Walden-response to classmate 2- advocacy- week 9

I Need a response to my classmate’s post!! Please add three references!! Than You very much!!

Yanser Corzo

RE: Discussion – Week 9

Top of Form

Nurses nowadays are more involved or engaged in many health sectors mostly policies and advocacies to continue giving optimum care to their patients. Nurses are seeing a lot of workflow that needs to revised and/or change. The American Nurses Association provide support for state nurses association as they advance their own advocacy agendas, and help federal agencies and elected officials propose and enforce new laws that will advance the nursing profession (American Nurses Association, 2018).

Based on the analysis undertaken “policy influence is nurses” ability in influencing decisions and affairs related to health through political knowledge, effective communication, and collaboration with other members of the health team, which results in the improvement of nurses’ job environment and increase patient outcomes (Arabi, Rafii, Cheraghi & Ghiyasvandian, 2014). Nurses learned from their daily experiences in patient care, they start as a beginners and realized that there are a lot of policies that needs to be reviewed, our team of nine in our department meet twice a month to review policies that needs to be updated, some of them are new nurses with few years experiences, they have fresh ideas and eager to make changes for the safety of our patients and staff. “When the abilities of beginners are developed, they can involve in policy acumen, which is the ability to analyze policies and can actively analyze organizational process and health care services (Arabi, Rafii, Cheraghi & Ghiyasvandian, 2014).

Nurse practitioners are essential advocates for health care policy (Chilton, 2015). Those NPs who are members of professional nursing organizations have the credentials to offer relevant personal testimony supporting the need for a bill (Chilton, 2015).

Most challenges in program evaluation can be addressed with appropriate planning, the use of effective evaluation design, and the use of reliable or consistent indicators that can be measured using standardized methods of data collection (Milstead & Short, 2019).

There are numerous factors that affecting nurses and Nurse practitioners ability to be politically active in influencing health policy development, they don’t have extra time due to commitment in their daily nursing jobs, some nurses are not trained or don’t have enough knowledge or they don’t have the resources on how to get involve in policy making or review, and most of them are not interested in policy.

Some ways to overcome these challenges are; giving nurses and nurse practitioners extra trainings about policy and its effect to health care, give examples and credit units or extra points for their yearly salary raise, role models, being involved and gaining more experiences in policy development, educated and knowledgeable about health systems and policy development process, political activism and conducting research to expand knowledge (Sharrif, 2014). Being supported by professional organizations and developing leadership skills (Shariff, 2014).

Getting involve in many professional associations are a great example to start advocating for these opportunities that nurses and advance nurse practitioners has, knowing when to start and who to go to is another strategy also. I mentioned above that having a good role model would guide you through out the process. Thorough training and education from various associations to gain knowledge will be beneficial. Experiences from previous and current work are the best tool to use towards policy making and review approvals.

References

Sarbanes-Oxley and Corporate Governance, Law , Assignment help

Use case 15.3

700- to 1,050-words in which you answer the following: 

  • If auditing of financial statements is required for the protection of public investors, should not all PCAOB members be taken from the investment community that uses audited financial statements? Why or why not?
  • How does the decision in this case impact the validity of the Board and other provisions of the Sarbanes-Oxley Act? 

In APA format

Cite at least 3 peer-reviewed sources.

Case 15.3

FREE
ENTERPRISE FUND v. PUBLIC COMPANY

ACCOUNTING
OVERSIGHT BOARD

130
S. Ct. 3138 (2010)

As
a part of the Sarbanes-Oxley Act, Congress created

the
Public Company Accounting Oversight Board

(PCAOB
or Board). This Board consists of five members

who
are appointed by the Securities and Exchange

Commissioners.
Board members serve 5-year, staggered

terms
and are not considered Government officers

or
employers. This allows the recruitment from

the
private sector since the Board members’ salaries

are
not subject to governmental limitations. These

members
can be removed by the SEC Commissioners

only
“for good cause” if the Board member:

(A)
has willfully violated any provision of the

Act,
the rules of the Board, or the securities laws; (B)

has
willfully abused the authority of that member; or

(C)
without reasonable justification or excuse, has failed

to
enforce compliance with any such provision or rule,

or
any professional standard by any registered public

accounting
firm or any associated person thereof.”

