Economics homework help. In Chapter 4 of the textbook, you were introduced to the concepts of ?presentation of self? and ?impression management.? For your assignment in this unit, you will study your digital footprint using both the micro theories of self, found in Goffman?s concepts, and the concepts found in Chapter 5.Start by doing some research on your digital footprint. Review various websites of interest that can assist you in your assignment. One example is the Internet Society website (hint: look under the section What We Do, then Internet Technology Matters, then Privacy and Identity?listed on the left side of the screen). Then complete the assignment below:1. Discuss your social self, or how you introduce yourself in social situations, in your opening paragraph.2. Google yourself. This search will give you several arenas for your digital footprint.a. Describe the various websites you find that you could use to learn about yourself (e.g., you might see your birth record link).b. Discuss who manages these sites and thus is involved in the management of your presentation of selfc. To which statuses and groups do you belong? How do these affect your digital footprint?d. In what ways can aspects of your digital footprint impact personal or professional opportunities?3. Next, open your Facebook, Twitter, LinkedIn, or other online networking site.a. In a few paragraphs, explain how you manage your self-presentation on these websites. Be sure to include information such as your statuses, roles, and identities that you present on the sites.b. Discuss why you chose to include those statuses, roles, and identities, but not others.c. Explain how social structure shapes what you reveal and what you hide about yourself.d. How does the way you are managing your self-presentation online impact your personal and professional opportunities?NOTE: If you do not use the above-mentioned social media, interview someone who does and get their responses to questions 3a, 3b, 3c, and 3d.Your final submission must be a minimum of two full pages. As always, use APA formatting with in-text citations and a proper references page. Ensure that you cite all sources used in your response.Economics homework help
Thyroid Gland And Thyroid Hormone Synthesis. Hypothyroidism is a condition characterized by abnormally low amount of the thyroid hormone synthesis. This may be due to a thyroid problem or any other reason. Thyroid hormone affects growth, development, and many cellular processes. Inadequate thyroid hormone has many consequences for the body Thyroid gland and thyroid hormone synthesis Thyroid gland has two lobes connected by an isthmus. It attaches to the thyroid cartilage and trachea. Therefore it moves with swallowing. Thyroid gland consists of follicles lined by a cuboidal epithelial cell layer. These follicles filled with colloids.Parafollicular cells situated in between follicular cells which secrete calcitonine. Thyroid gland synthesizes mainly two hormones. They are L-thyroxin/tetraiodothyronine (T4) and triiodothyronine (T3).T3 is the active form that acts at the cellular level and T4 is the prohormone.Iodide enters the thyroid follicles primarily through a transporter. Thyroid hormone synthesis occurs in the follicular space through a series of reactions, many of which are peroxides-mediated. Thyroid hormones stored in the colloid in the follicular space that is released from Thymoglobulin by a hydrolysis reaction which occur inside the thyroid cell. E.g. Thyroglobulin (Tgb), monoiodotyrosine (MIT), diiodotyrosine (DIT), Triiodothyronine (T3), tetraiodothyronine (T4). If there is hereditary defect of enzyme in above process, Thyroid hormone synthesis could not occur. So it’s leads to congenital goiter and often results in hypothyroidism. Regulation of the synthesis of thyroid hormones Thyroid hormone synthesis is regulated by another gland located in the brain called pituitary. In turn the pituitary gland in part regulated by the thyroid hormone via feedback mechanism and other gland called hypothalamus. The hypothalamus secretes thyrotropin hormone (TRH), which give a signal to the pituitary gland to release thyroid stimulating hormone (TSH). TSH in turn sends a signal to the thyroid gland to release thyroid hormone. If some defect occurs in one of these levels, a lack of production of thyroid hormones can cause a deficiency of thyroid hormone (hypothyroidism). Hypothalamus – TRH down arrow Pituitary- TSH down arrow Thyroid- T4 and T3 The rate of thyroid hormone synthesis is regulated by the pituitary gland. If there is an insufficient amount of thyroid hormone circulating in the body to normal functioning, the release of TSH from the pituitary increased in order to stimulate more thyroid hormone. However, when there is a large amount of thyroid hormones in circulation, TSH level decreases and pituitary attempts to reduce the production of thyroid hormone. In people with hypothyroidism have low levels of circulating thyroid hormones. Physiological effects of thyroid hormones â- Cardiovascular system – increased cardiac output and heart rate. â- skeletal system – increased bone turnover and resorption. â- Respiratory – maintains normal hypoxic and Hypercapnic drive in respiratory centre. â- Gastrointestinal – increases gut motility. â- Blood – increases red blood cell 2, 3-BPG facilitating Oxygen release to tissues. â- Neuromuscular – increases speed of muscle contraction and relaxation and muscle protein turnover. â- Metabolism of carbohydrates – increases hepatic Gluconeogenesis/glycolysis and intestinal glucose Absorption. â- Metabolism of lipids – increased lipolysis and Cholesterol synthesis and degradation. â- Sympathetic nervous tissue – increases catecholamine Sensitivity and Î²-adrenergic receptor numbers in heart, skeletal muscle, adipose cells and lymphocytes. Reduces cardiac Î±-adrenergic receptors. If there is a defect in the synthesis or regulation pathways or thyroid lead to many disorders. They are mainly divided in two parts. They are hyperthyroidism and hypothyroidism. Hyperthyroidism, or an overactive thyroid, is the overproduction of thyroid hormones T3 and T4, and most often caused by the development of Graves’ disease which is an autoimmune disease in which antibodies are produced which stimulate the thyroid gland produces excessive amounts of thyroid hormones. This disease can lead to the development of toxic goiter due to the growth of the thyroid gland in response to the absence of negative feedback mechanisms. This is manifested by symptoms such as thyroid goiter, protruding eyes (exopthalmos), palpitations, excessive sweating, diarrhea, weight loss, muscle weakness and unusual sensitivity to heat. Appetite is increased. Classification of Hypothyroidism Hypothyroidism is often classified by association with the indicated organ dysfunction Type Origin Primary Thyroid gland The most common forms are Hashimoto’s thyroiditis which is an autoimmune disease and can be occur in radioiodine therapy for hyperthyroidism. Secondary Pituitary gland Occurs if the pituitary gland does not release enough thyroid-stimulating hormone (TSH) to stimulate the thyroid gland to produce enough thyroid hormones. Although not every case of secondary hypothyroidism has a clear-cut case, it is usually caused by damage to the pituitary gland, as by a tumor, radiation, or surgery. Secondary hypothyroidism accounts for less than 5% or 10% of hypothyroidism cases. Tertiary Hypothalamus Results when the hypothalamus fails to produce sufficient Thyrotropin-releasing hormone (TRH). TRH prompts the pituitary gland to produce thyroid-stimulating hormone (TSH). Hence may also be termed hypothalamic-pitu Autoimmune Atrophic (autoimmune) hypothyroidism. The most common cause of hypothyroidism and the associated with antithyroid auto antibodies leads to lymphoid infiltration Cancer and eventually atrophy and fibrosis. It has been six Times more common in women and the incidence increases with age. This can be associated with other autoimmune Diseases such as pernicious anemia, vitiligo and other endocrine disorders. In some cases, intermittent Hypothyroidism occurs when recovering from illness, antibodies which block the TSH receptor can sometimes be involved in the etiology. Hashimoto’s thyroiditis. This form of autoimmune thyroiditis, again, more common in women and the most common in the late. The average age is atrophic changes with regeneration, leading to the formation of goiter. This may be usually firm and Rubber but can vary from soft to hard. TPO antibodies very high amount (>1000 IU / L). Patients can be euthyroid or hypothyroid, but they can pass through the initial phase of the toxic “Hashi toxicity, Levothyroxine therapy. The goiter may reduce the even if the patient does not Hypothyroid. Postpartum thyroiditis. Typically, this is a temporary phenomenon Observed after pregnancy. It can cause hyperthyroidism, Hypothyroidism or the two sequences. It is believed to cause changes in the immune system necesnecessary.In case of pregnancy, and histologically lymphocytic thyroiditis. The process is usually self-limiting, but when Conventional antibodies are there is a strong chance this procedure of permanent hypothyroidism. Postpartum Thyroiditis may be misdiagnosed as postnatal depression. Thyroid function test is done to detect this situation. Defects in hormone synthesis Iodine deficiency. Dietary iodine deficiency still exists in some areas as “endemic goiter” where goiter, occasionally massive is common. Patients may be euthyroid or hypothyroidism depending on the severity of iodine deficiency. The mechanism is considered borderline hypothyroidism leading to TSH stimulation and thyroid enlargement against iodine deficiency continues. Iodine deficiency is this still a problem in the Netherlands, the Western Pacific and South. East Asia for example, the mountainous regions of the Himalayas and Africa. Some countries affected by iodine deficiency, for example, China and Kazakhstan take measures providing iodine in salt, but others, such as Russia, have not yet done so. Of The 500 million with iodine deficiency in India about 2 million suffering from cretinism.Dyshormonogenesis is a rare disease is due to genetics. Defects in the synthesis of thyroid hormones, patients Develop hypothyroidism with goiter. One particular family Form is associated with sensorineural hearing loss due to the removal Mutation of chromosome 7, resulting in a defect Transporter Pendrin (Pendred syndrome author). Hypothyroidism causes