Week 2—2 Peer Response 800w. due9-15-23

Week 2—2 Peer Response 800w. due9-16-23

Instructions:

Please read and respond to the two peers' initial postings for week 2 below. Consider the following questions in your responses.

Compare and contrast your initial posting with those of your peers.  

1. How are they similar or how are they different?

2. What information can you add that would help support the responses of your peers?

3. Ask your peers a question for clarification about their post.

4. What most interests you about their responses? 

5. Summaries at least 1 evidence based article that supports there point.

Please be sure to validate your opinions and ideas with citations and references in APA format.

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Response 1 400 words

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Week 2 Discussion: Neurotransmitters

Describe the chemical and electrical processes used in neurotransmission.

        The central and peripheral nervous system both have a very complex and precise structure. The brain has trillions of specialized nerve cells called neurons. Neurons are connected to each other via synapses. Each neuron is connected to thousands of other neurons. Synapses serve as specialized centers that direct communication between neurons via a mechanism known as neurotransmission (Masoli et al., 2022). In other words, neurotransmission means how an impulse moves through one neuron to another neuron. Pulses can move through neurons electrically or chemically.

        Electrical process involves cell membranes. Each neuron has a cell membrane that separates intracellular space from extracellular space and has electrical charge (ions). When a signal arrives to the cell membrane, the ion channels both voltage-sensitive sodium channels (VSSCs) and voltage-sensitive calcium channels (VSCCs ) open and NA+  ions can transfer through these channels and create electrical signals (action potential). This electrical signal will move through axons to reach to the axon terminal (presynaptic nerve terminal) and opens calcium channels.

        According to Huang et al. (2022), in the nervous system, the functioning of brain circuits depends on the accurate integration of synaptic vesicles filled with neurotransmitters at a region known as the presynaptic active zone. When an action potential reaches these vesicles and calcium ions are transferred, the neurotransmitters are released from these vesicles. In other words, electrical impulses within the neuron are then transformed into chemical messengers, a process known as Excitation–Secretion Coupling. When these messengers (neurotransmitters) are released, they activate the receptors on a postsynaptic neuron. Communication within a neuron is electrical, while communication between neurons is chemical (Stahl, 2021). A single synapse can have many communication lines, each using its own neurotransmitter, and each neurotransmitter can be understood by a different set of receptors. This complex setup allows for rich and diverse communication between nerve cells (Agnati et al., 2023).

Why are depolarizations referred to as excitatory postsynaptic potentials and hyperpolarization as inhibitory postsynaptic potentials?

        The neurotransmitter can affect the postsynaptic neuron's cell membrane in two different ways. If the neurotransmitter binds to the receptors on the postsynaptic neuron and reduces the negative charge of the cell membrane, causing slight depolarization, the postsynaptic neuron will reach the threshold to initiate an action potential and transmit signals further along the neural pathway. This process is called Excitatory Postsynaptic Potentials (EPSP). In other words, when the neurotransmitter depolarizes the postsynaptic cell membrane, it is termed excitatory because it initiates an action potential (Stahl, 2021).

        On the other hand, if the neurotransmitter binds to the postsynaptic cell membrane and creates a more negative charge, hyperpolarization occurs. In this case, the postsynaptic neuron receives an inhibitory signal, which means the neuron moves further away from the threshold for initiating an action potential. This pathway is referred to as Inhibitory Postsynaptic Potentials (IPSP). The balance between EPSP and IPSP regulates the activity of neurons (Stahl, 2021).

What are the differences between absolute and relative refractory periods?

        When a neuron has been depolarized and an action potential has been created, this neuron is not anymore able to start another action potential for a limited amount of time. The duration, lasting approximately 1-2 milliseconds, beginning with the initiation of the action potential and extending just beyond the spike potential. This period is referred to as the Absolute Refractory Period (ARP). It's important to note that, even in response to stronger or supra threshold stimuli, no additional action potentials can be generated during the ARP. During this period, sodium channels are closed and sodium ions are not able to flow and create another action plan (Kartik et al., 2023). This is because the system prefers to create one-directional manner and prevent backward transmission of signals along the neuron's axon.

