The Daily PANCE PANRE Question 59

Which of the following is the earliest manifestation of diabetic nephropathy? A. proteinuria B. a progressive decline in the creatinine clearance C. an elevated serum haptoglobin D. renal insufficiency E. microalbuminuria Answer:E, microalbuminuria Tiny amounts of albumin (microalbumin) show up first - but need a special test ordered to detect it. Intervention at this point with an ACEI prolongs the length of time before the patient progresses to albuminuria (noted on a typical urine "dip") Help Support The Physician Assistant Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase byclicking here... it's a free way for you to help support the cause! Justclick over to Amazon. Then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend theseReview Books. The Daily PANCE PANRE Question 59 Which of the following is the earliest manifestation of diabetic nephropathy? proteinuria a progressive decline in the creatinine clearance an elevated serum haptoglobin renal insufficiency microalbuminuria Answer:E Microalbuminuria Tiny amounts of albumin (microalbumin) show up first - but need a special test ordered to detect it. Intervention at this point with an ACEI prolongs the length of time before the patient progresses to albuminuria (noted on a typical urine "dip") Know Your Content Blueprint Diabetes mellitus and its complications arepart of the NCCPA Content Blueprint Endocrine System (6%). Review diabetes mellitus pearls, flip through the high yield flashcards and learn more atSmarty PANCE Diabetes Mellitus. Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here. Help support The PA Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase by clicking here... it's a free way for you to help support the cause! Just click over to Amazon.com then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend thesereview books

List of Shark Species and Facts

African Americans Must Work to Achieve the American Dream...

To many people across the globe, the United States of America appears to be a place where one can be proud of. America the land where dreams come true and there is always a chance for any person to succeed. People who are not from the United States have been painted a beautiful picture of what life in our country is like. Not only do they think that there is a special place in America for them and the perfect career for each individual, but unfortunately this is not always true. The American dream is not necessarily to get rich quick, it is more along the lines of a hard worker having an opportunity to be financially stable and to live a pleasant life. The dream is that their sons and daughters will not have to suffer the same things that†¦show more content†¦Many people have been taught to be careful around a black man because of many reasons: Millions have been taught that a black man is liable to steal, attack, or murder a person based on their skin color. Of course this is not stated as directly as it once was, but nevertheless parents are still subconsciously preaching this to their children. These myths have been passed from one generation to the next and is negatively affecting blacks. As a consequence, millions accept and act out stereotypical images . There are three stereotypes offered today and taught to many: the angry black stereotype: Always pointing his finger at the rest of the world and had appeared so often that it was all that people knew. The noble Negro, who was always victimized by whites and could only be saved by the good will of other whites. And the urban outlaw stereotype, which is the violent or criminal outlaw that is most popular today. What is left out is the middle class, the people supporting a family, volunteering at school, attending church, and seeking the American dream . The black male has often been depicted as a thug, hoodlum, a gangster, and as a man with an itchy trigger finger. This is obviously why many young people have grown to be subtly racist their toward fellow Americans, while others have grown such hatred that they form radical organizations such as the Ku Klux Klan, Neo Nazis, and skinheads. Hate crimes are still evident and not as uncommon as many peopleShow MoreRelatedA Raisin In The Sun American Dream Essay1669 Words   |  7 Pagesfree† and home of the â€Å"American Dream.† According to James Truslow Adams in Epic of America, the American Dream is defined as â€Å"that dream of a land in which life should be better and richer and fuller for everyone, with opportunity for each according to ability or achievement.† It is based on the foundations of the Declaration of Independence: the rights to Liberty, Life, and the Pursuit of Happiness (Amadeo, What is the American Dream?). People have the right to pursue their dreams and acquire a betterRead MoreThe American Dream : What You Love And You Won t Work1412 Words   |  6 Pageswon’t work another day in your life† This quote is a key aspect of the American dream. The American dream can mean something different to everyone. Many people do what they dread rather than what they love. They are always counting down the days until they can retire. The American dream can be taken in many different ways. To one person the American dream could be becoming a CEO of an organization and to another it could be getting as much money and owning the nicest house and car. The American dreamRead MoreThe American Dream1405 Words   |  6 Pages The American dream is unattainable to people in America. One of the problems is the media, and how it gives people this false image that the American dream is about fame and the money. Which then leads to people spending money mindlessly to only live in poverty. 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The American Dream can be Achieve but sometim es things get on your way and make it hard to achieve. To begin with in the storyRead MoreChasing the American Dream in A Raisin in the Sun by Lorraine Hansberry972 Words   |  4 Pages Chasing the American Dream in A Raisin in the Sun A Raisin in the Sun is a play about an African-American family living on the South Side of Chicago in the 1950s. This family is going through many struggles, both within the family and financially. The family is awaiting an insurance check. The story focuses on the individual dreams of each family member and what they want to do with the money. The family struggles to mend their family issues along with deciding what they will do with the money.Read MoreHow Is Lutie Johnson s Murder Of Boots Smith And Bigger Thomas Essay1460 Words   |  6 PagesAndrà © Ajabor African American Literature 1940 – Present @02709326 As portrayed in both novels, how is Lutie Johnson’s murder of Boots Smith and Bigger Thomas’s murder of Mary Dalton a direct representation of oppression and it’s impact on the American Dream for the African American? Ann Petry’s novel The Street (1946) is a commentary on the social injustices that confronted the protagonist Lutie Johnson. Lutie is a single African American mother who lives in segregated America during the 1940’sRead MoreHow Is Lutie Johnson s Murder Of Boots Smith And Bigger Thomas Essay1502 Words   |  7 Pagesof oppression and it’s impact on the American Dream for the African American? 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Instead of being able to strive and att ain their dreams of wealth

