|Choose ONE of the following questions:
G. H. is a 26-year-old male who was involved in a serious motorcycle accident that fractured his vertebrae and compressed his spinal cord at the level of T8. Answer the following questions:
How would you determine which of the following pain medication(s) to give a patient who:
Use the opioid conversion table found in your text, and the following chart to assist you:
- What is spinal shock? How long can it last? Why is it difficult to determine the degree of injury and impairment during this time frame?
physiologic or anatomic crosscut of the spinal line that outcomes in impermanent temporary loss or depressions of all or most spinal reflex movement underneath the degree of the injury.
Spinal shock typically goes on for a considerable length of time or weeks after spinal cord injury and the normal term is 4 to 12 weeks. Spinal shock is ended before and the pyramidal lot signs and protection responses happen sooner in incomplete injuries rather than with transverse lesions
Spinal cord wounds will in general change after some time. The more seriously compacted the spinal cord is, the more uncertain full recuperation will be. In the event that the spinal cord is cut off, full recuperation is amazingly far-fetched. The area of the injury is additionally a decent pointer of visualization. The lower the injury is, the less serious the mobility and different debilitations will be.
- Immediately after this injury, what should you expect to occur for each of the following:
- Range of movement for his arms? For his legs? Why?
At the point when the spinal cord injury is at a cervical level, itis called tetraplegia or quadriplegia. When it is at a lower level(thoracic, lumbar, or sacral), it is called paraplegia. Individuals with tetraplegia have some numbness or shortcoming or lack of movement in their arms or hands. Paraplegia doesn’t affect the arms or hands.
- Spastic or flaccid paralysis? Why?
Spasticity alludes to expanded muscle reflexes or muscles proceeding onward their own. Muscle spasms are not deliberate developments, and different things can trigger them. Contacting your skin, changing body position, extending your muscles, or having a bladder infection can cause these spasms.
flaccid loss of motion is the point at which the muscles are loose and consequently recoil
- Bowel and/or bladder dysfunction? Why or why not?
A spinal cord injury some of the time interferes with correspondence between the cerebrum and the nerves in the spinal cord that controls bladder and bowel function. This can cause bladder and bowel dysfunction known as neurogenic bladder or neurogenic bowel. Individuals with numerous sclerosis or spina bifida may have comparative issues.
- Breathing difficulties? Why or why not?
The higher the degree of injury, the more noteworthy will be the effect on breathing. A total spinal cord injury influences everything from the injury down. This implies if the diaphragm is influenced, so are the intercostal and abdominal muscular strength. Without the utilization of these muscles, an individual can’t inhale as effectively or hack or sniffle well. Hacking and wheezing significant in getting mucous out of the lungs. Clearing mucous keeps the lungs sound and liberated from diseases like pneumonia. Incomplete injuries may likewise bring about breathing issues. They will change contingent upon the level and degree of the injury.
- After the period of spinal shock, what changes should you expect to see (if any) in the manifestations listed in #2 above?
If the injuries are not major the patient should recover after some time, however, since G.H. hasn’t been able to move for sometimes it will require some therapy to get him on his feet and up and running.
- What type of rehabilitative treatments might G. H. need to promote his recovery and return to function?
The most significant objective is an acknowledgment of the free activation for both complete and incomplete paraplegic patients during the constant time frame. Ambulation can be social, household, and focused on work out. The patient must have the option to walk 50 m independent or with assistive gadgets for social ambulation. The individuals who ambulate locally can walk autonomously or with fractional help and need a little assistance or can be free at home. The individuals who ambulate for practice need propelled help for strolling or moving. Factors, for example, injury level, age, weight, general wellbeing status, inspiration and spasticity influence the ambulation potential. For the most part, patients with a physical issue of T10 or more can be ambulated for work out. Patients with T11-L2 wounds can ambulate in the home (residential) and the patients of more distal wounds can ambulate socially
- If G. H. has mild-to-moderate chronic back pain one year after his accident, explain the pain management medications you would suggest to improve his quality of life and why you selected those particular medications.
Activity modification for musculoskeletal pain
Transcutaneous electrical nerve stimulation (TENS)
Non-steroidal anti-inflammatory drugs: like naproxen are most commonly used to treat musculoskeletal pain.
Antiseizure medications gabapentin are used to treat neuropathic pain.
Antidepressants are used to treat neuropathic pain and depression. medications such as venlafaxine
Narcotics such as morphine to treat neuropathic and musculoskeletal pain.
