Ad Court
Double Fault
Deuce
Deuce Court
Drop Shot
Mrs T is a 45 yr old female who reports frequent heartburn and regurgitation of acid into her mouth for the past 3 months. There is no change in her usual eating habits, or in her weight. She has no problem with swallowing, food getting stuck, or respiratory issues. There is no abdominal pain. She has tried taking over the counter antacids, such as calcium carbonate (Tums), with only a little relief.
Physical:
Body Mass index (BMI) is 28. She is alert and well-nourished. Exam including oropharynx, neck, chest and abdomen are normal.
Answer the following questions based on the scenario and article above.
a. Outline the path that a bolus of food would take from the mouth to the duodenum. This should include any sphincters.
b. Describe the digestive function of each of the areas of the upper GI tract that are mentioned in Q1.
c. Describe the anatomical problem that causes gastroesophageal reflux.
d. Research to find out the names of 2 medications that are used to treat GERD.
e. How do each of these medications work to relieve symptoms?
Solution :
a). The path from mouth to the duodenum is :
Oral cavity ---- Oropharynx ---- Laryngopharynx ---- Esophagus ---- lower esophageal sphincter --- Stomach ---- Pyloric sphincter ---- Duodenum.
b). The digestive functions of the organs are :
ORAL CAVITY
The saliva in the oral cavity or the mouth keeps the mouth mist and it helps in food digestion. The salivary amylase converts the stretch into the maltose.
STOMACH
The stomach produces acidic pH and it helps to break the proteins in the food by the enzyme, Pepsinogen.
DUODENUM
In the duodenum, the chyme is mixed with the enzyme, bile and the pancreatic juice which helps in digestion.
c). In the gastroesophageal reflux, the lower sphincter does not function properly and that is why the gastric content that contains the acid and the pepsin regurgitate into the end of lower esophageal. This area is not an acid resistant, so the ulceration takes place.
d). Elevation of a head-end of the patient's bed, so that the gravity stops in the upward motion of the esophageal contents. The potent acid inhibiting agents like the Omeprazole.
why is brain drain serious problem in Nepal
Explanation:
The process of moving to abroad in search of employment is known as brain drain.the trend of brain drain is increasing day by day in nepal .People tend to workin foreign than in own country.Because of brain drain many Nepali who are highly skilled migrate in other countries to show their greatness. But if the skilled manpower go to other countries then who will contribute to our country .not only skilled but unskilled and semi skilled are also moving outside for their benefit.In Nepal there are a lot of natural resources but there no enough resources to utilize it. this problem should be addressed in time otherwise our country will remain underdeveloped
Answer:
because everyone is moving abroad in search of employment.
In the context of talent development approaches, outdoor experiential activities as a development tool for individuals in teams _____.
In the context of talent development approaches, outdoor experiential activities as a development tool for individuals in teams _____.
a. give individuals opportunities to focus solely on their jobs
b. are increasing in popularity because of the absence of any disadvantages associated with these activities
c. are designed exclusively to promote ethnocentrism among the team members
d. can create a sense of teamwork via the shared risks and challenges outside the office environment
Answer: d. can create a sense of teamwork via the shared risks and challenges outside the office environment
Explanation:
The employees can collaborate and share about their interests, risks, and management of work outside the office this will help them to build more trust within them and they can share their experiences in the offices. The outgoing activities will help them to discuss about the issues in the office environment. This will give them a sense or teamwork which otherwise get compromised in the office settings due to oppressive environment created by higher authority. Here, talent development refers to development of interpersonal communication skills and development of trust.
A hospital is trying to cut down on emergency room wait times. It is interested in the amount of time patients must wait before being called back to be examined. An investigation committee randomly surveyed 70 patients. The sample mean was 1.5 hours with a sample standard deviation of 0.5 hours.
1.Construct a 95% confidence interval for the population mean time spent waiting. State the confidence interval, sketch the graph, and calculate the error bound.