many symptoms. The term “myxedema” refers to the accumulation of mucopolysaccharides.In the subcutaneous tissue. The classical pictures are Slow in working, dry hair, thick-skinned, deep voice, Weight gain, cold intolerance, bradycardia, and constipation. These features make the diagnosis easy. Milder symptoms, however, more common and difficult to distinguish from other causes Nonspecific tiredness. Many of the cases on the biochemical detection Screening Particular difficulties in diagnosis may occur in certain circumstances: â- Children with hypothyroidism may not classical Properties, but often have a slow growth rate, poor School performance and sometimes arrests of pubertal Development. â- Young women with hypothyroidism may not show obvious signs. Hypothyroidism is excluded in all Patients with oligomenorrhea / amenorrhea, Menorrhagia, infertility and hyperprolactinemia. â- the elderly show many clinical features that are difficult Distinct from normal aging. Investigation of primary hypothyroidism The Serum TSH is the examination of choice, a high TSH level Confirmed primary hypothyroidism. A low free T4 level confirms the hypothyroidism is (and is also essential for TSH to close a deficiency and clinical hypothyroidism is strongly suspected and TSH is normal or low).Thyroid and other organ-specific antibodies are present. Other exceptions are the following: â- Anemia, usually normochromic and normocytic In type but can macrocytic (sometimes this is by Associated pernicious anemia) or microcytic (in women, By menorrhagia) â- increased serum aspartate transferase levels, from Muscle and / or liver â- increased serum creatine kinase levels, with associated myopathy â- Hypercholesterolemia and hypertriglyceridemia â- Hyponatremia due to an increase in ADH and reduced Free water clearance. Treatment Replacement therapy with levothyroxine (thyroxine, that is to say, T4) is Data for life. The starting dose will depend upon the severity of the failure and the age and condition of the patient, especially their cardiac function: 100Î¼g per day during the Young and fit, 50Î¼g (up to 100Î¼g after 2-4 weeks) for the small, old or weak. Patients with ischemic heart disease Illness an even lower initial dose, especially if the Hypothyroidism is a severe and prolonged. Most doctors Would then start with daily 25Î¼g and performing serial ECG, increasing the dose at 3 – to 4-week intervals as angina Not occur or worsen and the ECG is not Deteriorate. Monitoring The goal is to recover well within T4 and TSH The normal range. The adequacy of the replacement is reviewed Clinical and thyroid function tests after at least 6 weeks at a constant dose. If serum TSH remains high, the dose of T4 Should is increased in increments of 25-50 g ƒ¬ the tests Repeated 6-8 week intervals until TSH returns to normal. Complete suppression of TSH should be avoided atrial fibrillation and the risk of osteoporosis. The usual The Maintenance dose is 100 to 150 g ƒ¬ administered as a single daily Dose. An annual thyroid function test is recommended – this is usually done in the first line, often assisted and in response to the district ‘thyroid registers. Clinical improvement T4 cannot start 2 weeks or more and complete resolution of symptoms 6 months. The need for lifelong therapy should be emphasized and the possibility of other autoimmune endocrine disease development, Especially Addison’s disease or pernicious anemia, Should be considered. During pregnancy, an increase of T4 Dosage of about 25-50Î¼g is often necessary to maintain normal TSH and the need for replacement during optimal. Pregnancy is highlighted by the finding of the reduction of Cognitive function in children of mothers with elevated TSH during pregnancy. A few patients with primary hypothyroidism complain incomplete symptomatic response to T4 replacement. Combination T4 and T3 replacement is advocated in this Context, but randomized clinical trials show no consistent Benefit from the quality of life symptoms. Borderline hypothyroidism or “Compensated euthyroidism ‘ Patients are often seen with a low-normal serum T4 levels and slightly elevated TSH values. Sometimes this follows surgery or radioactive iodine therapy when it can be reasonably seen as ‘compensatory’. Treatment with levothyroxine is normally recommended where the TSH is consistently above 10 mu / L, or if possible symptoms, high titers of thyroid Antibodies or lipid abnormalities are present. When the TSH is only marginally increased, the tests must be repeated three to six Months later. Conversion to overt hypothyroidism is more common in men or TPO antibodies are present in Practice, vague symptoms in patients with marginal Elevated TSH (less than 10 mu / L) rarely responds to treatment, However, a “therapeutic trial” of substitution may be required to confirm that the symptoms are not related to the thyroid gland. It is also is considered to be the best time (TSH level normalization, the ideal case, the former) Pregnancy, in order to avoid the side effects of the fetus.Myxedema coma severe hypothyroidism, especially in the elderly, may be with confusion and even coma. Myxedema coma is very rare. Low temperature is often there, the patient may have severe heart failure, hypoventilation, hypoglycemia, and