third most common problem of the genitourinary system

Nephrolithiasis is the third most common problem of the genitourinary system. Identify and discuss risk factors for kidney stones including cultural considerations.

Students are expected to:

  1. Post an initial substantive response of 250 words to each question
  2. Please be sure to validate your opinions and ideas with citations and references in APA format.
  3. References and citations should conform to the APA 6th edition.
  4. Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
  5. The peer postings should be at least one paragraph (approximately
Timothy’s POST:

According to Worcester and Coe (2008), Kidney stones affect over 5% of adults in the United States, and the prevalence is rising. The fundamental cause for all stones is supersaturation of urine concerning the stone components; factors affecting solubility include urine volume, pH, and total solute excretion. Calcium stones are the most common, in adults and children, and are associated with several metabolic disorders, the most common of which is idiopathic hypercalciuria. According to Durham, Goldfarb, and Lam (2018), Renal stone disease (nephrolithiasis) is a relatively common problem. The population prevalence increased from 3.8 percent in the period from 1976 to 1980 to 5.2 percent in the period from 1988 to 1994. The prevalence increased in men and women, and in whites and blacks. Although one study suggested that the incidence rates since then may have leveled off, the 2007 to 2010 NHANES data found a continued increase in prevalence to 8.8 percent in the United States population. Dietary factors can play an important role in promoting stone formation, primarily by affecting the composition of the urine. There are several dietary factors that may play an important role in many patients: fluid, calcium, oxalate, potassium, sodium, animal protein, phytate, sucrose, fructose, and vitamin C intake. Lower intake of fluid, calcium, potassium, and phytate and higher intake of sodium, sucrose, fructose, vitamin C, and possibly animal protein are associated with an increased risk for calcium stone formation. The type of beverage may also influence the risk. The effect of calcium intake is paradoxical, with a decreased risk with increased dietary calcium and an increased or no change in risk with calcium supplements. Patients may be advised to drink more fluids to decrease the risk of another stone. The goal is to increase the amount of urine that flows through your kidneys and also to lower the concentrations of substances that promote stone formation. Experts recommend drinking enough fluid that you make more than 2 liters of urine per day. Certain diseases, dietary habits, or medications can increase your risk of developing kidney stones. Patients that have a kidney stone, that is causing no symptoms may or may not need to remove the stone. The decision is based upon the size and location of the stone, as well as the ability to be treated quickly if symptoms were to develop.

References

Durham, G., C., Goldfarb, S., and Lam, A., Q. (2018). Risk factors for calcium stones in adults. UpToDate. Retrieved from https://www.uptodate.com/contents/risk-factors-for…

Worcester, E. M., & Coe, F. L. (2008). Nephrolithiasis. Primary Care, 35(2), 369–vii. http://doi.org/10.1016/j.pop.2008.01.005

Stephen POST:

Nephrolithiasis is a common problem among male patients encountered in the primary care setting. Not all kidney stone cases are the same. Understanding the differences is key to both prevention and treatment (Hall, 2009). Furthermore, prevention and early recognition require an understanding of the risk factors for nephrolithiasis. First, sex, race and age play a role in determining the likelihood of developing kidney stones. Caucasian males are at the highest risk for developing kidney stones with prevalence descending through black males and Hispanic males then women. The age of development varies by country. In the US Caucasian males tend to develop kidney stones in their 30s, 40s, and 50s, while in Germany, the likelihood increases well after 65. Italy shows similar yet much less pronounced trending then Germany (Romero, Akpinar, & Assimos, 2010). Other nonmodifiable risk factors beside age, sex, and race include a family history and a previous personal history of kidney stones. Additional risk factors are lifestyle related. Patients with low water intake and/or high protein, sodium, and sugar intake are at higher risk. Obesity is also a risk factor for nephrolithiasis. Certain medical conditions can also increase a patient’s likelihood of developing nephrolithiasis. These include: a history of polycystic kidney disease, a history of gastric bypass or other intestinal surgery, any condition that causes concentration of cystine, oxylate, uric acid, or calcium in the urine, or any condition that causes swelling or irritation of the bowel or joints. Lastly, patients taking diuretics and calcium based antacids are at increased risk for nephrolithiasis (American Kidney Fund, 2018).