This
arrangement concerning the appointment and

potential
removal of Board members makes the PCAOB

a
Government-created, Government-appointed entity

with
expansive powers to govern an entire industry

(public
accounting firms). It further makes the Board

members
insulated from the direct supervision of the

SEC
Commissioners.

Following
the Board’s release of a negative report

about
Beckstead and Watts, LLP, a public accounting

firm,
this lawsuit was filed by that firm and The

Free
Enterprise Fund challenging the constitutionality

of
the Sarbanes-Oxley Act at least as far as the

creation
and operation of the PCAOB. The basis of

this
challenge is the Board members are not subject to

the
appointed powers of the President of the United

States.
The United States Government joined the suit

to
defend the Sarbanes-Oxley Act and the PCAOB.

The
District Judge granted summary judgment in

favor
of the United States, and the D.C. Circuit Court

of
Appeals affirmed. Certiorari was granted to review

the
constitutional issue.

ROBERTS,
C.J.:
.
. . We hold that the dual for-cause

limitations
on the removal of Board members contravene

the
Constitution’s separation of powers.

The
Constitution provides that “[t]he executive

Power
shall be vested in a President of the United

States
of America.” Art. II, §1,
cl. 1. As Madison stated

on
the floor of the First Congress, “if any power

whatsoever
is in its nature Executive, it is the power

of
appointing, overseeing, and controlling those who

execute
the laws.”

The
removal of executive officers was discussed

extensively
in Congress when the first executive

departments
were created. The view that “prevailed, as

most
consonant to the text of the Constitution” and

“to
the requisite responsibility and harmony in the

Executive
Department,” was that the executive power

included
a power to oversee executive officers through

removal;
because that traditional executive power

was
not “expressly taken away, it remained with the

President.”
. . .

The
landmark case of Myers
v.
United
States

reaffirmed
the principle that Article II confers on the

President
“the general administrative control of those

executing
the laws.” It is his
responsibility
to take care

that
the laws be faithfully executed. The buck stops

with
the President, in Harry Truman’s famous phrase.

As
we explained in Myers,
the
President therefore

must
have some “power of removing those for whom

he
cannot continue to be responsible.”

Nearly
a decade later in Humphrey’s
Executor,

this
Court held that Myers
did
not prevent Congress

from
conferring good-cause tenure on the principal

officers
of certain independent agencies. That case

concerned
the members of the Federal Trade Commission,

who
held 7-year terms and could not be removed

by
the President except for “inefficiency, neglect of

duty,
or malfeasance in office.” The Court distinguished

Myers
on
the ground that Myers
concerned

“an
officer [who] is merely one of the units in the

executive
department and, hence, inherently subject to

the
exclusive and illimitable power of removal by the

Chief
Executive, whose subordinate and aid he is.” By

contrast,
the Court characterized the FTC as “quasilegislative

and
quasi-judicial” rather than “purely

executive,”
and held that Congress could require it “to

act
. . . independently of executive control.” Because

“one
who holds his office only during the pleasure

of
another, cannot be depended upon to maintain an

attitude
of independence against the latter’s will,” the

Court
held that Congress had power to “fix the period

during
which [the Commissioners] shall continue in

office,
and to forbid their removal except for cause in

the
meantime.”

Humphrey’s
Executor
did
not address the

removal
of inferior officers, whose appointment Congress

may
vest in heads of departments. If Congress

does
so, it is ordinarily the department head, rather

than
the President, who enjoys the power of removal.

This
Court has upheld for-cause limitations on that

power
as well. . . .

We
have previously upheld limited restrictions

on
the President’s removal power. In those cases,

however,
only one level of protected tenure separated

the
President from an officer exercising executive

power.
It was the President—or a subordinate he

could
remove at will—who decided whether the officer’s

conduct
merited removal under the good-cause

standard.
The Act before us does something quite

different.
It not only protects Board members from

removal
except for good cause, but withdraws from

the
President any decision on whether that good cause

exists.
That decision is vested instead in other tenured

officers—the
Commissioners—none of whom is subject

to
the President’s direct control. The result is a

Board
that is not accountable to the President, and a

President
who is not responsible for the Board. The

added
layer of tenure protection makes a difference.