hyponatriemia.The best treatment Controversial, there is no data, most doctors recommend T3 oral or intravenous injection, a dose of ƒ¬2, and 5-5 grams every 8 hours then, such as the above-mentioned increase. High-dose intravenous cannot be used. Other measures, although there is no proof of Include: â- Oxygen (by ventilation if necessary) â- monitoring of cardiac output and pressure â- Gradual warming â- Hydrocortisone 100 mg intravenously 8-hour â- Glucose infusion to avoid hypoglycemia. “Myxedema madness” Depression is common in hypothyroidism but rarely with severe hypothyroidism in the elderly can the patient be said demented or psychotic, sometimes with prominent delusions. This may occur shortly after starting T4 replacement. Screening for hypothyroidism â- the incidence of congenital hypothyroidism is Approximately 1 in 3500 births. Untreated, severe Hypothyroidism produces permanent neurological and Intellectual damage (cretinism). Routine screening of the newborn with a bloodstain, like Guthrie test, a high TSH level as an indicator of primary detecting Hypothyroidism is efficient and cost effective; cretinism is prevented if T4 is started within the first few months of life. â- screening of elderly patients for thyroid dysfunction a low pick-up rate and is controversial and not currently recommended. However, patients who have undergone Thyroid surgery or radioactive iodine should receive Regular thyroid function tests, should be as those who Lithium or amiodarone therapy. Signs and symptoms early hypothyroidism is often asymptomatic, can have very mild symptoms. Subclinical hypothyroidism normal levels of thyroid hormones, thyroxin (T4) and triiodo thyronine (T3), moderate to high thyroid-stimulating hormone, thyroid stimulating hormone (TSH) conditions. TSH and low free T4 at a higher level; the symptoms are more obvious in clinical hypothyroidism. Hypothyroidism may be associated with the following symptoms: Early â€¢ cold intolerance, increased sensitivity to cold â€¢ Constipation â€¢ weight gain, water retention â€¢ bradycardia (low heart rate – less than 65 times per minute) â€¢ Fatigue â€¢ decreased sweating â€¢ Muscle cramps and joint pain â€¢ dry, itchy skin â€¢ thin, brittle nails â€¢ Quick thoughts â€¢ depression â€¢ muscle tension difference (hypotonia) â€¢ female infertility and problems in the menstrual cycle Hyperprolactinemia and galactorrhea â€¢ elevated serum cholesterol Late â€¢ goiter â€¢ slow speech and a hoarse, breaking voice – deepening of the voice can also be noticed. Reinke edema. â€¢ Dry puffy skin, especially in the face â€¢ Thinning of the outer third of the eyebrows (sign of Hertoghe) â€¢ Menstrual cycle abnormalities â€¢ Low basal body temperature â€¢ thyroid related depression Uncommon Impaired memory Impaired cognitive function (brain fog) and inattentiveness. A slow heart rate with ECG changes including low voltage signals. Diminished cardiac output and decreased contractility Reactive ( post-prandial) hypoglycemia Hair loss slow reflexes Anemia caused by impaired hemoglobin synthesis (decreased EPO levels), impaired intestinal iron and folate absorption or B12 deficiency from pernicious anemia Yellowing of the skin due to impaired conversion of beta-carotene to vitamin A (carotoderma) Difficulty swallowing(dysphagia) Shortness of breath with a shallow and slow respiratory pattern(dyphnea) Increased need for sleep Irritability and mood instability Impaired renal function with decreased glomerular filtration rate myxedema madness (a rare presentation) Decreased libido due to impairment of testicular testosterone synthesis Impairment of taste sensation and anosmia Puffy face, hands and feet (late, less common symptoms) Gynecomastia(enlarge breast tissue) Loss of hearing Diagnosis thyroid function test the only validation test diagnosis of primary hypothyroidism is thyroid stimulating hormone (TSH) and free thyroxin (T4) level. However, these levels can be varying without thyroid disease. High TSH levels, the thyroid gland does not produce enough thyroid hormone levels (primarily thyroxin (T4) and a small amount of iodine Thyroid three original leucine (T3)). However, measuring just TSH can diagnose secondary and tertiary thyroid function loss, resulting in the following recommended a blood test, if the TSH is normal hypothyroidism remains skeptical: Free triiodothyronine (ft3) Free thyroxin (ft4) Total T3 Total T4 Additionally, the following measurements may be needed: Free T3 from 24-hour urine catch Antithyroid antibodies – for evidence of autoimmune diseases that may be damaging the thyroid gland Serum cholesterol – which may be elevated in hypothyroidism Prolactin – as a widely available test of pituitary function Testing for anemia, including ferritin Basal body temperature Exams and Tests A physical examination may reveal a smaller than normal thyroid gland, although sometimes the gland is normal size or even enlarged (goiter). The examination may also reveal: Brittle nails Coarse facial features Pale or dry skin, which may be cool to the touch Swelling of the arms and legs Thin and brittle hair A chest x-ray may show an enlarged heart. Laboratory tests to determine thyroid function include: TSH test T4 test Lab tests may also reveal: Anemia on a complete blood count (CBC) Increased cholesterol levels Increased liver enzymes Increased prolactin Low sodium Treatment the treatment of hypothyroidism is levorotatory forms of thyroxin (thyroid hormone) (L-T4) and triiodo thyroxin liothyronine (L-T3). Thyroxin is a name, and in the USA, the most common form of thyroxin tablets. Thyroxin is a doctor of the most common drugs, wherein a synthetic thyroid hormone predetermined. This medicine can improve symptoms of thyroid deficiency such as speech delay, lack of energy, weight gain, hair loss, dry skin, cold feeling. This will also help in the treatment of goiter. It can also be used to treat certain types of thyroid cancer, surgery and other medicines. Both synthetic and animal thyroid tablets available, and may be required in patients with the additional thyroid hormone. Daily doses of thyroid hormone, doctors can monitor blood pressure, in order to help ensure that the correct dose. Thyroxin is the best 30-60 minutes before breakfast, because some foods can reduce absorption. Calcium can interfere with absorption levothryoxine. Compared with water, the coffee can be reduced about 30% of the absorption of thyroxin. Some patients may be anti-thyroxin, in fact, they do not have good absorption sheet – to solve the problem by spraying. There are several different treatment options for thyroid replacement therapy: T4 only such treatment methods include supplementary levothyroxin separately, a synthetic form. This is the current standard treatment of mainstream medicine. A combination of T4 and T3 in This treatment method involves the combination simultaneously manage two synthetic L-T4 and L-T3. Dried thyroid extract Dried thyroid extract is an animal thyroid extract; the most common is from porcine sources. It is also a combination therapy, containing a natural form of L-T4 and L-T3. Dealing with controversial T4 T3 generation has been investigating the potential benefits, but has proved to be no conclusive combination therapy benefit. Laboratory Medicine Practice Guidelines in 2002, the the clinical biochemical state of the U.S. National Academy of Sciences during pregnancy: “L-T4 dose should be increased (usually 50 micrograms / day) maintained at 0.5 ~ 2.0 mIU / L and serum serum TSH FT4 within the normal reference interval the upper third. “Doctors tend to assume that if your TSH is in the normal range, sometimes defined as high as 5.5 MIU / L has no effect on fertility. But there is an approximately 1.0 MIU / L, TSH level in healthy pregnant women Subclinical hypothyroidism there are a series of biochemical and point thyroxin treatment, the typical treatment of hypothyroidism symptoms views. Reference range has been debated. As of 2003, the American Association of Clinical Endocrinologists (ACEE) that within the normal range of 0.3-3.0 MIU / L. There is always an excess risk of hyperthyroidism. Some studies suggest that subclinical hypothyroidism does not require treatment. In 2007, the Cochrane Collaboration, a meta-analysis found that, in addition to the “no benefit of thyroid hormone replacement lipids and left ventricular function in 2002 meta-analysis checks whether subclinical hypothyroidism may increase the risk of heart disease increase, some of the parameters previously thought, a slight increase, and recommended to be updated for the current recommendations for further research with the end point of coronary heart disease. Replacement therapy the connection has been a slow release combination of T3 and T4, supporters will be able to thyroid dysfunction symptoms and functional quality of life. This is still a matter of debate, refused by the traditional medical community. Remember, the important thing when are taking thyroid hormone are: â€¢ do not stop taking the drugs, and when you feel better. Continue the medication completely guidance of a doctor. â€¢ If you change the brand of thyroid drugs, let your doctor know. Your levels may need to be checked. Some dietary changes can change your body absorb thyroid drugs. Contact your doctor, if you eat a lot of soy products, or in the high-fiber diet. â€¢ Thyroid medicine best on an empty stomach, and if any other drugs before one hour. â€¢ do not take the thyroid hormone supplement fiber, calcium, iron, multivitamins, aluminum hydroxide, sulfuric acid agent, colestipol, or in combination with a bile acid drugs. You start taking replacement therapy, the doctor tells you, if you have any symptoms of increased thyroid activity (hyperthyroidism), such as Palpitations Rapid weight loss Restlessness or shakiness Sweating Myxedema coma is a medical emergency; the thyroid hormone the body becomes very low. Intravenous replacement thyroid hormone and steroids. Some patients may need support therapy (oxygen, breathing assistance, fluid replacement) and intensive care. Outlook (prognosis) in most cases, thyroid levels to normal, and appropriate treatment. However, thyroid hormone replacement for the rest of life.Myxedema coma can result in death. Possible complications Hypothyroidism, myxedema coma, the most severe form is rare. This can be caused by infection, illness, exposure to cold, or certain medications in untreated hypothyroidism. The symptoms and signs of myxedema coma include: â€¢ room temperature â€¢ Reduce breathing â€¢ low blood pressure â€¢ hypoglycemia â€¢ unresponsive Other complications include: â€¢ Heart disease â€¢ Increased risk of infection â€¢ Infertility â€¢ abortion Untreated hypothyroidism are at increased risk: â€¢ gave birth to birth defects â€¢ heart disease, the higher the level of LDL (“bad” cholesterol) â€¢ heart failure Too much thyroid hormone treatment are at risk of angina or a heart attack, as well as the risk of osteoporosis(the bone thinning). Thyroid Gland And Thyroid Hormone Synthesis