Muscle relaxants and anti-spasticity medications such as diazepam treat spasm-related and musculoskeletal pain.
Spinal Shock. (1996). Www.Mayoclinicproceedings.Org. https://www.mayoclinicproceedings.org/article/S002…
1.what is spinal shock? How long does it last? Why is it difficult to determine the degree of injury and impairment during this time frame?
Spinal shock is the complete loss of function that happens below the level of injury. Spinal shock can case anywhere from a few hours and extend to weeks. It is difficult to determine the degree of injury and/or impairment because of the complete loss of function below the site of injury that may give the false sense of in severity.
2.Immediately after this injury, what should you expect to occur for each of the following
a.Range of movement for his arms? For his legs? Why?
Range of motion to his arms and legs are non-existent. He will experience flaccid paralysis of all skeletal muscles (Banasik & Copestead, 2019, p. 931).
b.Spastic or flaccid paralysis? Why?
Flaccid paralysis because of the loss of spinal reflexes(Banasik & Copestead, 2019, p. 931).
c.Bowel and/or bladder dysfunction? Why or why not?
Both bowel and bladder will be dysfunctional due to the ileus being paralytic
d.Breathing difficulties? Why or why not?
Breathing may be difficult due to paralysis of all skeletal muscles, but the diaphragm is still functioning
3.After the period of spinal shock, what changes should you expect to see(if any) in the manifestation listed in #2 above?
After spinal cord shock, paraplegia or quadriplegia can develop so he will still not have function in his arms and legs. As for his bladder and bowel, it is possible that he may regain reflex function, but constipation is also common.
4.What type of rehabilitative treatments might G.H. need to promote his recovery and return to function?
G.H. may need surgery to stabilize his vertebra, with interneal or external fixation and bracing. Rehabilitation will be a long process, with focus on independence and self-care. Assistance with psychosocial changes in his life will also be needed.
5.If G.H. has mild-to-moderate chronic ack pain one year after his accident, explain the pain management medication you would suggest to improve his quality of life and why you selected those particular medications
I would use NSIDs for main management and as an anti-inflammatory. Muscle relaxant would also be helpful. Due to the significant changes in G.H.’s life maybe an antidepressant would benefit him.
Banasik, J. L., & Copestead, L.-E. C. (2019). Pathophysiology (6th ed.) [e-book]. Elsevier.
Anyone is able to do this project?
create a fingerprint database of audio files
1. One time fingerprinting of audio files for Admin & Client Users
2. automatic detection of audio files from any channels added before or after
3.admin overall powers to data logs on Admin&client web interface
3. creation of Utility interface that registers all Audio files in database, (Add/Manage Tracks, Track Name, Sound File, Category(manually given), Select Monitoring Stations(Select ALL & Select Particular station), Manage track list, location
4.Detection is in Real time
***Ability to detect new Adverts based on image, phrase words, tagline*****
Show Users logged in
Show all live channels on dashboard
ability to brand dashboard for client users with their logo
List of stations active
live playback/recording of channels (ability to download recorded files, recording such be done for every 30mins of live stream and compression of files)
Start Date – End date
Select All Channel Logs or Select Particular Channels logs or Select Particular Audio Log
Real time display of Detection time (Time, Channel, Location, Brand, Channel Type, Brand Advert)
Channel COnfiguration – ADD SOURCE
Type (TV or Radio)
Statue (Active, Disable, Inactive)
Account Creation – create users account and give privileges (Add NEW USER, Account Type(advertiser, Agency, Admin), Time Zone
Track Approval – Every track added by client has to be approved
This processes recorded audio files that is recorded from Monitoring channels to confirm if any advert audio files missed detection.
2.Add Audio File
3.Search and display results
Respond to the following scenario with your thoughts, ideas, and comments. Be substantive and clear, and use research to reinforce your ideas.
You’re meeting with Lester in his office to discuss the details of your presentation to the board next week.
“Given all of the research that you have completed over the past several weeks,” he says, “you should have most of the information you need to make a presentation to the board. The board doesn’t want you to do any more research on all of the topics; rather, we want you to summarize the research that you have already done. ”
“Yes,” you say. “I think I have what I need.”
“Of course we want your final conclusion and recommendation on what the company should do regarding the location issue, as well,” he says.
“What type of presentation do you have in mind, Lester?”
