Premium Essay

Case Pres

In: Science

Submitted By lanne0512
Words 3267
Pages 14
ASTHMA
BRIEF BACKGROUND OF THE STUDY

Asthma is a chronic disease of the respiratory system in which the airway occasionally constricts, becomes inflamed, and is lined with excessive amounts of mucus, often in response to one or more triggers. These episodes may be triggered by such things as exposure to an environmental stimulant (or allergen), cold air, warm air, moist air, exercise or exertion, or emotional stress. In children, the most common triggers are viral illnesses such as those that cause the common cold. This airway narrowing causes symptoms such as wheezing, shortness of breath, chest tightness, and coughing. The airway constriction responds to bronchodilators. Between episodes, most patients feel well but can have mild symptoms and they may remain short of breath after exercise for longer periods of time than the unaffected individual.

Signs and symptoms
In some individuals asthma is characterized by chronic respiratory impairment. In others it is an intermittent illness marked by episodic symptoms that may result from a number of triggering events, including upper respiratory infection, stress, airborne allergens, air pollutants (such as smoke or traffic fumes), or exercise.
An acute exacerbation of asthma is referred to as an asthma attack. The clinical hallmarks of an attack are shortness of breath (dyspnea) and either wheezing or stridor. Although the former is "often regarded as the sine qua non of asthma," some patients present primarily with coughing, and in the late stages of an attack, air motion may be so impaired that no wheezing may be heard. When present the cough may sometimes produce clear sputum. The onset may be sudden, with a sense of constriction in the chest, breathing becomes difficult, and wheezing occurs (primarily upon expiration, but can be in both respiratory phases).
Signs of an asthmatic episode include wheezing,

Similar Documents

Free Essay

Urinalysis

...antenatal care providers will continue to perform dipstick urinalysis at each and every appointment, whereas other providers will only perform one at every appointment if the patient presents with Gestational diabetes with oral glucose screening, Pre-eclampsia with blood pressure and Asymptomatic bacteriuria [urine infection with no symptoms] with a culture at the first visit (IHS.gov 2005). According to an article in the Journal of Family practice by William A. Alto, Screening for gestational diabetes using urine dipsticks for glycosuria is ineffective with low sensitivities. False-positive tests outnumber true positives 11:1. A 50-g oral glucose challenge is a better test. Tests for glycosuria after this blood test are not useful. Proteinuria determined by dipstick in pregnancy is common and a poor predictor for preeclampsia with a positive predictive value between 2% and 11%. If the blood pressure is elevated, a more sensitive test should be used. After urinalysis at the first prenatal visit, routine urine dipstick screening should be stopped in low-risk women. Urinalysis can be a quick and reliable indicator for some conditions such as UTI, dehydration and malnourishment (ketonuria). However in the case of gestational diabetes and pre eclampsia,...

Words: 442 - Pages: 2

Premium Essay

Proj586

...objective. Risk identification includes determining which may adversely affect the project objective and what the impact of each risk might be if it occurs. (Gido/Clements, Pg. 285) I have created a risk matrix that identifies the potential risk that can place a burden on the project scope, schedule and budget. My main concern and identification is the recruitment and training of new employees. We have been provided with 6 weeks to train new employees, some individuals come with experience and several will be new to the plastic container industry. New recruits will require additional time to learn all of the functions of daily operations. If they are not trained in time, this will put a burden on the creation of the production plan. The pre-production plan can be used as a training activity to ensure that they will be able to assist in the production plan. Solution: Apply a headhunter to scan resumes for candidates with required experience and qualifications. Request additional training time for new employees; propose 9 weeks for individuals with no industry experience. If the board and budget allows, provide paid training to those individuals who are willing and able to start early. The second identification that is of major concern is the procurement of building site, acquiring permits and approvals on time. The fact that all approvals must come from outside agencies, all documents should be submitted early. Solution: I would suggest sending documentation 4 weeks prior...

