Describe in detail the exposure pathway for mercury from effluent getting into river and exposing people using the river? https://www.atsdr.cdc.gov/ednpha.html 2. Determine risk communicati – College Pal – Elite Custom Essays


1.Read “Environmental data Needed for Public health Assessments”, US Department of Health and Human Services (link at the bottom of page), and answer the following questions:
A. What five elements make up an exposure pathway?
B. Describe in detail the exposure pathway for mercury from effluent getting into river and exposing people using the river?
https://www.atsdr.cdc.gov/ednpha.html
2. Determine risk communication strategy for the following (consider source, message, channel and receiver)
a. How to tell workers that they must wear N95 masks for dust protection.
b. How to get people who are vaping to do it outside.
c. How to get parents to vaccinate their children against flu.
d. how to tell people not to idle their cars while waiting for people near buildings.


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All of the art forms that we studied in this chapter perform the Ramayana Story. Search for a YouTube video of an Indonesian group who performs the Ramayana and share the link with us. Remem


1.All of the art forms that we studied in this chapter perform the Ramayana Story. Search for a YouTube video of an Indonesian group who performs the Ramayana and share the link with us. Remember this should be one of the Indonesian art forms that we studied in the chapter. Explain the art form that you have chosen, what you see and hear on the “stage” and what possible part of the story they are presenting. Please try your best not to repeat what other students have chosen.
2. In this epic Ramayana story, what message in the story can you relate to today? and why?


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A comparison and contrast essay in which you discuss the similarities and differences between Gujarat, India, and Dallas, Texas where you have lived. How are these places similar to each oth


A comparison and contrast essay in which you discuss the similarities and differences between Gujarat, India, and Dallas, Texas where you have lived. How are these places similar to each other? How are they different?


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La Causa. He began by forming what would later be known as the United Farm Workers of America, then organizing strikes to bring awareness to the struggles of farm workers. Chávez fought e


