Solid Waste Management

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This unit presented the components of waste-to-energy (WTE) plants and emissions treatment.

For this assignment, compose an essay that addresses the prompts below.

· Describe the components of municipal solid waste that are most suitable and least suitable for thermal processing.

· Explain the components of WTE plants.

· Summarize treatment of emissions from WTE plants.

· Compute the heat value using a calorimeter: In a particular test, a 12-gram sample of refuse-derived fuel was placed in a calorimeter. The temperature rise following the test was 4.34°C. If the refuse has a heat capacity of 8540 calories/°C, what is the heat value of the test sample in calories/gram?

· Compute flow rate and temperature downstream from a WTE plant: Flow rate and temperature measurements were made along a river upstream of a WTE plant. The river temperature was recorded as 18°C, and the flow rate was 20 m³/s. Cooling water from a WTE plant flows into the river at a rate of 4 m³/s and a temperature of 78°C. What is the flow rate in the river downstream of the WTE plant in m³/s? What is the river temperature downstream of the WTE plant in °C?

In your paper, limit the number of direct quotations that are taken from outside sources. The majority of your paper should be composed of your own thoughts and paraphrased information.

Make certain that your essay meets the criteria listed below.

· Include a title page.

· Provide an introduction.

· Your paper must be at least three full pages in length, not counting the title page and references page.

· Your references page should include at least two sources, one of which should be the course textbook and one of which should be a peer-reviewed source from the CSU Online Library.

Please adhere to APA Style when creating citations and references for this assignment.

Student ADA Version of the Arterial Blood Gas Interpretation Pre-Assessment

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Pathophysiology and Nursing Management of Clients Health – Introduction to

 

Pathophysiology and Nursing Management …

 

Grand Canyon University

 

Assess your knowledge of foundational concepts essential to the nursing management of client health by taking the interactive quiz, located in the media “Arterial Blood Gas Interpretation.” http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_self-assessment-v1.1.php

The quiz is designed as a tool for self-assessment. When you encounter questions that seem vaguely familiar, click on the media’s study materials, which are organized by topic (e.g., anatomy, biology, chemistry, pharmacology). This media will serve as a refresher for the concepts that build upon one another in nursing practice.

 

 

Student ADA Version

of the Arterial Blood Gas Interpretation Pre-Assessment

 

Anatomy

Backward effects of left-sided heart failure include:

A.    Pulmonary congestion

B.     Jugular vein distention

C.     Dependent edema in the legs

D.    Bounding pulses

 

 

Anatomy

In performing a physical assessment, the nurse notes the patient has a “barrel” configuration to the chest. This is a consequence of:

A.    Reduced intrapleural pressures

B.     Bronchial airway expansion

C.     Increased vital capacity

D.    Increased residual lung volume

 

Anatomy

Ausculation of the chest reveals bilateral fine crackles in the bases bilaterally, indicating:

A.    Right-sided heart failure

B.     Left-sided heart failure

C.     Pneumonia

D.    Acute respiratory distress syndrome

 

Biology
The signs and symptoms of anemia are all related to what common pathophysiologic feature of the condition?

A.    Increased oxygen consumption by tissues

B.     Decreased blood oxygen content

C.     Vasodilation

D.    A shift in the oxyhemoglobin dissociation curve

Biology
In addition to hypertension, preeclampsia is characterized by:

A.    Nausea and vomiting

B.     Fatigue and lower back pain

C.     Protein in the urine and edema

D.    Retinal changes and rates in the lungs

 

Biology
Common manifestations of bacterial pneumonia include all of the following except:

A.    Fever

B.     Productive Cough

C.     Tachypnea

D.    Hyperinflation

 

Biology
Closed drainage systems work to re-expand a lung after pneumothorax by:

A.    Re-establishing the normal negative intrapleural pressure.

B.     Creating a positive pressure in the pleural space

C.     Removing excess fluid from the pleural space so that there is room for lung expansion.

D.    Pulling oxygen into distal air sacs to re-expand lung tissue

 

Biology
Patients with chronic renal failure usually exhibit:

A.    Bradycardia

B.     Hypokalemia

C.     Hypocalcemia

D.    Hematomas

 

Biology
The diet of a patient in end-stage kidney disease is restricted in all of the following except:

A.    Fluid

B.     Potassium

C.     Protein

D.    Calories

 

Anatomy

Which of the following is true of the biological functions of progesterone?

