A 42-year-old white male presented with sudden onset of suprapubic and pelvic discomfort associated with gross hematuria. His vitals were stable on admission. A cystogram demonstrated a bladder of normal size and contour with no intravesical filling defect. Computed tomography (CT) revealed thickened bladder wall with possible infiltrating hematoma and obstruction of the right ureter with swelling of kidneys due to urine accumulation (hydronephrosis). The patient also had some other problem in the past such as deep vein thrombosis, basilic vein thrombosis and pulmonary embolism, right testicular vein clot with testicular necrosis, hyperlipidemia and hypertension. There was no family history of a coagulation disorder.  The patient was an ex-smoker and denied alcohol use. 

He underwent cystoscopy with removal of intravesical clots and stenting of the right ureter. His renal function however, worsened. On day 3, he developed an occlusive thrombus in right cephalic vein, ecchymotic patches on the anterior abdominal wall followed by extensive right femoral and popliteal vein clots with myonecrosis on day 6 of admission, requiring above knee amputation. This was followed by intramuscular hemorrhage in the gluteal muscles and facial skin gangrene on day 9. His coagulation profile, renal and pulmonary function worsened requiring mechanical ventilation. He ultimately died on day 11 of hospital admission. 

The autopsy was performed on an already embalmed body. The pertinent gross findings included massive hemorrhagic necrosis of urinary bladder and prostate with large peri-vesical hematoma. Right coronary artery demonstrated in-stent thrombosis with 100% occlusion. There was moderate cardiomegaly with evidence of old myocardial infarction of the posterior left and right ventricular wall with severe fibrous endocardial thickening. Mucosal hemorrhage was noted in the hypopharynx, gastroesophageal junction and pylorus.  The person was suffering from the antiphospholipid syndrome.

1. What type of regressive changes were observed in this case study?
2. What other terms in this case study are you familiar with?
3. Write the definitions of gangrene, hematoma, ecchymotic patches, and hematuria?
4. Were there any exogenous and endogenous pigmentation observed?
5. How do such cases affect the preparation of body for funerals?

This Discussion Board is worth 100 points. Each student should post at least 3 times during the week, at three different days.  Minimum needed is to post the answers to the 5 questions.  In addition to the answers to the questions, you may ask questions, respond to other posts or discuss the case study.

Grading Criteria

20 points – Initial post

0 – 20 points – Initial post is detailed, demonstrates high quality, contributes to the discussion, and is referenced based- 7-10 sentences

Discussion: Research and Ethics in PsychologyDevelopmental psychology attempts to understand cognitive, physical, and social-emotional development throughout the lifespan. In order to understand, for example, how maternal stress during pregnancy might impact the child later in life, pregnant women and children could be studied. Vulnerable populations, such as pregnant women, newborns, children, cognitively impaired individuals, incarcerated individuals, or older adults, require additional consideration and protection when planning to conduct research with them.When conducting research in the field of human development, particularly with vulnerable populations, it is important to keep in mind that a unique set of ethical considerations should be taken into account. These populations need extra care to ensure their rights because some individuals may lack the mental capacity to give informed consent, may have decreased free will, or may be vulnerable in terms of their physical or mental welfare. As you approach this Discussion, keep in mind how ethical considerations might have affected the type of research that could be conducted.For this Discussion, you will examine the role of ethics in developmental psychology research as it relates to vulnerable populations.To prepare for this Discussion:Review the example of a Discussion post and response found in this week’s Learning Resources as well as the Discussion Rubric to understand the Discussion’s expectations.Review the Learning Resources related to ethics and research in the field of developmental psychologyChoose a population from the following:         ChildrenWomen who are pregnantGeriatric individualsIndividuals with cognitive disabilitiesAdolescentsBy Day 4Based on the population you selected, post an explanation of the role of ethics in developmental psychology research with attention to the characteristics of this vulnerable population. Be specific in your post and use the Learning Resources to support your post. Use proper APA format and citations to support your explanation.

Stress and Coping

Prepare Icon Prepare: Prior to completing this discussion, be sure to interact with the Health Psychology learning object located in the left navigation bar of your online course, ensure you have finished the reading and video for this week, and have reviewed any relevant Instructor Guidance that will help prepare you for this activity.

Reflect.png Reflect: Take the role of a mental health professional invited to give a presentation on stress management. Identify a target audience (e.g.,, children, adolescents, adults) and any relevant demographics (e.g., ethnicity, age ranges, sexual orientation, religion, etc.) and other characteristics unique to your target population (e.g., older adults, military spouses, children of divorce, newlywed couples, living in a high crime area, unemployed for more than a year, victims of bullying, excessive parental pressure to achieve, etc.). The primary stressors experienced by your target population can be due to positive and/or negative life events.  Research effective strategies for coping with stressors and skills to develop resilience. You will use the information from your research to examine uses and applications of applied behavioral science to stress and coping interventions and identify current trends in how applied behavioral science is used to develop resilience.

Write.png Write: Create a written summary of the information you would include in a presentation on the assigned topic.

Required topics to be addressed: Your summary must cover each of the following topics in the order presented below in your own words. Be sure to write in complete sentences. 

Identify specific characteristics of your target audience.

Briefly define stress and give examples relevant to your target audience.

Discuss at least two specific stressors relevant to your target audience’s primary concerns.

Describe healthy and unhealthy ways in which people may respond to the two stressors listed in #3 above.

Select one specific skill a mental health professional might teach to help individuals cope effectively with stress.

Define resilience and identify at least three factors associated with resilience.