A Flawed Hero: The Complex Legacy of César Chávez
04.18.2018
By Francisco Valladares Athletics Editor and Alejandro Ramos Contributor
In 1962, César Chávez kicked off what is now one of the most historic movements in Chicano history: La
Causa. He began by forming what would later be known as the United Farm Workers of America, then
organizing strikes to bring awareness to the struggles of farm workers. Chávez fought endlessly to get farm
workers better pay and safer working conditions, which is why he is held in such high regard among the
Latinx community.
While his impact on the Latinx community, particularly Mexican-origin Latinx, will never be forgotten, there
is an aspect of Chávez’s work that, for some, puts his legacy into question.
He was an advocate for strong border security because he felt that undocumented immigrants were
breaking his strikes. He went to great lengths to make sure immigrants couldn’t get into the country by
creating what the UFW called “wet lines.”
The “wet lines” initiative consisted of UFW members who would stop people from crossing the border
between Yuma, Arizona and San Luis, Mexico. Led by Chávez’s cousin Manuel, UFW members would even
brutally beat border crossers and rob them of their possessions, according to Marian Pawel, author of “The
Crusades of Cesar Chávez.”
Chávez also started the “Illegals Campaign,” which was created to direct UFW members to report the
presence of undocumented field workers to the Immigration and Naturalization Service, according to Latin
Times.
In addition to his actions against immigrants, Chávez went on record to say that those breaking his strikes
were “wetbacks” and “illegals.” With the Deferred Action for Childhood Arrivals and Temporary Protected
Status programs being salient issues recently, it’s likely his words would be met with enormous criticism
today.
Making Sense of a Complicated History
Chávez is remembered for his work as a labor rights leader and organizer for farm workers. He galvanized
workers across California to protest the oppressive conditions they were subjected to, from the threat of
pesticide exposure to long hours and low pay. He protested by fasting, a choice driven by his commitment
to nonviolent resistance.
“What he actually accomplished […] just gathering all the people, up and down the state,” said history
major Irvin Gomez. “I mean, who can really do that now?”
There are many, like Gomez, that appreciate Chávez’s contributions to society. He certainly should be
honored for the work he did to improve the quality of life for farm workers.
For the most part, discussions about Chávez’s life tend to stick to a positive angle. They focus on his
contributions to labor rights and his dedication to the cause. There is a lack of criticism of his problematic
actions and ideas, both in mass media and academia.
The lack of transparency on this issue creates an environment where the littlest details can spark a blaze
of reactions. As political activist Frank Bardacke put it, “so much of what is being said now is either wrong
or so ripped out of its historical context as to be incomprehensible.”
Bardacke tackled the issue of Chávez’s stance on immigration in a 2013 essay which he infused with the
historical context that is lacking in many of today’s articles. He tells the story of workers from all walks of
life whether they were Latinx or not that felt threatened by the influx of immigrants entering the U. S.
and taking jobs in the fields. Factors such as the Bracero Program and the INS contributed to the steady
flow of immigrants that caused unrest among workers. This led to the United Farm Workers’ anti-immigrant
actions, from petitions for the government to enforce immigration laws to a de facto border patrol made of
UFW members.
In short, Bardacke tells the story that others won’t. Many overlook it, perhaps to keep Chávez’s legacy
intact; others, however, zero in on it to tear Chávez down. A quick Google search leads to incendiary
headlines on the matter: “Cesar Chavez vs. La Raza,” “Cesar Chavez: Anti-Immigration to His Union Core,”
“Cesar Chavez Used Terms ‘Wetbacks,’ ‘Illegals’ To Describe Immigrants.”
Our current social and political climate revolves around discussions of topics that were ignored before.
From Black Lives Matter to #MeToo, our society is beginning to challenge racist and sexist norms that have
been in place for a long time. It may be time to start discussing Chávez’s complicated place in history as
well.
The issue has been picked apart and discussed for years, but the times demand a more thorough and
open discussion. President Trump kicked off his campaign claiming that Mexicans are “drug dealers” and
“rapists.” He’s continued to expand on his stance by calling for stronger anti-immigration policies. He
claims that undocumented immigrants are taking jobs from American workers, a claim that Chávez himself
made in the 1970s.
Just to reiterate: this isn’t about questioning Chávez’s work as an organizer and leader for the farm
workers in California. Those contributions are real and can’t be disputed. The question is whether Chávez
should continue to be the main representative for Latinx people.
The Latinx population is far different from what it was when Chávez rose to prominence as an activist.
According to PewHispanic, there were 1.8 million foreign-born Hispanic people in the U.S. in 1970, the year
the first major UFW strike ended. In contrast, there were 19.4 million foreign-born Latinx people in the U.S.
in 2015.
Additionally, the ethnic makeup of the Latinx immigrant population in the U.S. has shifted over the past
couple of years. Immigration from Mexico decreased 6 percent from 2007 to 2015 due to the Great
Recession. At the same time, immigration from El Salvador, Guatemala, and Honduras increased 25
percent overall. Immigrants from these countries lack proper visibility and representation in the U.S., as
they are often overlooked or assumed to be from Mexico. There is a need for more inclusive representation
beyond Cesar Chávez.
“He wasn’t that big of a deal to me because I’m not Mexican-American,” said Cal State Long Beach
Chicano and Latino studies major Rosa Rodriguez.
Rodriguez admits that Chávez’s work building up the UFW is important, but that it doesn’t negate his anti-
immigrant views. She was especially against Chávez because her own parents are immigrants.
The future of immigrants in the U.S. is up in the air. Trump moved to end DACA and TPS, effectively taking
away hundreds of thousands of immigrants’ ability to work or study in the country. In addition, the move
removes protections that keep them from being deported.
All this considered, it’s time to reflect on Chávez and his complicated history.
The Case for Representation
In terms of making Latinx issues more well known in the U.S., Chávez is certainly one of the most
influential. He is undoubtedly one of the most respected representatives of the community, with photos
and murals of his face plastered across the pages of many U.S. textbooks.
When considering the lack of high-profile Latin American figures like Chávez, criticizing such a valued hero
is difficult, and perhaps not fully warranted when the time period and context for his choices are
considered.
“He needed to first focus on the farm workers that were here first,” said Irvin Gomez, a history major at Cal
State Long Beach. “He couldn’t fight the battle for Mexico and the battle for the United States. He first had
to fight the battle in the United States.”
Gomez also said that it wouldn’t have been possible for Chávez to cover every aspect of farm worker
issues, and that the civil rights leader was justified in focusing on one area, especially when his total
impact is taken into consideration.
In his journal “The UFW and the Undocumented,” Bardacke writes that because the UFW organized around
first-generation immigrants, most union members were frightened by the influx of undocumented farm
workers.
“These first members of the UFW felt threatened by the open border and by the large number of green
carders and illegals who lived in Mexicali and were beginning to work in the table grapes,” said Bardacke.
“Many felt they were going to be replaced by this new, cheap labor from Mexico.”
Chávez ultimately believed he needed to do what was best for farm workers, which would give the union
the power it needed to succeed in its strikes. With the UFW beginning to falter in the mid-1970s and
documented farm workers starting to lose strikes, Bardacke said that Chávez felt he could only blame
undocumented workers for the union’s shortcomings.
So does Chávez, the apparent pinnacle of Latinx representation, deserve to have his legacy criticized?
CSULB Student Development in Higher Education student Cyndy Garcia says that while Chávez shouldn’t
go unchecked, it is difficult to fully condemn him when he’s one of the only prominent representatives of
the Latinx community.
“I didn’t really have any representation in terms of someone to look up to,” said Garcia, who is
coordinating the inaugural “Cesar Chavez Day of Service” on campus. “I don’t know if knowing [Chávez’s]
reputation would have made a difference because it’s not like I had someone else to look up to.”
Lack of representation has been an issue in Latinx communities for some time, giving them a short list of
people to look up to.
According to the Pew Research Center, in 2013, when Latinx people were asked to name a national
leader, 65 percent of participants of Mexican descent answered, “don’t know.”
The study also states that only 25 percent of Hispanics of Mexican background were able to name a
leader, which is indicative of a lack of representation.
This is what seemingly makes Chávez such an important figure to many. While he may not be perfect, he’s
often seen as the Latinx Martin Luther King Jr.
Because of all of this national acclaim, Chávez has ascended into idol status among many Latinx, making
him the most historically important figure in the community. Regardless of his status, Garcia believes that
this shouldn’t deter people from being critical of the activist.
“He does represent us, but I don’t think we should be accepting without being critical,” she said. “[We]
need to be cognizant that he did have problematic viewpoints on immigration.”
Garcia believes that these problematic views, coupled with Chávez’s accomplishments, should all be taken
into consideration when discussing his legacy in full.
While it may be difficult to criticize such an important Latinx idol, many feel like Chávez’s legacy should
encompass every aspect of who he was: a flawed hero.


