Does Jeremy fall into any of the statin risk categories? If so, which one? What drug therapy and dose would you prescribe, and why? What are the parameters for monitoring the success of the therapy?

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Overview of Patient

Jeremy, age 55 white male, has come in for his annual physical. He has hypertension and type 2 diabetes mellitus. His blood pressure is controlled with lisinopril 20 mg daily and amlodipine 5 mg daily. He has no known allegies and denied any hx of smoking. His most recent HbA1c was 7.2% while taking metformin 500 mg twice a day. His father died at age 55 of a myocardial infarction, and his brother, age 57, just underwent angioplasty. Jeremy eats fast food at least five times a week because of his work schedule. He weighs 245 lb and stands 5-foot-11. His fasting blood sugar is 213. His blood pressure is 134/80. His total cholesterol is 237 (LDL, 162; HDL, 35; triglycerides, 200).

You should now have all of the patient information necessary to complete your case study assignment.

  1. Does Jeremy fall into any of the statin risk categories? If so, which one?
  2. What drug therapy and dose would you prescribe, and why?
  3. What are the parameters for monitoring the success of the therapy?
  4. List one or two adverse reactions for the drug therapy that you prescribed for Jeremy that would cause you to change therapy. Provide rationale for your answer.
  5. When rechecked, Jeremy’s total cholesterol is 174 (LDL, 100; HDL, 38), but he is complaining of muscle pain. How would you manage Jeremy’s treatment? Provide rationale for your answer.
  6. When would you have patient follow up?
  7. What labs would you order and why?

 

 

Do for each critical appraisal following the CASP checklist. Choose the checklist that matches the study type. Fill out the data collection forms uploaded below for each article.

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Articles for critical appraisal and for data collection forms

Do for each critical appraisal following the CASP checklist here is the link to the available checklists https://casp-uk.net/casp-tools-checklists/

Choose the checklist that matches the study type.

Fill out the data collection forms uploaded below for each article.

1.Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth

Emma McGoldrick, Fiona Stewart, Roses Parker, Stuart R Dalziel

  • Intervention
  • Review
  • 25 December 2020

2.Antiplatelet agents for preventing pre‐eclampsia and its complications

Lelia Duley, Shireen Meher, Kylie E Hunter, Anna Lene Seidler, Lisa M Askie

  • Intervention
  • Review
  • 30 October 2019

3.Aspirin or heparin or both for improving pregnancy outcomes in women with persistent antiphospholipid antibodies and recurrent pregnancy loss

Eva N Hamulyák, Luuk JJ Scheres, Mauritia C Marijnen, Mariëtte Goddijn, Saskia Middeldorp

  • Intervention
  • Review
  • 2 May 2020

4.Antibiotics for asymptomatic bacteriuria in pregnancy

Fiona M Smaill, Juan C Vazquez

  • Intervention
  • Review
  • 25 November 2019

5 Cervical stitch (cerclage) in combination with other treatments for preventing spontaneous preterm birth in singleton pregnancies

George U Eleje, Ahizechukwu C Eke, Joseph I Ikechebelu, Ifeanyichukwu U Ezebialu, Princeston C Okam, Chito P Ilika

  • Intervention
  • Review 24 September 2020

6 Cervical assessment by ultrasound for preventing preterm delivery

Vincenzo Berghella, Gabriele Saccone

  • Intervention
  • Review
  • 25 September 2019

7Care prior to and during subsequent pregnancies following stillbirth for improving outcomes

Aleena M Wojcieszek, Emily Shepherd, Philippa Middleton, Zohra S Lassi, Trish Wilson, Margaret M Murphy, Alexander EP Heazell, David A Ellwood, Robert M Silver, Vicki Flenady

  • Intervention
  • Review
  • 17 December 2018

8Calcium supplementation commencing before or early in pregnancy, for preventing hypertensive disorders of pregnancy

G Justus Hofmeyr, Sarah Manyame, Nancy Medley, Myfanwy J Williams

  • Intervention
  • Review
  • 16 September 2019

9Effect of mass deworming with antihelminthics for soil‐transmitted helminths during pregnancy

Rehana A Salam, Jai K Das, Zulfiqar A Bhutta

  • Intervention
  • Review
  • 17 May 2021

10/Fetal fibronectin testing for reducing the risk of preterm birth

Vincenzo Berghella, Gabriele Saccone

  • Intervention
  • Review
  • 29 July 2019

11 Oxytocin antagonists for assisted reproduction

Laurentiu Craciunas, Nikolaos Tsampras, Martina Kollmann, Nick Raine-Fenning, Meenakshi Choudhary

