...For CGN, after signing the agreement, the biggest challenge is the high possibility of delays and cost overruns during the construction stage caused by technology challenges and risks from its partner EDF. As we mentioned before, The Hinkley Point C and Sizewell C plants will be based on EPR reactor technology, while the new plant at Bradwell will use CGN’s Hualong One Creator design. The EPR and Hualong one design are Third Generation reactors and they are designed to be safer, more powerful and more efficient than earlier versions. It's also meant to be easier to build. But so far the reality has been the opposite. Both of them are Third Generation reactors which are new technologies and do not have a successful example across the world. Wherever the new EPR is being installed - in Finland, France and China - the projects are beset by delays and massive increases in price. The first two EPR plants in Finland and France are both facing costly construction delays (to at least 2018). Other two units in China were to start operation in 2014 and 2015, but are now expected to come online in 2017. And delay means losing money and additional investment. For CGN, this is the first time to build nuclear power plant in a developed country. Whether this project can be finished successfully has a significant impact on its subsequent plants. Delays and cost overruns will have a negative effect for CGN to expand businesses to other countries. The resignation of such an important figure...
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...unhealthy and each individual’s exposure may not have the same implementation. “The factors that determine or influence whether disease or other unhealthy results occur are called health risk” (Stanhope & Lancaster, 2010, p. 334). This paper discusses the family and the assessment process. The use of the genogram and ecomap will be used to present family data. By reviewing the genogram, biological and age-related risks facing the family will be determined. The ecomap will present the social and environmental risks facing the family. As a final point, an analysis of the genogram and ecomap will be utilized to summarize the family strengths and problems or potential problems. Introduction of the Family and the Assessment Process The J family has the following family members: * Mr. D. J., a 58 year old financial analysis who just recently lost his job, has obesity, hypercholesterol, sleep apnea and borderline hypertension * Mrs. B. S., a 58 year old mother, a full-time Registered Nurse, and going to college part-time, has hypercholesterol and suffers with gastroparesis * R. S., a 32 year old medical assistant, works full-time, is a single mother who lives with her parents D. J. and B. S. for support, presently going to college part-time to become an Registered Nurse, smokes 1 pack per day-cigarettes and has attention deficit disorder (ADD) * P.S., a 10 year son of R. S., who is a full-time student, has asthma and ADD D. J. and B. S. have been married for...
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...Community Teaching Work Plan Proposal Directions: Develop an educational series proposal for your community using one of the following four topics which will be chosen within your CLC group: 1) Bioterrorism/Disaster 2) Environmental Issues 3) Primary Prevention/Health Promotion 4) Secondary Prevention/Screenings for a Vulnerable Population Planning Before Teaching: |Name and Credentials of Teacher: | |Lali Alex, RN, CHN | |Estimated Time Teaching Will Last: |Location of Teaching: | |One Hour |Church auditorium | |Supplies, Material, Equipment Needed: |Estimated Cost: | |Blood pressure machine, hand outs, reading materials, |Approximately $75 | |slides, blood pressure recording chart | | |Community and Target Aggregate: | |Church members, their family...
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...Introduction When a person has a high blood pressure and it is not kept under control by treating it then it increases the chances of having a stroke. Having a high blood pressure is the biggest reason and factor which causes stokes. The 50 percent of strokes that occur are due to some blockage called the ischemic stroke. It also increases the chances of bleeding occurring in the brain which is called the hemorrhagic stroke (Willmot, Leonardi-Bee, & Bath, 2004). Having a high blood pressure puts a lot of pressure and strain on the blood vessels throughout the body which includes the ones which lead to the brain. Due to which, the heart has to work hard in order to make sure that the blood circulation keeps on going. This strain that occurs damages the blood vessels which make them harder and narrower. This condition is called atherosclerosis. This makes it more likely that the blockage will occur which causes a stroke or transient ischaemic attack which is also called the mini stroke (Chobanian et al., 2003). On some very rare instances, the extra strain causes the blood vessels to get weak and burst inside the brain which causes bleeding into the surrounding tissues. This is called as a hemorrhagic stroke. The common symptoms of having a stroke include severe headache, confusion, losing coordination, losing vision, feeling numb or weak. The symptoms depend on the amount of damage which has been done to the brain. A stroke often leads to physical disability. It is possible...
