lecture Research Paper Rubric (Total 40 points)
This is the grading rubric used by the instructor for your research paper. Read this ahead of time to understand what is needed for your paper and the points that will be awarded for each area of the paper.
TO DO: 1. Learn how to use ‘end notes’ in a Word document to create your reference page (work cited). 2. Learn APA format for references.
· title page
· introduction
Introduction very weak
Introduction is written fair
Introduction is written well
Exceptional Introduction – captures readers attention
Points Awarded: ___________
· structure/organization
· flow
· Use of subheadings
· No flow or no logical organization
· Too much information in one paragraph, needs to be separated into more paragraphs
· Repeated information is in paper
· Occasional repeat of information, some not needed
· The ideas are arranged logically, although occasional ideas fail to make sense together. The reader is fairly clear about what the writer intends.
· No repeated information unless absolutely necessary.
· The ideas are arranged logically to support the topic. The ideas usually flow easily, for the most part the reader can follow the line of reasoning.
Points Awarded: ___________
The next 4 areas are used for content. Total content (all 4 areas added together) is worth 50% (20 points)
· Very basic coverage of system
· Demonstrates an acceptable understanding of system
· Reader gains some insights
· demonstrates a great understanding of system
· reader gains important insights
Points Awarded: ___________
· Very basic coverage
· Demonstrates an acceptable understanding
· Reader gains some insights
· demonstrates a great understanding; very thorough coverage
· reader gains important insights
Points Awarded: ___________
· Very basic coverage
· Demonstrates an acceptable understanding
· Reader gains some insights
· demonstrates a great understanding; very thorough coverage
· reader gains important insights
Points Awarded: ___________
Give a Very Brief description or statements only.
· Very basic coverage
· Demonstrates an acceptable understanding
· Reader gains some insights
· demonstrates a great understanding; very thorough coverage
· reader gains important insights
Points Awarded: ___________
· Frequent grammatical errors
· Grammatical errors (average 1 per page)
· Infrequent grammatical errors
Points Awarded: ___________
Points Awarded: ___________
· Quality of Resources
· Works cited
· Paraphrasing in text
· Quotations in text
· Sources used are not reliable or current
· Paraphrasing or quotations not used when necessary
· 2 – 3 reliable and current sources used
· Credit given to authors about ½ of the time
· 4 – 5 reliable and current sources used (one must be conventional)
· Credit given to authors most of the time
· 6 reliable sources used (2 are conventional and 4 are internet).
· All sources are current and cited correctly
· In text citing is excellent
Points Awarded: ___________
Reductions: Students will lose the points listed below for not following directions:
Paper will be given zero score and rejected if paper is plagiarized, no matter if properly cited.
Late Submission of Paper – loss of 2 points per day late regardless of reasons
2 points for each page over or under the correct amount
2 points for not using proper font or spacing
2 points for not using correct margin size
Total Points:
Point Reduction: ___________
Final Score: ___________/40 points
Bio 203 Lecture Research Paper
Rubric / Aug. 2016
The Gastrointestinal
UncategorizedRespond on two different days who selected different treatments and factors than you, in the following ways:
Offer alternative common treatments for the disorders.
Share insight on how the factor you selected impacts the treatment of alterations of digestive function.
Main Post
Many patients will present with disease processes that have the same or similar symptoms, and it will be the responsibility of the practitioner to diagnose and provide treatment accurately. The gastrointestinal tract is one area where misdiagnoses occur due to the common signs and symptoms. Inflammatory bowel disease and irritable bowel syndrome are two common misdiagnosed disorders that will be explored, the pathophysiology explained, proper treatment, and the effects gender has on these diseases.
Pathophysiology of Inflammatory Bowel Disease and Irritable Bowel Syndrome
Inflammatory bowel disease (IBD) comprises three key disorders; Crohn’s disease (CD), ulcerative colitis (UC), and microscopic colitis all attributed to an inflammation process but each affects the body differently. Research by El-Salhy and Hausken (2016) explains that the inflammation in Crohn’s disease is transmural in nature and occurs in any part of the gastrointestinal tract, while the inflammation in ulcerative colitis is more superficial and affects the rectocolonic mucosa, and the inflammation in microscopic manifests as mucosal and submucosal infiltration of immune cells without ulcerations or crypt abscesses and occurs in the colon.
