What are the pathophysiological findings specifying emphysema

Discussion #2

1. What physical findings might be indicative of a patient with emphysema?        Extended expiration’s are always a finding in patients with emphysema, along with dyspnea on exertion (McCance & Heuther, 2014). Patients often present with a “barrel” chested appearance and seen leaning forward with arms resting on knees, this increases lung capacity for these types of patients (McCance & Heuther, 2014). Patients with emphysema do not often present with wheezing or cyanosis (McCance & Heuther, 2014). A productive cough may be exhibited in patients with emphysema in the later stages if there is infection present (McCance & Heuther, 2014).

2. What is the purpose and interpretations of the pulmonary function test?        The purpose of a pulmonary function test is to see how well the lungs are working. The test is a non-invasive procedure that is performed using a spirometer or inside an airtight box called plethysmography (“Pulmonary Function,” n.d.). Pulmonary function tests measure the following: Tidal volume (TV)-the amount of air inhaled or exhaled during normal breathing; Minute volume (MV)-the total amount of air exhaled per minute; Vital capacity (VC)-the total volume of air that can be exhaled after inhaling as much as you can; Functional residual capacity (FRC)-the amount of air left in lungs after exhaling normally; Residual volume-the amount of air left in the lungs after exhaling as much as you can; Total lung capacity-the total volume of the lungs when filled with as much air as possible; Forced vital capacity (FVC)-the amount of air exhaled forcefully and quickly after inhaling as much as you can; Forced expiratory volume (FEV)-the amount of air expired during the first, second, and third seconds of the FVC test; Forced expiratory flow (FEF)-the average rate of flow during the middle half of the FVC test; Peak expiratory flow rate (PEFR)-the fastest rate that you can force air out of your lungs (“Pulmonary Function,” n.d.).

3. What are the pathophysiological findings specifying emphysema?        The alveoli of the lungs become weakened or rupture which traps the air needing exhaled into larger air sacs, making it difficult to have effective gas exchange (McCance & Heuther, 2014). Hypoventilation and hypercapnia are results of air trapping (McCance & Heuther, 2014).

4. What are the three functions of the respiratory center located in the brain stem?        The Dorsal Respiratory Group-sends outward impulses to the diaphragm and inspiratory muscles (McCance & Heuther, 2014, p. 1233). The Ventral Respiratory Group-contains neurons that become active when increased respiratory activity is required (McCance & Heuther, 2014, p. 1233). The Pneumotaxic Center & the Apneustic Center-modify the depth along with the rate and can be influenced by emotion and disease (McCance & Heuther, 2014, p. 1233).

5. Please provide a description of the oxyhemoglobin dissociation curve?        The oxyhemoglobin dissociation curve refers to when the hemoglobin saturation and desaturation are plotted on a graph it shows a curve (McCance & Heuther, 2014). Hemoglobin molecules that bind with oxygen are called oxyhemoglobin, this bind occurs in the lungs and is referred to as saturation (McCance & Heuther, 2014). When oxygen is released from the hemoglobin, this is called desaturation and occurs at the cellular level (McCance & Heuther, 2014, p. 1242).

6. What are the pathophysiological findings specifying bronchitis?        Bronchitis is an inflammation of the airways or bronchi (McCance & Heuther, 2014). There are two categories of bronchitis: acute and chronic. Acute bronchitis is caused by a virus / bacterium (McCance & Heuther, 2014). Acute bronchitis has a non-productive cough and the outbreak is usually aggravated by cold, dry or dusty air (McCance & Heuther, 2014, p.1275). Chronic bronchitis is defined as hypersecretion of mucus and chronic productive cough that continues for three months out of a year, for two consecutive years (McCance & Heuther, 2014, p. 1267). Inhaled irritants cause inflammation in the airway. The inflammation causes edema and mucous globs in the airway epithelium which are very thick and cannot be cleared because of damaged ciliary function (McCance & Heuther, 2014).

