The purpose of this paper is to complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from include Sikh, Baha’i, Buddhism, Shintoism, etc.

In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith. Refer to Chapter 2 of Called to Care for the list of questions. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective.

In a minimum of 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing major themes with insights gained from your research, and answering the following questions based on the research:

  Is it Better to Purchase or Rent?

After reviewing the material for the module, conduct some research related to 

• What are the benefits to leasing as opposed to purchasing?
• What impact does leasing have on taxes?
• In the Kingdom of Saudi Arabia, are healthcare organizations more likely to lease or to purchase?

  Requirements:

1. Be sure to support your statements with logic and argument,
2. More citing all sources referenced through the text 
3. 2 pages
4. no plagiarism
5. 3 Minimum references 
6. The references not older than 5 years ago

Polypharmacy is a frequent and serious health concern that affects individuals, and sometimes leads to fatal outcomes.

I. Identify common risk factors for polypharmacy and Explain the reason why each listed item is a risk factor.

II. In your current clinical practice as a Registered nurse, what interventions have you observed to be most effective to prevent polypharmacy?

III. As a nurse practitioner discuss two to three interventions you can take  in your clinical practice to prevent polypharmacy and its complications.

Please answer each question by separate.

 The initial post should be a minimum of 3 paragraphs,  using at least 2 references.  Each paragraph should be supported with evidenced based peer reviewed references.  APA 6th ed is the format adopted by the university.  Citing your paragraphs is a Must. In addition all listed references must be cited.  

QUESTION

Identify the 4 functions of the kidneys. Within your answer, discuss how the processes of excretion and reabsorption occur and the substances involved.

Your response should be at least 500 words in length 

Match the term on the left to its description on the right.

1. Fallopian
2. Cervix 
3. Menstruation 
4.  Eggs 
5. Ovaries 
6. Fundus 
7.  Perimetrium 
8. Myometrium 
9. Endometrium 
10. Glandulara.

1. Thick muscular region of the uterus.
2. b.Mature follicles released during ovulation.
3. c.Tissue in the endometrium that is rich with blood vessels.
4. d.Middle layer of the uterus that is composed of smooth muscle.
5. e.The inner lining of the uterus that has a mucous lining.
6. f.The narrower lower segment of the uterus.
7. g.Endocrine glands and egg producing organs.
8. h.Fascial outer layer of the uterus that provides support within the pelvis.
9. i.Small tubes that carry eggs from the ovaries to the uterus.
10. j.Occurs when the layers of the endometrium slough away from the inner layer.

Coffee Consumption and Cardio-Vascular Diseases

    There has always been a controversy about coffee consumption. While many say it causes various cardiovascular problems others say that coffee is actually beneficial for the health.

    Lang et al. (1983) showed that there was blood pressure (BP) increase from 125.6/79.8 +/- 15.0/10.5 mm Hg in non-coffee consumption category to 128.1/80.6 +/- 15.6/10.2 mm Hg in the highest consumption category (greater than or equal to 5 cups/day). They concluded that coffee was a significant contributor to the variation in BP levels. Riksen, Rongen and Smits (2008) in their work “Acute and long-term cardiovascular effects of coffee: Implications for coronary heart disease” indicated that “both experimental studies and epidemiological studies favor a deleterious role of coffee consumption as a trigger for coronary events, rather than in promoting the development of atherosclerosis” (p.189).

    Revuelta-Iniesta and Al-Dujaili (2008) studied biochemical aspects of green and black coffee and proposed that coffee intake, especially green coffee, might play a role in the reduction of cardiovascular risk factors and perhaps cardio-vascular diseases (CVD) in the long term. In the same 2008 year Geleijnse conducted a metanalysis of multiple studies and came to conclusion that regular coffee intake does not increase the risk of hypertension. 

    Some may argue that even though coffee consumption is considered safe for healthy individuals, it still may be harmful if consumed by people who already suffer from CVD. But recent work by Chrysant (2017) demonstrated that coffee consumption has either neutral or beneficial effects on BP, CVD, heart failure, cardiac arrhythmias, and diabetes mellitus (DM). 

     Changes in approach to one of the most popular beverages explained by different types of coffee that was studied. If years ago people drunk mainly boiled coffee, nowadays we prefer filtered coffee. According to O’Keefe et al. (2013) filtered coffee contains less amounts of cafestol and kahweol, substances which increase serum cholesterol. This supports previously mentioned conclusion of Riksen et al. (2008), that coffee consumption does not promote the development of atherosclerosis. In fact, to O’Keefe et al. (2013) indicated in the same work that coffee intake is beneficial in reduction of DM type two and may reduce the risk of stroke. Also, regular coffee intake does not cause increase in BP, although in non-habitual drinkers temporary BP increase is noticed.

    In conclusion, contrary to older studies coffee consumption considered not harmful and even beneficial, in some cases, nowadays. One of the explanations for this is the way coffee brewed. It may be concluded that filtered coffee is healthier than boiled coffee. Accidental consumption of this beverage by people who already suffer from chronic CVD is not recommended, whereas habitual drinkers can consume coffee regardless of their CVD status. 

References:

Chrysant, S. G. (2017). The impact of coffee consumption on blood pressure, cardiovascular disease and diabetes mellitus. Expert Review of Cardiovascular Therapy, 15(3), 151–156. https://doi.org/10.1080/14779072.2017.1287563

Geleijnse, J. M. (2008). Habitual coffee consumption and blood pressure: an epidemiological perspective. Vascular Health Risk Manag, 4, 963–970. https://doi.org/10.2147/VHRM.S3055 

Lang T., Degoulet P., Aime F., Fouriaud C., Jacquinet-Salord M.C., Laprugne J., Main J., Oeconomos J., Phalente J., Prades A. (1983). Relation between coffee drinking and blood pressure: Analysis of 6,321 subjects in the Paris region. The American Journal of Cardiology, 52(12), 1238-1242

O’Keefe, J. H., Bhatti, S. K., Patil, H. R., DiNicolantonio, J. J., Lucan, S. C., & Lavie, C. J. (2013). Effects of Habitual Coffee Consumption on Cardiometabolic Disease, Cardiovascular Health, and All-Cause Mortality. Journal of the American College of Cardiology (JACC), 62(12), 1043–1051. https://doi.org/10.1016/j.jacc.2013.06.035

Revuelta-Iniesta R.and Al-Dujaili E.A.S. (2014).  Consumption of Green Coffee Reduces Blood Pressure and Body Composition by Influencing 11b-HSD1 Enzyme Activity in Healthy Individuals: A Pilot Crossover Study Using Green and Black Coffee. BioMed Research International, 2014, 1-9. 

Riksen, N. P., Rongen, G. A., & Smits, P. (2009). Acute and long-term cardiovascular effects of coffee: Implications for coronary heart disease. Pharmacology and Therapeutics, 121(2), 185–191. https://doi.org/10.1016/j.pharmthera.2008.10.006