The leading cause of morbidity and mortality in the US is cardiovascular disease. It is commonly a result of years of chronic inflammatory changes to the lining of the blood vessel (endothelium) caused by excessive calories (free radical oxygens from burning fats) and lack of exercise (insulin resistance) and/or smoking. Metabolic syndrome is a constellation of excessive central fat (waist>hip ratio) high blood pressure + elevated LDL with low HDL + insulin resistance (pre-diabetes) or Type 2 diabetes. We use medications in combinations to reduce LDL cholesterol, reduce triglycerides, reduce weight, lower blood pressure, improve insulin resistance, and lower blood sugar levels.

Choose one drug from each of these categories and discuss how they work together better than they would work separately. You will need to demonstrate an understanding of how they interact on the body (pharmacodynamics).

Limit your information to one page and cite your references.

Piaget believed that object permanence is the key achievement of the sensorimotor stage of development. In Piaget’s view, this occurs by 2 years of age for most individuals. For an example of this phenomenon in action, see the following video: http://www.youtube.com/watch?v=nwXd7WyWNHY&feature=related (you may need to paste the link into your browser window)

Some developmental psychologists, while acknowledging Piaget’s vast contributions to the field, nonetheless question his views regarding object permanence. In your own view or experience, do you feel that object permanence (i.e., understanding that something persists even when out of view) develops as noted by Piaget, or is it possible that individuals have an understanding of object permanence even earlier?

Provide a full, three-paragraph post referencing a journal article in APA style (listed at the bottom of your discussion). You must also provide a full paragraph (at least three sentences) response to at least two other discussion posts.

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to a specialty area of interest. In a 750‐1,000-word paper, provide a detailed overview of the organization and its advantages for members. Include the following: Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.

Discuss special populations and considerations for your chosen bipolar and related disorder; demonstrating critical thinking beyond the basics of HIPPA and informed consent with a discussion of at least one for EACH category:  legal considerations, ethical considerations, cultural considerations, social determinants of health

Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?