12 Prenatal administration of progestogens for preventing spontaneous preterm birth in women with a multiple pregnancy

Jodie M Dodd, Rosalie M Grivell, Cecelia M OBrien, Therese Dowswell, Andrea R Deussen

  • Intervention
  • Review
  • 20 November 2019

13 Support during pregnancy for women at increased risk of low birthweight babies

Christine E East, Mary A Biro, Suzanne Fredericks, Rosalind Lau

  • Intervention
  • Review
  • 1 April 2019

14 Strategies for optimising antenatal corticosteroid administration for women with anticipated preterm birth

  • Anke C Rohwer
  • Olufemi T Oladapo
  • G Justus Hofmeyr
  • Authors’ declarations of interest
  • Version published: 26 May 2020

15 Thyroxine replacement for subfertile women with euthyroid autoimmune thyroid disease or subclinical hypothyroidism

M Ahsan Akhtar, Rina Agrawal, Julie Brown, Yasmin Sajjad, Laurentiu Craciunas

  • Intervention
  • Review
  • 25 June 2019

16 Vitamin D supplementation for women during pregnancy

Cristina Palacios, Lia K Kostiuk, Juan Pablo Peña‐Rosas

  • Intervention
  • Review
  • 26 July 2019

17 Zinc supplementation for improving pregnancy and infant outcome

Bianca Carducci, Emily C Keats, Zulfiqar A Bhutta

  • Intervention
  • Review
  • 16 March 2021

 

What is the biochemical rationale for the use of low dose aspirin in patients with coronary artery disease Why is Ibuprofen not a good substitute for aspirin in this case?

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Eicosanoids (beginning on P.222)

Using information learned from chapter 15 (beginning on P.222)(link to book below) readings on Eicosanoids, give a clear biochemical response to these questions (answers should not be more than 2 pages):

a.) A 65 year old retired construction worker is referred to the dialysis clinic following a recent diagnosis of chronic kidney disease due to a prolonged use of of the NSAID Ibuprofen. Explain the biochemical basis of NSAID nephropathy?

b.) What is the biochemical rationale for the use of low dose aspirin in patients with coronary artery disease Why is Ibuprofen not a good substitute for aspirin in this case?

https://labalbaha.files.wordpress.com/2014/04/medical-biochemistry-human-metabolism-in-health-and-disease.pdf

 

Discuss the mechanism of action and use of drugs for the treatment of hyperthyroidism.

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Treatment of hyperthyroidism

Essay: Discuss the mechanism of action and use of drugs for the treatment of hyperthyroidism.

Paper is at least 1,500 words.

 

Discuss quality data supporting the use of cannabis to treat PTSD. Include references to empirical data and should not simply be a review of current clinical use, mechanism of action, or past history of a drug or class of drugs.

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Medical cannabis and post-trarumatic stress disorder.

Discuss quality data supporting the use of cannabis to treat PTSD. At least 1,500 words.

Cites all information obtained from other sources. Molecular Pharmacology citation style is used in both text and bibliography

Include references to empirical data and should not simply be a review of current clinical use, mechanism of action, or past history of a drug or class of drugs.

 

Does Jeremy fall into any of the statin risk categories? If so, which one? What drug therapy and dose would you prescribe, and why? What are the parameters for monitoring the success of the therapy?

/in /by

‘Overview of Patient

Jeremy, age 55 white male, has come in for his annual physical. He has hypertension and type 2 diabetes mellitus. His blood pressure is controlled with lisinopril 20 mg daily and amlodipine 5 mg daily. He has no known allegies and denied any hx of smoking. His most recent HbA1c was 7.2% while taking metformin 500 mg twice a day. His father died at age 55 of a myocardial infarction, and his brother, age 57, just underwent angioplasty. Jeremy eats fast food at least five times a week because of his work schedule. He weighs 245 lb and stands 5-foot-11. His fasting blood sugar is 213. His blood pressure is 134/80. His total cholesterol is 237 (LDL, 162; HDL, 35; triglycerides, 200).

You should now have all of the patient information necessary to complete your case study assignment.

  1. Does Jeremy fall into any of the statin risk categories? If so, which one?
  2. What drug therapy and dose would you prescribe, and why?
  3. What are the parameters for monitoring the success of the therapy?
  4. List one or two adverse reactions for the drug therapy that you prescribed for Jeremy that would cause you to change therapy. Provide rationale for your answer.
  5. When rechecked, Jeremy’s total cholesterol is 174 (LDL, 100; HDL, 38), but he is complaining of muscle pain. How would you manage Jeremy’s treatment? Provide rationale for your answer.
  6. When would you have patient follow up?
  7. What labs would you order and why?