Table of Contents Introduction BREEAM CASBEE Green Star DGNB LEED Conclusion References Introduction It is worth noting that green building assessment programs are aimed at studying the construction and operation of facilities on the issue of their compliance with the country standards. Each of the initiatives evaluates the impact that buildings have on the environment as well as the way these buildings were built and how they can be disposed of in the future. However, each program has its criteria for conformity and functionality. The main objective of all the programs in reducing the consumption of natural and energy resources during construction and afterward. The purpose of this paper is to review five different green building assessment programs and relevant case studies. BREEAM BREEAM is one of the leading methods of facility performance evaluation. This program displays an entire system of environmental assessment methods and conformity standards, and it describes the crucial construction characteristics comprehensively. The advantages of this approach to assessment lie in the fact that it allows designing buildings while improving their performance and life cycle with minimum land use and waste (BREEAM, n.d.). For instance, a positive impact on the initiative is evident in terms of Brandon’s primary school and its full compliance with the environmental criteria. During the design, construction, and management of the building the operating costs were reduced to the minimum, and the working conditions were improved significantly. The building meets all the standards and has a minimal impact on the natural environment (BREEAM, n.d.). CASBEE CASBEE is a national evaluation program, which is significantly different from the one described above. Even though it relies on the same criteria, the land-use factor has the greatest weight in this approach. One of the case studies that has been evaluated positively by this program is the multi-use cultural activity center in Japan (Aiina center, n.d.). Aiina center is evaluated as a highly functional facility that makes effective use of the land through remaining sustainable and causing minimum contamination to the environment. Green Star This system is similar to BREEAM; however, it has been revised and adapted to take the aspect of hot climate into account. The approach assesses the effectiveness of water and energy usage, as well as indoor air quality and transport links (Jurleit, 2015). For instance, according to Green Star, Flinders Medical Centre is an example of a multi-functional construction that has low levels of greenhouse gas emissions and applies the principle of sustainability. DGNB DGNB is one of the voluntary certification systems. It assesses the impact of buildings in terms of environmental, economic, functional, cultural, and social factors. The approach mustn’t consider the individual metrics but the overall efficiency of facilities (Jurleit, 2015). For example, the headquarters of Siemens has received the platinum certification from the program due to its overall high efficiency, multipurpose approach to facilities, and environmental friendliness. LEED The American system of certification is one of the most widely recognized approaches in the world (Jurleit, 2015). Many countries have adopted this system to their geographical, social, and economic peculiarities; nevertheless, the main criteria are universal for all states. As a rule, transnational corporations use this certification approach to assess their institutions. For example, Batten Hall (Harvard Innovation Lab) has been appraised by LEED as an efficient facility that indicated energy cost reduction, sufficient walking distances, and a tendency for reducing wastes. Conclusion In general, all of the evaluation programs are aimed at preserving and enhancing the quality of buildings and reducing their negative impact on the environment. They allow extending the design to consider the facility’s sustainability, utility, and comfort. Despite the active development of new construction technologies, the main criteria are identical in terms of energy efficiency, attention to the environment and health of citizens, and the reduction of emissions and hazardous wastes. Get your 100% original paper on any topic done in as little as 3 hours Learn More References Aiina center. (n.d.). Web. BREEAM. (n.d.). Brandon primary school. Web. Jurleit, A. (2015). Think global certify local: Global comparability and regional adaptation for community certification systems. Hamburg, Germany: Books on Demand.
NUR 456 Hampton University Pulling It Together Assessment & Care Plan Lab Report
NUR 456 Hampton University Pulling It Together Assessment & Care Plan Lab Report.