Answer:
go to this link https://www.numerade.com/ask/question/a-hospital-is-trying-to-cut-down-on-emergency-room-wait-times-it-is-interested-in-the-amount-of-time-patients-must-wait-before-being-called-back-to-be-examined-an-investigation-committee-randomly-surv/ it will explain your answer
Explanation:
गणतन्त्रको महत्वलाई स्पष्ट पार
Answer:
नेपालमा गणतन्त्रको शुरुवात भएको एक दशक मात्र पुगेको छ। त्यसभन्दा अगाडी देशमा राजतन्त्र थियो र राजा नै राष्ट्र प्रमुख हुन्थे। बि. सं. २०६२-६३ मा भएको शान्तिपूर्ण जनआन्दोलनपछि जारी गरिएको अन्तरिम संविधान अनुरुप सम्पन्न संविधान सभाको निर्वाचन पश्चात् गठन भएको संविधान सभाको पहिलो बैठकले २०६५ साल ज्येष्ठ १५ गते राजतन्त्र उन्मूलन गरी नेपालमा गणतन्त्र स्थापना गर्यो। त्यसपछिको संविधान सभाले डा. रामवरण यादवलाई गणतन्त्र नेपालको पहिलो राष्ट्रपति घोषणा गर्यो। वर्तमान सम्माननीय राष्ट्रपति श्रीमती विद्यादेवी भण्डारी गणतन्त्र नेपालको दोस्रो राष्ट्रपति एवं देशमा नयां संविधान जारी भएपछिको पहिलो राष्ट्राध्यक्ष हुनुहुन्छ।नेपालको संविधान २०७२ ले राष्ट्रपतिलाई राष्ट्राध्यक्ष र संविधानको संरक्षक एवं अभिभावकको रुपमा स्थापित गरेको छ। राष्ट्रिय एकताको प्रवर्धन, संविधानको पालना र संरक्षण गर्नु राष्ट्रपतिको कर्तव्य हुनेछ भन्ने कुरा संविधानले निर्दिष्ट गरेको छ।
Why are most native born Americans unwilling to pick oranges, and what challenges do illegal immigrants who do that work face?
Answer:
Most native born Americans are unwilling to pick oranges because the job is pays very little, and is very hard. Most Americans either have available other jobs that are comparitively easier, or that pay at least a bit better, or they simply choose not to do that job due to the fact that hey have lived under a higher living standard than your average immigrant.
Immigrants are a whole different story. Most of them come from countries that are poorer than the United States, and many of them carried out similar jobs in their home countries for even lower pay and under more difficult conditions. Their willingless to work does pose challenges to them though, for example, they are often hired for temporal work, with no benefits, without legal permission, and are made to work for longer hours than it is legally mandated.
The planning committee routinely shut down disagreement and encouraged allegiance to the leader's ideas. What is the term for this type of group dynamic
Answer:
Totalitarian
Explanation:
The group agrees the leader without any arguements. This same thing is followed by Totalitarian governments.
Which of the following behaviors would best describe someone who is listening and paying attention? a) Leaning toward the speaker O b) Interrupting the speaker to share their opinion c) Avoiding eye contact d) Asking questions to make sure they understand what's being said
Answer:
yea ir should be letter d
Select the correct answer.
Aaliyah is a young Jewish girl. She will soon be twelve years old. Which ceremony should Aaliyah's mother conduct for her?
OA.
Bar Mitzvah
OB.
Bat Mitzvah
OC.
Tu B'Shevat
OD
Hanukkah
O E. Sukkot
Answer:
The correct answer s - Bat Mitzvah.
Explanation:
Bar mitzvah and Bat mitzvah are two Jewish religious ceremony that is arranged by the parents for their boys and girls coming of age ritual at a certain is that can be 12 or 13 years.
Bar word is used for Boys and Bat is used for girls in this sense, therefore Bar mitzvah is the ceremony for boys whereas Bat mitzvah is the ceremony for the girls.
How did art and architecture flourish in Nepal?Explain
Answer:
Nepali architecture or Nepalese architecture is a unique strain of art and practicality. Situated in between the trade routes of India, Tibet and China, Nepali architecture reflects influences from both these cultural strongholds. ... Mugal style, summit style, dome style also have great scope in Nepal.
Explanation:
They are the place of historical and cultural importance. They represent livelihood of people, tradition, culture, civilization, and originality. They symbolize the craftsmanship of our ancestors and how people used to make the art and architecture in early days.
Which of the following people would likely be satisfied with Kantian deontology?
a.)
Candice is looking for an ethical framework that respects cultural norms.
b.)
Carl is looking for an ethical framework that considers a person's intentions.
c.)
Carrie is looking for an ethical framework that advances her own agenda.
d.)
Cord is looking for an ethical framework that considers an action's effects.
Answer: Carl is looking for an ethical framework that considers a person's intentions.
Explanation:
According to Kantian deontology, it should be noted that an act is considered to be permissible when such act is consistent with the categorical imperative and such action is evaluated by its maxim.
