Tina Case Study Essay

IgG – funtions in neutralizing, opsonation, compliment activation, antibody dependent cell-mediated cytocity, neonatal immunity, and feedback inhibition of B-cells and found in the blood.

Scenario: John is a 4 year-old boy who was admitted for chemotherapy following diagnosis of acute lymphoblastic leukemia (ALL).  He had a white blood cell count of 250,000.  Clinical presentation included loss of appetite, easily bruised, gum bleeding, and fatigue.  Physical examination revealed marked splenomegaly, pale skin color, temperature of 102°F, and upper abdomen tenderness along with nonspecific arthralgia.

Bckground While modern lifestyles and medical care have certainly improved the longevity of humans in the developed world, and contributed to a greater quality of life scenario, those same lifestyles have engendered a number of issues that contribute to disease. Lack of proper diet, fast food, high fat and carbohydrate diets without adequate fruits and vegetables, lack of exercise, smoking and alcohol contribute to an epidemic of obesity which, in turn, contributes to a serious metabolic disorder called Diabetes Mellitus Type 2. While not managed by insulin injections, it is nevertheless quite serious and has a number of progressing symptoms that, if not treated properly, can result in cardiovascular, renal and neurological problems, as well as amputation, ocular issues, and even cognitive dysfunction.

Mr. Hugh Tudor (55 yrs) is a well-known person in Milville, where he has been living for 30 years. He is involved in lot of social activities and has a reasonable pension and savings. He is becoming restless in his retirement and shows interest in investing in The Leeds Livery, local British pub in Milville, which could provide him with more challenges. While discussing this matter with his friend, he found out that the pub has great potential to perform well as it once exceeded the profit percentage of the industry. Mr. Tudor is in the process of exploring this opportunity but still has several questions rising in his mind.

As a member of management Clive Jenkins is responsible for boosting employee morale to ensure that company goals are met

Case Study Number Four: The Case of Rob Steere, the Man Who Knew Too Much

Functional magnetic resonance imaging (fMRI) technology would be best reveal the location and extent of damage to Tim’s brain produced by his

Patient G.M. is a four-year-old female from a middle class family living in San Diego. She originally presented with her mother and father to her general practitioner with lethargy and several vomiting episodes in the past few days. Her father stated concern after realizing her frequent urination in the past week. Her vital signs upon initial assessment were HR 140 RR 22 Temperature 102.7 degrees Fahrenheit, BP 70/62, O2 saturation 97%, 32 pounds, and 40 inches tall. Her General practitioner was concerned about type I diabetes and performed a blood sugar check. Upon assessment the monitor read HI, indicating that the level was above 500 and too high for the monitor to read. The doctor informed them she needed immediate treated in the closest pediatric ER due to the potential for diabetic ketoacidosis.

The applicants are morally correct as long as their action promotes their long term interest. If their action produces or will produce for them a greater outcome of good, versus evil in the long hall than any other alternative, than that action is the right one to act on, and the individual should take that to be a moral act. An Assessment of Morality by Ethicsinbusiness.net

See Chapter 3 - Equal Employment Opportunity and Human Resources Management: Case Study 2: Misplaced Affections: Discharge for Sexual Harassment

In this case study, first year third grade teacher, Maggie Lindberg, is having trouble controlling her class. The children are well-behaved during their art period. However, when Ms. Lindberg is in charge, they are highly uncontrollable. They talk when they are not supposed to talk and they don’t listen to anything that Maggie says. There’s supposed to be a nature walk/field trip and Ms. Lindberg’s class has yet to complete the task.

According to the Endocrine Society webpage, obesity is an enormous concern in the United States and it is related with diseases such as heart disease, diabetes, and hypertension. People with obesity have a higher risk of suffering a heart attack, abrupt cardiac death, angina, and cardiac arrhythmia than those that have a healthy body. Fat accumulation promotes higher levels of triglycerides and bad-cholesterol, and reduces the level of good cholesterol. Other potential health problems for obese people could be a stroke incident or renal failure. In the same way, overweight is a characteristic of young women diagnosed with Polycystic Ovary Syndrome, hormonal dysfunction, and infertility. Furthermore, most of the people with diabetes (Type 2) are obese. The National Health and Nutrition

The main concern that JB as well as this author identified as needing to be addressed to ensure JB’s health and well being for her and her children was the prevention of diabetes mellitus. JB’s genogram revealed that she had numerous family members on her mother’s side that suffered from the consequences of developing type 2 diabetes mellitus. Her maternal grandmother and four out of five of her grandmother’s children, including JB’s mother, acquired type 2 diabetes mellitus.

“A major concern at this time is the rapid climb in incidence of Type 2 diabetes, with prevalence now estimated at about 9% (18 million) of the population greater than 20 years of age.” Obesity and Type 2 diabetes are commonly associated (Gould & Dyer, 2011). In addition to the two types of diabetes, there are signs and symptoms that are easily detected and some that develop after diagnosis.

The underlying risk factors include obesity, physical inactivity and an atherogenic diet. The major risk factors for cardiovascular disease in this syndrome are smoking, hypertension, increased LDL cholesterol and low HDL cholesterol, aging and a family history of coronary events. The emerging risk factors are increased triglycerides, small LDL particles, insulin resistance, a pro inflammatory and prothrombotic state as well as glucose intolerance. The combination of these factors in one person is a predictor of that person having a future cardiovascular event or the onset of type 2 diabetes (Meigs, 2010). With so many risk factors laying down a set of defined parameters can be daunting. It is no wonder researchers often argue over set guidelines. However with more and more people developing these problems, it is necessary to start somewhere.