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Exocrine Pancreatic Insufficiency (EPI)

Exocrine Pancreatic Insufficiency (EPI). The pancreas performs both exocrine (secretes into a duct) and endocrine (secretes directly into the blood) functions, that are vital for correct metabolic function. One such role, is the secretion of digestive enzymes by pancreatic acinar cells, essential for the breakdown of nutrients in the small intestine. Exocrine pancreatic insufficiency (EPI) is a degenerative disease caused by the insufficient production and secretion of pancreatic digestive enzymes; this leads to maldigestion (an inability to breakdown nutrients) in the duodenum and if untreated, ultimately death through starvation, regardless of how much the dog may seem to be eating (Foster, 2017). EPI is often accompanied by a secondary condition, known as Small Intestinal Bacterial Overgrowth (SIBO). Due to the nature of EPI, bacteria take advantage of the undigested food in the intestine, which often leads to many of the same symptoms as EPI, especially bowel discomfort and flatulence (GlobalSpan, 2013). Cobalamin (Vitamin B12) deficiency, is another secondary condition that more than 80% of dogs with EPI have (Steiner, 2011). This is because cobalamin requires intrinsic factor (IF), produced by the pancreas, for protection and absorption from the small intestine (SI). In addition to low IF levels, SIBO can also lead to reduced cobalamin uptake, as the bacteria bind it and prevent uptake from the SI (PetMD, 2017). Cobalamin deficiency can prevent weight gain and even has neurological side effects, which may affect the animal’s behaviour (Steiner, 2012). The pancreas is an elongated gland, located close to the small intestine, with the pancreatic duct emptying into the duodenum at the hepatopancreatic ampulla (Figure 2) (RossExocrine Pancreatic Insufficiency (EPI)

Complete Law Assignment

Complete Law Assignment.

Write a 1,400- to 1,750-word paper in which you analyze the relationship between ethics and professional behavior in the administration of criminal justice.Explain the role of critical thinking with regard to the relationship of ethics and professional behavior.Include in your paper a proposal for a seminar in ethics training for law enforcement officers.In your proposal choose five areas of ethical conduct and that will be stressed in the seminar.Explain why you chose those areas and what the expected benefits of the training will be for both officers and the community.Include at least four peer reviewed referencesFormat your paper consistent with APA guidelines.
Complete Law Assignment

Information governance

online assignment help Information governance. I’m working on a Computer Science question and need guidance to help me study.

APA format is required for both in-line references and endnote references.Full-text PDFs of all references are required. Lack of full-text PDFs will lose half of the credit for this post.Q1: In order to have a successful IG program, one of the eight (8) Information Risk Planning and Management step is to develop metrics and measure results. Why are metrics required? Briefly provide your explanation.

Information governance

HHS 320 Ashford University Week 4 Escaping Poverty Analysis Paper

HHS 320 Ashford University Week 4 Escaping Poverty Analysis Paper.

Social ClassWatch the video, Escaping Poverty, (Links to an external site.) by Jacqueline Novogratz. Define the term, “classism,” and discuss it in relation to socioeconomic status (SES) as it pertains to the relative ranking by financial wealth within society. Discuss how social class impacts our ability to relate to those who are higher or lower than us in our roles as human service workers, in the delivery of human services. Support your comments with two references and respond to at least two of your classmates.
HHS 320 Ashford University Week 4 Escaping Poverty Analysis Paper

Proposed business is Productive Aging, Management Homework Assignment help

Proposed business is Productive Aging, Management Homework Assignment help.

Proposed business is Productive AgingComplete the marketing analysis & strategy of your proposed business.  In this segment of your business plan you will include the following: I. Executive Summary. II. Current Marketing Situation (market description, services reviewed, competitors). III. SWOT analysis. IV. Strategic plan (5 year strategic goals, marketing messages (e.g. slogan, tagline, etc.) for who? And how?, outline your promotional strategies).  Make sure to provide a model and/or frame of reference as part of your executive summary.Note: 1. Paper should be up to 4 pages in length, NOT including cover page and reference page.
Proposed business is Productive Aging, Management Homework Assignment help

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