🏷️ LIMITED TIME OFFER: GET 20% OFF GRADE+ YEARLY SUBSCRIPTION →
Log in
HomeStudy Guides420,000AU10,000

BIOGC3712 Study Guide - Quiz Guide: Cotton Candy

29 views1 pages
School
Ballarat U, University of Ballarat, FUA
Department
BIOGC
Course
BIOGC3712
Professor

For unlimited access to Study Guides, a Grade+ subscription is required.

Document Summary

It really doesn"t matter what she thinks as it isn"t her problem to solve. That"s what he kept trying to convince himself. She was trying to insert her opinion where it wasn"t wanted or welcome. He already had a plan and even though that plan didn"t correspond with what she wanted him to do or what should be done, it wasn"t her decision to make. The question now became whether he would stick to his convictions and go through with his plan knowing she wouldn"t approve: pink ponies and purple giraffes roamed the field. Cotton candy grew from the ground as a chocolate river meandered off to the side. What looked like stones in the pasture were actually rock candy. Everything in her dream seemed to be perfect except for the fact that she had no mouth: they had always called it the green river.

Get access

Grade+20% off
$8 USD/m$10 USD/m
Billed $96 USD annually
Grade+
Homework Help
Study Guides
Textbook Solutions
Class Notes
Textbook Notes
Booster Class
40 Verified Answers

Related Documents

HIUS 131 Chapter Notes - Chapter 21-29: Sister Carrie, Chapter 27
indigootter242
HIAF 111 Chapter Notes - Chapter 5-12: Medicine Man, Savings Account, Igbuzo
indigootter242

Related Questions

Medical Terminology Case Study

Gretchen is a 42 year old female that has a medical history of cardiovascular disease. She has just been admitted due to a suspected stroke. She is suffering from paralysis of her left side and is aspirating food. She seems to be struggling with decisions and this causes concern because she can only respond with “no and “yes.” In addition, her responses are not consistent. This is causing a split between the attending physician, who feels that she has lost the capacity to make decisions, and the patient’s husband and son, who feel that she is still capable of making her own decisions. Furthermore, after looking at her brain, there is obvious dense damage to the cerebral cortex. This leads the staff to believe that recovery, if possible, would be minimal and severe disability will be the result.

Gretchen and her husband never discussed what to do if one of them were in a position to require life-sustaining treatment. He is conflicted because he doesn’t believe she would want to live in a disabled state and is unsure of he should ask for a feeding tube for her. Her 4 children are split in the decision. Two of them are completely against it and the other two say that no doing so would “seal her fate.” This makes it even harder for Gretchen’s husband to decided but in the end he asks that they use the tube.

To add to the scenario, the treatment team along with the attending physician do not see placing the feeding tube as a solution. They believe that because patient has minimal alertness and consciousness that the will not improve. They do not see a realistic scenario for recover. Gretchen’s previous hospitalization history also plays a role. Two nurses mention that in these previous stays, Gretchen stated that she would not want to have life sustained through artificial processes, including renal dialysis, tube feeding, and ventilator. The staff views this as Gretchen expressing what her preferences are in a dire situation. The family has now requested an ethics consultation to come to a conclusion.

Using critical thought, research and respond to the question below with a minimum of 3-5 sentences.

1. There is a great deal to consider in this case. First, we should decide on the communication ability of the patient. How should this be done? What should be considered?

2. There is a great deal of discussion over the feeding tube. Are the comments by Gretchen in her previous hospital stay enough to make the decision? What about Gretchen’s husband and 2 children that want the tube put in?

3.What conclusion do you foresee the ethics consultation leading to?

First of all I am not endorsing Intelligent Design (Wikipedialink); I'm asking this because I (someone who does not have abackground in biology, organic chemistry, or philosophy) got into aconversation with someone who does endorse it, and I'm trying tosee his point of view as far as rationality can allow. Second ofall, I apologize for any vagueness; Intelligent Design isn't wellenough defined as a theory for me to help that. I also apologize ifthis is rehashing content already plentiful on the Internet, butfor my purposes I can't simply depend on the likes of Wikipedia orTalk Origins, so what I'm looking for here instead is to take theopposite approach and see, based on your informed minds, if therecould possibly be any reasonable likelihood of an ideal ID theorybeing adopted.