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...this under control by either diet and exercise or medication. Blood Pressure is a very common condition but if not under control it increases the patients risk for heart disease and stroke significantly. High blood pressure is known as the silent killer as it has no warning signs or symptoms so often patients do not even know that they have it and this is very dangerous (CDC, 2015). In the United States and most other societies, there is a strong tendency for Blood Pressure to rise progressively with increasing age; however, epidemiologic studies indicate that age-related increases in BP and the occurrence of hypertension are uncommon in societies whose members live in isolated settings. These findings indicate that high BP is not an inevitable consequence of aging and that prevention of hypertension is a realistic goal (Epidemiology and the Prevention of Hypertension. (n.d.). Epidemiological Rational I live in the Crater District in Southside Virginia and the stats show, Virginia Department of Heath for the Crater District 2010, that Heart Disease hospitalizations age adjusted rate (per 10, 000) are 187.4 for the Crater area vs 98.1 for the State of VA. Heart Disease Deaths are (per 10,000) 135.7 for the Crater area vs 101.7 for the State of VA. Heart Attack...
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...falls the pts family took her back to the hospital with complaints of chest pain and palpitations. Pt was more confused than usual & and was having increased difficulty in gait. Physician suspected pt to have some left-sided weakness greater than left-sided weakness and chest pain. A second CT of the brain turned up normal. VS stable, but pt remains confused, weak, & complains of some dizziness and palpitations. Physician referred pt for admission to nursing home with admitting chief complains: chest pain, palpitations and frequent falls. PRESENT ILLNESS HISTORY: Patient currently has a diagnosis of essential (primary) hypertension, chest pain, palpitations, chronic kidney disease, dementia w/o behavioral disturbances, hyperlipidemia, and anemia. *Give a brief definition/description of each diagnosis. Essential hypertension is another term for high blood pressure. It is a systolic reading that is above 140 or a diastolic reading that is above 90 continuously. 120/90 is a normal blood pressure reading. (Burton & Ludwig. 2015, Pg. 345) Hyperlipidemia is a condition where high levels of fat accumulate in the blood (Hopper & Williams. 2015, pg. 471). Coronary Artery Disease (CAD) is a disease that damages the hearts major blood vessels when fat deposits (plaque) build up in the...
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...WORKSHEET TEN – ALCOHOL – CHP. 8 NAME: Sui Boriang Directions: Look at the Power point presentation on alcohol in the assignment area and answer the questions below. Points will be deducted for missed or incorrect answers. Use a DIFFERENT style or color of print for your answers and save and submit the WS as a .doc or .docx document in the weekly assignment area ONLY! Define substance abuse.:using a substance to the point where it can cause physical damage, impair normal functioning, or results in behavior harmful to others 1. List 3 signs/symptoms of substance abuse. A. Using alone or secretively B. Using deliberately and repeatedly to perform C. Feeling uncomfortable on certain occasions if the substance is not available to use 2. List and explain the 4 reasons why women are at a disadvantage physically when they drink compared to men. A. Unplanned sex, date rape or sexual assault B. Nonconsensual sexual intercourse C. Chance of auto accidents D. The alcohol effect stays in the body system longer than men 3. List and explain the possible reasons for addiction listed below. A. Genetics – 4-5 times more common among the children of alcoholics B. Physiology-Unusual electrical activity in the brain 1. Abnormal levels of brain neurotransmitters such as serotonin 2.Shortage of endorphins 3. Lack of the stomach enzyme dehydrogenase ...
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...S w 9B09A009 SASKTEL Marsha Watson prepared this case under the supervision of Elizabeth M.A. Grasby solely to provide material for class discussion. The authors do not intend to illustrate either effective or ineffective handling of a managerial situation. The authors may have disguised certain names and other identifying information to protect confidentiality. Ivey Management Services prohibits any form of reproduction, storage or transmittal without its written permission. This material is not covered under authorization from CanCopy or any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2009, Ivey Management Services Version: (A) 2009-04-22 It was January 2007. Pat Tulloch, senior director of marketing at SaskTel, was in her Regina, Saskatchewan, office reviewing product information for the LifeStateTM health monitoring system. SaskTel’s executive committee had recently approved a proposal to launch this system into the Canadian marketplace. In preparation for the proposed July 1, 2007, product launch, Tulloch had been given the task of developing a marketing plan, which she would have to present to the executive committee in two weeks’ time. To create this plan, Tulloch...
