Cystic Fibrosis

CASE SCENARIO
A mother brings her 6-month-old daughter to the HCP for evaluation of possible colic. The mother says the baby has had many episodes of crying after eating and, despite having a good appetite, is not gaining weight. The mother says the baby’s belly “gets all swollen sometimes.” The mother says the baby tastes “salty” when the mother kisses the baby. Further work up reveals a diagnosis of cystic fibrosis. The mother relates that her 23-month-old son has had multiple episodes of “chest congestion” and was hospitalized once for pneumonia. The mother wants to know what cystic fibrosis is and she also wants to know if she should have any more children.

In this Assignment (2 page), you will examine the above case study and analyze the symptoms presented.

(2-page case study analysis) in which you:
• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

Sample Solution

he Australian government on the other hand, has a range of environmental policies to minimise the impact of government operations on the environment. There are also agency measures and targets for carbon emissions, energy, waste and resource use, as well as set mandatory environmental standards for incorporating sustainability into government procurements. However, like China, they seem to be needing some rethinking or modification. Australia’s emissions from fossil fuels and industry continue to rise, and based on the most recent quarterly inventory, are now 6% above 2005 levels and increasing at around 1% since 2014. Under current policies and taking into account the previous increase in levels of carbon emissions, Australia is headed for an increase of 9% above 2005 levels by 2030, rather than the 15-17% decrease required to meet the Paris Agreement target. Furthermore, as seen in the stimulus, the Australian Government has set a target to ‘reduce emissions by 26-28% below its 2005 levels by 2030 through a credible policy suite that is already reducing emissions, encouraging technological innovation and expanding our clean energy sector.’ Thus, to conclude, Australia ratified the Paris Agreement on 6 November 2016. Its Nationally Determined Contribution (NDC), includes a target of reducing GHG emissions, including land use, land use change and forestry (LULUCF), by 26–28% below 2005 levels by 2030. However, current policies are projected to increase GHG emissions excluding LULUCF by about 9% above 2005 levels by 2030, relating highly to China’s extreme levels of CO2 emissions.

The Human Development Index (HDI) is a summary measure for assessing long-term progress in three basic dimensions of human development: a long and healthy life, access to knowledge and a decent standard of living. China’s HDI value is 0.752 (2017), which puts the country in the high human development category at 86 out of 189 countries and territories, shared with Ecuador. Between 1990 and 2017, China’s HDI value increased from 0.502 to 0.752, an increase of 49.7%. Between 1990 and 2017, China’s life expectancy at birth increased by 7.1 years, mean years of schooling increased by 3.0 years and expected years of schooling increased by 5.0 years. China’s Gross National Income (GNI) per capita increased by about 898.7% between 1990 and 2017. In China, the central government has overall responsibility for national health legislation, policy, and administration. It is guided by the principle that every citizen is entitled to receive basic health-care services, with local governments (provinces, pre

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