Words: 415 - Pages: 2

Premium Essay

The Impact Of Popular Culture In The Politics Of India

...Movies today are probably the most dominant industry that contributes in the production of popular culture today. What movies show depict what society is like and in turn as well decide what society would be like. Although movies are not particularly a medium meant to impart knowledge or awareness only, however it does do it and when it does it has the most impact compared to any other medium, to say for example books or news. We as mere human beings living our lives isolated by the rest of the world in our own little homes, towns and countries have a fairly little idea of what the world is like outside of our homes. All the knowledge that we have of the world around us is through books, movies, news, TV shows, etc. And among all these forms, movies hold a prominent position in developing the psyche of the common masses. To provide an example, the issue of Kashmir has always been a controversial issue in the politics of India. And though the common man hardly knows something about the actual socio-economic-political situation of that geographical region, that does not mean they don’t have an opinion about it! There is a common sense that is propagated in society about the whole situation. So, if you go around asking a random guy on the street, what does he think about the whole Kashmir issue, you are very likely to get an answer, “Kashmir hamara hai, hamare paas rahega”. He might as well add the (in)famous dialogue from the movie Gadar, another example of the influence of movies...

Words: 1042 - Pages: 5

Premium Essay

Huntsville Charter

...this project is to build a successful plant in Huntsville, Alabama. With having a successful plan, this will directly affect the number 5 priority (attain a national presence in the container industry) and number 6 priority (increase productivity). Then it will indirectly affect the rest of the priorities. | | Scope | The board expects the following to be in place when the project is completed: * Select resources such as: Architect, Real Estate Consultant, and General Contractor * Recruit and Train Managers for Huntsville Plant * Create a Pre-Production and Production Plan * Create a Building Concept and Design * Procure Building Site, Permits, and Appropriate Approvals * Construct the Huntsville Plant Building * Landscaping on Site * Personnel Recruiting for Plant Operations * Procure Equipment, Raw Material and Truck Fleet * Install Equipment * Create Product Distribution Plan and Pre-Production Plan * Start Up Production and Distribution The board doesn’t expect the following: * Geothermal Heating * Solar Powered Electric Feed * Multi-Level Parking Garage * In-House Food Court * Construction of Separate Distribution Facility | | Objectives | As the company grows, one of the objectives for building a new plant is to double the total sales within the next decade being top priority. Another objective is to develop and market new products based on the companies plastics experience. A couple more direct objectives to...

Words: 776 - Pages: 4

Free Essay

Motivational Speaking

...peers glanced at him with the up most respect sent a trigger alerting me to the significance of him. Although he sat patiently through his detailed introduction, his eyes focused around the room, seemingly categorizing each student into a database, well organized through years of practice. Light applause trailed him as he took a firm stance in the front of the ballroom. Deceptively, he began with generalized questions about how people perceive each other, trivial knowledge that determined little, other than the common sense of his audience. After a series of varyingly mediocre topics, Mr. Taylor quieted down and pondered to himself for a second, gaining his thoughts and deciding how best to approach the next topic, “How many of you are pre-med students?” he asked inquisitively. I was one of many of the proud students who raised their hands. Nodding in acceptance, he continued with a sinister grin, “A show of hands, how many of your parents are doctors?” He searched the room for one proud hand, yet, none could be seen. With mock surprise, he indulged the curious crowd as to the direction of his questions. “I just left USM a few honors ago, delivering a speech to students with much the same career path as all of you. But somehow, when I asked if...