What are the pathophysiological findings specifying bronchitis

Discussion #1

1. What physical findings might be indicative of a patient with emphysema?  The diagnosis is made on patients that usually are long term smokers, and they complaint of dyspnea, cough, and mucus expectoration. Most patients seek medical attention late in the course of their disease, usually ignoring smoldering symptoms that start gradually and progress over the course of years. The cough typically is worse in the morning with finite production of clear-to-white sputum. Dyspnea, emphysema’s most significant symptom, does not generally occur until the sixth decade of life. However, patients with emphysema due to alpha 1 -antitrypsin deficit will exhibit the following characteristics: early presentation (< 45 y), predilection of emphysematous changes in the lung bases, and the panacinar morphological pattern.

Although the sensitivity of the physical evaluation in mild-to-moderate disease is relatively poor, the physical signs are quite sensitive and specific in severe disease. Patients with severe disease may experience tachypnea and dyspnea with mild exertion.

The respiratory rate increases in proportion to disease severity with the use of accessory respiratory muscles and paradoxical contraction of lower intercostal spaces becoming evident during exacerbations.

In end-stage emphysema, cyanosis, elevated jugular venous pressure, atrophy of limb musculature, and peripheral edema due to the development of pulmonary hypertension, right-to-left shunting, and/or right heart failure can easily be observed.

Thoracic examination reveals a 2:1 increase in anterior to posterior diameter (“barrel chest”), diffuse or focal wheezing, diffusely diminished breath sounds, hyperresonance upon percussion, prolonged expiration, and/or hyperinflation on chest radiographs.

2. What is the purpose and interpretations of the pulmonary function test? Pulmonary function tests will test the mechanical function of the lungs, chest wall, and respiratory muscles by measuring the total volume of air exhaled from a full lung (total lung capacity [TLC]) to maximal expiration (residual volume [RV]). This volume, the forced vital capacity (FVC) and the forced expiratory volume in the first second of the forceful exhalation (FEV1), In Emphysema, spirometry may show typical obstructive pattern due to the blockage of the air during expiration. As a result of the air trapping, the spirometry will show decreased in FVC, but less than the FEV 1, and increased FRC and RV.(McCance, & Huether, 2013).

3. What are the pathophysiological findings specifying emphysema? As a result of the cellular apoptosis, and early cellular senescence, the alveolar cells are damaged, and a reduced surface of gas exchanged occurred. The destruction of the alveoli creates bullae, which are large spaces in the lung parenchyma and air spaces adjacent to pleurae(blebs). Both elements bullae, and blebs difficult the air exchange. In addition, areas of the lungs that are bad perfused contributes to worse the hypoxemia during the expiration, which is a passive process. As a result, the air remains trapped in the lungs. (McCance, & Huether, 2013).

4. What are the three functions of the respiratory center located in the brain stem? The respiratory center is in the brainstem, and it controls respiration. Four groups of neurons with specific functions are forming the center; for example, the Dorsal part(DRG) sent impulses to diaphragm and external intercostal muscles to start the inspiration; in addition, they received impulses from the chemoreceptors located on the carotid and aortic centers which are activated in front of variations of the PaCO2, and PaO2.The DRG is inhibited by the pneumotaxic center Located in the medulla, the ventral part(VRG) of the respiratory center contains inspiratory and expiratory neurons, and it is activated when increased ventilatory effort is required. The apneustic center and the pneumostatic centers are structures located in the pons and they modify the depth and rate set by the medullar level. The apneustic center shortens the expiration, prevents inspiratory neurons to switched off, in other words it provokes a long inspiration.The pneumotaxis area shortens the breath, by promoting exhalation and inhibiting inhalation.