Irritable bowel syndrome (IBS) is a common disease, although the pathophysiology is still not fully understood. Combination of low-grade mucosal inflammation with visceral hypersensitivity and impaired bowel motility could be the underlying etiology for IBS pathogenesis (Chong et al., 2019). Alterations in the gut microbiota and dietary choices play a central role in disease development. According to O’Malley (2019), IBS is complex multifactorial pathophysiology, that involves dysfunction of the bi-directional signaling axis between the brain and the gut, this axis incorporates efferent and afferent branches of the autonomic nervous system, circulating endocrine hormones and immune factors, local paracrine and neurocrine factors and microbial metabolites.
Treatments for Inflammatory Bowel Disease and Irritable Bowel Syndrome
Treatment for IBS and IBD focuses on treating not only the symptoms but the underlying cause of the disease. Treatment for IBS includes; dietary interventions, probiotics, prebiotics, synbiotics, non-absorbable antibiotics, mixed μ-opioid receptor agonist–δ-opioid receptor antagonist and κ-opioid receptor agonist, Serum-derived bovine immunoglobulin (SBI), and fecal microbiota transplantation (FMT). Treatment for IBD is more complex due to IBD being composed of three different diseases, each requires different treatment plans, but there is some crossover. Corticosteroids, probiotics, immunomodulatory drugs, immunosuppressants, antitumor necrosis factor therapy, anti-interleukin 12/23 antibody drugs, janus kinase (JAK) inhibitor, SMAD 7 inhibitor, and FMT are treatments available for IBD. 5-aminosalicylates (5-ASAs) are the first-line therapy for induction and maintenance of remission in patients with UC (Su et al., 2019). Anti-tumor necrosis factor (TNF) therapy works well on both UC and CD, JAK inhibitor works for UC and not CD, SMAD 7 inhibitor works for CD but not UC.
Gender’s Affect on Inflammatory Bowel Disease and Irritable Bowel Syndrome
Research conducted by Kosako, Akiho, Miwa, Kanazawa, and Fukudo (2018) acknowledges that the higher prevalence of IBS in women compared with men may be associated with sex hormone fluctuations, which reportedly affect IBS symptoms, with symptoms appearing stronger before menstruation. Women may also receive a delay in treatment to both IBD and IBS due to the perceived perception of pain being misdiagnosed by the primary care practitioner.
Conclusion
The gastrointestinal tract has many disorders where the signs and symptoms are the same. It is imperative that the practitioner distinguishes between diseases as the therapies can become complicated. The practitioner must do a comprehensive physical exam, as well as a health history with the patient to determine the path towards diagnosis. Laboratory data and imaging can also play a key role in determining the proper treatment plan and diagnosis. Unsuccessful medical treatment will warrant more invasive procedures in an attempt to visualize the underlying issue.
References
Chong, P. P., Chin, V. K., Looi, C. Y., Wong, W. F., Madhavan, P., & Yong, V. C. (2019). The Microbiome and Irritable Bowel Syndrome–A Review on the Pathophysiology, Current Research and Future Therapy. Frontiers in Microbiology, 10, 1136.. https://doi-org.ezp.waldenulibrary.org/10.3389/fmicb.2019.01136
El-Salhy, M., & Hausken, T. (2016). The role of the neuropeptide Y (NPY) family in the pathophysiology of inflammatory bowel disease (IBD). Neuropeptides, 55, 137–144. https://doi-org.ezp.waldenulibrary.org/10.1016/j.npep.2015.09.005
Kosako, M., Akiho, H., Miwa, H., Kanazawa, M., & Fukudo, S. (2018). Impact of symptoms by gender and age in Japanese subjects with irritable bowel syndrome with constipation (IBS-C): A large population-based internet survey. BioPsychoSocial Medicine, 12(1). https://doi-org.ezp.waldenulibrary.org/10.1186/s13030-018-0131-2
O’Malley, D. (2019). Endocrine regulation of gut function – a role for glucagon‐like peptide‐1 in the pathophysiology of irritable bowel syndrome. Experimental Physiology, 104(1), 3–10. https://doi-org.ezp.waldenulibrary.org/10.1113/EP087443
Su, H.-J., Chiu, Y.-T., Chiu, C.-T., Lin, Y.-C., Wang, C.-Y., Hsieh, J.-Y., & Wei, S.-C. (2019). Inflammatory bowel disease and its treatment in 2018: Global and Taiwanese status updates. Journal of the Formosan Medical Association, 118(7), 1083–1092. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jfma.2018.07.005Many patients will present with disease processes that have the same or similar symptoms, and it will be the responsibility of the practitioner to diagnose and provide treatment accurately. The gastrointestinal tract is one area where misdiagnoses occur due to the common signs and symptoms. Inflammatory bowel disease and irritable bowel syndrome are two common misdiagnosed disorders that will be explored, the pathophysiology explained, proper treatment, and the effects gender has on these diseases.