Words: 748 - Pages: 3

Free Essay

American Gangster

...Shannel Henry Dr. Brennan HUMN 1002 4/15/2014 Baby Face In the 1930s the United States was experiencing a depression era. This era known as ,The Great Depression, had a great effect on the movie industry. Films began to focus on sex, violence, infidelity, and promiscuous ways to target new audiences, mainly the males. The other types of genres like horror, gangster, and musical were still high in Demand during this era also. Social realism came about, which is a style of art that focuses on the ugly realities of the modern life and sympathizes with the working class people, especially the poor. The movies that were being produce during this time was to interest the men, which cause the movie producers to give women the lead roles and takeover the movie screen. A movie example is the film Baby Face. Baby Face, a movie directed by Alfred E. Green shows how women took over the ‘Big Screen’. This movie is based on Lily powers, who is played by Barbara Stanwyck, and how she moves up through her social class and financial status. She uses her beauty and her intelligence to get what she wanted from the men that she came into contact with. An example of her getting her way is at the end of the movie, when she wants the bank to fund her 15,000 to have a fresh start, but instead they gave her a new position at a firm in Paris. This is basically her getting her way because she has her new start from the scandal. Social realism is portrayed because every man that she met...

Words: 899 - Pages: 4

Premium Essay

Mkt 6100 Pre Case 2

...MKT 6100 Pre-Case Assignment 2 1. A. Contribution per CD Unit Selling Price | $9.00 | CD Package and Disc | ($1.25) | Songwriters' Royalties | ($0.35) | Recording Artists' Royalties | ($1.00) | Contribution per CD unit | $6.40 | B. Break-Even volume in CD units Fixed Cost: | | | | | | Advertising | $275,000 | | Break-Even in Units | | Overhead | $250,000 | | $525,000 | = 82031.25 | units | Total | $525,000 | | $6.40 | | | | | | | | | Contribution per CD Unit | $6.40 | | | | | Break-Even Volume in Dollars Break-Even (Units) * Selling Price | 82.031.25 * $ 9.00 = | $738,281.25 | C. Net profit if 1 million CDs are sold $ 9.00 * $1,000,000 | $9,000,000 | $ 6.40 * $1,000,000 | ($6,400,000) | Fixed Cost | ($525,000) | Net Profit | $2,075,000 | D. Necessary CD unit volume to achieve a $200,000 profit $525,000 + $200,000 | = 113,281.25 | necessary CD unit volume | 6.40 | | | 2. A. VCI's unit contribution and contribution margin Unit contribution | | X | = 40% | $20 | | | | X = $8 required return | | | | Variable Costs per Unit | Reproduction | $4.00 | Labels and packaging | $0.50 | Royalties | $0.50 | Required Return | $8.00 | Total | $13.00 | | | Unit Contribution = Selling Price - Variable Cost | $20 - $13 | = $7.00 | | | Contribution Margin = | Selling Price - VC | | Selling Price | | | $20-$13 | =...

Words: 1980 - Pages: 8

Premium Essay

Pre-Group Screening Case Study

...Screening to verify eligibility and a brief pre-group meeting will take place at the Counseling Center on Thursdays between 12 p.m. and 2 p.m., on a case-by-case basis additional screening times will be made available for students who are unable to attend during this window. The facilitator and the administrative staff at the Counseling Center will coordinate to create these additional options. Screening and pre-group meetings will be performed by the licensed mental health professional that will facilitate the group intervention. The screening and a brief pre-group meeting will take approximately 15 minutes. In addition to confirming students are undergraduates, identify as male and are at least 18 years old students will need to score below...

Words: 1927 - Pages: 8

Free Essay

Family

...With these developments, it is obvious that conflicts between parties of different nationalities occur and liability to tax on income of foreigners especially among those engaging in trading venture. Whilst the laws affecting domicile and residence may be sufficiently settled, it is paramount for courts to pursue a detailed analysis to ascertain specific preliminary issues so as to avoid controversial rulings. Courts often handle numerous financial cases that involve what can be best described as foreign or international elements. In such cases, court must decide whether it has the jurisdiction under the Family Law Act 1975 to make a decision on such cases. In the event that it is determined that the court is invested with the jurisdiction to determine the case, the court has to consider whether there is a system of law in foreign country that also has the jurisdiction to handle the case. As it was addressed in the case Attorney General of New Zealand v Ortiz [1984] AC 1, these benefits and costs to either party if the case resolution is made in foreign country as compared with the apparent country should also be a subject of concern. [1] Legal systems in most countries around the world adopt community property regime, which takes effect at the inception of marriage or at the time of divorce. For instance, California and Massachusetts in the United States have adopted community property regimes that support equal division of assets upon divorce. However, this provision...