 

 

Identify the key events where the government let down its responsibility to protect people when testing for healthcare concerns. Explain how racism has played a role in healthcare for minorities.

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Ethnicity, Race and Government and Health

  • Identify the key events where the government let down its responsibility to protect people when testing for healthcare concerns.
  • Explain how racism has played a role in healthcare for minorities.

Here is a link to an exhibit by the US National Library of Medicine on the Government’s role in Healthcare to Native Americans (Links to an external site.).

Watch the film Ama (Links to an external site.) about the treatment of Native American women by the US Government during the 1960s and 70s.

Read the following articles: African American Southerners and White Physicians: Medical Care at the Turn of the Twentieth Century (Links to an external site.) from the Bulletin of the History of Medicine, Vol. 86, issue 2, (September 2012), pp. 178-205

The Red Man and the White Plague”: Rethinking Race, Tuberculosis, and American Indians, ca 1890-1950 (Links to an external site.) from the Bulletin of the History of Medicine, Vol. 82, issue 3, (September 2008), pp. 608-645

Public Health and World War II Assembly Centers for Japanese Americans (Links to an external site.) from the Bulletin of the History of Medicine, Vol. 73 issue 4, (Winter 1999), pp. 565-584

Racism & Research: The Case of the Tuskegee Syphilis Study from The Hastings Center Report, vol 8, issue 6, (December 1978), pp. 21-29

From Exclusion to Expulsion: Mexicans and Tuberculosis in Los Angeles, 1914-1940 (Links to an external site.) from Bulletin of the History of Medicine, vol. 77, Issue 4 (December 4, 2003), pp. 823-849

 

Discuss how study was inspired by a patient who had it in the field. Should more be a discussion of what the disease is, the symptoms, treatments, and prognosis.

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Case study inspired by a patient with Tetralogy of Fallot

Discuss how study was inspired by a patient who had it in the field. Should more be a discussion of what the disease is, the symptoms, treatments, and prognosis.

Paramedic Program Case Study Report

Write a case study report on a case that interests you; this can be something you see in your clinical time or it can be something you research on your own; the preferred would be a case you have seen.

The report is to be a minimum of (10) pages in MLA format, and will be consist of a minimum of 2,500 words. and due on the date provided by the Program Director.

You will also have to prepare a minimum (10) minute oral presentation (no longer than 15 minutes) on your case study.

You must utilize at least (1) visual aid in your report (Powerpoint, charts, etc.) Be prepared to give your oral presentation on the date provided by the Program Director.

 

Provide a succinct background that presents the rationale for the review in the context of what is already known. Provide a clear and explicit statement of the question(s) the review will address. Describe the study characteristics/eligibility criteria for included studies.

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Systematic review protocol

Develop a protocol for a systematic review. Your protocol should be structured using an appropriate reporting guideline/template (such as PRISMA-P).

You will:

  • Provide a succinct background that presents the rationale for the review in the context of what is already known;
  • Provide a clear and explicit statement of the question(s) the review will address (and check that there is no existing recent review addressing your proposed question);
  • Describe the study characteristics/eligibility criteria for included studies (structured using a tool such as PICO(S) or SPIDER);
  • Describe all intended information sources (such as electronic databases, contact with study authors, trial registers or other grey literature sources);
  • Present a full draft search strategy to be used for at least one electronic database (such that it could be repeated);
  • State the process that will be used for selecting studies (such as two independent reviewers) through each phase of the review (i.e. screening, eligibility and inclusion in meta-analysis);
  • List and define all variables and outcomes for which data will be sought (data items), and describe the method for data extraction, and any processes for obtaining and confirming data from authors;
  • Describe the methods for quality appraisal (assessing risk of bias) for individual studies (including reference to appropriate quality appraisal checklists);
  • Describe the approach to synthesising the findings of included studies, and any analyses that will be carried out (if data are appropriate for quantitative synthesis (meta-analysis), describe planned summary measures, methods of handling data and methods of combining data from studies).

The protocol should be no more than 3,000 words in length.

 

Submit a 3-4 page review of the Academic Journal Article. This review should include a summary of the article, why you chose the theme, and how the article contributes to the study of health care. Limit

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Study of health care

Submit a 3-4 page review of the Academic Journal Article. This review should include a summary of the article, why you chose the theme, and how the article contributes to the study of health care. Limit the search for your choice to those