NER Case Study

The newborn and infant physical examination, NIPE, is performed by a qualified NIPE practitioner (Department of Health, DoH, 2015; Public Health England, PHE, 2013), within the first seventy-two hours of an infant’s life. This screening consists of a head-to-toe examination of the infant, including, but not limited to: the heart; the eyes; and the hips. During the examination, the practitioner will take the time to promote good health and wellbeing of the infant, by teaching the family how to identify signs of a well and unwell infant (Someren, 2013). The intention of the examination is to assess whether the infant has any congenital abnormalities (DoH, 2015; PHE, 2013). The NIPE is a developmental examination which is replicated between six and eight weeks after the infant’s birth, to screen for congenital disorders that become prominent in their physiology within this time period.

More attention to own business than to competitors is their strategy. South magazine observed that Nucor is “stripped down, no nonsense” organization. It keeps maintaining low cost and efficiency, which is the key to making profit in steel industry, by keeping the employee force at the level it should be, empowering them, being totally honest, involving them in decision making process, and using effective incentive compensation system.

Nucor has been facing many industry challenges including the overall development of the industry. They are competing with foreign firms on cost and efficiency. Nucor has a low cost strategy because as they say their product is not necessarily very attractive. It does not have attractive or unique selling features other than its cost. The commodity of steel is in a very competitive market. Nucor understands that innovation and productivity are going to be key factors to keep their buyers satisfied with their prices. Nucor is facing many challenges with a growing world market and many of their competitors merging in order to create stronger more dominate

10-15% of retinitis pigmentosa cases are X-linked and they tend to be the most serious as the disease manifests early and progresses rapidly in men (Haddad et al., 2016; Pawlyk et al., 2016). There has been research that shows that some female carriers of X-linked retinitis pigmentosa have been affected by the disease, but the mechanism behind this remains a mystery. The female carriers typically do not manifest symptoms as they have two X-chromosomes and can form barr bodies in which one of the chromosomes is inactivated and the other remains active. The time frame that most X-linked retinitis pigmentosa patients are given to expect complete blindness is typically from age 30-40, although some X-linked retinitis pigmentosa patients have experienced a complete loss of vision much earlier than this (Haddad et al.,

2. The previous NCOER NCOIC departed unexpectedly two months ago due to a compassionate reassignement, and he was out the majority of the previous sixty days prior to his departure due to medical and personal issues. As such, the corrections the battalion CSM required on the NCOERs were not done and the NCOERs were not processed in a timely fashion.

In Nir’s discussions of the mistreatment of nail salon workers, an important issue has been partially overlooked. As the author herself puts it, “Away from the manicure tables they crash in flophouses packed with bunk beds, or in fetid apartments shared by as many as a dozen strangers” (Nir, 2015). She explains the dichotomy between their work worlds and their home worlds in a descriptive and disgusting manner, but it still does not seem to be enough. This is generally as deep as the author goes into the home lives of these workers, she gives two examples and moves on. In my opinion, this is not enough. I believe that in order to have truly conveyed the severity of these women’s plights Nir should have provided far more detail into how nail

discoveries is information regarding chromosomal and genetic disorders. Both chromosomal and genetic ailments can have harmful effects on the body. Genetic diseases such as Bloom's Syndrome occur as a result of gene alterations. These gene mutations cause the chromosomes to become unstable, leading to chromosomal breaks, separations and structural repositioning (Freivogel 170). Chromosomal diseases like Charcot-Marie Tooth Disease are also caused by mutations, which are nearly irreversible (Krajewski 232).

An example of a recessive x-linked disorder is fragile x-syndrome or FXS. Fragile x-syndrome affects a person’s behavior, learning, intellectual, as well as physical characteristics. Fragile x-syndrome is more likely to affect males over females and does not shorten their life expectancy. Males who have FXS can have ADD or ADHD, autism, aggression and other behavioral traits. Men can have physical alterations such as a long face, large ears, and flat feet. Women who have FXS can experience the same behavioral traits but are usually milder in comparison to men. The same is shown through the facial features for women (National Fragile X Foundation,

According to the findings of the bones provided the missing person has been identified as (Missing Case File #2) Ne’Dia (Nadia) Liu. We can confirm this because she had been determined a female of Asian (mongoloid) ethnicity from identifying the bone structures and patterns. Also, she was between the age of 25-30+ and she was reportedly forty-one years old at the time of disappearance. Since we can not determine age after the bracket of 25-30+ due to segments of the sacrum being united and no evidence of epiphyseal unions, we can determine that her age does in fact comply with the findings and estimations from her bone analysis. We also know that Ne’Dia (Nadia) Liu is the missing person of these bones due to the fact that her height of 4’8”

Congress established The National Endowment for the Arts (NEA) as an independent agency of the federal government back in 1965. The NEA has awarded more than $5 billion over the years to support artistic excellence, creativity, and ingenuity for the benefit of individuals and their communities. The NEA extends its work through partnerships with state arts agencies, local leaders, other federal agencies, and the philanthropic sector.

(www.cancer.gov). If a mother and father both carry one altered gene, and one normal gene,

As stated the only way the a man could ever get this diseases is if their parents sex cell mutated giving the male child more than one x chromosome. It can greatly affect both the person's physical as well as mental state of being. The amount of chromosome can just be up to two or more, 47XXY/48XXXY, and so on.

Great post! I have never heard of programs like NICView, previous to your post, so this was new, interesting information to me. I use to work in post-partum care and floated to the NICU unit several times and I can see how this would be great for the families of the infants. After reading your post I decided to research more about such programs and I discovered another NICU web-camera system called Angel Eye.

The most common cure for SCID is considered gene therapy. According to a study by a PhD thesis by Doctor Marshall William Huston Gene therapy for SCID is done based on the use of complementary DNA containing a defective γc Moloney retrovirus–derived vector and ex vivo infection of CD34+ cells. In his study after a 10-month follow-up period, γc transgene–expressing T and NK cells were detected in two patients. T, B, and NK cell counts and function, including antigen-specific responses, were comparable to those of age-matched controls. Thus, from his study in 2013, gene therapy was able to provide full correction of disease phenotype and, hence, clinical benefit. (Cavazzana-Calvo M, Hacein-Bey S, De Saint Basile G et al.) Hematopoietic stem cell transplantation could also be used for SCID therapy in to provide healthy lymphocyte cells to a child. Another study done was the retroviral insertion near LMO2 in SCID-XI gene to treat SCID patients. Immunoglobulin treatment can also be used on SCID patients to increase immunity in

Serves as the BN CBRN NCO, 47th Brigade Support Battalion for the 2nd Brigade, 1st Armored Division;