I'm looking for the most favorable consideration for what IDmight be if it were best developed as a viable hypothesis or theoryto get an idea of how far such a discussion is worth taking. Anunbiased, informed Devil's advocate, if you will.

My cursory investigation of what Stephen Meyers (video link) andMichael Behe (video link) say (correct me if I'm wrong) seems to bethat either the first cell was likely designed intelligentlyjudging by the complex code of DNA and that evolution took coursefrom there, or that the first cells were made and many instances ofevolution were from some kind of intelligently guided mutations aswas needed to make "irreducibly complex" cells or body functions(whether the guidance stops after the Cambrian or continued even tothe point of making different types of new bacteria and differenttypes of apes/humans or whether every single mutation and adaptiveability is being guided, I'm not sure if they're at any consensus,and that's why I don't know if I should stop my question atabiogenesis or include evolution). The person I spoke with alsobrought up some specific claims (everything looks designed, DNA hasordered, complex information, blood clotting is irreduciblycomplex, ID can and has make predictions like decades ago that"Junk DNA" wasn't junk) that I don't need you to debunk (I haveGoogle).

But if there could be any possible support or truth to any ofthe above, I would appreciate knowing about that. (Again, Devil'sadvocate so I can be informed and understand where the points comefrom.) Reading an ID book alone, it would be in places hard to knowwhere they differ from actual scientific conclusions. After all,when someone who seems to know what they're talking about and canexplain something in technical detail says that something isimpossible or extremely unlikely, it's hard for me to know why theywould be wrong (are they ignoring other possibilities?misrepresenting facts? are they really right and just getting thecold shoulder from an atheistic scientific community because itimplies a deity?). So I focus on mainstream sources, even if theydon't bother entertaining ID and leave me ignorant of its possiblevirtues. And thus I'm hoping someone from this informed communitymight enlighten me to what those possible virtues might be.

Please help answer 4 questions:

1. Using the information provided thus far by both Parts I and II, answer the following questions.

What problems both stated and unstated does Phyllis seem to be experiencing? What pieces of background information (patient environment and social/family history) have been provided by the family?

2. Distinguish between the relevant and non relevant symptoms/lab results needed to form a diagnosis. Of the relevant symptoms/lab results, rank them in priority and defend your answer.

3. Given what you know about the role of myelin in action potential propagation and the key information previously identified in questions 1 and 2, explain why multiple sclerosis is the appropriate diagnosis.

4. Consider you are the physician, what would be your strategy to slow progression of the disease and compensate for reduced neuronal function? What is the long-term prognosis with treatment?

The Soccer Mom:

A Case Study on the Nervous System

by

Jennifer Bolognese, Misti Coronel, Anita Intorre, and

Phil Stephens Biology Department Villanova University

Part I—At the Soccer Game

Thirty-two-year-old Phyllis Jackson was sitting on the bench at the side of the soccer ?eld, sipping a bottle of

Gatorade. Her husband, Steven, sat next to her with a concerned expression. “I’m really worried about you, honey,” he said.

“I’m just a little dehydrated; I’ll be ?ne.”

“If this were the ?rst incident, then maybe I’d agree with you. But your boss has been on your case about your lack of concentration at work, you forgot to pick up the kids from school last week, and quite frankly, you haven’t exactly been yourself with me lately. Now you’re having fainting spells during games? Something doesn’t seem right.”

“I know things haven’t been going well for me lately, but I don’t know why. I try so hard at work, at home, with the kids, to be a good wife. So maybe all this stress has made me a little unfocused and disoriented. What do you want me to do about it?” Phyllis said, blinking back tears.

“I think you should see a doctor,” Steven replied, putting his arm around her and drawing her close. “The kids are getting worried, too.”

Phyllis sighed. “Alright, if it will make you feel better. I really just think I need some time to relax, though.” “Well… I could drop the kids of at my sister’s tonight; that would give us a little free time…”

“That’s really thoughtful of you. I could de?nitely use a quiet night at home, maybe even go to bed early.” Steven seemed disappointed.