5. Please provide a description of  the oxy-hemoglobin dissociation curve. The curve of dissociation of the oxy-hemoglobin  represents the relationship between the oxygen saturation of hemoglobin (Sao2) in the Y axis, and the partial pressure of arterial oxygen (Pao2) in the X axis. Normal Pao2 ranges from 80 to 100 mm Hg. Normal Sao2 measures about 97% but may range from 93% to 97%. The relation id not linear, but an S-shape curve. The most horizontal part of the curve represent that the lungs has been oxygenated at the maximum level , and they achieved high level of PO2 .Dramatic changes in the PO2 in the flat part of the curve will make small changes into the SO2 ; then , the oxygenation status of the patient is better protected at this point .Some conditions can alter the affinity of the Hemoglobin for the oxygen , such as the concentration of Hydrogen-anions (pH), the body temperature, the concentration of DPG or PCO2. A shift the right decreases the affinity of the oxygen for the hemoglobin and leads for an easier relief of the oxygen to the tissues; it happens when temperature rises, in acidosis (low pH), and elevated levels of DPG. In the other hand, alkalosis(high  pH), low temperature and low levels of DPG leads to a shift to the left of the curve ; as a result , the oxygen-Hemoglobin affinity increases, and  less oxygen is released to the tissues but more oxygen is bound to hemoglobin in the lungs; the SaO2 value is higher than normal for a given PaO2 value.((McCance & Huether, 2014)

6. What are the pathophysiological findings specifying bronchitis? Pathophysiological findings in Bronchitis include airways inflammation, with neutrophil and macrophage infiltration, and lymphocyte in the wall of the bronchi, bronchial edema, hyperplasia of the mucus gland and globet cells, thick mucus production, and impaired ciliary activity. Those changes predisposed the patient to have respiratory infections.

Identify Service Category Critical Success Factors

Hospital organization external environmental and service area competitor analysis for a new health care service.

Select a health care hospital organization for your project. The CEO of your hospital organization has asked your group to make a recommendation for a new health care service and plans as part of the organization’s strategic plans for the upcoming year. You will select a service category and a service area and conduct an external environment and a service area competitor analysis for a new health care service for your selected hospital organization. Be sure to make it clear in your introductory and conclusion paragraphs what the new health care service is and the service area. Also, have a good purpose statement.

I recommend that you select a top 10 hospital in the U.S. One of these top 10 hospitals nearest to your city would be great. See attachment for more information. Hospital recommendations for this assignment.

Using information presented in Chapters 2 and 3, select a service category and a service area and conduct a complete external environment (Chapter 2) and service area competitor analysis (Chapter 3) for a new health care service.

-The project tends to have two phases – one is to identify the general/societal and health care industry issues and the second phase deals with service area competitor issues.

-Chapter 2, of course, concerns the general/societal and health care industry issues. For this portion of the project, students should identify the general issues (legislative/political, economic, social/demographic, technological, and competitive; I recommend actual statistic facts and figures for this information) that affect all industries and organizations.

Some recommended sources to use for your external environment and service area competitor analysis.

https://www.census.gov/

http://www.city-data.com/

http://www.esri.com/data/esri_data/ziptapestry

References

Quick Facts. (n.d.). Retrieved from U.S. Census Bureau: https://www.census.gov/

Search City Data. (n.d.). Retrieved from City Data: http://www.city-data.com/

What Your ZIP Code Says about you. (n.d.). Retrieved from ZIP Lookup: http://www.esri.com/data/esri_data/ziptapestry

This environment represents the general context for “doing business.” As pointed out in the text, these can be very important issues that have a long-term impact on the development of industries. Industry issues tend to have a high, more immediate impact. These more specific “rules for doing business” will affect a number of service categories. This project helps students to recognize that there are “layers” of issues that they should consider if they are to become effective strategic thinkers. For the project, students should be asked to use one of the organization techniques presented in the text. Students typically use Trend/Issue Identification and Evaluation (Exhibit 2-4 and 2-5); however, stakeholder analysis, scenarios, focus groups, and so on should be encouraged.

-Once the macro issues (general and health care) have been identified, students should complete a competitor analysis for a selected service category and service area.

