Case Study 1.3

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

Discuss the four components of corporate social responsibility and how they relate to a charitable campaign such as (Product) RED. How does participation in a cause-marketing event contribute to a company's social responsibility? What role does sustainability play?

The larger group is the placed students. The table shows that this group has 133, represented as N= 133, whereas the continuing students had n=31. The number of placed students is 100 more than the continuing students.

Patient is a 58-year-old right-hand white male interviewed in the presence of his wife. He was previously seen by me last month for admission for the acute onset of vertigo with possible TIA or stroke as etiology. He stated that he awoke on 06/18/2015 in his usual state of health and then went to work and while there, he had the sudden onset of marked spinning vertigo. He was unable to walk straight, but denied any bilateral lower extremity weakness. He did have nausea and vomited several times. He initially denied any diplopia, visual field cut, blurred vision, facial asymmetry, facial or body sensory changes, dysarthria, or focal weakness. He continued to have marked vertigo in the emergency room,

Notes: the data suggest that the pre-females had a higher survival rate at a younger age as the post 1900 stayed constant. But has the pre1900 female survivorship declined the post 1950s increased.

For this case study I am going to discuss 3 health promotions, the 3 health promotions I will be discussing are; obesity, exercise and smoking. All 3 of these health promotions are from a patient whose care I was involved with for a number of weeks. I have gained full consent from the patient and their relatives. In relation to the Data Protection Act 1998 (Legislation.gov.uk, 1988)

During my reach into the hiring issues at ABC Inc., it was found necessary to research and read more in today’s hiring process with the current job market. The following is an introduction of one specific company that recently requested a case study of a current internal hiring process that took place or did not take place. In this situation, a new campus recruiter was expecting to bring on 15 new hires to complete for orientation to work in the Operations department. When the operations supervisor contacted the new recruiter and checked on the status of the recruiting process, they were assured that all requirements would be in place.

1. Create and interpret Commonwealth’s statement of cash flows for 2013. What information does it provide regarding the HMO’s sources and uses of cash over the past year?

J. Could the loss of input from proprioceptors in the amputated leg affect Sannu’s sense of

Southwestern University: F The recent success of Southwestern University’s football program is causing SWU’s president, Joel Wisner, more problems than he faced during the team’s losing era in the early 1990s. For one thing, increasing game-day attendance is squeezing the town of Stephenville, Texas and the campus. Complaints are arising over parking, seating, concession prices, and even a shortage of programs at some games. Dr. Wisner, once again, turns to his stadium manager, Hank Maddux. This time, he needs a guaranteed revenue stream to help fuel the stadium expansion. One source of income could easily be the high-profit game programs. Selling for $6 each, programs are a tricky business. Under substantial pressure from

On September 3, 2015, I was assigned this case to follow up. This case involves Ms Miranda Maria Celia a seventeen year old runaway female. I contacted Maria Miranda (parent) who reported that they moved to Baltimore, but that her daughter was back. Ms. Miranda agreed to call me back on Spetember 4, 2015, while she obtains a permanent address. I received no futher calls back.

I suffer from vertigo and I wake up very slowly in the morning. When I finally get up I clean my teeth and wash my face or sometimes take a shower. I dress up and have some breakfast. Then I go downstairs to get the mail and do the laundry. After reading the mail I feel tired and need to lay down for awhile. By now it is 12:30 PM or 1:00 PM. If I need anything that day from the grocery store and is a nice day, I would walk to the store. At the store I shop very slowly taking me about 2 hours to finish shopping. Then I go home and have the groceries delivered. After the walk I come home very tired and on hot days out of breath. Then I sit down and watch some TV. Then at about 6:00PM I eat some dinner. After dinner, I continue to watch TV

Moreover, neuro-otologic disorders exacerbated preexisting psychiatric conditions in 34% of subjects, and vestibular dysfunction or depressive disorders in 33% of subjects 36. Thus, primary anxiety disorders could cause dizziness as well as physical neuro-otologic disorders may trigger psychopathology 36. Data from a study of individuals diagnosed with peripheral vestibular disorders showed that there is a significant relationship between vestibular symptoms and psychiatric morbidity, which is correlated with other measures including measures of anxiety, perceived stress and previous psychiatric illness 37. Fifty percent of patients with peripheral vestibular disorders have psychological symptoms, depression, and panic disorder with or without agoraphobia 37. Moreover, those with acute vertigo may experience severe anxiety attacks, with psychological ramifications causing disproportionate disability 38. Consequently, psychological factors may aggravate vertigo and delay recovery 29. Data from a controlled study on people with vertigo showed that their fear of becoming dizzy was highly correlated with the perception of disability 39. The authors emphasized the necessity of a psycho-education program in order to raise awareness of factors that affect the patients’ QOL negatively with the collaboration of the otologist/neuro-otologist

This literature review will assess the value of magnetic resonance (MR) and computed tomography (CT) in detecting pathologies associated with vertigo. The common two types of vertigo peripheral and central vertigo are defined. Previous studies suggest that both MR and CT are good options for detecting semicircular dehiscence syndrome related peripheral vertigo. Although the accuracy rates of MR and CT are comparable in detecting acute intracranial hemorrhage, MR has an overall higher diagnostic yield for stroke and multiple sclerosis related central vertigo. In clinical practice, hospitals take cost into consideration when making patients’ care plan. Having every patient go through imaging examination can be time consuming and expensive. Peripheral

Meniere’s disease is a disorder in the inner ear which causes an unplanned occurrence of vertigo. Vertigo is a feeling of a spinning movement that alters hearing loss, a ring sound in the ear and sometimes even a sense if pressure in the ear are the central symptoms. The cause of Meniere’s disease seems to be an outcome of abnormal volume or fluid located in the inner ear. Vertigo has a high risk of a person having more frequent accidents due to loss of balance.There is no cure for Meniere’s disease but it is something that can be managed with medications depending on the serverity of the