Case Study Posting Requirements

• Make sure all of the topics in the case study have been addressed.
• Cite at least three sources; journal articles, textbooks, or evidenced-based websites to support the content.
• All sources must be within five years.
• Do not use .com, Wikipedia, or up-to-date, etc., for your sources

Case study #3

Kevin worked for 10 years at a uranium mine, excavating uranium for a nearby nuclear power plant. Now, 25 years later, he has small cell lung cancer. Kevin is anorexic and has lost a considerable amount of weight. His muscles are wasting, and he is weak. He tries to move around the house throughout the day but tires easily. It has been difficult for him to access care, and the treatment for his cancer is just starting.

• With the ongoing exposure to the ionizing radiation, DNA damage occurred. Outline the three stages of carcinogenesis that occurred after his exposure to radiation.
• Kevin is normally a fit and active man, and his wife often commented on how much food he used to eat after a day at mine. Why would there be muscle wasting and weight loss now? Explain your answer using your knowledge of the metabolic changes seen with cancer.
• In some cancer patients, muscle weakness may result from the production of onconeural antigens. Describe the effects of these antigens. What form would this process likely take in Kevin’s situation?

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Instructions
This assignment involves the evolution of Federal Emergency Management from the formation of FEMA through the lessons learned from Hurricane Sandy. For this assignment, compose an essay in which you do the following:

Discuss the formation of FEMA, then describe how the position of FEMA changed following the Post-Katrina Emergency Management Reform Act of 2006.
Discuss the intended and unintended outcomes that emerged following FEMA’s incorporation into DHS.
Describe how Hurricane Katrina swung the pendulum back towards natural disasters from a focus on terrorism following 9/11.
Describe the subsequent lessons learned and improvements made by the Post-Katrina Emergency Reform Act of 2006 and how they affected emergency response and recovery in Hurricane Sandy.
Discuss the changes in the process for Presidential Disaster Declarations due to the lessons learned from Hurricane Katrina.
Describe how FEMA works with local and state emergency management services and community stakeholders.
Identify improvements instituted by the Post-Katrina Emergency Reform Act of 2006 and how they affected emergency response and recovery in Hurricane Sandy.

Your essay should be four pages in length, not counting title page and reference page, and you must incorporate three sources into your assignment. Any information from those sources must be cited and referenced in APA format.

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