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1A. (IN 15O WORDS) Discuss the naturally occurring sources of air pollution and what you would do in each situation addressed to reduce exposure. Use “Friis, R. H. (2019). Essentials of environmental health. Burlington, MA: Jones & Bartlett Learning” to answer question and as reference. 1B.(IN 150 WORDS) Based on your reading and internet resources, what the main Food Safety issues you may have in your daily environment? (NY/NJ) What can an individual do to protect themselves? Use “Friis, R. H. (2019). Essentials of environmental health. Burlington, MA: Jones & Bartlett Learning” to answer question and as reference 2A. (IN 250 WORDS) Briefly discuss the difference between a horizontal merger and a vertical merger. In what situations is one better than the other?
Sample Solution
higher risk for developing gall stones, pseudotumor cerebri and obstructive sleep apnea. EVALUATION OF THE OBESE CHILD: Obese children often present to the Pediatrician/pediatric Endocrinologist with a concern about a hormonal cause of obesity or secondary to consequences of obesity eg. Concern about gynecomastia or embedded penis in males(pic1), irregular periods, acne or hirsutism in females and acanthosis nigricans(pic2) in both sexes. A detailed history and physical examination is in order to elicit any cause of obesity and evaluation of consequences should be done depending on the age and degree of obesity. 1) History: It is a crucial part of evaluation of obesity and leading questions should be asked to elicit a cause as well as consequences of obesity. A detailed history should be obtained regarding the onset (infancy/childhood), duration as well as the rapidity of weight gain. Infantile onset of obesity points towards a possibility of monogenic obesity. A recent increase in appetite with rapid weight gain could suggest and intracranial mass especially if it is associated with headaches or visual disturbances. Antenatal history and Birth weight are important in predicting the risk of complications. Children born small/large for gestation and those born to mothers with gestational diabetes mellitus have a higher risk of developing Type 2 Diabetes Mellitus. History of developmental milestones may give a clue to the cause of obesity eg. Delayed motor milestones, feeding difficulty in infancy followed by a voracious appetite may be suggestive of Prader-Willi Syndrome. Family history of obesity, diabetes mellitus, hypertension and dyslipidemia should be obtained. History of intake of antipsychotics, anti-depressants or long-term corticosteroids should be obtained as they lead to weight gain. Polyuria, polydipsia and unexplained weight loss may suggest onset of diabetes mellitus. Scanty and Delayed or missed periods in girls with or without hirsutism may suggest the presence of polycystic ovarian disease (PCOD). Enquire about excessive daytime sleepiness, snoring and morning headaches for obstructive sleep apnea and knee or hip pain for Slipped capital femoral epiphyses. History of dietary practices, TV/screen viewing duration and physical activity may give >
higher risk for developing gall stones, pseudotumor cerebri and obstructive sleep apnea. EVALUATION OF THE OBESE CHILD: Obese children often present to the Pediatrician/pediatric Endocrinologist with a concern about a hormonal cause of obesity or secondary to consequences of obesity eg. Concern about gynecomastia or embedded penis in males(pic1), irregular periods, acne or hirsutism in females and acanthosis nigricans(pic2) in both sexes. A detailed history and physical examination is in order to elicit any cause of obesity and evaluation of consequences should be done depending on the age and degree of obesity. 1) History: It is a crucial part of evaluation of obesity and leading questions should be asked to elicit a cause as well as consequences of obesity. A detailed history should be obtained regarding the onset (infancy/childhood), duration as well as the rapidity of weight gain. Infantile onset of obesity points towards a possibility of monogenic obesity. A recent increase in appetite with rapid weight gain could suggest and intracranial mass especially if it is associated with headaches or visual disturbances. Antenatal history and Birth weight are important in predicting the risk of complications. Children born small/large for gestation and those born to mothers with gestational diabetes mellitus have a higher risk of developing Type 2 Diabetes Mellitus. History of developmental milestones may give a clue to the cause of obesity eg. Delayed motor milestones, feeding difficulty in infancy followed by a voracious appetite may be suggestive of Prader-Willi Syndrome. Family history of obesity, diabetes mellitus, hypertension and dyslipidemia should be obtained. History of intake of antipsychotics, anti-depressants or long-term corticosteroids should be obtained as they lead to weight gain. Polyuria, polydipsia and unexplained weight loss may suggest onset of diabetes mellitus. Scanty and Delayed or missed periods in girls with or without hirsutism may suggest the presence of polycystic ovarian disease (PCOD). Enquire about excessive daytime sleepiness, snoring and morning headaches for obstructive sleep apnea and knee or hip pain for Slipped capital femoral epiphyses. History of dietary practices, TV/screen viewing duration and physical activity may give >
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