Pathophysiology of Inflammatory Bowel Disease and Irritable Bowel Syndrome
Inflammatory bowel disease (IBD) comprises three key disorders; Crohn’s disease (CD), ulcerative colitis (UC), and microscopic colitis all attributed to an inflammation process but each affects the body differently. Research by El-Salhy and Hausken (2016) explains that the inflammation in Crohn’s disease is transmural in nature and occurs in any part of the gastrointestinal tract, while the inflammation in ulcerative colitis is more superficial and affects the rectocolonic mucosa, and the inflammation in microscopic manifests as mucosal and submucosal infiltration of immune cells without ulcerations or crypt abscesses and occurs in the colon.
Irritable bowel syndrome (IBS) is a common disease, although the pathophysiology is still not fully understood. Combination of low-grade mucosal inflammation with visceral hypersensitivity and impaired bowel motility could be the underlying etiology for IBS pathogenesis (Chong et al., 2019). Alterations in the gut microbiota and dietary choices play a central role in disease development. According to O’Malley (2019), IBS is complex multifactorial pathophysiology, that involves dysfunction of the bi-directional signaling axis between the brain and the gut, this axis incorporates efferent and afferent branches of the autonomic nervous system, circulating endocrine hormones and immune factors, local paracrine and neurocrine factors and microbial metabolites.
Treatments for Inflammatory Bowel Disease and Irritable Bowel Syndrome
Treatment for IBS and IBD focuses on treating not only the symptoms but the underlying cause of the disease. Treatment for IBS includes; dietary interventions, probiotics, prebiotics, synbiotics, non-absorbable antibiotics, mixed μ-opioid receptor agonist–δ-opioid receptor antagonist and κ-opioid receptor agonist, Serum-derived bovine immunoglobulin (SBI), and fecal microbiota transplantation (FMT). Treatment for IBD is more complex due to IBD being composed of three different diseases, each requires different treatment plans, but there is some crossover. Corticosteroids, probiotics, immunomodulatory drugs, immunosuppressants, antitumor necrosis factor therapy, anti-interleukin 12/23 antibody drugs, janus kinase (JAK) inhibitor, SMAD 7 inhibitor, and FMT are treatments available for IBD. 5-aminosalicylates (5-ASAs) are the first-line therapy for induction and maintenance of remission in patients with UC (Su et al., 2019). Anti-tumor necrosis factor (TNF) therapy works well on both UC and CD, JAK inhibitor works for UC and not CD, SMAD 7 inhibitor works for CD but not UC.
Gender’s Affect on Inflammatory Bowel Disease and Irritable Bowel Syndrome
Research conducted by Kosako, Akiho, Miwa, Kanazawa, and Fukudo (2018) acknowledges that the higher prevalence of IBS in women compared with men may be associated with sex hormone fluctuations, which reportedly affect IBS symptoms, with symptoms appearing stronger before menstruation. Women may also receive a delay in treatment to both IBD and IBS due to the perceived perception of pain being misdiagnosed by the primary care practitioner.
Conclusion
The gastrointestinal tract has many disorders where the signs and symptoms are the same. It is imperative that the practitioner distinguishes between diseases as the therapies can become complicated. The practitioner must do a comprehensive physical exam, as well as a health history with the patient to determine the path towards diagnosis. Laboratory data and imaging can also play a key role in determining the proper treatment plan and diagnosis. Unsuccessful medical treatment will warrant more invasive procedures in an attempt to visualize the underlying issue.
A 25-year-old Asian American man arrives at the emergency department in a panic.
Uncategorized1. A 25-year-old Asian American man arrives at the emergency department in a panic. Except for a bout with bronchitis a week earlier, he has been healthy his entire life; today he has blood in his urine. What is the most likely cause of his hematuria and how should it be treated? (Points : 0.4) His Goodpasture syndrome should be treated with plasmapheresis and immunosuppressive therapy. His membranous glomerulonephritis should be treated with corticosteroids. His immunoglobulin A (IgA) nephropathy has no known effective treatments. His Kimmelstiel-Wilson syndrome should be treated with control of high blood pressure and smoking cessation.
Psychology homework help
UncategorizedAssignment:
1) Using Google Scholar, find and read this article.