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...JOURNAL OF WOMEN’S HEALTH Volume 14, Number 8, 2005 © Mary Ann Liebert, Inc. Changes in Health Status Experienced by Women with Gestational Diabetes and Pregnancy-Induced Hypertensive Disorders CATHERINE KIM, M.D., M.P.H..1 PHYLLIS BRAWARSKY, M.P.H.,2 REBECCA A. JACKSON, M.D.,3 ELENA FUENTES-AFFLICK, M.D., M.P.H.,4 and JENNIFER S. HAAS, M.D., M.S.P.H.2 ABSTRACT Objective: To examine changes in health status among women with gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH). Methods: We examined perceived health status changes from the prepregnancy, as recalled at 12–20 weeks gestation, to the postpartum period in women with GDM (n 64) vs. unaffected gravidas (n 1233) and women diagnosed with PIH (n 148) vs. unaffected gravidas. We used patient survey and medical record data from a prospective cohort study. Health status measures included the Short Form-36 scales for physical function, vitality, and self-rated health and the Center for Epidemiologic Studies-Depression Scale (CES-D). Multivariate logistic regression models controlled for age, parity, race, education, prepregnancy body mass index (BMI) and exercise levels, food insufficiency, and GDM or PIH during a prior pregnancy. Results: Women with PIH more often reported a significant decline in vitality (odds ratio [OR] 1.51, 95% confidence interval [CI] 1.02-2.23) and self-rated health (OR 2.12, 95% CI 1.193.77) and an increase in depressive symptoms from prepregnancy to postpartum compared...
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...of the total population of the United States of America is Hispanic (Centers for Disease Control and Prevention, 2014). This minority group’s health has many factors affecting it, and like the rest of America the top causes of death are cancer and heart disease. Unlike the rest of America though, another leading cause of death is from injuries (CDC, 2014). Socioeconomically, Hispanic men tend to have higher risk jobs than white men, with more chance of injury, and the homicide rate for Hispanic men is three times that of white men (Escarce, Morales & Rumbaut, 2006). The population of new immigrants is usually part of the lower rungs of our socio economic system. Migrating for work, and living in poverty, they have little to no political power and there is often a fear of those in control (Page-Reeves, Niforatos, Mishra, Regino, Gingrich & Bulten, 2013). In 2012, 23% of students in elementary and high school were Hispanic, but less than 7% were college students (CDC, 2014). Education needs to be prioritized in these communities, including health care education. In 2010, one-fifth of all new cases of HIV were Hispanics, which is three times higher than for non-Hispanic cases (CDC, 2014). Access to health care is a much-needed resource. Geographically a health clinic might be too far to travel to, and if a family doesn’t have transportation it is just unavailable. An individual might put off going to see a...
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...oxygen saturation 90 %, tachycardia signify that her body system was trying to compensate for low cardiac output and tissue perfusion by activating renin-angiotensin-aldosterone system and the adrenergic nervous system (Moseley, Klein & Sole, 2013,p. 326-327) Since MR. D has both right-sided and left-sided heart failure, the ICD nurse will assess precipitating factors as well as diagnostic studies. Some precipitating factors are Mrs. D has a history of hypertension, diabetes, and coronary artery disease. She had a myocardial infarction (MI) 3 years ago and her age (68 years) is also a precipitating factor (Moseley, Klein & Sole, 2013, p. 326). 2. Decreased Cardiac Output related to increased preload or afterload, decreased cardiac contractility, dysrhythmias, impaired diastolic function as evidenced by patient has sinus tachycardia with HR 104 bpm, BP 170/94mm Hg, CO2 33mEq/l, low oxygen saturation 90%, RR 28 breaths per min, BNP 656 ng/L, dyspnea on exertion, lower leg edema over the past 3 days, history of MI, hypertension, diabetes, coronary artery disease, positive S3 heart sound heard, Lower extremities have 1+ pitting edema bilaterally up to her mid calves, and crackles halfway up lung fields bilaterally. 3. Based on the priority nursing diagnosis, what interventions (both nursing and medical) should the nurse anticipate? a. Assess rate and quality of apical and peripheral pulses. b. Assess lung sounds c. Assess for presence of S3 AND S4 heart sounds d. Assess for...