Without
a layer of insulation between the Commission

and
the Board, the Commission could remove a

Board
member at any time, and therefore would be

fully
responsible for what the Board does. The President

could
then hold the Commission to account for

its
supervision of the Board, to the same extent that

he
may hold the Commission to account for everything

else
it does. A second level of tenure protection

changes
the nature of the President’s review. Now the

Commission
cannot remove a Board member at will.

The
President therefore cannot hold the Commission

fully
accountable for the Board’s conduct, to the same

extent
that he may hold the Commission accountable

for
everything else that it does. The Commissioners are

not
responsible for the Board’s actions. They are only

responsible
for their own determination of whether the

Act’s
rigorous good-cause standard is met. And even if

the
President disagrees with their determination, he is

powerless
to intervene—unless that determination is

so
unreasonable as to constitute inefficiency, neglect of

duty,
or malfeasance in office.

This
novel structure does not merely add to the

Board’s
independence, but transforms it. Neither the

President,
nor anyone directly responsible to him, nor

even
an officer whose conduct he may review only for

good
cause, has full control over the Board. The President

is
stripped of the power our precedents have preserved,

and
his ability to execute the laws—by holding

his
subordinates accountable for their conduct—is

impaired.

That
arrangement is contrary to Article II’s vesting

of
the executive power in the President. Without the

ability
to oversee the Board, or to attribute the Board’s

failings
to those whom he can
oversee,
the President

is
no longer the judge of the Board’s conduct. He is

not
the one who decides whether Board members are

abusing
their offices or neglecting their duties. He can

neither
ensure that the laws are faithfully executed,

nor
be held responsible for a Board member’s breach

of
faith. This violates the basic principle that the President

cannot
delegate ultimate responsibility or the

active
obligation to supervise that goes with it, because

Article
II makes a single President responsible for the

actions
of the Executive Branch.

Indeed,
if allowed to stand, this dispersion of

responsibility
could be multiplied. If Congress can shelter

the
bureaucracy behind two layers of good-cause

tenure,
why not a third? At oral argument, the Government

was
unwilling to concede that even five
layers

between
the President and the Board would be too

many.
The officers of such an agency—safely encased

within
a Matryoshka doll of tenure protections—

would
be immune from Presidential oversight, even as

they
exercised power in the people’s name.

Perhaps
an individual President might find advantages

in
tying his own hands. But the separation of

powers
does not depend on the views of individual

Presidents,
nor on whether the encroached-upon

branch
approves the encroachment. The President can

always
choose to restrain himself in his dealings with

subordinates.
He cannot, however, choose to bind his

successors
by diminishing their powers, nor can he

escape
responsibility for his choices by pretending that

they
are not his own.

The
diffusion of power carries with it a diffusion

of
accountability. The people do not vote for the

Officers
of the United States. They instead look to the

President
to guide the assistants or deputies . . . subject

to
his superintendence. Without a clear and effective

chain
of command, the public cannot determine on

whom
the blame or the punishment of a pernicious

measure,
or series of pernicious measures ought really

to
fall. That is why the Framers sought to ensure that

those
who are employed in the execution of the law

will
be in their proper situation, and the chain of

dependence
be preserved; the lowest officers, the middle

grade,
and the highest, will depend, as they ought,

on
the President, and the President on the community.

By
granting the Board executive power without the

Executive’s
oversight, this Act subverts the President’s

ability
to ensure that the laws are faithfully executed—

as
well as the public’s ability to pass judgment on his

efforts.
The Act’s restrictions are incompatible with the

Constitution’s
separation of powers. . . .

This
case presents an even more serious threat to

executive
control than an “ordinary” dual for-cause

standard.
Congress enacted an unusually high standard

that
must be met before Board members may be

removed.
A Board member cannot be removed except

for
willful violations of the Act, Board rules, or the

securities
laws; willful abuse of authority; or unreasonable

failure
to enforce compliance—as determined

in
a formal Commission order, rendered on the record

and
after notice and an opportunity for a hearing.