References

American Kidney Fund. (2018, January 1). Who is at risk for kidney stones? Retrieved from http://www.kidneyfund.org/kidney-disease/kidney-problems/kidney-stones/kidney-stone-risk-factors.html.

Hall, P. (2009). Nephrolithiasis: treatment causes and prevention. Cleveland Clinic Journal of Medicine, 76(10): 583-591. Retrieved from https://www.mdedge.com/ccjm/article/95015/nephrology/nephrolithiasis-treatment-causes-and-prevention.

Romero, V., Akpinar, H., & Assimos, D. G. (2010). Kidney Stones: A Global Picture of Prevalence, Incidence, and Associated Risk Factors. Reviews in Urology, 12(2-3), e86–e96.

Government 2305, writing homework help

Discussion topics : Responses must be a minimum of 400 words. Students must also comment on at least one fellow classmate’s in addition to writing their own. Comments must be more substantive than just “I agree” or “disagree”. They must be a minimum of 100 words. The grade will be based on ability to following instructions as well as the content and thoroughness of the student’s response.

====

here the discussion :

Options Menu: Forum

Do you think that the United States should have more than a two-party system like some other countries? If the United States feasibly had more than just two parties, what differences do you think could result from this shift? Could this possibly impact future elections? Should the United States do away with the Electoral College? Again, what differences do you think could result from this shift?Could this possibly impact future elections?

Consumerism

  • Describe consumerism. Describe a specific context and explain what consumerism means in the setting.
  • What is planned obsolescence? What role does planned obsolescence play in consumerism? Describe one product or service and explain how planned obsolescence is incorporated into its design. Note: Do not use the same product or service that a classmate has already used in a previous post.
  • What are your personal beliefs and biases about consumption?
  • Having separated your personal beliefs and biases, use ethical theories and concepts to present how you feel about consumerism and planned obsolescence as societal issues.

Your initial post should be at least 250 words in length. Support your claims with examples from the required resources and/or other scholarly sources, and properly cite any references in APA style

Perceptions of Racial and Ethnic Identities

Part one: Influence of Media on Stereotypes

In your text, Framework Essay III explains how Asian Americans often are stereotyped positively, while African Americans often are stereotyped negatively.

To prepare for this Discussion:

  • Review the “Framework Essay” in Section III and Readings 13, 31, and 33 in the course text. (Rosenblum, K. E., & Travis T. C. (2016). The meaning of difference: American constructions of race and ethnicity, sex and gender, social class, sexuality, and disability (7th ed.). New York, NY: McGraw-Hill). Pay particular attention to stereotypes and media representations of racial and ethnic groups.
  • Think about how media influences racial and ethnic stereotypes.
  • Consider positive and negative stereotypes that you are aware of.
  • Watch a television sitcom, a drama, a news program, a talk show, or the commercials aired during one of these types of shows. Identify one example of a positive racial or ethnic stereotype and one example of a negative racial or ethnic stereotype.
  • Consider how the racial or ethnic stereotypes in the media that you viewed may influence viewers’ perceptions of race and ethnicity.

With these thoughts in mind:

Post one example of a positive racial or ethnic stereotype that you viewed. Explain why you identified the stereotype as positive. Then, post one example of a negative racial or ethnic stereotype that you viewed. Explain why you identified the stereotype as negative. Finally, evaluate how the stereotypes that you identified might influence viewers’ perceptions of race and ethnicity. Provide specific examples to illustrate your explanation.

Part two: Perceptions of Social Class

To prepare for this Assignment:

  • Review this week’s Learning Resources. Pay particular attention to the definitions of wealth, power, and the tri-racial stratification system in the article, “From Bi-racial to Tri-racial: Towards a New System of Racial Stratification in the USA.” (Bonilla-Silva, E. (2004). From bi-racial to tri-racial: Towards a new system of racial stratification in the USA. Ethnic and Racial Studies, 27(6), 931–950. doi:10.1080/0141987042000268530).
  • Consider the impact of the tri-racial stratification system on perceptions of race and ethnicity.
  • Think about how race, power, and wealth might influence people’s perception of social class
  • Reflect on whether race, power, or wealth might have the most influence and why.

