Answer:
102milligrams
Explanation:
Convert pounds to kilogram
Then multiply the result with the MG per kilogram
Which of the following statements is NOT true about a disenrollment?
a.
Voluntary disenrollments are initiated by the member and can generally only occur during specific periods such as AEP or OEP (MA/MA-PD plans only)
b.
Disenrollment can be voluntary or involuntary
c.
A disenrollment applies if coverage ends after a member’s effective date
d.
Disenrollment requests can be taken verbally
D. Disenrollment requests can be taken verbally.
What is disenrollment?Disenrollment is a process that involves removal (as a name) from a roll broadly : to release (an individual) from membership in an organization (as from a military reserve).
A disenrollment can be any of the following;
Voluntary disenrollments are initiated by the member and can generally only occur during specific periods such as AEP or OEP (MA/MA-PD plans only).Disenrollment can be voluntary or involuntary.A disenrollment applies if coverage ends after a member’s effective date.Thus, the statement that is not true about disenrollment is "Disenrollment requests can be taken verbally".
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You are the director of health information services in a major medical center that maintains both a psychiatric and substance abuse units in addition to general medical and surgical units. Your facility, under the direction of the CIO, plans to join a computer network with 15 hospitals throughout the state, which will allow online access to records, regardless of which facility they were generated. None of the other 15 facilities offers psychiatric or substance abuse treatment, and you have been asked to provide HIM analysis as the subject matter expert.
Identify access and confidentiality issues that may be present with such a network in the light of the statutory, regulatory, and accrediting requirements governing patients treated in these units.
What specific organizational recommendation(s) would you make to the CIO to ensure she has considered specialized records in her support of the network for all departments, including the HIM department?
Discuss psychotherapy notes as defined by HIPAA and how they are treated differently.
The simplest case in which medical confidentiality can be breached is when there is patient consent. However, this does not allow professionals to publish information or medical records in absentia on social media — as this is also prohibited by the Code of Medical Ethics in its section on the subject.
What specific organizational recommendations would you make to the CIO to ensure he considers specialist records in your network support for all departments, including the HIM department?The recommendations are to keep these patients confidential, so that their information is only available to doctors, and not open to the public.
Discuss psychotherapy notes as defined by HIPAA and how they are treated differently.In general, patients or their legal representatives should be able to view and obtain copies of their medical records and request corrections if errors or mistakes are identified. For purposes of the US Privacy Act, a patient's "authorized personal representative" is a legal guardian able to make health care decisions, a representative in possession of a power of attorney for dealing with health-related matters, or a family member or friend authorized to act as a representative for decisions under US state law. Patients also have the right to allow third parties access to all or part of their medical records upon signed written authorization.
With this information, we can conclude that Ethical medical treatment always includes the need to keep patients' medical information confidential. However, the Health Information Portability and Accountability Act codified this responsibility for health workers.
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A side effect is an unintended, often problematic outcome resulting from a(n)
.
An accident is any
unplanned
occurrence that has potentially negative consequences.
An adverse effect is an unintended
effect of a medical treatment.
According to the research, the correct option is an adverse effect is an unintended effect of a medical treatment. A side effect is an unintended, often problematic outcome resulting from an adverse effect of a medical treatment.
What is a side effect?It is a toxic or unintentional reaction of a medication, which occurs as a consequence of the same mechanism that determines its therapeutic effect, altering the health of an organism, including the well-being of that organism.
These reactions are due to the undesirable pharmacological effect that appears in the recommended therapeutic doses or due to drug interaction where the patient presents headache, fever, cold symptoms, among others.
Therefore, we can conclude that according to the research, a side effect is an unintended, often problematic outcome resulting from an adverse effect is an unintended of a medical treatment.
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What are the big five traits measured in the five factor model of personality?
a. openness, creativity, esteem, agreeableness, and positivity.
b. openness, concentration, impulsivity, altruism, and conformity.
c. openness, conscientiousness, extroversion, agreeableness, and neuroticism
d. optimism, carefulness, extroversion, activism, and neatness
Answer: C. Openness, conscientiousness, extroversion, agreeableness, and neuroticism
Explanation:
O - Openness to experience
C - Conscientiousness
E - Extroversion
A - Agreeableness
N - Neuroticism
OCEAN
The big five traits measured in the five factor model of personality include the following: openness, conscientiousness, extroversion, agreeableness, and neuroticism. That is option C.