IMPORTANT: We generally provide the following outline as an initial guide:

Specify the Service Category.

Delineate the Service Area.

General

Economic

Demographic

Psychographic

Health Status

Perform a Service Area Structure Analysis.

Threat of New Entrants

Intensity of Rivalry

Threat of Substitutes

Power of Customers

Power of Suppliers

Do a Competitor Analysis.

Competitor Strengths and Weaknesses

Critical Success Factors

Strategic Groups

Map Competitors

Likely Responses of Competitors

What is the new health care service your group has determined is needed and address these 6 questions? (Questions whose answers are considered basic in information gathering or problems solving: Who, What, When, Where, Why, How?)

Identify Service Category Critical Success Factors.

Identify and Map Strategic Groups. Make one strategic map for the service area and a second for the competitor analysis.

Provide a Synthesis.

An extended example of a service area competitor analysis is provided throughout the chapter for Cosmetic Dentistry (Teeth Whitening) (service category) in Santa Fe, New Mexico (service area). (See Perspective 3-1, Exhibits 3-4, 3-6, 3-8, and 3-10.) Students typically choose service categories such as a children’s hospital, a cardiac unit in a hospital, home health, long-term care, rehabilitation, and so on. Service categories that are very competitive because of the large number of competitors, such as dentistry and plastic surgery, are typically somewhat easier to do (in that all aspects of the service area competitor analysis can be completed). The students often define a local service area that facilitates gathering the necessary general, economic, demographic, psychographic, health status, and competitor information.

Examples: Service Category: Long term care, New extended services and facility for the elderly in Sacramento. (Service Area: Plastic Surgery: Opening a two new, high quality plastic surgery clinics) in San Diego (Service Area).

More ideas for your health care services topic.

Physical Rehabilitation Center of Tulsa

Hope Recovery Addiction Center of Tulsa

MedExpress Urgent Care Center

Aberdeen Memory Care of Tulsa

St. John’s Health Institute-Heart Rhythm Services

Mental Health/ Family and Children’s Services

Physician Center For Weight Management

Dental Implants

Lasik Vision Center

Radiation Oncology Therapy

St John CyberKnife Center

DaVinci Surgical System surgical specialists at Warren Clinic

St. Francis Imaging Center

Google searches can be a helpful aide in researching these topics.

A 1500 to 2000 word paper (title page and reference page is not included in the word count) (It is ok to go over in word length.) should be submitted to the instructor at the end of Week 4. You are required to have at least 5 outside sources for this assignment.

Click on the “Week Four Assignment” link above to submit your assignment, as well to get more information regarding the due date and grading rubric.

Also, have a strong introduction paragraph, purpose statement, and conclusion paragraph. Be sure to read your written assignment out load before submitting it to correct grammar and writing composition errors.

> Use APA formatting with a title page and reference page.

100% plagiarism free

Determine the typical items that should be included within a contractual agreement of a software project

Contract Development” Please respond to the following:

  • Gathering software requirements requires gathering of functional requirements,operational requirements, and technical specifications. These requirements can then be described in the contract development process. Describe what may happen if declarative statements contain ambiguous phrases such as “ands”, “ ors”, “ifs”, or “buts” as described within the operational requirements. Present example(s) to support your answer.
  • Determine the typical items that should be included within a contractual agreement of a software project. Analyze how the inclusion of these items may help avoid risks in future phases of the software project life cycle.
  • Gathering software requirements requires gathering of functional requirements,operational requirements, and technical specifications. These requirements can then be described in the contract development process. Describe what may happen if declarative statements contain ambiguous phrases such as “ands”, “ ors”, “ifs”, or “buts” as described within the operational requirements. Present example(s) to support your answer.
  • Determine the typical items that should be included within a contractual agreement of a software project. Analyze how the inclusion of these items may help avoid risks in future phases of the software project life cycle.