A.    Progesterone is the most important hormone associated with pregnancy.

B.     Progesterone directs male sexual characteristics.

C.     Levels of progesterone increases if the egg is not fertilized.

D.    Levels of progesterone remain stable if the egg is not fertilized.

 

 

Anatomy

Which of the following is true of the biological functions of testosterone?

A.    Testosterone is not secreted by the ovaries.

B.     Testosterone is needed for development of female secondary sexual characteristics.

C.     Testosterone stimulates ovulation.

D.    Testosterone is needed for development of male secondary sexual characteristics.

 

Anatomy

Which of the following is true of the biological functions of estrone?

A.    Estrone is required for proper development of male secondary sexual characteristics.

B.     Level of estrogen degreases if the egg is not fertilized.

C.     Estrone is required for proper development of female secondary sexual

characteristics.

D.    Estrone affects only the reproductive organs.

 

 

Biology

What is the function of hemoglobin?

A.    Hemoglobin is the protein in red blood cells that is responsible for carrying oxygen to the cells of the body.

B.     Hemoglobin is a lipid in red blood cells that is responsible for carrying oxygen to the cells of the body.

C.     Hemoglobin is a protein in white blood cells that is responsible for carrying oxygen to the cells of the body.

D.    Hemoglobin is a protein in red blood cells that is not responsible for carrying carbon dioxide to the cells of the body.

 

 

Biology

Why is heat an effective means of sterilization?

 

A.    Heat is an effective means of sterilization because it destroys the proteins of microbial life forms, including fungi, bacteria, and viruses.

B.     Heat is an effective means of sterilization because it destroys the proteins of anaerobic microbial life forms, including fungi, bacteria, and viruses.

C.     Heat is an effective means of sterilization because it destroys the lipids of microbial life forms, including fungi, bacteria, and viruses.

D.    Both (B) and (C).

 

 

Chemistry:

List the enzymes whose levels are elevated in the blood serum following an MI.

A.    CPK, LDH, AST, and SGOT

B.     LDH, AST, and SGOT

C.     CRE, AST, and ALT

D.    None of the above

 

 

Chemistry

What is the physiological function of gluconeogenesis?

A.    Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.

B.     Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are high. This ensures proper function of brain and white blood cells, which only use glucose as fuel.

C.     Gluconeogenesis is production of glucose from carbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.

D.    None of the above

 

 

Chemistry

What effect does glycogen metabolism have on glucose levels?

A.    Glycogen metabolism traps glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.

B.     Glycogen metabolism traps glucose within liver cells and increases storage of glucose in the form of glycogen. These processes increase blood glucose levels.

C.     Glycogen metabolism releases glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.

D.    None of the above

 

 

Chemistry

Carbon monoxide binds tightly to the heme groups of hemoglobin and myoglobin. How does this affinity reflect the toxicity of carbon monoxide?

A.    Since carbon monoxide binds the heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen enhancement result in what divers call the “bends.”

B.     Because carbon monoxide binds the heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.

C.     Because carbon monoxide binds tightly to the heme groups of hemoglobin, it is not easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.

D.    None of the above

 

 

Pathophysiology

Which of the following may be a reason to order an ABG on a patient?

A.    The patient suddenly develops shortness of breath

B.     An asthmatic is starting to show signs of tiring

C.     A diabetic has developed Kussmaul’s respirations

D.    All of the above

 

Pharmacology

How do sulfa drugs selectively kill bacteria while causing no harm to humans?

A.    Folic acid is a vitamin required for the synthesis of a coenzyme needed to make the amino acid methionine and the purine and pyrimidine nitrogenious bases for DNA and RNA and folic acid is produced by humans.

B.     Sulfa drug binds to the enzyme, no product is formed, folic acid is made and the biosynthesis of methionine and nitrogenous bases increases.

C.     Humans are not harmed because they do not synthesize their own folic acid. It is obtained in the diet.

D.    None of the above

 

 

Pharmacology

What occurs when glycogen metabolism is stimulated by insulin?

A.    Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis.

B.     Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also stimulates removal of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.

C.     Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also stimulates uptake of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.