What is five factor model of personality?The five factor model of personality is defined as the bid five models of personality that believes that individual traits of an individual can explain the person's behaviour.
The five factor model of personality include the following:
Openness: This refers to one’s willingness to try new things as well as engage in imaginative and intellectual activities.Conscientiousness: This is referred to a person’s ability to regulate their impulse control in order to engage in goal-directed behaviorsExtroversion: This is referred to the tendency and intensity to which someone seeks interaction with their environment, particularly socially.Agreeableness: This refers to how people tend to treat relationships with othersNeuroticism: This refers to the overall emotional stability of an individual through how they perceive the world.Learn more about personality here:
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A nursing instructor explains to students that, regardless of their gestational age, all newborns experience the same pattern that includes which periods?
Regardless of their gestational age, all newborns experience the same pattern that includes
First period of reactivity
• Period of decreased responsiveness
• Second period of reactivity
Usually, the first phase of reactivity lasts six to eight hours. The newborn is often quite aware and active for the first 30 minutes following birth. This is normally a great time to start breastfeeding because the baby will typically have a strong suck reflex throughout this period.The newborn will enter a deep sleep after this initial period of wakefulness called Period of decreased responsiveness , which typically lasts between two and four hours, though it may last much longer. The infant is very peaceful during this time. In general, attempts to arouse the newborn will fail.When the newborn awakens from this deep sleep state, the second period of reactivity, which typically lasts two to five hours, starts. The infant is once again normally highly attentive and demonstrating signs of hunger.learn more about newborns here:
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According to the results presented by the experiment, the relationship between the lift force at equilibrium and the vesicle radius would best be described as:____
According to the results presented by the experiments, the relationship between the lift force and the vesicle radius would be best described as exponential.
A fluid that has a component in the direction perpendicular to the fluid's flow is said to be exerting a lift force. The exponential relationship best captures the relationship between the lift force and the vesicle radius. The slope between the lift force and the vesicle radius in an exponential relationship is rapidly growing. The lift force increases more rapidly as the radius grows.
It is evident from looking at and examining the second and third columns of Table 1 that the lift force decreases with increasing radius, ruling out option B. The anticipated slope, or "increase overrun," is computed to be (4.7 - 0.2) / (20.5 - 8.7) 4.5/12 0.4 after selecting the first two vesicles. If we utilize the final two vesicles instead, we get a result of (153.6 - 87.1) / (67 - 50.9) 66.5/16 4. In light of this, the slope appears to be increasing at an ever-higher pace, which is confirmed by looking at different combinations of data for the vesicles. In light of this, an exponential relationship can be deduced.
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David has been having increasingly frequent migraine headaches. The practitioner will do further tests to determine if there is an underlying physical cause. While the tests are being done, what might the practitioner suggest to try to reduce the frequency or severity of the migraines
The practitioner might suggest to try to reduce the frequency or severity of the migraines is "limit your consumption of old wines, beers, and cheeses."
What is migraine headaches?A migraines is a headaches that often affects one particular side of a head and can be extremely painful, throbbing, or pulsating. It frequently comes with high sensitivity to both light and sound as well as nausea and vomiting.
The pain from a migraine attack can be so intense that it interfere with your regular activities and can persist for hours or even days.
The following indications of a potentially more serious medical condition:
a sharp, sudden headache that feels like a thunderclapSymptoms of a stroke include a headache accompanied by fever, neck stiffness, confusion, convulsions, double vision, stiffness or rigidity in any area of the body, and seizures.following a head injury, headachea persistent headache that gets worse when you cough, work out, strain, or make an abrupt movementafter the age of 50, a new headacheTo know more about Migraine headaches, here
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The behaviors by the prison guards in the Stanford prison experiment coincided with expected________; the guards gave orders and expected the prisoners to follow them.
a. experimental procedures
b. social expectations
c. social norms.
d. social roles
The behaviors by the prison guards in the Stanford prison experiment coincided with expected d. social roles the guards gave orders and expected the prisoners to follow them.
The Stanford Prison Experiment has emerged as one of psychology's most compelling examples of how nice people may turn into evildoers, and how healthy people can start to suffer pathological reactions that can be linked to environmental factors. Thus, option D is correct.