The
Act does not even give the Commission power to

fire
Board members for violations of other
laws
that

do
not relate to the Act, the securities laws, or the

Board’s
authority. The President might have less than

full
confidence in, say, a Board member who cheats on

his
taxes; but that discovery is not listed among the

grounds
for removal. . . .

The
rigorous standard that must be met before a

Board
member may be removed was drawn from statutes

concerning
private organizations like the New

York
Stock Exchange. While we need not decide the

question
here, a removal standard appropriate for

limiting
Government control over private bodies may

be
inappropriate for officers wielding the executive

power
of the United States. . . .

Petitioners’
complaint argued that the Board’s

“freedom
from Presidential oversight and control”

rendered
it “and all power and authority exercised by

it”
in violation of Constitution. We reject such a broad

holding.
Instead, we agree with the Government that

the
unconstitutional tenure provisions are severable

from
the remainder of the statute.

Generally
speaking, when confronting a constitutional

flaw
in a statute, we try to limit the solution to the

problem,
severing any problematic portions while leaving

the
remainder intact. . . . Concluding that the removal

restrictions
are invalid leaves the Board removable by the

Commission
at will, and leaves the President separated

from
Board members by only a single level of good-cause

tenure.
The Commission is then fully responsible for the

Board’s
actions, which are no less subject than the Commission’s

own
functions to Presidential oversight.

The
Sarbanes-Oxley Act remains fully operative

as
a law with these tenure restrictions excised.

We
therefore must sustain its remaining provisions

[u]nless
it is evident that the Legislature would not

have
enacted those provisions . . . independently of that

which
is [invalid].” Though this inquiry can sometimes

be
elusive, the answer here seems clear: The remaining

provisions
are not incapable of functioning independently,

and
nothing in the statute’s text or historical

context
makes it evident that Congress, faced with the

limitations
imposed by the Constitution, would have

preferred
no Board at all to a Board whose members are

removable
at will.

It
is true that the language providing for goodcause

removal
is only one of a number of statutory provisions

that,
working together, produce a constitutional

violation.
In theory, perhaps, the Court might bluepencil

a
sufficient number of the Board’s responsibilities

so
that its members would no longer be “Officers

of
the United States.” Or we could restrict the Board’s

enforcement
powers, so that it would be a purely recommendatory

panel.
Or the Board members could in

future
be made removable by the President, for good

cause
or at will. But such editorial freedom—far more

extensive
than our holding today—belongs to the Legislature,

not
the Judiciary. Congress of course remains

free
to pursue any of these options going forward. . . .

It
is so ordered.

case_15.3_free_enterprise_fund_v._public_company_accounting_oversight_board___for_merge.doc

Business Plan, management homework help

Business planning is a mapping of your vision for the future of an organization. As a healthcare administrator, it is important that you are able to create an effective business plan. Examine the following scenario and develop a business plan for the organization.

Scenario: A city-based community hospital is looking at adding an urgent care facility in a rural area. Urgent care is the delivery of ambulatory care in a facility dedicated to the delivery of unscheduled, walk-in care outside of a hospital emergency department. Development of the Rural Urgent Care (RUC) facility will facilitate access to care providers through extended service hours within closer geographic proximity to patients, families, and caregivers. RUC will act to alleviate demand for emergency department services by shifting lower acute patients to a less resource-intensive environment.
This project is in response to the shift from volume- to value-based healthcare. Payers and purchasers are interested in improving economic efficiency by shifting utilization from emergency department to lower cost settings, such as RUC. Several competing hospitals have hired emergency department physicians, as part of their integration strategy to participate in accountable care organizations (ACO) contracts. The hospital needs to respond to the competitive situation by making a sound investment in the RUC facility that addresses both financial and economic situations. The facility will be staffed with physicians and will include a radiology suite, laboratory suite, and other health-related ventures to help the hospital grow. You must help the board develop a business plan for this urgent care unit.

To prepare:

  • Examine the provided scenario.

Analyze the background and financial data for the RUC facility.