The Assignment (3–4 pages):

  • Explain the impact of a tri-racial system on societal perceptions of race and ethnicity. Provide specific examples.
  • Separately analyze the impact of race, power, and wealth on people’s perceptions of social class. Provide specific examples for each.
  • Explain which you believe has the greatest influence on people’s perceptions of social class and justify your response.

Fall Risk Case Study

  • Develop a one-paragraph summary describing Mrs. L.’s risk for falls.
    • Create one goal for each category
  • UNIQUE CANNOT BE COPIED FROM INTERNET!!
  • Content is clearly written, thorough, and organized effectively.
  • The paper includes all criteria required in assignment.
  • Sentences are well constructed throughout the paper with no oversights, omissions, or inaccuracies.
  • Writing flows smoothly from one idea to another.
  • Transitions are seamless and link the writer’s points consistently.
  • The assignment is written without spelling or grammatical errors.

reading and write a essay

  • Length: about 4 pages
  • Format: Double-spaced or 1.5-spaced
  • Include full citations indicating the sources of your information (see below for more information)
  • Please work alone on this assignment!

Instructions:

First read pp. 179-182 of chapter 10 in Zhou & Sun 2004. This chapter is written by the well-known Chinese linguist Sun Hongkai of the Chinese Academy of Social Sciences. You may remember him as the one who documented the Anong language. (Note: you are only asked to read the first 4 pages of the chapter.)

Then, download and read any one of the chapters 12 (Tibetan), 13 (Zhuang), 14 (Yi), 15 (Bai), 16 (Mangolian), or 17 (Korean) from Zhou 2004. You are free to choose the language that interests you the most. (Note that each of these chapters is written by a different author.) Read the description of the same language in Ramsey’s Languages of China and Legerton & Rawson’s Invisible China (some languages do not appear in both books, so just read what is available).

Making use of material in these three sources, combined with what you have learned from other class readings (for example, Dwyer) and lectures (we have discussed Yi, Tibetan, Korean, and Mongolian in some detail), write a brief summary of the ethnic minority people and language you have chosen. (Be aware that these three books are written by authors with very different backgrounds, perspectives, and agendas.) You may consult additional sources if you wish, but it is not necessary. Reputable published sources such as An ethnohistorical dictionary of China (on reserve at Odegaard and available as an ebook through UW library) are preferable to open collaborative sources (such as Wikipedia).

Include at least the following information:

  • population and geographic distribution
  • language varieties and dialects
  • general language features
  • type of writing system(s)
  • important points related to language policy, education policy, and writing system policy as well as additional information that you think is interesting or worth noting.

Do not attempt to include all the information in your readings; use your judgment to summarize and highlight. Don’t include technical details that you do not understand. If there are technical descriptions that you feel are important to understand and include in your paper, ask me for an explanation. Be sure that the paper represents your own writing, i.e. that it makes use of the information you’ve taken from the sources, but extracted, reorganized, and presented in your own words.

Your grade will be based on

  1. coherence and organization of your paper, general clarity of the writing
  2. accurate representation of information learned from the readings
  3. judicious selection of material from reading included in your paper
  4. connection of the reading material to other information learned in class
  5. sufficiency of attributions in the text or in footnotes, with complete bibliographic citations

Aside from these requirements, you have freedom to decide on the content and structure of your paper.

When you are done writing your paper, search on YouTube (or elsewhere on the web) for a video that features a speaker of your language. Watch the video to get a feel for the sound of the language. Add the URL (web page address) of the video as an appendix at the end of your paper.

Employee-Compensation-and-Benefits

Due Week 10 and worth 250 points

This assignment consists of two (2) sections: a narrative and a PowerPoint presentation. You must submit two (2) sections for the completion of this assignment. Label each file name according to the section of the assignment it is written for.