What Stanford prison experiment coincided with expected?The Stanford Prison Experiment was a highly contentious study on social role conformance undertaken by Zimbardo in 1973.
His goal was to determine whether, when placed in a simulated jail atmosphere, people would adopt the social roles of a prison guard or prisoner. The convicts obeyed the commands that the guards gave them.
The Stanford jail experiment provided evidence of the influence of social roles, norms, and scripts on conduct. The guards and inmates performed their social duties by acting in ways that were proper for them.
Therefore, The behaviors by the prison guards in the Stanford prison experiment coincided with expected social roles.
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Why has telehealth adoption taken so long in the health-care industry?
Lack of broadband and digital skills are the reasons why telehealth adoption has taken so long in the health-care industry.
What is Telehealth?This is the process which involves the use of digital services in other to access health care services.
Internet gaps and lack of digital skills especially in the rural areas are the main reasons why it has taken so long to be adopted. This is because the rural citizens will be at a disadvantage in accessing this type of service.
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The nurse is assigned to care for a postpartum client with a deep vein thrombosis (DVT) who is prescribed anticoagulation therapy. Which statement will the nurse include when providing education to this client
The statement which a nurse should include when providing education to a client with deep vein thrombosis (DVT) who is prescribed anticoagulation therapy is to watch for excessive bleeding
The patient should also be educated to take medication as directedWhat is deep vein thrombosis?Deep vein thrombosis is a medical condition with a blood clot in the vein
In conclusion, the statement which a nurse should include when providing education to a client with deep vein thrombosis (DVT) who is prescribed anticoagulation therapy is to watch for excessive bleed and to take medication as prescribed
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If Trey has a high score in neuroticism and a low score in extroversion on the Big 5 personality test, he is likely to be
a. quiet and helpful
b. outgoing and critical.
c. nervous and secure.
d. anxious and quiet.
If Trey has a high score in neuroticism and a low score in extroversion on the Big 5 personality test, he is likely to be anxious and quiet. So, the correct option is (D).
What is personality?
Personality word is derived from the Greek word Persona , which means theatrical mask worn by the performer to hide their identity.
Personality is the combination of qualities or characteristics which make one person different from another. It can be unique pattern of thoughts, feelings, and behaviors that distinguish a person from others.
Examples of personality can be found in how we describe other people's traits. For instance, "She is loyal and generous" or "they are caring and protective for their friends".
There are several fundamental characteristics of personality . They are:
1. Consistency
2. Both psychological and physiological
3. Affects behaviors and actions
4. Multiple expressions
Thus, if Trey has a high score in neuroticism and a low score in extroversion on the Big 5 personality test, he is likely to be anxious and quiet. So, the correct option is (D).
If Trey has a high score in neuroticism and a low score in extroversion on the Big 5 personality test, he is likely to be anxious and quiet. So, the correct option is (D).
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Drew read an article about the dash eating plan. She learned that dash eating pattern is high in _____ but low in _____
Drew read an article about the dash eating plan. She learned that dash eating pattern is high in vegetables but low in whole fat dairy.
DASH stands for Dietary Approaches to Stop Hypertension. The DASH diet is a healthy eating plan designed to help treat or prevent high blood pressure (hypertension). The DASH diet includes foods that are high in potassium, calcium, and magnesium. These nutrients help control blood pressure. Dietary restrictions apply to foods high in salt, saturated fat, and added sugars. The DASH diet offers a variety of low-fat dairy products, vegetables, fruits, and nutritious grains in addition to fish, chicken, and nuts. It offers a limited variety of sweets, red meats, and sweet beverages.Learn more about dash eating pattern here: https://brainly.com/question/12998672
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How do culture and personal values influence the use of complementary and alternative medicine practices?
Complementary therapies help us to feel better. Cope with having cancer and treatment. They can help them to feel better and also improve quality of life.
The complementary and traditional cultural medicines are used by people and want to have more control over health. They turn to complementary alternatives medicine to relive common symptoms, Improve their quality.
Users of the complimentary alternative therapy over the past 12 months in 2016 from 35-44 years age group means 61% . The complementary medicines used diminished with age and generally rose with both income and education. We also helps headaches , joint pain and high blood pressure.
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Name two possible causes of metabolic acidosis diarrhea antacids aspirin constipation exercise vomiting alcohol diabetes?
Two possible causes of metabolic acidosis include diarrhea and diabetes.
