Is the risk altered by smoking

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Assignment:

Many nurse researchers and theorists are in agreement that nursing process is a scientific method for delivering holistic and quality nursing care. Therefore, its effective implementation is critical for improved quality of nursing care. When the quality of nursing care is improved, visibility of nurses' contribution to patient's health outcomes becomes distinct. In this way, nurses can justify the claim that nursing is a science and an independent profession. Nurses are the largest group of health professionals in all countries. Nursing care quality is closely related to a health care system's effectiveness. In order to achieve the quality of health care service, quality of nursing care is the key element and to fill this demand application of the nursing process has a significant role, but, in practice, application of the nursing process is not well developed.

A 45 year old man visits his GP. His newborn daughter has been diagnosed with alpha 1 antitrypsin deficiency after developing severe neonatal jaundice and breathing difficulties. He wants to continue smoking and has been advised by the respiratory physicians that he should have a carrier test.

1. Is the risk of emphysema increased in mutation carriers of the MZ alpha-1- antitrypsin mutation?

2. What would be the key learning points of this case?

3. Discuss the patients outcome of this case.

4. What would the most advisable differential diagnosis of this case?

5. Is the risk altered by smoking?

6. If carrier testing shows this man to be normal MM what are the possible reasons for this? How would you broach these possibilities?

7. What are the possible red flags of this case?

8. By what factor chymotrypsin enhances the rate of peptide bond hydrolysis?

9. The active site of chymotrypsin consists of a catalytic triad of which of the following amino acid residues?

10. The polypeptide chains in chymotrypsin are linked by ____

11. Which is the enzyme that acts as a regulatory enzyme in a four-step metabolic pathway?

12. What is the relation between elasticity coefficient, flux coefficient and response coefficient?

Reference no: EM133868736

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