Note: Use Business Plan Excel Template to complete the financial analysis portion

What I need is:

Using the Rural Urgent Care Centers Business Plan Template document, create a business plan (6–8 pages) that includes the following:

  • Executive summary
  • Market analysis, including:
    • Macro- and microeconomic implications of market competition
    • ACO payment incentives to the organization
    • How the RUC impacts economic efficiency
  • Financial analysis, including:
    • Capital requirements
    • Reimbursement model
    • Cost per patient visit
    • Pro forma, including:
      • Patient revenue
      • Operating expense
      • Income from operations
      • Total expense
      • Net cash flow

Note: should be 6–8 pages, excluding a title page, supporting Excel spreadsheet, and references

Preliminary Review essay

Preliminary Review. this essay

Danial Dawood

ENG124

PROF.LUNA

JULY 16TH

Don’t Withhold Video Games

INTRODUCTION:

It is apparent that technology has changed the entertainment industry, however; I think it is affecting the society in negative ways. In Don’t Withhold Video Games by Jessica Robbins, the writer argues that video games do not contribute to antisocial behavior, violence as well as delinquency among young people. On the other hand; I believe that video games are to blame for violence among children because most of these games contain violent acts such as killings, shootings, and injuries which drive children to get involved in criminal behaviors (Jessica, P.3). Based on this; I tend to disagree with the writer when she says we should not withhold video games because they are destroying our children and are indeed a bad influence to them. Having said that; I can confidently say that the essay that I am critiquing Do not Withhold Video Games by Jessica Robbins is indeed quite ineffective because it lacks convincing facts and was shallowly researched.

BODY:

Based on my research on this essay; I can say that the target audience of this essay is basically law makers, parents, guardians, as well as other government regulatory bodies. This is because these are the people who should be taking care of young people by showing them what is right and what is wrong to watch as well as play for a sober, saver, and prosperous community across the globe (Jessica, P.2). By passing on this message; the author hopes the audience would have a different perspective about the issue of violence in video games and learn to embrace technology and embrace it as part of the modern entertainment industry.

1: Identify and trace the author’s tone about the events and people in essay. Show the shifting tone by indentifying each.

Based on the story; I can say that the author’s tone (viewpoint, syntax) about the events and people in the essay we can say that her tone is optimistic because of the way she narrates her facts. Secondly; it is clear that the author’s tone does not change even without the article because of the way she lays her facts as well as drives the message to her audience. For example; when the author uses words such as bazooka rocket launcher and guns is being quite confronting.

2: Use of pathos, emotional appeals and ethos, appeals to authority and word choice.

The author has strong use of pathos, emotional appeals and ethos in this story. For example; this can be cited from the way she frames her arguments and support by arguing that technology has enriched us in many ways. By the way the author lays her facts; she is trying to persuade her target audience about why they should not withhold video games.

3: Does the writer use euphemisms? What is their intended affect on the essay’s reader?

The author uses euphemisms in more than a few ways such as the use of anti-social (rudeness, or bullies) and aggressive (hot tempered (Jessica, P.4). Based on article or essay writing rules; the use of euphemisms is to offer comfort or words of deceit in order to pass the message in a polite manner. For instance; the author uses these words to pass her message tot eh intended audience without making it look as a bid issue.

4: The writer’s logic. Do you notice and logical fallacies in the arguments?

The writer’s logic I can say was a bit persuasive and can be cited as a good argumentative essay. On the other hand; I did notice logical fallacies in the arguments such as when the author says “some argue there is research that indicates violent video games contribute to anti-social behavior”. This according to me is a fallacy because the author does not have sufficient evidence to support her claims.

Works Cited

Jessica, R. (2010). Don’t Withhold Video Games. Chichester: Wiley.

700-1050 word survey CAM Therapeutic Modalities Paper

There is more to CAM than many think, and it actually works in conjunction with conventional medicine more than is widely acknowledged. There are CAM therapies available for ailments that many believe only conventional medicine can heal.