Metabolic acidosis is a condition in which too much acid is produced in the body. However, it may also occur when the kidneys cannot remove sufficient amount of acid from the body. There are several types of metabolic acidosis:
Diabetic acidosis (also known as diabetic ketoacidosis or DKA) develops when substances called ketone bodies (acidic in nature) build up during uncontrolled diabetes (usually type 1 diabetes).Hyperchloremic acidosis is caused due to the loss of a large amount of sodium bicarbonate from the body, which usually results from severe diarrhea.Kidney diseases such as uremia, distal renal tubular acidosis or proximal renal tubular acidosis.Lactic acidosis which results from a buildup of lactic acid.Poisoning by aspirin, ethylene glycol (found in antifreeze), or methanol.Severe dehydration.To learn more about Metabolic acidosis here
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Women who develop gestational diabetes have a greater risk of developing _____ later in life.
Women who develop gestational diabetes have a greater risk of developing of high blood pressure, as well as preeclampsia later in life.
Gestational diabetes occurs when your body is unable to produce enough insulin during pregnancy. Insulin is a hormone produced by your pancreas that acts as a key to allow blood sugar into your cells for use as energy.Gestational diabetes increases your risk of high blood pressure and preeclampsia, a serious pregnancy complication that causes high blood pressure and other symptoms that can endanger both your life and your baby's life.Learn more about Gestational diabetes from here:https://brainly.com/question/19286748
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Which branch of medicine diagnoses, treats, and manages musculoskeletal disorders?
Some viruses can undergo lysis or lysogeny within the same host. Under what conditions might the virus favor lysis instead of lysogeny?.
In a process known as induction, prophage may spontaneously separate themselves from the host genome and enter the lytic cycle if a bacterium containing them is subjected to stressors like UV light, low nutritional circumstances, or drugs like mitomycin C.
What is Lysogenic cycle ?A virus can use a host cell to copy its DNA through the lysogenic cycle. The lysogenic cycle and the lytic cycle are the two types of DNA replication that viruses often engage in. DNA is only copied during the lysogenic cycle; it is not translated into proteins.
What is Lytic cycle ?The virus binds to the host cell and injects its DNA during the lytic cycle. The viral DNA starts to replicate and create proteins using the host's biological metabolism. the assembly of fully developed viruses.
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The client taking antihypertensive medications is taught to notify the healthcare provider when which findings occur?
A client who's taking blood pressure or antihypertensive medications is taught to notify the healthcare provider when there is a weight gain of 5 pounds in two days.
Antihypertensive medications are blood pressure medications which can bring the blood pressure down. They are different types which are given by the healthcare provider by taking factors like age, sex, race etc. into consideration.
These medicines act in different ways. For example, some remove extra fluids from the blood whereas others block natural hormones which raise the blood pressure. The side effect of these medicines is that they lead to weight gain and if the client gains 5 pounds in over two days, it has to be reported to the healthcare provider.
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Critical thinking question: dan, a 50-year-old man, is experiencing muscle stiffness and shaky hands. in the office, you also note his stooped posture. tests reveal a deficiency of dopamine, which helps confirm a diagnosis of parkinson disease. knowing that there is no cure, dan is upset and ambivalent about taking medication. how can you help dan understand his condition and how his medication, levodopa plus carbidopa (sinemet), will help him? be very thorough in your answer.
How can you help Dan understand his condition and how his medication, levodopa plus carbidopa (Sinemet), will help him?
Organise a meeting with other PD patients to motivate him to thirve in lifeBe very patient with himAsk and clarify all his doubtsBe approachableExplain about the positive outcomes of his life though he's having Parkinson diseaseIf verbal communication is hindered ask and answer through sign languageYou educate yourself and him about symptoms, treatments, and the progression of the conditionSet realistic goals for himWhat is Dopamine ?
Dopamine is a type of neurotransmitter and hormone. It plays a role in many important body functions, including movement, memory and pleasurable reward and motivation.Learn more about Dopamine
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Which additional daily dietary intake will most closely match the number of additional calories needed by the breast-feeding mother?
Fish, eggs and Protein foods is needed for the additional calories by a Breast-Feeding mother.
Fish, eggs and Protein foods are needed for a Breast feeding mother due to their nutritional properties.