how a sociological perspective could be used to think about the problem in a new way

PROPOSAL FOR SOCIOLOGICAL STUDY OF BALTIMORE: Annotated Bibliography and Research Paper

Annotated Bibliography – 5 Line summary of 5 papers below (1 Page)

Research Paper – 4 Pages

MAIN THEORY PAPERS

Luster, T., & Oh, S. M. (2001). Correlates of male adolescents carrying handguns among their peers. Journal of Marriage and Family, 63(3), 714-726. doi:http://dx.doi.org.ccbcmd.idm.oclc.org/10.1111/j.1741-3737.2001.00714.x

Altheimer, I. (2008). Do guns matter? A multi-level cross-national examination of gun availability on assault and robbery victimization. Western Criminology Review, 9(2), 9-32. Retrieved from http://ccbcmd.idm.oclc.org/login?url=https://search-proquest-com.ccbcmd.idm.oclc.org/docview/235115437?accountid=3784

Barragan, M., Chesnut, K. Y., Gravel, J., Pifer, N. A., Reiter, K., Sherman, N., & Tita, G. (2017). Prohibited possessors and the law: How inmates in los angeles jails understand firearm and ammunition regulations. RSF: The Russell Sage Foundation Journal of the Social Sciences, 3(5), 141-163. doi:http://dx.doi.org.ccbcmd.idm.oclc.org/10.7758/RSF.2017.3.5.07

Blais, E., PhD. (2019). Focusing on places rather than guns. American Journal of Public Health, 109(1), 25. doi:http://dx.doi.org.ccbcmd.idm.oclc.org/10.2105/AJPH.2018.304827

Lewin, N. L., Vernick, J. S., Beilenson, P. L., Mair, J. S., & al, e. (2005). The baltimore youth ammunition initiative: A model application of local public health authority in preventing gun violence. American Journal of Public Health, 95(5), 762-5. Retrieved from http://ccbcmd.idm.oclc.org/login?url=https://search-proquest-com.ccbcmd.idm.oclc.org/docview/215087612?accountid=3784

Research Proposal (50 points) – 4 pages 

TOPIC – Gun Violence/Crime

There are many challenges facing the Baltimore area and not necessarily a lot of easy solutions. One of the strengths of the sociological perspective is that it can provide a new or “fresh” perspective on a problem. For this assignment, you will choose a social problem that affects the Baltimore area and will explain how a sociological perspective could be used to think about the problem in a new way.

Please note that you are not expected to provide a solution to the problem. The goal is to explain how a sociologist would develop a research project in order to further study the issue. For instance, if your chosen social problem was jaywalking (people crossing the street illegally), you would write about how sociological concepts such as deviance, or theories such as strain theory or structural disorganization, could be applied by a sociologist in a research project.

TO USE THEORIES ALREADY IDENTIFIED IN THE PAPERS BELOWS

MAIN THEORY PAPERS

Problem-Behavior Theory – Luster, T., & Oh, S. M. (2001). Correlates of male adolescents carrying handguns among their peers. Journal of Marriage and Family, 63(3), 714-726. doi:http://dx.doi.org.ccbcmd.idm.oclc.org/10.1111/j.1741-3737.2001.00714.x

Opportunity Theory – Altheimer, I. (2008). Do guns matter? A multi-level cross-national examination of gun availability on assault and robbery victimization. Western Criminology Review, 9(2), 9-32. Retrieved from http://ccbcmd.idm.oclc.org/login?url=https://search-proquest-com.ccbcmd.idm.oclc.org/docview/235115437?accountid=3784

Deterrence theory – Barragan, M., Chesnut, K. Y., Gravel, J., Pifer, N. A., Reiter, K., Sherman, N., & Tita, G. (2017). Prohibited possessors and the law: How inmates in los angeles jails understand firearm and ammunition regulations. RSF: The Russell Sage Foundation Journal of the Social Sciences, 3(5), 141-163. doi:http://dx.doi.org.ccbcmd.idm.oclc.org/10.7758/RSF.2017.3.5.07