        Relative refractory period usually follows absolute refractory period. Some neurons acquire their abilities to create another action potential little by little, however, the signal should be stronger to depolarize the neurons. Following the inactivation of the sodium (Na) channels, the opening of potassium (K) channels leads to the efflux of K ions. Subsequent recovery of the Na channels from their inactivated state permits the generation of a second action potential. However, due to the sustained efflux of K ions, there is a natural resistance to further depolarization. As a result, a stimulus stronger than the norm is required to start a second action potential (Kartik et al., 2023). This period, lasting approximately 3-4 milliseconds after the absolute refractory period, during which a second action potential can be fired with stronger stimuli due to the recovery of Na channels. The reason of this period is that some ion channels have been recovered and now are able to open their channels and let the sodium ions to flow and create action plan. The relative refractory period is usually longer that absolute refractory period. These refractory periods help to ensure proper timing in neural circuits (Stahl, 2021). 

References

Agnati, L. F., Guidolin, D., Cervetto, C., Guido, M., & Marcoli, M. (2023). Brain structure and function: Insights from chemical neuroanatomy.
 Life, 13(4), 940. 
https://doi.org/10.3390/life13040940Links to an external site.

Huang, S., Piao, C., Beuschel, C. B., & Zhao, Z. (2022). A brain-wide form of presynaptic active zone plasticity orchestrates resilience to brain aging in Drosophila.
 PLoS Biology, 20(12) 
https://doi.org/10.1371/journal.pbio.3001730Links to an external site.

Kartik, S., Hrudini, D., Aparna, J., Navya, T., & Chelliah, S. (2023). “Knowing it before blocking It,” the ABCD of the peripheral nerves: Part A (Nerve anatomy and physiology).
 Cureus, 15(7) https://doi.org/10.7759/cureus.41771

Masoli, S., Rizza, M. F., Tognolina, M., Prestori, F., & D’Angelo, E. (2022). Computational models of neurotransmission at cerebellar synapses unveil the impact on network computation.
 Frontiers in Computational Neuroscience,

 
https://doi.org/10.3389/fncom.2022.1006989Links to an external site.

Stahl, S. M. (2021). 
Stahl’s essential psychopharmacology: Neuroscientific basis and practical application (5th ed.). 

Response 2. 400 words

Describe the chemical and electrical processes used in neurotransmission.

Neurons which are nerve cells can communicate with each other through electrical and chemical signals. Communication occurs at the synapses; this is the site where chemical transmission occurs (Lovinger, 2008). Presynaptic neurons release neurotransmitters which are then received by the postsynaptic neuron also referred to as the neurotransmitter receptor protein (Lovinger, 2008). Neurotransmitter molecules bind to the receptor protein thus changing its function. Electrical signals also called action potential on the other hand are a result of charged particles that create rapid conduction from one end of the cell through the axon and to the next, its speed is dependent on the myelin sheath (Lall, 2023)

Why are depolarizations referred to as excitatory postsynaptic potentials and hyperpolarization as inhibitory postsynaptic potentials?

Depolarizations are referred to as excitatory postsynaptic potentials and hyperpolarization as inhibitory postsynaptic potentials due to the synaptic response that is facilitated by the Ligand-gated ion channels. In other words, the response of the postsynaptic neurons determines if it is excitatory (fires an action potential) or inhibitory (doesn’t fire an action potential) (Lovinger, 2008). Depolarization refers to the opening of sodium ion channels allowing an influx of sodium to enter the cell membrane increasing the likelihood of an action potential. This is followed by resting potential and rapid repolarization (Grider, 2023).

What are the differences between absolute and relative refractory periods?

An absolute refractory period is a period that follows an action potential in which a second action potential cannot occur due to the inactivation of the voltage-gated sodium channel (Grider, 2023). Whereas the relative refractory period is the duration of time in which a second action potential can occur. During this time sodium channels move from an inactive state to a closed state, however, in order for an action potential to happen a larger amount of stimulation is needed (Grider, 2023).

 

References

Grider, M. H. (2023, May 8). 
Physiology, action potential. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK538143/#:~:text=In%20neurons%2C%20the%20rapid%20rise,opening%20of%20potassium%20ion%20channels.

Lall, S. (2023, May 24). 
How do neurons communicate (so quickly)? – MIT McGovern Institute. MIT McGovern Institute. https://mcgovern.mit.edu/2019/02/28/ask-the-brain-how-do-neurons-communicate/

Lovinger, D. M. (2008). 
Communication Networks in the Brain: Neurons, Receptors, Neurotransmitters, and Alcohol. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860493/#:~:text=Nerve%20cells%20(i.e.%2C%20neurons),the%20cell%20to%20the%20other.