Market Research and Information

Question: Discuss about the Market Research and Information. Answer: Market Research The best recommendation for Middleton is the use of the Research team from his former University in order to assist him to do the market research. All the options that were available to him each carry its advantages and disadvantages, but the option of the student team offers more value than the other two. A brief look at the other two approaches will highlight their shortfalls and the reason why the third option is the best for Middleton. Personal Research The personal approach has both strong and weak points in its favor, but the weaknesses ultimately outweigh the benefits. Having ground-up hands on experience in the market segment is an advantage as he knows exactly what and where the gap exists and how to plug it. The use of ergonomics (Sarstedt Mool 2014) would stem from the fact that he has seen the difficulties associated with poorly placed buttons for the controls and how he could make it much easier to use. His academic qualifications of several degrees in engineering, is an advantage he can use in easily digesting and analyzing technical data in his quest to do the research. The disadvantages working against him is the factor of time, which he does not have. Currently overseeing the operations of his fledgling start-up from his basement, he needs to oversee the operations at this crucial time. The other constraint is the financial cost of personally going around to different potential customers to do interviews, (Housden 2012) at his current financial status which is precarious. The other consideration is he may get biased feed-back from potential competitors knowing that he is also in the same market segment that he is operating in. The Consultant The use of the consultant is the least attractive option available for him for two reasons. The first is the prohibitively high cost that is beyond his reach. While Middleton had proposed reaching 25 customers in his research, the consultant marks it up by suggesting a total of 75, three times what Middleton had forecast to use. The fact that he is charging for doing secondary research at the cost of $ 1000 per day does not make financial sense, since even Middleton can do that. The approach the consultant takes of starting with secondary research, (Morosan, Bowen Atwood 2014) while useful, shows he might be short of ideas on how to navigate this research. To confirm this position, he would need half a day to sit with Middleton to assist him in formulating the relevant questions for the research. This brings into question the depth of expertise the consultant may have in the controls market. The university team The use of the research team from the university offers Middleton three distinct advantages (Moss Ernsthausen 2012) in his market research. The following are the key strengths that will be derived by Middleton by the use of this last option. Synergy of academic excellence and practical experience Combining the use of Middletons 15 years industry experience and the use of the latest academic knowledge is a winning formula for Middleton. The MBA students would want to outperform each other in this task, knowing it is part of their course assignment. Each student would endeavour to put all their talent, knowledge and prowess into this task, whose success would be their collective success. The use of the course professor as a consultant (Rider, Hasselberg Waluszewski 2013) would come free of charge. The students would also benefit from Middletons experience while they got the opportunity to apply their academic knowledge in a real life situation. Wider scope in reach and shorter time. The project can be broken down into tasks (French Russel-Bennet 2015) that can be undertaken by teams of students, shortening the time the research can take. This being a course project with timelines to reach, each student would undertake the exercise with the urgency it needs. The time taken to cover Massachusetts would be shorter as the number of students in the MBA class can be divided to quickly cover the whole area. The research would also be more exhaustive with the greater use of all avenues available for the success of the research. The report shows that the students showed an eagerness to use the internet, while one student wanted to visit the state house to collect information. This kind of fresh thinking and thinking outside of the box is an indicator that the research would be deep. Cost factor. This undertaking would substantially save Middleton a lot In terms of financial resources, as the students had suggested a total project cost of $ 500. This also being a course project, most of the cost would be absorbed by the university or the students indirectly as their tuition fees. The token cost of $ 500 which would consist of out-of-pocket expenses cannot be compared to what he would have spent or to what the consultant what asking for. References French, J., Russell-Bennett, R. 2015, A hierarchical model of social marketing. Journal of Social Marketing, 5(2), 139-159.Available at: https://search.proquest.com/docview/1667324978?accountid=45049. [Accessed 6 April.2017] Housden, M. 2012. CIM Course book 08/09 Marketing research and information. Routledge. Morosan, C., Bowen, J., T., Atwood, M 2014. The evolution of marketing research. International Journal of Contemporary Hospitality Management, 26(5), 706-726. Available at: https://search.proquest.com/docview/1660173220?accountid=45049.[Accessed 6 April.2017] Moss, R.W., Ernsthausen, D. G 2012. Strauss's handbook of business information: a guide for librarians, students, and researchers. Santa Barbara, California: Libraries Unlimited. Rider, S., Hasselberg, Y., Waluszewski, A. 2013. Transformations in research, higher education and the academic market: the breakdown of scientific thought. Dordrecht, Springer Science: Business Media. https://public.eblib.com/choice/publicfullrecord.aspx?p=1030717 Sarstedt, M., Mool, E 2014. A concise guide to market research: the process, data, and methods using IBM SPSS statistics. Berlin: Springer. https://dx.doi.org/10.1007/978-3-642-53965-7