Part II—The Doctor Visit

“So, what seems to be the problem, Mrs. Jackson?” Dr. Warner asked Phyllis.

“My husband wanted me to come in and see you after I fainted during my soccer game Saturday. I’ve also been having some problems at work, but I think I’m just stressed.”

“What kinds of problems have you been having at work?”

“It’s been hard to concentrate on tasks. I’ve also had some problems typing—I’ve been making more errors than usual, and oftentimes my ?ngers will go numb.”

“I see,” said Dr. Warner, taking a few notes on his clipboard. “According to my records you are not on any long term medication. Have you noticed any problems outside of work?”

“Well, my husband has been complaining about our personal life lately. And last week, I completely forgot that I was supposed to pick up our two daughters after school. I’ve been feeling really tired lately; even my coordination seems of.”

“How long has this been going on for?”

“A few weeks, but this isn’t the ?rst time. These problems seem to come and go, but it’s getting to the point where I can’t just ignore them anymore. I don’t know, maybe I’m just depressed.”

“Why do you say that?”

“My mother suffered from depression throughout my childhood.”

“Well, depression certainly could cause some of the symptoms you’re experiencing,” Dr. Warner said thoughtfully. “Is there a history in your family of any neurological disorders?” “I don’t think so. I have some vague recollection of my grandfather in a wheelchair when I was really young, but I don’t know what was wrong with him.”

“Okay,” said the doctor, nodding. “Well, the few preliminary tests we’ve run show that you are not pregnant, and that you are not going through menopause. I’d like to send you to see Dr. Thrush, a friend and colleague of mine. She is a neurologist at the local hospital and she will run a few tests to explore your symptoms a little further.”

Questions: Analyze

1. Using the information provided thus far by both Parts I and II, answer the following questions.

What problems both stated and unstated does Phyllis seem to be experiencing? What pieces of background information (patient environment and social/family history) have been provided by the family?

Part III—Diagnostic Tests

Dr. Thrush looked over the results of Phyllis’s Magnetic Resonance Imaging (mri) and evoked potential tests. She was thinking how glad she was that Steven had accompanied Phyllis on this visit as she showed them the MR images of Phyllis’ brain.

“The machine took pictures of Phyllis’ brain in slices. The dark areas are the brain tissue, Phyllis, and the white areas in the middle and around the outside are the cerebrospinal ?uid.”

“Is that normal? Am I ok?” Phyllis asked. “And what are those little white dots in the tissue?”

“The white dots are what concerned me,” replied the doctor. “So we did another type of mri, called dark ?uid, so that your cerebrospinal ?uid would not show up white.”

“But I still see the white dots in my brain tissue. What does that mean?”

The doctor looked down, knowing that this was never an easy thing to tell a patient.

“I am afraid that this indicates that there are plaques or scars in your brain, and that you may have multiple sclerosis.”

Tears began to form in her eyes as Phyllis squeezed her husband’s hand.

“I am afraid that the evoked potential test and the elevated levels of myelin basic protein in you cerebrospinal ?uid indicate the same thing.”

Questions: Evaluate and Apply

2. Distinguish between the relevant and non relevant symptoms/lab results needed to form a diagnosis. Of the relevant symptoms/lab results, rank them in priority and defend your answer.

3. Given what you know about the role of myelin in action potential propagation and the key information previously identified in questions 1 and 2, explain why multiple sclerosis is the appropriate diagnosis.

Part IV—The Diagnosis

Dr. Thrush informed Phyllis that she was probably suffering from the relapsing-remitting form of multiple sclerosis (ms), in which relapses of symptoms are separated by periods of remission. ms is a disorder in which the myelination of axons is degraded due to unknown factors. The most commonly accepted explanation is that ms is an autoimmune disorder in which myelin in the central nervous system is attacked by the body’s own immune system. There is no known cure for multiple sclerosis. During remission, axons affected by the disorder regain their function. Voltage-gated sodium channels are concentrated in the nodes of Ranvier and the distribution changes at disease onset.

Questions: Create

4. Consider you are the physician, what would be your strategy to slow progression of the disease and compensate for reduced neuronal function? What is the long-term prognosis with treatment?

Thank you for your time with this