D.    All of the above

 

 

Pharmacology

What is the medical application of cortisone? Cortisone is used to treat:

A.    Rheumatoid arthritis, asthma, gastrointestinal disorders, and a variety of skin conditions.

B.     Kidney disease, high blood pressure, and osteoporosis.

C.     Muscle disorders, tuberculosis, and thyroid disorder.

D.    All of the above

 

 

Anatomy

Oxygen saturation is likely to be lowest when an asthmatic with a diagnosis of pneumonia is positioned:

A.    In a high Fowler position

B.     Lying on the left side

C.     Lying on the right side

D.    Lying supine with the head of the bed flat


Chemistry

Laboratory test results indicative of thrombocytopenia, in addition to a low platelet count, would be:

A.    Increased PT

B.     Prolonged bleeding time and poor clot retraction.

C.     Increased aPTT

D.    Decreased RBC count.

 

Pharmacology

The purposes of epinephrine injection include all of the following except:

A.    Stabilizing mast cell membranes.

B.     Relaxing bronchial smooth muscle.

C.     Supporting arterial blood pressure.

D.    Blocking histamine receptors.

Pharmacology
Therapeutic interventions focused on increasing the oxygen supplied to the heart and decreasing the heart’s demand for oxygen include:

A.    Antiplatelet drugs

B.     Anticoagulants

C.     Morphine sulphate

D.    Thrombolytic drugs

 

Pharmacology
An intervention that would contribute toward the healing of a peptic ulcer is:

A.    Steroid administration

B.     Blocking or neutralizing of acid secretion

C.     Surgical removal of the ulcer

D.    Intravenous nutritional support

 

Pharmacology
Aspirin and NSAIDs are causative factors for the development of peptic ulcer disease because they:

A.    Increase acid secretion

B.     Allow proliferation of H. pylori

C.     Damage the mucosal barrier

D.    Alter platelet aggregation

 

Pharmacology
Your patient is interested in trying medication to improve low mood/depression. All of the following medications might be appropriate except:

A.    Selective serotonin reuptake inhibitors

B.     Amitriptyline

C.     Serotonin and norepinephrine reuptake inhibitors

D.    Benzodiazepines

 

 

 

 

GLST 220 Gospel Presentation

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GLST 220

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GOSPEL PRESENTATION INSTRUCTIONS For this assignment:

1. Identify a specific cultural context, other than your own, for sharing the gospel. Ideally, choose a culture with:

a. A specific person you know from that culture b. Preferably, an individual who is not currently a follower of Jesus

2. Include the following 5 headings in your presentation of the gospel: a. Background Information: In the first paragraph, introduce whom you intend to

share the gospel with. What is your relationship with the individual? Provide some background information on him/her (i.e. age, ethnicity, gender, geographical residence, religious background, current understanding of Jesus and the gospel, etc.) If you are not using a real person, you will need to create the background information. Remember, this must be a person from a different culture than your own.

b. Elements of Communication: Include a solid paragraph discussing the elements of verbal and non-verbal communication that would be important in communicating in this context. Discuss how these elements might impact the conversation. (For example: some cultures in the world consider it a sign of disrespect to look at a superior directly in the eyes in certain types of conversations. In other cultures, this same non-verbal behavior would be seen just the opposite—as a sign of respect and that the person is tracking with the conversation. This understanding has serious implications for how to communicate and how to interpret responses during the course of the conversation.)

c. Cultural Systems: Follow with a discussion of cultural systems that are important and must be considered in this context. You must identify the cultural systems and reflect on how they might impact the conversation. The Cultural Systems are clearly outlined and discussed in chapter 4 of Leading with Cultural Intelligence by David Livermore and in the presentation for Module/Week 7. Your presentation should reflect the cultural systems as discussed in the book and in the presentations from Module/Week 7. At least 4 of the 6 cultural systems must be identified and discussed in detail.

d. Cultural Value Orientations: Next include a discussion of cultural value orientations that are important and must be considered in this context. You must identify the cultural value orientations and reflect on how they might impact the conversation. The Cultural Values are clearly outlined and discussed in chapter 5 of Leading with Cultural Intelligence by David Livermore, in your CQ Feedback report, and in the presentation for Module/Week 7. Your presentation should reflect the cultural values as discussed in the book, feedback report, and in the presentations from Module/Week 7. At least 7 of the 10 cultural values must be identified and discussed in detail.