Write a 700- to 1,050-word paper that describes an overview of CAM and its categories of treatments. Ensure you:

  • Compare and contrast current conventional medicine regulations and oversights with regulation and oversight of alternative medicine in the United States.
  • Define the terms alternative, complementary, and integrative in relation to medicine and discuss how these terms differ from one another.
  • Describe how conventional medicine plays a role in alternative, complementary, and integrative medicine.
  • Discuss the philosophy of CAM and how it is similar to or different from the approach of conventional Western medicine.
  • Select one CAM therapy from among the alternative medicine approaches and describe how it can be used to treat a medical condition you choose. Include discussion of how your chosen therapy can be used as an alternative, a complementary, or an integrative therapy for that specific medical condition.
  • Include the results of at least one scientific study that show a clinical benefit from the therapy you selected.

Use at least one reference in addition to NCCIH.

Format your paper according to APA guidelines. For assistance with APA and other subjects, please refer to

the University of Phoenix Writing and Style Guide.

Organizational Behaviour, management assignment help

Scenario: At
the Beer Bottling Kumpany, the nine line workers are expected to clean up
spills and broken glass at their workstations before leaving. This usually
takes about thirty minutes for each employee. About six months ago, the nine
employees formed an informal work group, and started interacting off the job.
Two months ago, they started drinking together at a nearby bar, and decided
that two of them would stay late each day, work very rapidly to clean
everyone’s area, and then punch the time clock for all of the workers. The
workers found that nobody on the management team seemed to notice that it only
took two employees thirty minutes to clean up the glass, and then punch all of
the time cards. You are the management team and today stayed late. When you
went onto the factory floor, you discovered what has been going on. What
will you do? Briefly explain why you chose that answer.

Final Paper, Due 5pm, December 6

Dear Sociology 1 Students,

Your final paper (which is worth 200 points/20% of your grade) will be due by 5pm, Friday, December 6th.

For the final paper, I want you to write 100-150 words that expresses the most impactful lesson you learned during each week of this Sociology 1 course. That means you will produce ten distinct entries of 100-150 words each, and each entry will convey just one distinct/specific lesson you learned during that week. As stated in the syllabus, here are the ten distinct units of this Sociology 1 course:

Week 1: Sociology and Common Sense

Week 2: Norms, Sanctions

Week 3: Classical Theorists and Their Ideas (Part I)

Week 4: Classical Theorists and Their Ideas (Part II)

Week 5: Basic Debate: Choice and Constraint

Week 6: Social Class

Week 7: Race Matters

Week 8: Doing Gender

Week 9: Identity and Intersectionality

Week 10: The Sociological Imagination

In summary, you will produce a final paper that is 1000-1500 words, and this paper will highlight ten of the most important lessons you learned in Sociology 1. Throughout, as you draft this final paper, you should primarily draw upon lecture content, in-class exercises, and your own notes. Writing an introduction and conclusion is strongly encouraged.

You will be primarily graded on (1) the clarity with which you articulate your ideas and (2) demonstration of Sociological Growth/Development.

Please submit your final paper to Canvas by 5pm, December 6th. Late papers will not be accepted for credit.

Phishing Web Site Detection about the Microsoft Azureml, computer science homework help

Phishing Web Site Detection

In this lab,
you will create a model to detect a website using an AzureML. Download
the data file from the blackboard, experiment with the data set, and
write a report. The report should include

1) Goal

a. Describe the goal of the experiment with one or two sentences.

2) Method

a. Describe or show the workflow. You can show the steps as in itemized or in a diagram.

b. Describe the model with one or two sentences if you used in the experiment.

3) Environment

a. Describe about the system environment and the dataset.

b. Show the experimental results with a table or graph.

4) Observation

a. Analyze the results.

b. Point out if you find something interesting.