Words: 659 - Pages: 3

Free Essay

Fin 571

...efficient investigative products and services. As a result, the coverage requirements for ANACI and NACLC investigations have been enhanced to support a common content baseline for all agencies. Note that these enhancements apply only to those ANACI and NACLC cases submitted on an SF 86. The purpose of this FIN is to provide you with information concerning what case coverage changes have been made. The case price adjustments necessary to support these changes will be reflected in the FY 2007 case prices. ANACIINACLC Cases Currently, listed and developed issues which are identified in ANACI and NACLC cases (for non-DoD customers) are not pursued beyond the normal scope of the investigation. These cases are returned to the requesting agency so that the agency may decide whether to adjudicate the case based upon the information in hand, conduct additional follow-up themselves, or request a Reimbursable Suitability Investigation (RSI) from FISD to cover the additional issues. Beginning with FY 2007, expansion of these issues will become a standard part of both the ANACI and NACLC products. Effective October 1, 2006, issues apparent at scheduling or developed during the course of the investigation and which fall within the 5-year case coverage period, unless otherwise noted, will be expanded upon according to the following chart (exception: issues which are known to have been covered in previous investigations, or which would reasonably have been expected to...

Words: 772 - Pages: 4

Free Essay

Expresso Lane to Global Market

...Cases These are the most important materials on which to focus your attention. They are not written to “speed-read”; in fact, you need to read them very carefully. A case is not a story, but rather a description of a situation in which an actual decision-maker faced some difficult choices. Your task is to put yourself into that situation and decide what you would do. Most of the cases will be outside your realm of industry experience, so you will need the background information to get familiar enough with the situation to feel ready to make decisions. As you have likely observed after reading the book on Learning with Cases, cases are written so that you get a pretty good idea of what your task is in the first paragraph or two of the case and then again in the last paragraph or two. I always read those first and I suggest you do too – just to see what the case is about. Then I suggest you look through the case quickly to see what kind of information is available to you – by quickly I mean a 5 minute scan of the whole thing. By this point you should know what faces you; for example, a decision about whether to enter a new market or whether to give a bank loan, etc. The next step I suggest is to read the case thoroughly. If you’re reading your case on your laptop or tablet, you’ll want to highlight certain sections. If you choose to print your case, feel free to mark it up. Underline or highlight key information that may help you make a decision. Write notes in the margins...

Words: 1255 - Pages: 6

Free Essay

Scooterville Public Sibrary Business Use Case Library Card

...Issuance of a Library Card Author (s): _ Date: __11-5-2012__ Version: ___2______ USE CASE NAME: Issuance of a Library Card USE CASE TYPE & LEVEL USE CASE ID: 001 SCOOTS LC Business:  PRIORITY: Low System: Requirements  SOURCE: Analysis  PRIMARY BUSINESS ACTOR: Library Administrator Design  OTHER PARTICIPATING ACTORS: • Customer/Patron • System OTHER INTERESTED STAKEHOLDERS: • Out of District Customers • Children under 14 with Guardians DESCRIPTION: This Use Case is to describe the process for Customers to get a library card and become Patrons PRE-CONDITION: A customer must provide valid ID for application to become a patron TRIGGER: Desire to check out an asset of the library TYPICAL COURSE Actor Action System Response OF EVENTS: Step 1: Customer requests to apply for a Library Card Step 2: Library Administrator asks customer for valid ID – Driver’s License or State ID showing Scooterville community of proof of residency Step 3: Customer provides required proof of identification. Step 4: Library Administrator completes application process on SCOOTS terminal and asks for $5.00 cash fee. Step 5: Customer pays $5.00 cash Step 6: Library Administrator issues receipt. Step 7: Customer becomes a Patron and waits for card to be printed. Step 8: Library Administrator prints and hands Library card to the new Patron with an expiration date of 2 years and issues PIN using the last 4 digits of the customer’s phone number for card usage. Step 9:...