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A 65-year-old man comes to his physicians with complaints of abdominal pain that is persistent but not extreme. Workup reveals that he has metastatic cancer of the pancreas. He has about two


A 65-year-old man comes to his physicians with complaints of abdominal pain that is persistent but not extreme. Workup reveals that he has metastatic cancer of the pancreas. He has about two years to live, based on past cases. The man has just retired from a busy professional career, and he and his wife are about to leave on a round-the-world cruise that they’ve been planning for over a year.
Based on the principle of Veracity should you tell him his diagnosis? Explain


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What is the mental health related behavior you are trying to influence/nudge? Review the Nuffield Council of Bioethics ladder of intervention on page 3 of the article. State which intervent


A “nudge” is when making healthy choices is made easy (e.g., displaying healthy food at eye level).
Read the article, https://www.local.gov.uk/sites/default/files/documents/changing-behaviours-publi-e0a.pdfLinks to an external site. to learn more about nudges.
Pretend you are on a mental health committee at Cleveland university and want to use your new knowledge of nudges to promote mental health. Then discuss the following questions:
What is the mental health related behavior you are trying to influence/nudge?
Review the Nuffield Council of Bioethics ladder of intervention on page 3 of the article. State which intervention(s) you would use to influence behavior. Explain why you selected that intervention(s).
Explain how you would use the intervention. That is, explain how the intervention works. Be sure to incorporate tips from page 7.
Does it work? How would you determine the effectiveness of the nudge?


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A 36-year-old male presents to the emergency department for the first time after a motor vehicle accident. He complains of shoulder pain from the seatbelt. He sustained a chest contusion. Th


A 36-year-old male presents to the emergency department for the first time after a motor vehicle accident. He complains of shoulder pain from the seatbelt. He sustained a chest contusion. There was no deployment of the airbag. He was going around a curve and lost control of his vehicle, and struck a tree. The patient struck his head and loss consciousness for approximately five minutes. The physician completes a detailed history and physical examination that includes a complete neurological exam. The medical decision-making is of moderate complexity. X-rays of the shoulder and chest are negative for fracture. They include two views of the chest and a complete examination of the shoulder. The patient is discharged to home and advised to return to the emergency department if there is an increase in pain in the chest and shoulder. The patient and his wife are also provided with a list of neurological signs and symptoms to look for in light of the concussion that would warrant a return to the emergency department. He is instructed to follow up with his primary care physician the following day.
4 ICD-10-CM injury codes including external cause code. No x-ray codes.