5) Conclusion

a. Summarize the results within one or two sentences.

b. Add what can be done in the future and

2 hours

Organizational Behavior – Design and Culture, business and finance homework help

  • We continue to move from the traditional methods of examining organizational design and structure, several forces are reshaping organizations such as the life cycles in organizations, globalization, changes in technology, and demands on organizational processes. Give a detailed example of how your current or previous employer is meeting the challenges of these nontraditional forces. 
  • Watch the video titled, “How Disney Develops Culture” (6 min 35 s). You can view the video at http://vimeo.com/109015050. Disney University’s four (4) fundamentals are to innovate, support, educate, and entertain. Briefly describe the type of organization in which you are currently employed or were previously employed. Explain and give two (2) examples of how leaders sustain the culture in that organization, positive or negative. Note: When incorporating information from the workplace, be sure to remove all identifying information such as the name of the organization, the names of individual affiliates, and sensitive or proprietary information. Topics: occupational and organizational choice decisions, foundations for successful career, the career stage model, the establishment stage, the advancement stage, the maintenance stage, the withdrawal stage, and career anchors

reaccionar a dos aportaciones de sus compañeros.

reaccionar a dos aportaciones de sus compañeros.

********************quiero un comentario corto por favor.*************

Companero: 1 VICTORIA C PEREZ

En el momento en que la tinta se infunde en la epidermis a través de una aguja, se descargan e impregnan extremadamente pequeñas gotas de partículas de sombra en la dermis. Esto sucede a la luz del hecho de que las células que conforman la segunda capa de la piel son progresivamente estables, lo que hace que la tinta permanezca allí sin borrones y que continúe con el tiempo. Además, como la dermis se encuentra en un territorio más profundo que la epidermis, está libre de desintegración y descamación, lo que garantiza la inmutabilidad de la sombra. Una de las razones de las lesiones celulares es la isquemia, que comienza cuando hay un impedimento en el torrente sanguíneo que causa una disminución del volumen citoplásmico en las células combinadas que producen células que pasan por un problema útil llamado apoptosis, que es solo la decimación de las células de la fase. Una enfermedad que puede surgir de este tipo de daño es la enfermedad vascular cerebral.

A- Después de la activación de los filamentos llamados Adelta y C, ocurre el tormento, a pesar del hecho de que también es posible que se produzcan cambios auxiliares. Estos filamentos nerviosos en estado dinámico descargan sinapsis, que transmiten muchos impactos y uno de ellos es la irritación. Esta maravilla ocurre cuando las sustancias de sinapsis se descargan en los tejidos que están contenidos en los nervios. Es vital conocer la relación que ocurre entre el tormento y la agravación a la luz del hecho de que la última instiga las plaquetas y los tejidos para descargar diferentes sustancias.

B- La fiebre se crea por una expansión en la dimensión en la cual el regulador hipotalámico interior que controla la temperatura corporal se equilibra, ya sea mediante el ajuste del sistema sensorial focal, mediante el incremento o la reducción de la desgracia del calor. Se comprende que algunos aumentos son aquellos que adquieren la fiebre, la proximidad de una infección, organismos microscópicos, levaduras u respuestas hormonales. El apéndice infectado ocurre después del desarrollo innecesario de gérmenes que conducen a una enfermedad en los divisores del órgano interno y, por lo tanto, la temperatura aumenta en algún lugar en el rango de 37 y 38 grados centígrados. El volumen de leucocitos se eleva por la proximidad de los gérmenes que han creado una enfermedad, por lo que las plaquetas blancas se duplican, fundamentalmente, tratando de asegurar el propio cuerpo humano.

C- El tratamiento de decisión para el joven es aplicar un control de signos cruciales, colocar un catéter venoso adicional, atraer sangre para realizar las pruebas importantes (leucocitos, hematimetría y electrolitos), colocar al niño en la situación de Fowler para disminuir la agonía. , configura al niño para una cirugía llamada apendicectomía y regula los antimicrobianos si el especialista lo demuestra. La apendicectomía se debe hacer rápidamente para mantener una distancia estratégica de la peritonitis. Es esencial hacer referencia a que, en este tipo de intercesión, se realiza la extracción del suplemento cecal y, después de eso, la consideración restaurativa se relaciona con la organización de medicamentos para atormentar el tablero, el cuidado de la lesión para evitar enfermedades. , control de la diuresis y avance del desarrollo dinámico del paciente hasta su liberación.

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Companero: 2 JOSE A ABREU ESPINOSA

1. Los tatuajes consisten en pigmentos inyectados en la piel. Explica lo que sucede con el pigmento una vez se inyecta y por qué no desaparece con el paso del tiempo.