Words: 1068 - Pages: 5

Premium Essay

Pre Law School Case Study

...In the next five years I plan to graduate with a bachelors in pre-law from Michigan State University (MSU) going into the University of Michigan Law School. The other two alternatives would be graduating with a bachelors in premedical from MSU going into University of Michigan's Medical School; the other one would be graduating with a bachelors in pre vet from MSU and go into Veterinary school at MSU. The monetary and opportunity cost of becoming a lawyer will cost me $98,168 for attending at MSU for 4 years to get my pre law, then after it will cost me $170,532 to attend 3 years of Law School at the University of Michigan; overall the monetary and opportunity cost will be $268,700, along with an additional 3 years of school and 268,700 in...

Words: 363 - Pages: 2

Free Essay

Engineering

...(For Course participants only) Reading Material & Work Book On Effective Noting & Drafting (Edited by Smt. Jayanthi Sriram, Asst.Director) GOVERNMENT OF INDIA INSTITUTE SECRETARIAT TRAINING & MANAGEMENT DEPARTMENT OF PERSONNEL & TRAINING ADMINISTRATIVE BLOCK, JNU CAMPUS (OLD) OLOF PALMS MARG, NEW DELHI-110067 TEL. 26105592 TELEFAX: 26104183 Revised - 2005 FORWARD In responsive administration it is obvious that the response has to be meaningful. Yet, it may not be effective unless the response time is optimised. This twin objective can be achieved through streamlining of the decision making process itself. In the Central Secretariat, as in other spheres of Government, contribution by all rungs of employees particularly by those at the cutting edge level, namely the Section Officers and Assistants, generally helps arriving at the right decision. Besides collection of information, such contributions are rendered through Noting & Drafting. Effective noting & drafting at every level, therefore, is a matter of prime concern. 2. To address this concern, we in ISTM have been according utmost importance to the inclusion of 'noting and drafting' as a subject in all our foundational and refresher Courses. Besides, focussed workshops on effective noting & drafting are also organised in large numbers. To help participants team effectively, the need for practical exercises cannot be overemphasised. Similarly,...

Words: 16883 - Pages: 68

Free Essay

All Is Well

...ANAXIMANDER Anaximander (610 BCE - 546 BCE) was a Milesian School Pre-Socratic Greek Philosopher. Like most of the Pre-Socratics, very little is known of Anaximander’s life. He was born, presumably in 610 BCE, in Ionia, the present day Turkish west coast, and lived in Miletus where he died in 546 BCE. He was of the Milesian school of thought and, while it is still debated among Pre-Socratic scholars, most assert that he was a student of Thales and agree that, at the very least, he was influenced by his theories. He is infamously known for writing a philosophical prose poem known as On Nature, of which only a fragment has been passed down. In that fragment Anaximander innovatively attributes the formation of a regulating system that governs our world, the cosmos. Furthermore, he put forth the radical idea that it is the indefinite (apeiron), in both the principle (archē) and element (stoicheion), from which are the things that are. In addition to such ingenuity, Anaximander also developed innovative ideas and theories in astronomy, biology, geography, and geometry. For Anaximander, the origination of the world could not be reduced to a single element or a collection of elements alone. Rather, one needed to understand that the origin was in both principle and element not definable in a definite sense or attribution. While this was a radical perspective in relation to the more determinate theories of others from the Milesian school, it does seem to have some derivation from older...

Words: 3474 - Pages: 14