The person that people would likely be satisfied with Kantian deontology is Carl is looking for an ethical framework that considers a person's intentions.
President Clinton signed a bill that gave the power to control welfare programs to the _________________________.
Answer:
The right answer for the question that is being asked and shown above is that: "welfare reform." Bill Clinton signed a welfare reform bill into law. The welfare reform is known as the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA).
Explanation:
Rylie recently moved from the United States to Italy. She was amazed and annoyed to find that parents in Italy openly allow their children to drink alcohol. The feelings that Rylie experienced are an example of: Group of answer choices
Answer:
The feelings that Rylie experienced are an example of: culture shock
Explanation:
By definition, culture shock is the physical and emotional discomfort that a person feels when moving to another country or to a place other than the place of origin. The person often presents anxiety and / or a feeling of disorientation in that culture that is strange to said person. Culture shock is an experience that especially accompanies the migratory process, where it is inevitable to face new forms of communication, new social hierarchies, new identities and cultural codes.
Describe the process through which people in a profession that is emotionally demanding (e.g, medical students, hairstylists, or airline attendants) manage their emotions. How do they learn to separate themselves from their spontaneous emotional reactions and instead show only managed emotions
Answer and Explanation:
Emotionally demanding professions need professionals who know how to manage their emotions, as shown in the question above. This management is not an easy thing to achieve and requires a lot of effort, training and professional help in some cases. However, these professionals begin to manage their emotions, understanding them and understanding the triggers that stimulate them. This understanding allows professionals to know how to act when each of their emotions develop, to show a controlled behavior that does not interfere with their activities. In other words, the process of managing emotions must be carried out in search of self-control. In this case, professionals should look for resources that teach them the necessary self-control.
Emotions are the sentiments or natural feelings that are associated with behaviors and thoughts. Professional undergoes training to learn the detachment.
What is emotional management?Management and control of the emotional factors by professionals in some professions are learned through training and sessions. It needs training and effort.
The professionals like the medical students, attendants, nurses, hairstylists, etc, control their emotions by undergoing training and courses that make them emotionally stable and balanced.
Therefore, they get training to separate emotional attachments and express only managed emotions.
Learn more about emotions here:
https://brainly.com/question/15221073
The apparently sloppy approach of the impressionists enraged the critics so much that they made a special exhibit for them called the _______.
Answer:
The apparently sloppy approach of the impressionist enraged the critics so much that they made a special exhibit for them called the Salon of the Rejected or Salon of the Refused.
Explanation:
In French, the Salon des Refusés refers to exhibitions of art works that were originally refused by the Paris Salon's jury. The most famous of those exhibitions took place in 1863. Out of 5,000 paintings presented to the jury, only about 2,200 were accepted. The artists protested and got Napoleon III to organize the exhibition for the rejected paintings.
importance of understanding democraty after apartheid
apartheid was a very wrong racial idea. Democracy's were important after South Africa banned apartheid in 1991 because they were South Africa's new government.
Note: Don't expect me to give you a good answer because I am only 10 years old
Answer: Very high importance
Explanation: The end of the apartheid in South Africa in 1990 can be regarded as a victory and a symbol for the idea of democracy, where universal suffrage (= every adults vote) allows the election of a leader / government by a majority of the voters to govern a country. The racially based exclusion of the black majority of the population during the apartheid flew in the face of a basic principle of the democratic ideal.
Using your own words, describe the six kinds of learning proposed by Tolman.
Answer: Tolman six kinds of learning includes six steps which e learners can follow to make e learning more effective.
Explanation:
Cathexis: In this the learners have the ability to get associated with specific ideas and objects. They can be positive or negative.
Field Expectancies: It helps in deriving outcomes for certain kinds of actions.
Equivalence benefit: In this the learner realizes that a secondary or sub-goal is equally important like that of the primary goal.
Field cognition modes: This refers to the fact that how a learner uses the information in order to solve the problem.
Motor patterns: This helps in deriving relationship between the physical movement with that of the stimulus and it pertains to motor skills.
Drive discrimination: This explains that learning is related with cathexis. Learner must discriminate in order to achieve goals.
Hand axes, cave paintings, fire, and spears are all inventions related to which cultural stage?
Answer:
The stone age, or the paleolithic age.
Explanation:
The stone age (paleolithic) is a relatively self explanatory answer in the sense that, most hand axes and spears were made of hard stones shaped and sharpened into points and sharp edges. Cave paintings are from around the upper paleolithic ages. These inventions may dip into the earliest stages of the neolithic period as well (also known as the new stone age)
Good Luck!