R/La piel es nuestra primera línea de defensa y su estructura cuenta con tres capas la hipodermis, la dermis y la epidermis. Cuando se introduce el pigmento en la epidermis (parte externa de la piel formada por varios estratos o capas de células), nuestro cuerpo activa la primera línea de defensas de la piel para protegernos de elementos externos y encapsula el pigmento, es por ello, que la tinta no se esparce en todo el cuerpo y pueden lograrse símbolos y retratos impresionantes , muchos cuando se realizan un tatuaje piensan que este durara para toda la vida lo cierto es que te pueden durar un tiempo pero con el paso de los años y la exposición continua al sol, las tintas se dispersarán y el dibujo original se acabará alterando sobre todo en la edad adulta cuando la piel pierde colágeno y envejece.

2. Discute una de las 5 causas de lesiones celulares y menciona una enfermedad que surja de tal lesión.

Privación de oxígeno: Un mal funcionamiento en el trasporte de oxígeno a través de arterias y capilares provocado por un ineficiente funcionamiento del corazón quien se encarga de impulsar la sangre por el cuerpo para llevar oxigeno a la célula y librarla de Co2 y así mantener el funcionamiento de todo el trabajo celular del cuerpo humano, puede provocar daños como la Hipoxia (falta de O2 o disminución de la concentración de O2) o la Isquemia Reperfusión (en esta isquemia a parte de faltar el O2, disminuyen también los nutrientes).

Agentes físicos: Estos son unos de los agentes a los que menos les prestamos a tención, pues a primera instancia nos creemos infalibles y nos exponemos a temperaturas extremas que causan estrés en el organismo, cuyo funcionamiento óptimo es entre los 36 y 37, 5º C, cuanto más sudor se expele se incrementa el riesgo de deshidratación. Si el cuerpo se calienta hasta los 39º C-40º C, el cerebro les dice a los músculos que trabajen menos y comenzamos a sentir fatiga, lo procesos químicos celulares dentro de tu cuerpo se deterioran y hay riesgo de que fallen múltiples órganos. Procesos similares ocurren cuando exponemos la célula a bajas temperaturas de congelación, los agentes físicos pueden causar daños como el cáncer de piel y el envejecimiento de la célula.

Agentes Químicos: La mayoría de los químicos al penetrar en el organismo sufren cambios en su estructura molecular. Estas biotransformaciones son debidas a una serie de reacciones químicas catalizadas por sistemas enzimáticos y que dan lugar a la formación de los agentes metabólicos, los cuales, en general, son más hidrosolubles, lo que facilita la solubilidad en los medios acuosos de eliminación.

Son muchos los agentes químicos como: drogas, alcohol, tabaco, herbicidas o pesticidas, metales pesados, contaminantes industriales, sustancias toxicas que provocan cambios osmóticos a la célula del cuerpo (alteración de los electrolitos) y por ende daño celular, dando origen a muchos tipos de cáncer de la piel y de órganos importantes están relacionado con agentes químicos.

Agentes Infecciosos: Constituyen un grupo completamente diferenciado dentro de los agentes infecciosos y las principales características que los distinguen de otros microorganismos son: virus, bacterias, hongos y paracitos, su tamaño extraordinariamente pequeño, tan solo observables por microscopía electrónica por lo que es muy común que puedan afectar la calidad celular de la piel u órganos del cuerpo como agentes infecciosos como es el virus de VIH.

Reacciones Inmunológicas : Consiste en los distintos mecanismos involucradas donde cada uno de ellos tiene características clínicas específicas, por lo que los procesos inmunitarios serán complejos y su respuesta dependerá del terreno genético y de los procesos celulares humorales que entran en juego para mantener la integridad del organismo, que responderá de forma eficaz o reaccionará de forma combativa causando trastornos por hipersensibilidad.

Una de las reacciones inmunológicas más conocidas son las que generan los antibióticos que se manifiestan como una respuesta alérgica a los mismos, otros tipos de manifestaciones alérgicas son adquiridas por individuos inmunológicamente deprimidos (rinitis alérgica, esporas, asma y urticarias) pero manteniendo una base de anticuerpos optima nos ayuda a combatir etas reacciones inmunológicas.