Harriger, J. A., Serier, K. N., Luedke, M., Robertson, S., & Bojorquez, A. (2018). Appearance-related themes in children’s animated movies released between 2004 and 2016: A content analysis. Body image, 26, 78-82.
2) Summarize the article, using correct APA citation. Make sure to include 2-3 sentences on how the authors used content analysis to code their data.
3) Using the Related Articles and Cited by options on the Google Scholar entry for the Harriger et al. (2018) that you just read, find one additional article that uses content analysis to code the features of children’s movies, TV, or other media. Provide an APA style reference for that article.
4) As of August 25, 2020, the Harriger et al. (2018) article had only been cited by 7 other authors. Give at least two possible explanations as to why more scientists had not cited this work (Clue: Look at the scientists who HAVE cited this article for a possible explanation).
Assignment:
1)
Using Google Scholar, find and read this article.
Harriger, J. A., Serier, K. N., Luedke, M., Robertson, S., & Bojorquez, A. (2018). Appearance
–
related
themes in children’s animated movies release
d between 2004 and 2016: A content analysis. Body image,
26, 78
–
82.
2) Summarize the article, using correct APA citation. Make sure to include 2
–
3
sentences on how the
authors used content analysis to code their data.
3) Using the Related Articles and Cited by options on the Google Scholar entry for the Harriger et al.
(2018) that you just read, find one additional article that uses content analys
is to code the features of
children’s movies, TV, or other media. Provide an APA style reference for that article.
4) As of
August 25, 2020,
the
Harriger et al. (2018) article had only be
en
cited by 7 other authors. Give
at
least two possible explanations as to why more scientists
had not
cited this work (Clue: Look at the
scientists who HAVE cited this article for a possible explanation).
Assignment:
1) Using Google Scholar, find and read this article.
Harriger, J. A., Serier, K. N., Luedke, M., Robertson, S., & Bojorquez, A. (2018). Appearance-related
themes in children’s animated movies released between 2004 and 2016: A content analysis. Body image,
26, 78-82.
2) Summarize the article, using correct APA citation. Make sure to include 2-3 sentences on how the
authors used content analysis to code their data.
3) Using the Related Articles and Cited by options on the Google Scholar entry for the Harriger et al.
(2018) that you just read, find one additional article that uses content analysis to code the features of
children’s movies, TV, or other media. Provide an APA style reference for that article.
4) As of August 25, 2020, the Harriger et al. (2018) article had only been cited by 7 other authors. Give
at least two possible explanations as to why more scientists had not cited this work (Clue: Look at the
scientists who HAVE cited this article for a possible explanation).
Write 3–4 pages in which you describe the cognitive and psychosocial development stages and apply theories of child development to explain how play promotes healthy development.
UncategorizedWrite 3–4 pages in which you describe the cognitive and psychosocial development stages and apply theories of child development to explain how play promotes healthy development. Required Resources The following resources are required to complete the assessment. CAPELLA RESOURCES Click the link provided to view the following resource: Children at Play – DVarchive Video Clips. Stages and Types of Play. Assessment Instructions Note: Learners needing academic accommodations for this activity should contact Disability Services. To prepare for this assessment, watch the Children at Play – DVarchive Video Clips linked in Resources under the Required Resources heading. Choose two clips from the list to use for this assessment. You will also want to refer to the Stages and Types of Play document, also linked in the Resources under the Required Resources heading. For each video clip, complete the following: Based on your observations, determine both the stage and the type of play demonstrated. Describe the cognitive development stages of the children. Describe the psychosocial development stages of the children. Apply one or more theories of child development (Piaget, Erikson, Vygotsky, or other) to explain how the type of play demonstrated in the clip promotes successful development in the stage you identified. Additional Requirements Written communication: Your writing should be free of errors that detract from the overall message and is consistent with expectations for members of the psychological professions. APA formatting: Format resources and citations APA style. Resources: Minimum of 2 scholarly or professional resources. Note: Popular resources such as Wikipedia or About.com are not considered to be appropriate. Length: 3–4 typed, double-spaced pages not including title page and reference page.
Anxiety Level
UncategorizedWrite a critique. In my own words give a brief summary of research. Explain why I agree or disagree with the researcher’s research methods. what alternative would I use/ propose and why? Do I agree with the researcher’s data collection and analysis method why or why not? Do I agree with that they support the findings? would I agree with the effectiveness of the study? Evaluate the report for effectiveness in presenting the author’s research. Suggest specific follow-on research that can build upon the findings in the report/dissertation.