“A PowerPoint presentation would be appropriate for this group,” he says. “I want you to include slide notes, too, in case we have to go back and look at something at a later date. Your PowerPoint presentation should contain between 7-10 slides, not including the title slide and reference slide(s). For each slide, you should have between 150–200 words in the Notes sections. Let’s take a few minutes now to go over how the slides should be organized. I’ve done similar presentations, so I can save you some time with a few pointers.”
When you get back to your office, you type out your notes about each element you discussed and the overall organization of the presentation. For this presentation, you are addressing the following elements:
- Legal, social, and financial factor considerations
- Economic factors: gross domestic product (GDP), inflation, interest rates, unemployment
- Elasticity of demand
- Economies of scale and efficiency
- Strengths, weaknesses, opportunities, and threats (SWOT)
- Market structure
- Costs (marginal, fixed, variable, etc.)
- International expansion (Five factors that should be considered before making the decision to expand internationally)
This assignment requires you to implement a game engine and console based user interface (logging output only, no user
interaction required) for a casino style card game that is loosely based on Black Jack but is for the gambler in a hurry that doesn’t
want to think too hard and wants to trust in luck alone without having to worry about statistics!
The rules are simple, for each round, the player places a bet of a chosen amount up to their maximum available points (see NOTE1
below) and then receives a set of cards from the dealer (from a 28 card “half”* deck containing the cards 8, 9, 10, J, Q, K, A of all
suits) until they bust by exceeding the limit of 42 (or reach 42 exactly). There is no bust card if the player scores exactly 42 otherwise
the final score is the sum of the cards prior to the bust card (see scoring below). * “Half” deck in quotes since it is not exactly half a
standard 52 card deck!
The house then deals on their own behalf against the players .. Highest score wins! A draw, where both the player and house score
the same result, is a no contest and the bet is returned to the player. The game then proceeds to the next round where the process
of betting and dealing continues.
The rules for scoring the cards are also simple with no action required by the player. An Ace is always worth 11 (not 1!), Jack, Queen
and King are 10 and the other cards are worth their face value. i.e. an eight of spades is worth 8 points.
NOTE1: Player points are not changed by placing a bet, they are only changed after the House has dealt and the win/loss has been
NOTE2: Players are only competing against the house to win more points, with their win loss determined only by their own and the
House’s dealt cards, not by the other players. Also, do not worry about modelling a real Casino “Black Jack” game with its more
complex rules such as splitting etc. The focus here is on the implementation using a simple, highest card sum wins.
HOW TO GET STARTED:
For this assignment you are provided with a skeleton eclipse project (CardGame.zip) that contains a number of interfaces that
you must implement to provide the specified behaviour as well as a simple client which will help you get started.
The provided Javadoc documentation (load index.html from CardGame/docs/ into a browser to view), and commented
interface source code (in the provided package model.interfaces) is your main specification, this document only serves as an
‘X’ Ltd. purchased two new machines for cash on 1 January 2018. Machine A cost $4000 and Machine B cost $10000. Each machine was expected to have a useful life of 10 years, and residual values were estimated at $200 for Machine A and $500 for Machine B.
On 30 June 2019, ‘X’ Ltd. adopted the revaluation model to account for the class of machinery. The fair values of Machine A and Machine B were determined to be $3200 and $9000 respectively on that date. The useful life and residual value of Machine A were reassessed to 8 years and $150. The useful life and residual value of Machine B were reassessed to 8 years and $400.
On 2 January 2020, extensive repairs were carried out on Machine B for $6600 cash. ‘X’ Ltd. expected these repairs to extend Machine B’s useful life by 3.5 years, and it revised Machine B’s estimated residual value to $945.
‘X’ Ltd. decided to replace Machine A. It traded in Machine A on 31 March 2020 for new Machine C, which cost $6400. A $2800 trade-in was allowed for Machine A, and the balance of Machine C’s cost was paid in cash. Transport and installation costs of $95 were incurred in respect to Machine C. Machine C was expected to have a useful life of 8 years and a residual value of $800.
‘X’ Ltd. uses the straight-line depreciation method, recording depreciation to the nearest month and the nearest dollar. The end of its reporting period is 30 June.
On 30 June 2020, fair values were determined to be $14000 and $6500 for Machines B and C respectively.
Prepare general journal entries to record the above transactions and the depreciation journal entries required at the end of each reporting period up to 30 June 2020. Please show all the required calculations as note at the end of your answer.