In light of your understanding of the civil and alternative dispute resolution (ADR) process, consider the following scenario: Pete was seriously injured when the four-wheeled all-terrain vehicle (ATV) he was driving through the trails behind his house rolled over

In light of your understanding of the civil and alternative dispute resolution (ADR) process, consider the following scenario: Pete was seriously injured when the four-wheeled all-terrain vehicle (ATV) he was driving through the trails behind his house rolled over. As a result of his injuries, Pete is unable to work and has incurred $75,000 in medical bills. Pete has filed a lawsuit against the ATV manufacturer to receive compensation for the financial harm resulting from his injuries. Pete claims that the manufacturer defectively designed the ATV, causing it to have a tendency to roll over on rough terrain. The ATV manufacturer claims that the ATV is not defectively designed and that the rollover was caused by Pete driving at an excessive rate of speed around a corner. Consider the steps in civil litigation and ADR, and assess the factors that Pete and the ATV manufacturer will consider when deciding whether they should settle this lawsuit. If you were Pete’s lawyer, what resolution would you advise? Be sure to consider the primary forms of ADR and all ADR factors described in the lesson and textbook. Finally, research and select at least one case from an outside source to support your resolution to the ATV case. Your answer should be a minimum of 500 words. Cite any direct quotes or paraphrased material from these sources. Use APA format to properly reference your information.

Diagnosing Gastrointestinal Disorders

Week 6 Discussion

Diagnosing Gastrointestinal Disorders

In primary care settings, patients often present with abdominal pain. Although this is frequently a sign of a gastrointestinal (GI) disorder, abdominal pain could also be the result of other systemic disorders, making this type of pain difficult to assess. While abdominal pain is most common, many other GI symptoms also overlap multiple disorders, further increasing the difficulty in diagnosing and treating patients. This makes provider-patient communication essential. You must be able to formulate questions that will prompt the patient to provide the necessary information, as this will guide your assessment and diagnosis. For this Discussion, consider potential diagnoses for the patients in the following case studies.

Case Study 1:
A 49-year-old man presents to the office complaining of vague abdominal discomfort over the past few days. He states he does not feel like eating and has not moved his bowels for the last 2 days. His patient medical history includes an appendectomy at age 22 and borderline hypertension, which he is trying to control with diet and exercise. He takes no medications and has no known allergies. Positive physical exam findings include a temperature of 99.9 degrees Fahrenheit, heart rate of 98, respiratory rate of 24, and blood pressure of 150/72. The abdominal exam reveals abdominal distention, diminished bowel sounds, and lower left quadrant tenderness without rebound.

Case Study 2:
A 40 year-old female presents to the office with the chief complaint of diarrhea. She has been having recurrent episodes of abdominal pain, diarrhea, and rectal bleeding. She has lost 9 pounds in the last month. She takes no medications, but is allergic to penicillin. She describes her life as stressful, but manageable. The physical exam reveals a pale middle- aged female in no acute distress. Her weight is 140 pounds (down from 154 at her last visit over a year ago), blood pressure of 94/60 sitting and 86/50 standing, heart rate of 96 and regular without postural changes, respiratory rate of 18, and O2 saturation 99%. Further physical examination reveals:
Skin: w/d, no acute lesions or rashes
Eyes: sclera clear, conj pale
Ears: no acute changes
Nose: no erythema or sinus tenderness
Mouth: membranes pale, some slight painful ulcerations, right buccal mucosa, tongue beefy red, teeth good repair
Neck: supple, no thyroid enlargement or tenderness, no lymphadenopathy
Cardio: S1 S2 regular, no S3 S4 or murmur
Lungs: CTA w/o rales, wheezes, or rhonchi
Abdomen: scaphoid, BS hyperactive, generalized tenderness, rectal +occult blood

Case Study 3:
A 52-year-old male presents to the office for a routine physical. The review of symptoms reveals anorexia, heartburn, and weight loss over the past 6 months. The heartburn is long standing, occurring most days during the week. He takes TUMS or Rolaids to relieve the discomfort. The patient describes occasional use of ibuprofen for back pain, but denies other medications including herbals. He has no known allergies. He was adopted so does not know his family history. Social history reveals that, although he stopped smoking ten years ago, he smoked for 20 years. He occasionally consumes alcohol on the weekends only. The only positive physical exam finding for this patient was slight epigastric tenderness. The remainder of his exam was negative and the rectal exam was negative for blood.

To prepare:
•Review this week’s media presentations and Part 12 of the Buttaro et al. text in the Learning Resources.
•Select one of the three case studies listed above. Reflect on the provided patient information including history and physical exams.
•Think about a differential diagnosis. Consider the role the patient history and physical exam played in diagnosis.
•Reflect on potential treatment options based on your diagnosis.