Identify at least three ways to build resilience.

Discuss the importance of flexibility in maintaining resilience.

List at least one online, print, video, and/or local resources in your community where participants may receive additional help in learning to effectively cope with life stressors and develop/enhance their resilience skills.

Be sure to include in-text citations and a reference list that are in accordance with APA style as outlined in the Ashford Writing Center. For further assistance in researching scholarly sources, be sure to access the tutorials page on the Ashford University Library website.

Correctional Health Care Assignment

2-3 pages with credible references of at least three.

You applied and were accepted in an internship program of a state-level, Female Correctional Health Care Operation in the South Eastern United States and your primary responsibility is to work on the assigned projects related to the provision of inmate health care.

Associated materials: 

The Health and Health Care of US Prisoners: Results of a Nationwide Survey

Public Health Behind Bars

Sample Tool Control Policy

Inmate Sick Call Procedures-Corrections

For the incarcerated population in the United States, health care is a constitutionally guaranteed right under the provisions of the eight amendment which is the prohibition against cruel and unusual punishment (see Estelle v. Gamble). This particular prison can hold in excess of 1,728 offenders and routinely houses between 1,600 and 1,700 women on any given day. This institution incarcerates all custody classes to include minimum security, medium security, close custody, death row, and pretrial detainees. 

The health care operation provides the highest level of care for the female offender in the state. The health care facility is a 101 thousand square foot, 150 bed, three-story building that cost the taxpayers $50 million dollars to construct and is a hybrid of an ambulatory care center, long-term care center, and a behavioral care center. The health care facility also houses an assisted living dorm.

The patient demographic includes women who have multiple co-morbidities including substance abuse, seriously persistent mental illnesses (SPMI), diabetes, cardiovascular disease, cancer, morbid obesity, HIV / AIDs, hepatitis, etc. On any given day there will also be 30 to 60 offenders who are pregnant, with 98% of those offenders having a history of substance abuse; all pregnant offenders are considered high-risk. The dental health of this patient population is exceptionally horrendous because of excessive drug abuse coupled with a sugary diet and poor oral hygiene practices. It is not uncommon for a 23-year-old to need all of her teeth extracted.

There are approximately 300 FTEs to include correctional staff that operate the facility and provide care to the offender population. The healthcare facility is comprised of the following directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d) Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service Support, and (h) Operations and Security.

Although the health care facility has a vast amount of capability, there limitations: (a) This facility does not have advanced cardiac life support capability (ACLS), (b) no surgical capability, (c) no ability to conduct telemetry, (d) no oral surgery beyond simple extractions, (e) no obstetrical capability beyond out-patient clinics, (f) MRI, (g) level 2 ultrasound, and the list goes on.

Those inmates who have medical needs that cannot be addressed by the health services staff at the correctional facility will need appointments with external health care providers who have a business relationship with the prisons in this area. On any given month, there will be approximately 300 offenders who will go to outside medical appointments and making certain that these appointments take place this is where the challenge lies. Similar to many health care operations, the prison Utilization Review / Case Management Department facilitates all external appointments and form the lynchpin between the correctional facility health care providers who refer offenders for specialty appointments, and the outside organization providing that appointment.  

Your assignment: You are the Case Coordinator. You have 300 patients that need to be scheduled for outside specialty appointments every month. You are tasked by the Administrator to develop a strategic plan organizing the out of the facility appointments without impairing internal services.

As the first step, develop a Memorandum addressing:

1. Provide an overview of Estelle v. Gamble and how that 1976 Supreme Court ruling pertains to the provision of inmate health care.
2. Examine the challenges of providing health care in a correctional environment.
3. What are the challenges of providing health care to a female offender population that may not exist in a male prison?
4. What framework would you apply to the strategic planning? Why? (HINT: Remember all the available frameworks that you learned in the previous classes as well as in this class to make a correct choice). 

Make sure to cite in APA format when appropriate. Support your statements with credible evidence. a minimum of 3 references.

Psychology Discussion: Designing Mixed Methods Research code 002500420019EE

Please it psychologological course, so please do something related to psychology.

Psychology Discussion:
 Designing Mixed Methods Research

Subject Area

Discussion assignment

No.of pages/Wordcount

1 page

Urgency 4 to 5 hours. 

Citation Style

APA Style

Assignment Details

Detailed description

This week’s readings provide an overview of various types of mixed methods research designs. As with previous discussions on design, the selection of the most appropriate mixed design is guided by the study’s purpose and research questions and/or hypotheses. The choice of design links the research questions and/or hypotheses to the data that will be collected achieving alignment among research components.
In this Discussion, you will explore the basics of mixed methods research designs, calling upon your growing understanding of both quantitative and qualitative research.
With these thoughts in mind:

By Day 4

Post your response to the question, “To what extent is mixed methods research simply taking a quantitative design and a qualitative design and putting them together?” Next, explain the types of research questions best served by mixed methods research. Then, explain one strength and one limitation of mixed methods research. Finally, provide a rationale for or against the utility of mixed methods research in your discipline.

Resources that may help.

Burkholder, G. J., Cox, K. A., & Crawford, L. M. (2016). The scholar-practitioner’s guide to research design. Baltimore, MD: Laureate Publishing.
Chapter 6, “Mixed Methods Designs and Approaches”

Johnson, R. B., & Onwuegbuzie, A. J. (2004). Mixed methods research: A research paradigm whose time has come. Educational Researcher, 33(7), 14–26. doi: 

10.3102/0013189X033007014
Retrieved from the Walden Library databases.
Please this is psychological course

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