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A 53-year female who presents to the emergency room 35 minutes after sustaining multiple stab wounds to the chest and abdomen during a fight with her ex-boyfriend. Upon initial assessment


A 53-year female who presents to the emergency room 35 minutes after sustaining multiple stab wounds to the chest and abdomen during a fight with her ex-boyfriend. Upon initial assessment vital signs heart rate: 128 irregular BP was 80 / 50 respiration rate 37 and labored. Chest auscultation reveals decreased breath sounds in the right lung consistent with bibasilar atelectasis. Pupils were equal round and reactive to light and accommodation. Her level of consciousness is awake but slightly confused and complaining of severe abdominal and chest pain. Pedal pulses are absent, radial pulses are weak in carotid pulses are palpable. The patient is immediately started on intravenous lactated Ringer’s solution at a rate of 150 ml/hr.
She becomes tachypneic, short of breath and reports her “heart was pounding in her chest”. She becomes very anxious and continues to complain of pain in the chest and abdomen. Skin and nail beds are pale, no cyanosis, skin cool and clammy with poor turgor, peripheral pulses become absent except for a thready brachial pulse. Blood pressure becomes difficult to assess and doppler ultrasound is used to obtain a bp of 75/50, HR 38 Sinus Rhythm.
Labs:
Hb 8g/dl
Hct 25
PaO2 53 mm hg
PaCo2 52 mm HG
pH 7.31
SaO2 84% on RA
Please answer these questions before continuing:
What is your initial differential diagnosis?

Is there any other subjective or objective data you would want to collect?

Is it necessary that sodium bicarbonate be administered to the patient at this time? Explain your rationale

Should this patient be transfused with whole blood, and if so, how many units?

New Labs:
Pt is started on Oxygen at 3 l/min by nasal cannula. Repeat blood gas shows; PaO2 82 mm Hg, PaCO2 38 mm Hg, pH 7.36, SaO2 95%.
Please answer these questions before continuing:
Are the arterial blood gas results improved or deteriorated?

What are your next steps?

Second Labs:
After your resuscitation, lab values are:
Na 135 meq/L
K 3.8 meq/L
Cl 110 meq/L
HCO3 28 mg/dL
BUN 38 mg/dl
Cr 2.0 mg/dL
Glu, random 168 mg/dL
PT 13.4 sec
PTT 32 sec
Ca 8.0 mg/dL
Plt 181,000. Mm
WBC 7,200 /mm
Please answer these questions:
Explain why the BUN and Cr are abnormal.

Explain the abnormal serum glucose concentration

Are there any concerns for a blood clotting problem?

Please attach your reference list here.
References:


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A motor vehicle accident brings three victims to the ED, and all three need ultrasounds. Dave Black has abrasions and pain in his right leg. Paul White has a displacement of his left should


A motor vehicle accident brings three victims to the ED, and all three need ultrasounds. Dave Black has abrasions and pain in his right leg. Paul White has a displacement of his left shoulder and has become increasingly cross and drowsy. The driver of the car, Mary Green, has no visible injuries but complains of a painful sternum.
Initial Post: Which patients would cause you the most concern? Why?


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A former UCLA Health System employee became the first person in the nation to be sentenced to federal prison for violating HIPAA. Huping Zhou, 47, of Los Angeles, was sentenced to four month


A former UCLA Health System employee became the first person in the nation to be sentenced to federal prison for violating HIPAA. Huping Zhou, 47, of Los Angeles, was sentenced to four months in prison on April 27 after pleading guilty in January to four misdemeanor counts of accessing and reading the confidential medical records of his supervisors and high-profile celebrities, according to the US Attorney’s Office for the Central District of California. Zhou was also fined $2,000. In 2003, Zhou, who was a licensed cardiothoracic surgeon in China before immigrating to the United States, was employed as a researcher with the UCLA School of Medicine.
On October 29, 2003, Zhou received notice that UCLA intended to dismiss him for job performance reasons unrelated to the illegal access of medical records. That night, Zhou accessed and read his immediate supervisor’s medical records as well as those of other coworkers. Over the next three weeks, Zhou abused his access to the organization’s electronic health record system to view the medical records of celebrities and high-profile patients, including Drew Barrymore, Arnold Schwarzenegger, Tom Hanks, and Leonardo DiCaprio.
According to court documents, Zhou accessed the UCLA record system 323 times during the three-week period. In the plea agreement, Zhou admitted he obtained and read patient health information on four specific occasionswith no legitimate reason, medical or otherwiseafter he was terminated from his job. Zhou did not improperly use or attempt to sell any of the information he illegally accessed, according to the press release. In January, Zhou’s attorney, Edward Robinson, was quoted in the UCLA student newspaper saying Zhou did not know that accessing the records was a federal crime.
As a member of the UCLA workforce, would Zhou have a legitimate right to view patient records in his normal course of employment? Why or why not? Identify the specific legal source.
In managing access and disclosure of PHI, how do you think UCLA discovered Zhou’s infractions?


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