Crime pattern theory – Blais, E., PhD. (2019). Focusing on places rather than guns. American Journal of Public Health, 109(1), 25. doi:http://dx.doi.org.ccbcmd.idm.oclc.org/10.2105/AJPH.2018.304827

Lewin, N. L., Vernick, J. S., Beilenson, P. L., Mair, J. S., & al, e. (2005). The baltimore youth ammunition initiative: A model application of local public health authority in preventing gun violence. American Journal of Public Health, 95(5), 762-5. Retrieved from http://ccbcmd.idm.oclc.org/login?url=https://search-proquest-com.ccbcmd.idm.oclc.org/docview/215087612?accountid=3784

Define total rewards and describe the advantages of a total rewards approach

You have been tasked to prepare a future report for the management team that discusses key HR elements that help to better understand the importance ofeffective total rewards systems. The elements will consist of total rewards design and communication, sales force compensation, and preparing benefits strategically, all of which happen to be topics for the remaining assignments for this course. You must meet with the management team for a 1-hour meeting to provide an overview of what the future report will contain.

Prepare a twelve to fifteen (12-15) slide presentation in which you:

1.  Include cover, agenda, summary, and reference list slides, all of which counts toward the slide count.

2.  Provide information with a minimum of four (4) bullet points overviewing the 5 elements of the WorldatWork Total Rewards Model.

3.  Provide information with a minimum of three (3) bullet points overviewing total rewards design and communication.

4.  Provide information with a minimum of four (4) bullet points outlining motivation, behavior, and rewards program types for a sales force.

5.  Provide information with a minimum of three (3) bullet points describing how you might strategically plan creating benefits programs.

6.  Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other non-quality websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Select one of three required PowerPoint business-professional templates listed in the student center. No other templates will be allowed.
  • Critical Requirement: All bullet point information must have a minimum of 3 descriptive sentences about the subject. Because of this, there is no requirement to add notes to the presentation.
  • Have headings for each section with all bulleted information aligned properly and using the same font and size.
  • Images may be used but must be professional and relevant to the topic. Check with your professor for any additional instructions.
  • Include citations and references for all information AND images received from other sources.

The specific course learning outcomes associated with this assignment are:

  • Define total rewards and describe the advantages of a total rewards approach.
  • Analyze an organization’s strategy, workforce, operating environment, and key stakeholders to identify critical factors in designing a total rewards strategy.
  • Use technology and information resources to research issues in total rewards.
  • Write clearly and concisely about total rewards using proper writing mechanics.

What are the key methods of identity development

APA Format/ No plagarism/ 7 Slides/ Provide Examples/ Rubric Attached

You are working for a local department store in the Operations Department. You notice that their business practices and use of technology are not up to date. One day while working, you are having a discussion about technology and identity formation with your supervisor. Your supervisor continues to explain that individuals and organizations have digital identities that are formed and impacted through various methods. Your supervisor continues, saying, “They can develop or change through social media, positive or negative press, word of mouth, and so on.”

You begin to understand that the digital footprint of a business or organization can greatly impact their success or failure due to many factors, including the rapid dissemination of information that can occur digitally.

Your supervisor, through the course of the discussion, acknowledges that you are very fluent in the area of digital identity and asks you to conduct research and create a visual presentation explaining how digital identity is formed for both individuals and organizations. Your supervisor says, “This visual presentation will be presented to not only me, but company stakeholders and your coworkers in order to help them understand how identity is formed, and how to best maximize digital identity to contribute to the overall success of our store.”

Your supervisor continues, saying, “From this presentation, decision makers will be able to work on identity management and can then implement digital strategies in order to maintain or improve the store’s identity. In the end, this is intended to help increase exposure to the store, enhance the customer base, and the overall success of the store. The visual representation should be interactive and informative and can be presented in any visual format that you choose.”

