A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.
•Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
•Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.
Ace in Architecture1,2, Assoc. Professor3 Personnel of Design and Architecture, Universiti Putra Malaysia, Selangor. Dynamic In the ongoing years, urban moderate lodging has been encountering huge skyscraper private development. It is determined that the change that throughout the following 20 years the statistic profile of the region's set up rural areas, bringing about the requirement for a more noteworthy scope of lodging composes. With the estimate, Malaysia and Singapore lodging improvement is differentiating the unit formats to provide food for changing social needs which situation presently can't seem to be examined. The principle reason for this examination is to decide the potential social advantages of expanding skyscraper private units in the urban moderate lodging with regards to Kuala Lumpur and Singapore. Moreover, it distinguishes the different proper skyscraper private units' plan to meet the network's current and future needs of lodging. By utilizing different contextual analyses technique, the unit configuration will be broke down in light of the its size, its gave rooms, its aggregate units and its gave fundamental offices and courtesies and also how it profited the general public. Thus, this investigation fundamentally demonstrates the conspicuous of the enhancing private units' plan as brilliant development city guideline in the urban setting of Kuala Lumpur and Singapore. Catchphrases: expanding private units' outline, brilliant city standard, social advantages, urban reasonable lodging. RESEARCH QUESTION What are the potential social advantages of the differentiating skyscraper private units' outline towards the general public? Presentation In the present urban improvement, high thickness and smaller advancement has been altogether talked about to help the development in populace in the urban setting. Skyscraper private improvements, which is likewise called as vertical living, are unequivocally advanced in relatively every legislative moderate lodging arranging approach to be set in setting of downtown area. The present market requests a feeling of dynamic quality and network in the blended advancement that they live in (Bell, 2004). Just about 68% of all Malaysian, which is around 18 a huge number of Malaysian, have lived in the towns and urban communities as it demonstrates a generally high creating of urbanization in the creating nation (Wan Nor Azriyati WAN ABD AZIZ, 2014). As the populace development in the urban setting, the requirements for more private lodging in the vertical shape are frantically getting higher with a specific end goal to help the adjustment in the distinctive life stages and the lodging needs. In like manner, in Singapore, the requirements of vertical type of private lodging has been quickly expanded along the development in the populace and the difference in various life stages. Henceforth, Malaysia government has drafted ACT 739 under the Law of Malaysia to set up a group of association called PR1MA, Perumahan Rakyat 1 Malaysia, to design, create, develop and keep up the high caliber of reasonable lodging. Then again, Singapore government has set up an open lodging specialist, which is called Housing and Development Board (HDB), to design and build up the lodging homes and also to change the town into more agreeable and living condition. There are different activities are being created and built in the ongoing years, particularly in rural region and urban setting. Both of the set up associations have executed the brilliant development city standards. The fast speed of development of the continuous urbanization in both Malaysia and Singapore has made the chances to actualize the shrewd development city standards in the greater part of the improvement to maintain a strategic distance from the very wasteful urban sprawl in the urban setting. Notwithstanding, one of procedures of shrewd development standards expressed that a scope of lodging openings and decisions ought to be made and executed in the improvement to help the diverse life phases of network. Along these lines, decent variety of lodging decisions in the chose ventures has offered more prominent chances to make a more energetic kinds of network, in the mean time, it likewise bolsters different scope of earnings in one improvement. Goals This investigation expects to examine the potential advantages of differentiating skyscraper private unit plan in urban reasonable lodging to the general public. Writing REVIEW What is Smart Growth? Savvy development is characterized as an advancement that backings financial development, solid networks and natural wellbeing. Shrewd development advancement planned to make high caliber of that influences the networks to accomplish monetarily aggressive, to make business openings and fortifies the neighborhood assess base. With a specific end goal to make and keep up incredible neighborhoods, the Smart Growth Network built up an arrangement of 10 essential standards to control keen development systems. (Anon., 2015) Ten Principles of Smart Growth 1. Blend arrive employments 2. Exploit reduced outline 3. Make a scope of lodging openings and decisions 4. Make walkable neighborhoods 5. Encourage unmistakable, appealing networks with a solid feeling of place 6. Save open space, farmland, regular magnificence and basic natural territories 7. Reinforce and direct improvement towards existing networks 8. Give an assortment of transportation decisions 9. Settle on advancement choices unsurprising, reasonable and savvy 10. Empower people group and partner joint effort being developed choices. By actualizing the third rule of Smart Growth, the advancement must give a scope of lodging openings and decisions to meet the network's current and future needs. The arrangement of value lodging for groups of all life stages and salary levels is a vital piece of the keen development approaches. There are different reasons that urban communities should offer an assorted scope of lodging decisions for nearby occupants. By coordinating the arranging structures for single and multi-family in new private improvement, the advancement itself can bolster a more various populace. It likewise permits more fair dispersion of family units of all pay levels. In addition, it is prompting make a higher interest for network administrations and offices, for example, shopping centers, schools, human services, office and amusement offices. Enhancing lodging in vertical frame has likewise given more open doors in the advancement that enables the inhabitants to have options in a little land parcel. Notwithstanding, when the improvement centers into one kind of lodging, it makes various potential issues. The improvement will figure out how to pull in one sort of occupant, which does not accomplish the objective of various populace in term of age, wage level, families and singles. Henceforth, this approach does not figure out how to make a supportable network for the reason being that no single sort of lodging can serve the different request of assorted family in the present market. Besides, if the kinds of network are being isolated and gather by the parts of salary levels, local people with low pay will be compelled to oblige in the suburb region and, henceforth, the social issues will be expanded when the network are being isolated. What is Urban Affordable Housing? The idea of urban moderate lodging can be characterized as the designation for rental or portion must not surpass 30% of the aggregate family unit salary in the urban setting (B Bakhtyar, 2012). By that implies, the unit of lodging must be reasonable if the inhabitant's family unit spend inside 30% of its salary on the lodging costs, including the utilities, for them to live in the urban setting where the development of financial is quickly expanding. What is PR1MA? PR1MA was set up as a legislature possessed organization under PR1MA Act 2012 and under the supervision of Ministry of Housing and Local Government. It is built up to help the proposed statistic of center salary gathering to deal with the average cost for basic items with regards to urban territories. The private houses are given in the practical network and be evaluated inside the scope of RM 100,000 to RM 400,000. Be that as it may, the vast majority of skyscraper private advancement will be arranged and additionally created with regards to urban regions. Subsequently, this investigation will center into the sorts of unit formats of vertical living in view of the accompanying undertakings as the contextual analyses. Contextual analyses of HDB in Kuala Lumpur, Malaysia 1. PR1MA @ Jalan Jubilee, Kuala Lumpur This improvement is one of the skyscraper reasonable private lodging venture situated in the downtown area and available through Jalan Loke Yew and Jalan Jubilee. This venture offered three fundamental sorts of unit format in the aggregate of 543 units in 2.5 sections of land of land, which is appeared in Figure 1 beneath. This improvement has included enhancements for network, for example, surau, network corridor, kindergarten, shops, nursery and play area, to facilitate the network to stroll inside their compound for the fundamental offices. The arrangement of three fundamental sorts of units, which involve 3 rooms with 2 restrooms for unit compose An and C and in addition 2 rooms with 2 washrooms for unit compose B, has given the chances to the little family to set up their family in the urban setting. Be that as it may, the dynamic quality of network scarcely to be accomplished because of the improvement centers into institutionalize>GET ANSWER