Following foods can be chosen for a breast- feeding mother:
Nuts : Almonds, WalnutsMeat : Chicken, PorkFish: Salmon, SardinesFruits and Vegetables: Tomato, CabbageFor Breast-Feeding mothers, it is important to choose nourishing foods to enhance the production of the breast milk. Eating healthy foods helps to reduce chances of both physical and mental tension. It is estimated that the energy needed during breastfeeding increases by 500 calories per day.
Several vitamins given below are needed for a breast-feeding mother:
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Fish, eggs and Protein foods is needed for the additional calories by a Breast-Feeding mother.
Following foods can be chosen for a breast- feeding mkother:
Nuts : Almonds, WalnutsMeat : Chicken, PorkFish: Salmon, SardinesFruits and Vegetables: Tomato, CabbageFor Breast-Feeding mothers, it is important to choose nourishing foods to enhance the production of the breast milk.
Eating healthy foods helps to reduce chances of both physical and mental tension. It is estimated that the energy needed during breastfeeding increases by 500 calories per day.
Several vitamins given below are needed for a breast-feeding mother:
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Both categories of migraine abortive drugs (ergot alkaloids and serotonin agonists) exert powerful vasoconstrictive effects and also have what potential
Both categories of migraine drugs (ergot alkaloids and serotonin agonists) exert powerful vasoconstrictor effects and also have the potential to cause nausea and vomiting.
What is Ergotamine?Ergotamine is a vasoconstrictor alkaloid used in migraine attacks, when treatment with non-steroidal anti-inflammatory drugs does not provide an effect. Ergotamine can cause nausea and vomiting due to direct effects on the Central Nervous System at the vomiting centers.
What is abortive drugs?The use of medication during pregnancy should always be done only with the guidance of an obstetrician, as most drugs have the potential to cause problems during pregnancy and even result in a miscarriage.
Medications such as thalidomide, atorvastatin or isotretinoin are completely contraindicated during pregnancy because they can cause damage or malformations to the fetus that can be born with severe deficiencies or cause miscarriage.
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Saying a person has _____disorders means the individual has two or more diagnoses.
If a person has a disorder where the individual has two or more diagnoses, it is called comorbid disorder.
What is Comorbid disorder?Comorbidity is the occurrence of two or more illnesses or conditions in the same person. They could take place simultaneously or one after the other. Comorbidity also denotes interactions between the diseases that could make both of them worsen. Conditions relating to comorbid disorder:Physical conditions include diabetes, cardiovascular disease, cancer, infectious infections, and dementia are examples of comorbid conditions. Eating disorders, anxiety disorders, and substance misuse are among the mental health issues that frequently coexist.Prevalence of Comorbid disorder:People frequently receive diagnoses for two diseases or conditions at once. Comorbidity in mental illness can occur when a person receives a medical diagnosis followed by a mental disorder diagnosis (or vice versa), or when a mental disorder diagnosis is made followed by the diagnosis of another mental disorder.Treatment:A major issue for medical personnel is when medical and mental illnesses coexist. For instance, a person who has been diagnosed with both diabetes and depression would receive therapy for both disorders, but coordination between the multiple healthcare providers providing treatment would be required to account for drug and symptom overlap.To learn more about Comorbid disorder visit:
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Cardiovascular training that involves activities lasting from more than 3 minutes to more than 20 continuous minutes would be called
Cardiovascular training that involves activities lasting from more than 3 minutes to more than 20 continuous minutes would be called
a form of exercise that is performed at a 'continuous' intensity throughout and doesn't involve any rest periods.
What is Cardiovascular training?Exercise programs that target the heart and lungs are known as cardiovascular training (CV). Cardiovascular training is the term used to describe muscle activity that makes the body require more oxygen than usual to power the workout movements. With oxygen in mind, these exercises are commonly referred to be aerobic.
By forcing the heart to beat faster during the workout, these aerobic workouts boost heart strength. For the body's muscles to receive the essential oxygen, this pace is required. Of course, the lungs must do more effort to take in enough oxygen to satisfy the body's increased need.
Aerobic training or just cardio are other names for cardiovascular training.
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The type of arthritis that typically affects the hands and weight-bearing joints of the knees, ankles, and hips is.
The type of arthritis that typically affects the hands and weight-bearing joints of the knees, ankles, and hips is osteoarthritis.