Please provide a normal sinus rhythmn ekg strip define ( rate, rhythm, PR interval, QRS complex and ST segment, and Interpretation of the rhythm strip): Client History Abdominal Aortic Aneurysm that dissected. please include patient history: smoker, hypertension, over weightInitial Assessment: auscultation of the ansreusym, vitals, expected findings for an AAADiagnostic labs and exams: cardiac Cath, blood labs and results and how the related to the AAADrugs to treat and what they are for generic and brand names plan of care: the nurses plan of care the doctors plan of care was transferred to the step down unit to end off To make it extensive please come up with any medical senario to pull t all together
NUR 456 Hampton University Pulling It Together Assessment & Care Plan Lab Report
Environmental Health Assessment of Home Research Paper
programming assignment help Introduction The Environmental Health Assessment List (HEAL) is an instrument designed by the Tacoma-Pierce County Health Department (TPCHD) for identifying hazards in the home environment. The HEAL consists of two major parts: the survey and the home action plan. The survey comprises a few sections including dust and lead control, moisture problems, indoor air quality, and so on. The questionnaire is designed in a way that each answer and assessment result is correlated with a particular action step, based on which a person can easily see what immediate solution every identified problem may have. Moreover, the answers are ranked on the concern level scale that includes lower, medium, and higher levels. Thus, after the competition of the survey, it becomes clear what areas should be prioritized and intervened first. The main objective of TPCHD is to “enhance personal and community health through innovative programs and information” (TPCHD, n.d.a, para. 1). Along with illness prevention and control, TPCHD focuses on environmental health. As stated by Friis (2012) “the environment is intimately connected with human health, illness, and mortality: some estimates place the toll of the world’s deaths caused by environmental factors at 40%” (p. 5). Considering that people spend the largest portion of the lifetime in their houses, it is vital to ensure that the home environment is safe. Unfortunately, it is often hard to detect any environmental hazards because chemicals and other detrimental agents are usually beyond the ability of human senses to detect (TPCHD, n.d.b). It is possible to say that the HEAL provides all the necessary information to drive environmental improvements at home and can be of help for both the professionals and the households. Selected Home Environment The selected home environment is located in a relatively new two-storied building constructed in the 1990’s at 7300 Dixon Street, Forest Park, Illinois. The house is situated in the quiet and green sleeping quarters surrounded by sidewalks and driveways. No factories, auto body shops, airports, bus and rail stations, as well as gas stations are anywhere nearby the building. It is located more than five blocks away from the most proximate busy street. No excess radioactivity was reported in the neighborhood in the past. The calm and homely atmosphere was one of the major motivations for moving to this area. The home itself is a one-bedroom apartment, in which two persons live on a permanent basis. Along with a living room and a bedroom, there is a small kitchen and a bathroom. The apartment has three windows in total. Overall, it is spacious, well-lit, and not exposed to disturbing sources of noise. Assessment Building In general, the building characteristics are associated with a low level of concern. It was constructed after 1978, which means that lead-based paint was not used there. Remodeling and paint removal is not planned for the nearest future and, within a few past years, nobody removed the external paint. The only area of medium concern is the level of temperature maintained in the apartment during the heating season. It usually ranges on the scale from 68F to 75F, which means the indoor temperature may help control moisture but reduces energy efficiency. Nearby Environment No significant risks are identified in the house surroundings. There are no nearby sources of smoke or major sources of air pollution such as highways, gas stations, etc. However, minor pollution comes from the driveways and parking lots as many neighbors have cars. Dust and Lead Control As stated by the United States Environmental Protection Agency (EPA, 2017), lead paint is present in millions of homes, especially those built before 1978. Lead dust often gets on various surfaces and objects that people touch. Moreover, it can enter the air during vacuuming or sweeping. As it was mentioned above, lead paint was not used in the selected home environment. Additionally, all painted surfaces are well-maintained in the house − there is no peeling or flaking. Get your 100% original paper on any topic done in as little as 3 hours Learn More The largest part of the living space is not carpeted. Thus, dust is easy to remove and clean. There are some small area rugs. However, since none of the family members has asthma, they do not pose a significant risk to health. A high-quality doormat is present at the main door as well. It helps control the track-in of dust. Moreover, to keep the living area clean, the family members remove shoes at the entrance. The only major area of concern is that the home is vacuumed only once a month. It may be thus suggested to increase the frequency of vacuuming to lower the risks. Moisture Problems Indoor dampness and mold are common problems for households across the globe. In cold climates, the prevalence of indoor mold equals 5–10%, while in moderate and warm climates it is 10–30% (Quansah, Jaakkola, Hugg, Heikkinen,
Engineering homework help