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Please Reply to the following 2 Discussion posts

Please see the attachment for the instructions

Burn

 A burn injury can severely affect a patient’s physical and emotional well-being. As a nurse you may be in charge of taking care of a patient during any of the three phases of burns. Please complete the Phases of Burn Injury table to better understand the needs of a burn patient and ways to meet those needs. 

Strep Pharyngitis in 8 years old

  

Instructions: Select one of the topic mentioned below and discuses filling the attached form.

Topics: 

Strep Pharyngitis in 8 years old

Requirements

Ø The discussion must address the topic

Ø Rationale must be provided

Ø Use at least 600 words (no included 1st page or references in the 600 words)

Ø May use examples from your nursing practice

Ø Formatted and cited in current APA 7

Ø Use 3 academic sources, not older than 5 years. Not Websites are allowed.

Ø Plagiarism is NOT permitted

Reproduction

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

Reproductive Case Study

Case Presentation:

An 20y.o., sexually active, college student has been experiencing dysuria for the last couple of days. At one point he noticed that a small amount of yellowish discharge from the tip of his penis. He is in a relationship with his first sexual partner for about 5 months. He has not experienced any similar incidents in this time frame and wonders if his partner has been monogamous. He made an appointment at the school clinic to seek care. He has provided a urine specimen for evaluation.

Physical Exam:

T, 100.6; HR 82, R 18, Bp 120/76.

Yellow discharge noted on penile area

Low back pain

Unilateral left painful, swollen scrotum

Culture was also done to identify the organism

Questioning occurred related to his sexual partners.

Test results came back positive for chlamydia.

Questions:

1. Originally considered a virus, Chlamydia is now recognized as a bacteria. Why is this so?

2. Chlamydial organisms are obligate non-motile intracellular parasites associated with many sexually transmitted diseases. Why?

3. Why can this virus remain latent or subclinical for years before it is diagnosed?

4. What are the treatment options for this patient? Note where you found the evidence to support this treatment.

5. Why did the medical professionals ask him about his sexual partners?

6. If untreated, what complications could occur to his sexual partner?

7. What education is needed for this patient to prevent this from occurring again?

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Math

Basic Statistics Data Used in Everyday Life

Discussion

Required Resources

Read/review the following resources for this activity:

· OpenStax Textbook: Chapter 1

· Lesson 1 Reading

· Minimum of 1 scholarly source AND one appropriate resource such as the textbook, math video and/or math website

In your reference for this assignment, be sure to include both your text/class materials AND your outside reading(s).

Initial Post Instructions

1. Present two different types of data, or variables, used in the health field. Examples could be blood pressure, temperature, pH, pain rating scales, pulse oximetry, % hematocrit, minute respiration, gender, age, ethnicity, etc.

2. Classify each of your variables as qualitative or quantitative and explain why they fall into the category that you chose.

3. Also, classify each of the variables as to their level of measurement–nominal, ordinal, interval or ratio–and justify your classifications.

4. Which type of sampling could you use to gather your data? (stratified, cluster, systematic, and convenience sampling)

Follow-Up Post Instructions

Respond to at least one peer. Further the dialogue by providing more information and clarification.

Your responses to other students can explain additional analyses that could be done with the variables they selected. Consider confounding variables, discrete or continuous data, the effects of outliers, etc.

Course Outcomes

CO 1: Given scenarios supported by population data, apply sampling techniques and explain potential pitfalls and bias in data collection.

CO 2: Given datasets with qualitative and quantitative data, differentiate between the types of data and how they can be applied in statistical studies for everyday life.

**Remember to use the Chamberlain Library (

https://library.chamberlain.edu/home
) to research scholarly resources to provide evidence in your discussions and cite your references at the end of each post. Your initial post is encouraged by 11:59 pm MT Wednesday, and your one follow-up post is due by 11:59 pm MT Sunday.**  

WEEK 6 MSN 5550

1. Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

2.Attached you can find the case study

3.Please check for plagiarism and artificial intelligence(AI)

Laboratory for Diagnosis, Symptom and Illness Management

  

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Study 1 & 2 topics change every semester. Topics will be determined at due time for this semester

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

power point

N402 Social Media Assignment Instruction

30 Possible Points

Overview: This assignment will engage the learner to gain a better understanding of social media use in their work environment, the risks and benefits of social media, protection of patient privacy, and the importance of appropriate social media use and content as a form of communication.

