health service delivery system of SHMC and the Johnson Unit. Substance abuse is the most common and clinically significant comorbid disorder among adults with severe mental illness‚ (Drake‚ et al). Since the problem of dual diagnosis became clinically apparent in the early 1980’s‚ researchers have established
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Case Study #5 Heart & Neck Vessels‚ Lungs & Thorax Mrs. Lee‚ 80 year old Asian American female Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time‚ she seems slightly short of breath‚ but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you
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Abstract In common-pool resource systems the diverse ways in which resource users appropriate benefits results in complex and dynamic configuration of stakeholders. Problems in benefit sharing are bound to be experienced in such a resource system. It takes the input and actions of multiple actors to achieve joint outcomes and it is difficult to exclude beneficiaries of these actions even if they do not contribute. With an increasing number of stakeholders in a resource system the resource units become highly
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Engineering Flexible Manufacturing System (FMS) Name University Course Instructor Date Engineering Flexible Manufacturing System A. The effectiveness of the FlexSim simulation package in designing and planning the flexible manufacturing system and evaluating its performance FlexSim is one of the most advanced simulation tools used currently in the manufacturing sector (Kumar et al.‚ 2015). The simulation engine is located beneath a number of intuitive controls including drop-down lists‚ drag
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Case Study: The Hometown Deli- Stage 1 I am proud to now be the sole decision maker and owner of my family’s deli‚ The Hometown Deli‚ which has been in my family since 1952. I feel honored and I am so happy that I have been given the chance to better the business and bring it into the 21st century. I need to be careful in doing so since I have never had such responsibilities before. Not only am I now faced with the challenges of learning the ropes of the business‚ but the new rumor about the
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Although alcohol has been legal for nearly a decade within Canada‚ it has produced numerous influences on crimes and has been at the heart of the Canadian criminal justice system. One of the greatest negative impacts associated with alcohol is the vast amount of violent crimes‚ which occur within Canada as a result. Pernanen‚ Cousineau‚ Brochu‚ and Sun (2002) conducted extensive research on the prevalence of alcohol and illicit-drug use and correlation to violent crimes within the Canadian Correctional
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1. What was the most difficult aspect of the reservation system for Native Americans to accept and why?Consider factors such as conversion to Christianity‚ getting a formal education‚ having to speak English‚ etc. and be sure to discuss how this "acceptance" sacrificed cultural identity. For Native Americans the reservation system would destroy so much of their culture and their identity as a people‚ and the factors that led to this are many. Of the different acts that stripped Native Americans
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cerebral contusions. On arrival to Emergency Department he is very unwell; in severe pain‚ pale and diaphoretic with decreased level of consciousness. His vital signs are abnormal and arterial blood gases - concerning. The essay below draws on the case study as described above. It consists of three parts that consecutively explain the impact of Mohammad’s injuries and habits on his respiratory function‚ hemodynamics and arterial blood gases. Respiratory changes Normal tidal respiration is a
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integrated health delivery systems in the world today. Presently‚ most of these systems are undergoing further development to be able to provide efficient healthcare services in a more user-friendly manner. Integrated system bring together many services to eliminate costly intermediaries‚ improve health services‚ and promote wellness. One of the aspects to consider is risk management that is associated with health delivery systems. Features of integration in a delivery system comprise of doctor-hospital
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handle an estimated 1.7 million cases in which a youth was charged with a delinquency offense (“Youth in the Justice System‚” 2012). Throughout most of history‚ youthful offenders were handled under the same laws and system as adults were. While deviance has always been around‚ societal intervention and participation in handling juvenile transgressors has gained the most momentum in the last 100–150 years (Whitehead & Lab‚ 2013). A separate juvenile justice system was established in the United States
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