Engineering homework help. You are preparing the project budget and schedule for review with your manager. Next week?s meeting will focus on the budget and schedule for the marketing campaign deliverables of the project.ÿIndividual deliverable ? continue work on the project plan by documenting the budget cost components for the marketing-related deliverables. Identify and describe the items that will be included in the budget and how those items will be tracked. Refer to PM-BOK and the Web resources for details on what to include.ÿPlease add your file.ÿIndividually, continue work on the project plan by developing the work breakdown structure for the marketing-related deliverables. For each deliverable, list the following:Activities that must be completed.Order in which they must be completed.Dependencies between activities.Considerations for duration.Considerations for assigning resources to the activity.Identify any milestones and describe your rationale for why they are milestones. Refer to PM-BOK and the Web resources for definitions and additional details. The result should be a list in Word, Excel, PowerPoint, or Project.ÿPlease add your file.Group deliverable ? go to the Small Group Discussion Board and evaluate each other?s responses:Are all probable deliverables identified?Are activities organized coherently?Is the level of detail appropriate in the work breakdown structure? Are tasks too granular? Too broad? Can tasks be assigned to people clearly?Are dependencies correct? Do they make sense? Are they simple or complicated?Are milestones identified? Do they make sense?Are the cost components in the budget clearly defined? Is the list comprehensive?Is the decision to track internal vs. external costs logical and cohesive?Finally, compile the final project budget and work breakdown structure as a group based on the evaluations. Submit the results as your final group deliverable.Please add your file.Assignment ObjectivesAnalyze various organizational systems, and determine how to integrate project management processes into various existing corporate structures.Construct a project plan (based upon the core planning processes) that is focused on customer needs, that effectively balances project and organizational objectives with stakeholder satisfaction, and that addresses the nine project management processes areas.Apply critical thinking skills to analyze business situations.Discuss the opportunities provided by technology for businesses.Use effective communication techniques.Engineering homework help
Blindfolded Experiment: Personal Experience Essay
Introduction There are instances in life that make us appreciate our abilities, and their effects on how we manage to perform our duties and appreciate our environment on a daily basis. The gift of sight is arguably the most pivotal when it comes to accomplishing these tasks. Evidence of this sentiment can be deduced from a class experiment we were recently instructed to conduct. In this particular experiment, we were instructed to form groups of two people. One member would be blindfolded and the other member would act as a guide to direct the blindfolded person around the school vicinity. Once the experiment was over, we were expected to interchange these roles and redo the experiment again, to ensure that each member had a chance to experience the situation individually. This report shall set out to narrate how the experience was for me as a blindfolded party as well as the guide. The issues that arose during the experiment shall also be provided. Main Body As the experiment begins, my partner blindfolds me and directs my left arm to his right shoulder. As we start walking through the predetermined route, I feel lost in a dark abyss and a strong sense of fear for the unknown starts creeping in. the situation is made less threatening as I hear fellow students talking to each other as well as the voice of my partner giving me directions on how to maneuver various obstacles in my path. As we walk, I develop this deep urge to remove the blindfold and just see where I am heading to. However, I opt to trust my partner and use my other senses to get a feel of where we are going. This proves to be challenging because my partner does not give me details on where we are or where we are going. As such, I am forced to guess and logically deduce our location from the sounds I hear, the smells and to some extent what I feel with my arm. I have to say that I have a new found respect for those people who go on with their lives devoid of sight. This is attributed to the fact that as we walk around the school, I am in constant fear that I might nock something down, be knocked down, collide with an object or person, or become a victim of a surprise attack. In as much as my partner’s voice assures my safety and protection, the sense of exposure to danger runs deep within my nerves and my whole being. All this while, I can feel the warmth of the sun penetrating through my skin, the whirling of the wind as we pass near trees and the coldness of metallic rails as we step down or up a staircase. The most amazing fact is that even after following the directions given, I cannot tell where we are. In most occasions, my partner instructs me to turn left of right or to climb up or down a staircase. Even with these specific instructions, I still feel lost and have no clue of where we are heading. After a while, my partner instructs me to let go of his shoulder and follow his voice. At first I am reluctant but he assures me that he will be close and in constant communication with me. However, I oblige and follow his voice as much as I can. In some instances, his voice is drowned by the whistling of the wind or by other student’s voices. This confuses me and as a reflex, I try to walk faster so that I can catch up with his voice. Get your 100% original paper on any topic done in as little as 3 hours Learn More Whenever he tells me to turn, my body reacts in an unnatural and stiff manner just like a robot. Despite these challenges, I can feel the atmospheric changes and the sudden coolness which indicates that we are inside a building. I quickly tell my partner that we have crossed the school plaza because of the sudden increase in noise which is highly characteristic of the plaza. After a short walk I can hear the splashing of the water indicative of the swimming pool and the softness of the lawns as the grass brushes over my trouser. The exercise comes at an end after we cross the bridge. The feeling of relief and peace that comes after my eyes are unfolded is yet to be matched. My role as a guide seems to be pleasant but tricky. As I direct my partner through the path, I can feel his discomfort from his firm grip as he holds my arm. As such, I try my best to direct him safely and reassure him that he is in good hands. I feel responsible for him and do everything possible to ensure that he does not get distracted or come into contact with any dangerous objects. In as much as I act as his eyes, I share the worry that comes with being unsure of what is happening around him. Conclusion Conclusively, the experiment is an “eye opener”. In most cases, we undermine our gifts and abilities. However, such experiments put things in perspective and help us understand the difficulties that the less fortunate have to endure on a daily basis. The experiment ran for an average of thirty minutes and it was unbearable. On the other hand, there are people who experience this situation on a daily basis and have learnt how to cope with their inability to see. This calls for much appreciation for them and their coping mechanism because being blind is not as easy as they make it seem.