For this research and presentation, you are to reflect upon and address the following topics:

  • What are the key methods of identity development? Consider available technology, socioeconomic status, generational issues, access to technological resources, etc.
  • Explain how technology and digital forums can aid in identity formation.
    • Consider available technology, socioeconomic status, generational issues, access to technological resources, etc.
    • Are there differences between identity development in the digital world and in the physical world?
    • As technology improves and changes, what are some things that individuals and organizations do to impact change and development in the digital age?
    • How can individuals change the course of action for organizations and their digital footprint?
  • How is the digital identity of your store in the above scenario formulated, and what impact might that identity have on the overall success of the store?

What are the laboratory tests to be ordered in patients suspected of anemia

Hematological Case Study

Sarah is in today with a chief complaint of feelings of fatigue, pallor, dyspnea on exertion, and palpitations. Her laboratory report indicates that her hematocrit, hemoglobin, and reticulocyte counts are low; that her MCV is high; and that her MCH and MCHC are normal. Her diagnosis is pernicious anemia.

Answer the following questions regarding Sarah’s anemia and provide the pathophysiology associated with the body’s response to this disease process.

1. What are the laboratory tests to be ordered in patients suspected of anemia?

2. What are the clinical manifestations noted in a patient with pernicious anemia?

3. What nonpharmacological therapies are associated with the treatment of pernicious anemia?

4. What the lab findings indicative iron deficiency anemia?

5. Please share possible complications of untreated pernicious anemia.

6. What is the purpose of the Schilling test?

– Two pages minimum

-Provide references.

List the three most significant environmental issues facing the community

Apply Your Knowledge: Solutions to Environmental Issues

[WLOs: 1, 3] [CLOs: 5, 6]

Prior to beginning work on this assignment, review Chapter 5 of your textbook.

Significant environmental issues can devastate a community. Follow the directions below to apply your knowledge about environmental issues to develop this week’s assignment:

In your paper,

  • Select a community familiar to you.
  • List the three most significant environmental issues facing the community (cite your sources when referring to websites or articles).
  • Describe how these environmental issues affect the health of individuals in the community (cite your sources).
  • Identify the major causes of these health problems.
  • Provide several significant steps that could be corporately adopted to reduce the environmental problem.

*Note: You are encouraged to integrate any feedback from your instructor and upload the assignment to Portfolium. For assistance using Portfolium, review the Portfolium Student Guide.

The Apply Your Knowledge: Solutions to Environmental Issues paper

  • Must be two to three double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center’s APA Style (Links to an external site.)Links to an external site.
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted

For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.)Links to an external site..

  • Must utilize academic voice. See the Academic Voice (Links to an external site.)Links to an external site. resource for additional guidance.
  • Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.
    • For assistance on writing Introductions & Conclusions (Links to an external site.)Links to an external site. as well as Writing a Thesis Statement (Links to an external site.)Links to an external site., refer to the Ashford Writing Center resources.
  • Must use at least one scholarly source in addition to the course text.
    • The Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.)Links to an external site. table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
  • Must document any information used from sources in APA style as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.)Links to an external site.
  • Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center. See the Formatting Your References List (Links to an external site.)Links to an external site. resource in the Ashford Writing Center for specifications.

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

Deaf person doing successfully in your career field

Find a youtube WITH subtitles or captions that showcased a Deaf person doing successfully in your career field. This proves that Deaf people can do anything but hear.

For those who work in a deaf-related or disability-related field, please find a subtitled video of Deaf people working exactly in your deaf-related/disability-related field then type one-page long report detailing your thoughts on the video AND how deaf people working in deaf-related or disability-related field can improve the society in general and the issues that the deaf people facing in your field.

Then upload the VIDEO with subtitles AND write a one-page long report detailing your thoughts on the video in a journal-style format.

Your full name, ASL 121, today’s date on the upper right of the report. Font: Arial, 12, double-spaced.