 

 

 

GLST 220

Page 2 of 2

e. Presentation: Articulate how you would present the gospel story in a conversation with this individual factoring in the elements of communication and culture you have identified above. (See Chapter 10 of The King Jesus Gospel and the section titled “The Gospel Sketched” pp. 148–152 for a good example of what your instructor is looking for.) Be sure to include the following in your conversational gospel story: Creation, the Fall/Sin, the Promise/Covenant, Lineage of Jesus, the Prophecies, Virgin Birth, the Incarnation, the Deity of Jesus, Jesus’ Life (person and works), Jesus’ Death, the Resurrection, the Ascension, Kingship of Jesus, and Reconciliation. Your presentation must demonstrate that you have a clear understanding of the gospel.

**Include relevant Scriptures throughout your report.

Note: Your grade for the Gospel Presentation depends on the quality and thoroughness of your response to each of the items outlined above. Include each heading in the body of your paper along with a title page. Be sure to use current Turabian format. There is not a specific page requirement for the assignment but you must be thorough in your work. Most students take at least 8–10 pages to complete the assignment thoroughly.

This assignment is due by 11:59 p.m. (ET) on Monday of Module/Week 7.

God’s Story Research Paper Overview

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Signature Assignment: God’s Story Research Paper Overview

Assignment Overview

In this course, we are learning that the stories in Exodus and Deuteronomy are an integral part of the grand story of Christian Scripture. In many ways, God’s action in and through Moses and the Israelites are a microcosm of the overarching themes of creation, fall, and redemption that find meaning and movement throughout the entirety of the Bible. Exodus and Deuteronomy are of particular importance because it is here that God initiates his plan of redemption among the Israelites. In order to better understand the meaning and implications of God’s redemptive work in the Old Testament, you will choose a person or concept that is highlighted in the course for further research and analysis. The topic choices for research and analysis are Moses, Miriam, Covenant, the Decalogue, or the Golden Calf. Note that each of these topics has a corresponding article posted in the course from Dictionary of the Old Testament: Pentateuch.

The Signature Assignment affords you an extended time to explore Exodus/Deuteronomy in light of the following four questions:

  1. How does the topic (Moses, Miriam, Covenant, the Decalogue, or the Golden Calf) connect to the larger themes of creation, fall, and redemption within the overarching story of the Bible?
  2. What is important to know about the history, culture, and/or theology surrounding this person or concept?
  3. What was the original meaning of this concept or significance of this person within Exodus/Deuteronomy?
  4. What insights gained could be meaningful for our context today?

Assignment Requirements Part 1: Project Plan Submit a Project Plan, to include the following:  Topic – Choose one: Moses, Miriam, Covenant, the Decalogue, or the Golden Calf.  Thesis – What is the central message/argument of the paper? See the APU Writing Center resource Thesis Statements for help.  Resources – The paper must reference: o The Drama of Scripture. o The accompanying topic article found in the course from Dictionary of the Old Testament: Pentateuch. o Two additional sources from the APU Library; see the APU Writing Center’s Research Tips and Resources for suggestions about finding good resources. o NOTE: In APA style, classical works – including the Bible – are not listed in the References page. Embed biblical citations within the text as follows: “Then Moses turned and went down the mountain, carrying the two tablets of the covenant in his hands” (Exod 32:15, NRSV). Only indicate the Bible version in the first citation; it is not necessary to identify each citation as NRSV.  Outline – Organize the paper to address the following four assignment questions: 1. How does the topic (Moses, Miriam, Covenant, the Decalogue, or the Golden Calf) connect to the larger themes of creation, fall, and redemption within the overarching story of the Bible? 2. What is important to know about the history, culture, and/or theology surrounding this person or concept? 3. What was the original meaning of this concept or significance of this person within Exodus/Deuteronomy? 4. What insights gained could be meaningful for our context today? Assignment Expectations  Submit the assignment in Times New Roman 12-point font.  The Project Plan is 2 pages in length.  Outline identifies the introduction/thesis statement, at least four main ideas, and 3-4 subpoints beneath each main idea.  List references in APA format.