What is osteoarthritis?Millions of people worldwide suffer from osteoarthritis, the most prevalent kind of arthritis. It happens as a result of deterioration of the protective cartilage that cushions the ends of the bones throughout time.
Despite the fact that osteoarthritis can harm any joint, it most frequently affects the hands, knees, hips, and spine.
While the damage to joints cannot be undone, osteoarthritis symptoms can typically be controlled. The progression of the disease may be slowed down and pain and joint function may be improved by staying active, maintaining a healthy weight, and obtaining specific therapies.
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A(n) ______ is any objective evidence of a disease that can be observed or measured by an observer.
A sign is any objective evidence of a disease that can be observed or measured by an observer. If any doctor, family members and the individual experiencing the signs can identify these.
A symptom is a manifestation of disease apparent to the patient himself, while sign is a manifestation of disease that the physician perceives. The sign is objective evidence of disease or symptoms.
Objective evidence is physical sign such as temperature, pulse rate and rhythm, respiratory rate and character , temperature , posture, edema, gait. It is the evidence that's not subject to bias and quantifiable and able to independently confirmed .
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Holly is needs lithium administered. She needs 10 mg per Kg. and she currently weighs 110 lbs. What should Holly’s dose be? The Lithium bottle says 400 mg/ml. How much is given to Holly?
Holly needs to take 500mg or 1,25 ml of lithium
What is dosage?Dosing is the act of dosing; is the action of measuring the amount of dose that will be administered, at a certain frequency for a period of time.
With that being said, Holly needs 10mg of lithium per kilogram. She weighs 110 lbs, which is 50 kg. Lithium concentration is 400 mg/ml. As she weighs 50 kg she will need to take 500mg of lithium in 1,25 ml .
[tex]10mg -- 1kg\\x mg -- 50kg\\x = 500 mg[/tex]
As the concentrarion is 400mg/ml:
[tex]400mg -- 1ml\\500mg -- x ml\\x = 1,25 ml[/tex]
In this case, is possible to see that Holly needs to take 500mg or 1,25 ml of lithium.
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what is the aim of health and social care in germany
Breaches of unsecured phi are put through a risk assessment test to determine if they must be reported, the assessment considers:_____.
Breaches of unsecured PHI are put through a risk assessment test to determine if they must be reported the assessment considers to determine the probability that PHI has been compromised.
Breach is low - risk , don't have to notify affected parties , but there is a greater than low risk. The acquisition or use or disclosure of PHI in a way that compromises the security or privacy of PHI,also risk of financial , reputation, or harm individual.
According to HIPAA's rule - it covered entities to notify parents when their unsecured protected health information is used or disclosed or it may be breached in a way that compromise the privacy and security of it.
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In terms of the best, most long-lasting outcomes, the best time to perform bariatric surgery on a morbidly overweight teenager is at age:
In terms of the best, most long-lasting outcomes, the best time to perform bariatric surgery on a morbidly overweight teenager is at age 13 for girls and 15 for boys.
What is Bariatric Surgery?Bariatric surgery is performed when diet and exercise have failed or when you are having serious health problems as a result of your weight.
The ability to eat more is restricted by several procedures.
Other treatments work by making it harder for the body to absorb nutrients. Some techniques perform both.
Not everyone who is extremely overweight should have bariatric surgery. To be eligible for weight-loss surgery, you might need to fulfill specific medical requirements.
Even though there are numerous advantages to bariatric surgery, it is a substantial procedure with significant risks and negative effects.
To assist assure the long-term success of bariatric surgery, you must also permanently adjust your diet and engage in regular exercise.
Hence, the optimal age to conduct bariatric surgery on a morbidly obese teenager is at age 13 for girls and 15 for boys, according to research, in order to achieve the greatest, most durable results.
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Factor x and y are both required to cause a certain disease. neither x nor y can produce the disease alone. factor x is:_____.
Factor X is necessary and not sufficient enough for causing certain genetic diseases. They are called 'component causes'.
Most of the classic genetic diseases can be explained by 'component cause'. This means that there are two or more different complex factors necessary to cause a single disease and more importantly together only they can form a sufficient cause.
For instance, Phenylketonuria (PKA) is a genetic disease that involves many different genes. This condition can result from a combination of PKA genes (factor A) and a diet high in phenylalanine (factor B).
Both factors are necessary but either one is not sufficient to cause the disease. These factors A and B together form a casual constellation to cause the PKA disease.
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