Imagine that you have just been hired by a new company as the director of the HR department. You have been tasked to hire a new secretary for the department and to develop an employee compensation and benefits package that will be used for that position upon hire. Develop a PowerPoint presentation to present this information to your Vice President. Go to the Bureau of Labor Statistics’ (BLS) Website, located at www.bls.gov for information regarding organizations and pay in your geographical area (Washington, D.C.)

Section 1: Narrative

Write a two to three (2-3) page paper in which you:

  1. Choose the type of organization for which you are designing the package.
  2. Develop an employee compensation and benefits package for this new position. Support your ideas for the compensation/benefits package.
  3. Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

Section 1 of your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

Section 2: Presentation

Create a twenty (20) slide PowerPoint presentation in which you:

4. Provide an overview of the employee compensation and benefits package that you developed in the narrative portion of this assignment.

5. Determine if the employee will be exempt or nonexempt and discuss how overtime will be handled.

6. Suggest other benefits that might be considered within the next few months to enhance employee performance and provide job motivation.

7. Provide information on how government regulations will influence the compensation.

8. Examine data from two (2) organizations listed in the BLS Website with packages similar to yours, focusing on salary, compensation, and benefits in order to convince upper management that your package should be accepted and implemented.

9. Describe how the competitive compensation and benefits package will align with the HRM strategy.

The specific course learning outcomes associated with this assignment are:

  • Design training and development systems to improve employee performance.
  • Develop competitive compensation and benefits packages that align with HRM strategy.
  • Use technology and information resources to research issues in strategic human resource development.
  • Write clearly and concisely about strategic human resource development using proper writing mechanics.

sociology writing -4

For today’s topic: class inequality, instead of reading from your textbook, I would instead ask you to listen to one of the most prophetic voices on poverty. Please listen to Doctor Martin Luther King Junior’s famous speech, “Why I Am Opposed to the War in Vietnam” at the link below

Pay attention to the way Doctor King connects foreign war with domestic poverty and consider why he calls war “the enemy of the poor.” This speech was controversial and afterwards King received a great deal of criticism from across the political spectrum for his anti-war position. This speech was delivered approximately one year before his assassination.

Before he was killed, MLK returned to Memphis to support the sanitation (garbage) workers – as part of his struggle for labor equity and the founding of the Poor People’s Campaign. A campaign to provide housing, a decent standard of living, and good jobs for everyone.

Now, over 50 years after MLK’s assassination, a new Poor People’s Campaign has been launched by a coalition of secular and faith-based organizations across the country. Listen to Reverend Bishop Barber, Co-Chair of the new Poor People’s Campaign describe the crisis of poverty in the US – before begin arrested last month.

After you have listened/watched the links above, answer the following questions:

1. What is the relationship between militarism and poverty – as described by Doctor King?

2. What, in your opinion, are the similarities, and differences, between the conditions during MLK’s time – and our own time? Note: In your response, you may choose to draw upon the information on the website of the new Poor People’s Campaign:https://www.poorpeoplescampaign.org/demands/

3. What are some specific political/social/economic steps for reducing wealth inequality and lifting people out of poverty in the US and around the world?

4. What do you see as viable ‘exit strategies’ – opportunities for overcoming – what MLK called the Triplets of Evil (Racism, Materialism, and Militarism)? In other words, how are we to build a world of substantive human equity and environmental sustainability given the many challenges that lie before us?

5. Optional: Do you support or reject Bishop Barber’s arguments for a guaranteed basic income and universal healthcare.

case-paper-fast-fashion

please read the case and write a four pages paper follow the template step by step. please do not copy from anywhere because plagiarism will be checked. more requests in the file.thanks.

-Book-Reactions-Who-Moved-My-Cheese-

Book Reactions:A book reaction will be written over each of the two supplemental texts. Students will find one to three compelling items within the book and tie it back into what has been learned in the course. The book reactions should be approximately 2 pages double spaced with 1” margins and 12-point font. Feel free to agree or disagree with what was presented in the books, but make sure to support your argument withi nformation.

(Who Moved My Cheese? I don’t have this book, only has cover picture for this book.)