Post on or before Day 3 an explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis.

Watch “ANOVA (Part A) – Sources of Variance in an Experiment” on the YouTube website located at https://www.youtube.com/watch?

Please response with citation

  1. An interaction occurs when considering the relationship among three or more variables, and describes a situation in which the simultaneous influence of two variables on a third is not additive. The simplest situation is when the effect of each independent variable is completely separate from the other independent variables. The more complicated situation is when the effect of one independent variable depends on another independent variable(s). We are familiar with examples in the area of drugs. A drug X might be desirable for treating a certain condition, but not if you are taking drug Y, because if you do take drugs X and Y together there is a bad consequence from their combination, a bad drug “interaction. The issue of statistical interaction potentially arises when there are two or more independent variables. The issue concerns how the effects of the independent variables cumulate.(Stipa), Your response
  1. Sources of Variance in an Experiment

Watch “ANOVA (Part A) – Sources of Variance in an Experiment” on the YouTube website located at https://www.youtube.com/watch?v=JPjMUeTMOwg&feature=youtube_gdata What are some of the sources of variance in an experiment? Your response

  1. There is a lot of medical research being done on medications, diagnostics, medical equipment, and other technologies besides health care that must be tested before production and utilization. When testing the difference in populations it is almost impossible to test whole populations so samples gathered. There will always be sampling error because of this, which may bring false results. Tests are done to identify if the subject is effective or ineffective. When there are multiple groups, samples, or items that are being tested, it is necessary to use a comparison formula ANOVA because of false results that can occur. This formula compares the variation between groups and within groups. It allows you to conclude if the difference between the groups is more than random variation.

I have to schedule a lot of funraisers throughout the year and sometimes it is difficult to determine which one is effective. I break them down into catagories and time of year. The best is to have seasonal fundraising. Another unique part of fundraising is being aware of the population and community interests. You can have a false positive fundraising event on a schedule if you were not thinking about the time of year because if one fundraiser made a 1,000 dollars profit in the summer but did not do so well in the fall and nothing was changed in that fundraiser, then it is important to take into consideration the time of year. In this buisness it is good to analyze results by catagories of community, time, and community interests. Each fundraiser acts like a sample test to determine if communities are interested in it or not through the year. Your response

4I am using my teenager as test model because she has never had a statistics class as of yet. Explained analysis of variance or ANOVA in terms of the big picture and the little pictures that are within: categories. She has an older ford truck she is remodeling. She loves loves her truck, but it is expensive and thus she has a budget of expenses for it. Since it is already paid for, the categories are: Insurance/fees, engine repair, body repair, fluids/replaceables and ect. When she looks at the multitude of work to be done, she gets overwhelmed! But by breaking it into categories and then looking at the whole (her beloved truck) it seems much more manageable. The Minitab blog said it best The whole purpose of Analysis of Variance is to break up the variation into component parts, and then look at their significance. But there’s a catch: in statistics, Variance (the square of Standard Deviation) is not an “additive” quantity—in other words, you can’t just add the variance of two subsets and use the total as the variance of the combination” (Minitab, 2013).

Analysis of variance is a way to study a large chunk of information, to see it as not only categories, but the trends and thus gives you a tool for analysis. Your response

5.When two or more independent variables are involved in a research design, there is more to consider than simply the “main effect” of each of the independent variables (also termed “factors”). That is, the effect of one independent variable on the dependent variable of interest may not be the same at all levels of the other independent variable. Another way to put this is that the effect of one independent variable may depend on the level of the other independent variable.

In order to find an interaction, you must have a factorial design, in which the two (or more) independent variables are “crossed” with one another so that there are observations at every combination of levels of the two independent variables.

For example, if you were interested in the effects of practice and stress level on memory task performance, you might decide to employ a factorial design. You manipulate practice by having participants read a list of words either once or five times. You also manipulate stress level by having two conditions: in one (low stress), participants are told that the number of words that they recall is unimportant, and in the other (high stress), participants are told that most people can recall all words in the list, and that they are expected to be able to do so as well. Your dependent variable is the number of words recalled from the 30-word list.

Would the demand for health care increase or decrease with an improvement in educational attainment in the community?

Respond to each of the following questions (150-200 words each) that apply the economic concepts described in this topic’s assigned readings in The Economics of Health and Medical Care.

1.Write the formula for price elasticity of demand and describe what it means.

2.How would you expect the price elasticity of demand for health care to vary with health status?

3.Would the demand for health care increase or decrease with an improvement in educational attainment in the community?

4.Studies using macroeconomic data indicate higher income elasticity for health care. Does that make health care an inferior, normal, or superior good? Explain.

5.Describe the components of time cost in health care. Is time less costly for patients with higher wage rates? Explain.

APA format is not required, but solid academic writing is expected.