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...directly address the potential parasites in this patient’s stool. Discuss one primary reason why this was not addressed in your initial recommendations. (5 marks) 200words Naturopathic remedies contrasts from conventional medical models [Allopathic], Natural medicine prescribes to the philosophies that we must do no harm, treat the whole person, prevent disease, as natural health practitioner - must be a teacher and a role model to our patient, support the body, treat the origin of disease, that been the therapeutic Order. The therapeutic order governs the method of therapy by a natural health practitioner, in other words we must manage treatments that insist on minimum intervention, the body is supported naturally, through the curative power of nature, sustaining the organ system, managing symptoms naturally, establishing a healthy lifestyle foundation, that will combat and eliminate bacterial parasites, and will prevent re-occurrence of the same disease activity. 4. Discuss three aspects of this patient’s health and personal history that have most likely led to the chronic disease state that she is experiencing. (6 marks)...
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...BMS192 Lab Report marking sheet for 201360 Lab Report Marking Criteria Marks awarded Section total Abstract (4 marks) 2 Approx 2 lines introducing the topic (and aims) (1 mark) 1 Approx 2 lines for methods (1 mark) 0.5 Approx 2 lines summarising results (1 mark) 0 Approx 2 lines concluding (1 mark) 0.5 Introduction (11 marks) Note: use your text and the supplied journal articles to justify and support the development of the aims and hypothesis of the study. 5.75 What is blood pressure (BP)? (1 mark) 1 What is normal blood pressure? (1 mark) 0.5 Explain and Define mean arterial pressure (MAP) and pulse pressure (PP)and what they represent without showing their calculation (2 mark) 1 What can cause changes in blood pressure? (1 mark) 0.25 How is blood pressure regulated? (Focus mainly on the short term regulation of blood pressure, but also briefly mention long term regulation) Include the following: • What receptors detect changes in blood pressure? (1 mark) • Where is the signal transmitted? (1 mark) • What is the output and effectors? (1 mark) • What is the final result of effector action(s)? (i.e. Increased or decreased BP)? (1 mark) You do not complete your argument by including this information. 1 1 0.5 0 Aims and hypothesis. Explain what the study is testing and why (2 marks). Note: a hypothesis is a statement that you can test as being true or false so your results will either support the hypothesis or show it to be incorrect...
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...Disease Trends and the Delivery of Health Care Services HCA/240 December 1, 2013 Lorie Larson Diabetes is not only a disease, it is a deadly disease. Countless number of people has died from this disease worldwide, and many of which died right here in the United States of America. Learning about diabetes and getting tested early will definitely help with the number of expected cases and death. Being aware of this deadly disease and trends has definitely impacted our society in a good way. In today’s society, the health care systems have highly developed by prolonging life expectancy and quality of life, but prolonging one’s life expectancy has not come cheap for healthcare or easy. Diabetes mellitus occurs when the body cannot produce or respond appropriately to insulin. Insulin is a hormone that the body needs to absorb and use glucose (sugar) as fuel for the body’s cells. Without a properly functioning insulin signaling system, blood glucose levels become elevated and other metabolic abnormalities occur, leading to the development of serious, disabling complications (www.Healthypeople.gov ). The 3 common types of diabetes are Type 1 which is the results when the body loses its ability to produce insulin, type 2 which is the results from a combination of resistance to the action of insulin and insufficient insulin production, and the third type of diabetes is Gestational diabetes, a common complication of pregnancy. Gestational diabetes can lead to prenatal complications...
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... Cardiovascular disease refers to any disease that affects the cardiovascular system, principally cardiac disease, vascular diseases of the brain and kidney, and peripheral arterial disease. The two most common causes of cardiovascular disease are atherosclerosis and hypertension. Physiological and morphological changes with aging alter cardiovascular function and lead to an increased risk of this disease for healthy individuals with asymptomatic problems (Wikipedia, 2014). In teaching summary, it is necessary for the Isabella County to be informed of the high rate of cardiovascular disease for adults age 65 and older. The presentation was held at the community center of Mt. Pleasant, Isabella County during the annual “Together We Can”. It was surprising that the audience participation was 100 percent. Most of them paid attention to the Okinawa big poster, which highlighted how to reach the age of 100 and older without cardiovascular disease. Between the session breaks, we provided time for discussion the topic that they have learned so far. Some audience showed their impression by asking questions on how to eat right and exercise regularly as demonstrated during the teaching session. Another important point was assessing the group’s awareness of the causes of cardiovascular disease and how to prevent them before the disease strike them....
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