This assignment will be in the form of a PowerPoint presentation. PowerPoints should be concise and briefly highlight information. Slides should be presented in APA 7th ed. format, be clearly presented, free of spelling and formatting errors, information should be paraphrased and include citations. Images need to be correctly credited and should include a minimum of 2 images. Turn it in report should be less than 10%

1. This assignment is based on the following article by the National Council State Boards of Nursing. The article is located in the content area of the course on D2L.

NCSBN. (2011).
White paper: A nurse’s guide to the use of social media.

2. Please review the ANA Factsheet on social media and website found in D2L

Instructions:

Prepare a power point presentation and include the following:

Title Slide: Name of presentation, Student Name, Instructor Name, College and Course, Date.

Social Media Policy: Discuss the types of policies that are used in your place of work. NO AGENCY names, use initials only and describe the facility. For example, small rural hospital, a hospice agency or a nursing home.

Include the date you viewed the policy and when the policy was written/and or reviewed. How is social media being used in your place of work? For your citation and reference use Agency policy and the date on the policy. Policies should be reviewed yearly so it would be a recommendation if they are outdated. Discuss findings in brief. No more than 2 slides.

Social Media Risk and Benefits: List and describe 2 of the benefits of social media for nursing
? Below is a list of possible benefits. List and describe 2 risks of social media?
Minimum 2 reference/citation for benefits and 2 reference /citation for risks. No more than 4 slides total.

Consider:

1. Keep up with current health issues, trends, and up to date EBM

2. Opportunities to dialogue with colleagues

3. Education and training

4. Instant alerts in cases of disaster management

5. Dedicated phone for emergency calls to MD

6. Professional groups such as LinkedIn or Research Gate.

7. Facebook to recruit and inform public

Moral /Practice Issues: Describe at least 2 moral or practice issues have you seen arise from the use of social media.
No more than 2 slides total with at least one journal reference

Workplace Social Media: In this section identify specific social media use concern or issue for where you currently or formerly work. Illustrate the social media issue concern or issue in the form of a scenario. How will you correct the issue or concern? Examples could include:

· training for staff and what would this training include or the

· development of a departmental/hospital policy and what would need to be included.

Include :

· Recommendations on the use of social media in your place of work. Use at least 4 recommendations based on the literature reviewed. Be specific and these should be clearly stated and reasonable to the identified setting.

No more than 6 slides total for this section with Reference /citation to the reading for this assignment ANA Factsheet on Social Media and NCSBN. (2011).
White paper: A nurse’s guide to the use of social media.

Summary: End the presentation with a short statement of the main points.

References: Make sure to include 3 different references or more from additional scholarly journals or credible websites in addition to the ANA white paper and Facility policy reference.

APA: You may lose additional points for not using APA format and citing references appropriately both within the slides and on a reference page.

Writing

 Last week you provided an overview of each nurse theorist/and or nursing theory that you have chosen.
This week, please expand upon your initial post by describing a situation from your experiences in nursing in which you would apply your particular nursing theories.
To be clear, you will describe a situation in detail and then apply each of your nursing theory(ies) to that situation separately.
Be sure to pick and example that clearly illustrates the strength of each nursing theory in application to either nursing practice, nursing research, nursing education, or nursing administration.
Describe why the classification of each theory is appropriate for the situation you have described.
Compare and contrast the the usefulness of each of your theories to this particular situation.

Be sure to use appropriate APA citation and when responding to your peers, begin with addressing them personally and end your response posting with your name.
Guidelines for Weekly Discussion Postings/ Discussion Participation: The online discussions will provide opportunities to explore different topics, share what you are learning with your classmates, and gain clarity about the course content. Your discussion responses should demonstrate critical thinking skills and your responses should be thoughtful and promote respectful discourse with the other students in the class. The rules of common courtesy are to be followed (e.g., one voice speaks at a time, polite debate occurs, and all opinions are honored). In order for an online discussion assignment to be considered complete, the student must effectively and adequately cover the assigned topic, reference the course text and other sources with appropriate APA citations, meet the 400 word minimum, the responses to classmates must be developed in a manner that furthers the conversation and learning, the spelling, grammar, and writing must be appropriate, and the online discussion assignment must be submitted on time. Interactions should be thorough, thoughtful and facilitate the learning community’s growth. Discussions will be reviewed on a weekly basis. Contribution toward the course grade total will be based on the pattern of demonstrating these characteristics. Please remember, initial posts should be submitted by deadline.