Answer: The stone age (paleolithic)
Explanation:
Who knows neko16? Pls help me he said he would be back but I don’t know where he is at.
Answer:
i think it is neko+16
Explanation:
Sequential processing refers to
a-The formation of complex neural networks
b. Consciously focusing on one aspect of a
problem at a time
c-Being able to maintain homeostatic balance
d. The brain's activity that triggers consciousness
The correct answer is B. Consciously focusing on one aspect of a problem at a time.
Explanation
A sequential process is a method of solving problems or analyzing information based on consciously performing one specific activity after another in a pre-established order to obtain the expected result. An example of this can be a study plan for an exam: First, you must know what topics are going to be addressed in the exam, second, you must look for specific information to solve the exam properly, third you must organize the information from the general to the specific for a better understanding, fourthly, mock exams should be done, and finally, the exam is presented.
According to the above, the correct answer is B. Consciously focusing on one aspect of a problem at a time.
What kind of development is essential for your country? Write in six points.
Answer:
Here is your answer. I hope it is useful to you.
Answer:
Education.
Explanation:
In my opinion education should be the most essential development in my country (Bhutan) as:
1. Only because of this development we can get our goal.
2. Education is one of the most powerful ways of improving children’s health.
3. If all women had a secondary education, child deaths would be halved.
4. Education is also part of the solution to global environmental problems.
5. Education can encourage people to use energy and water more efficiently and recycle household waste.
6. Education is undoubtedly one of the most important tool for human beings to change attitudes, enhance knowledge and
upgradation of skills to enable individuals to contribute towards social progress.
Which of the following statements are true of the rule of law? Select all that apply.
Under the rule of law, everyone is treated equally.
No one is above the law, including the people who make or enforce laws.
It is key to protecting people’s freedoms and rights.
It is an ideal that we strive to achieve but sometimes fail to live up to.
The rule of law applies only to those people who pay taxes.
Answer:
Under the rule of law, everyone is treated equally.
No one is above the law, including the people who make or enforce laws.
It is key to protecting people’s freedoms and rights.
Explanation:
why tourists is attracted by nepali paintings
Answer:
Nepali Paintings can be very relaxing and calming.
Explanation:
Nepali Paintings can express ideas and feelings. It can make you feel calm and relaxed.
1. 2 How can Nepal be a developed country?
Answer:
1)If nepal can prove employment to jobless.If government provide vocational trainings.If nepal produce human resources as per need and produce human resources which are needed.
why should we respect our four martyrs and great personalities such as Jaya Prithivi Bahadur singh
150 words
Explanation:
Jaya Prithvi Bahadur Singh was a humanist, peace advocate, writer and social activist from Nepal.[1] He devoted his life to social welfare and world peace. He is known mainly for humanitarianism, peace advocacy and human rights advocacy for education. He also contributed to the development of education, literature, journalism and health. Singh established an Ayurvedic hospital for the local people. He constructed many roads and bridges for the facility of the people of the community. He established a primary school where poor children could get an education.Singh brought social reforms and wrote books on different subjects. He is known as "the first person of Nepal to write grammar". He worked with the first Nepalese newspaper, Gorkha Patra.
The 16th of the Nepali month of Magh is commemorated as the Martyrs Day every year. It is a day when the nation pays tributes to the brave sons and daughters who gave their life for the greater cause of the country and the people. This is also an occasion to relive the sacrifices made by the martyrs for the values and principles which they dearly cherished, and also the moment to reflect how much we have contributed to upholding these values.
What’s the impact of increased border enforcement on illegal immigration?
Answer:
The strategy of enhanced border enforcement was not without consequences, however, for although it did not deter Mexicans from heading northward or prevent them from crossing the border, it did reduce the rate of return migration and redirected migrant flows to new crossing points and destinations, with profound
Match the technological improvement with the benefit it brings.
Select the correct answer.
What does the principle of ren involve?
O A judging others
OB. loving others
OC. knowing others
OD. helping others
Answer:
B.loving others
Explanation:
it characterizes the behavior a human being exhibit to help flourish their communities.
The job outlook suggests that the translator field?
Answer:
name the part of the above line labeled a and b
what is public participation? what are the benefit of public participation.
Explanation:
Public participation as citizens participation is the inclusion of the activities of any organization or project.
The benefits of public participation are:
1) Improved government
2) Improved quality services projects and programmes
3) Monetary costs
4) Risks
5) Non monetary costs
6) Greater capacity building and learning
