A 60-year-old G4P4 woman presents with a two-year history of urine leakage with activity such as coughing, sneezing and lifting. Her past medical history is significant for vaginal deliveries of infants over 9 pounds. She had a previous abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine fibroids. She is on vaginal estrogen for atrophic vaginitis. Physical exam shows no anterior, apical or posterior wall vaginal prolapse. Vagina is well-estrogenized. Post-void residual was normal. Q-tip test showed a straining angle of 60 degrees from the horizontal. Cough stress test showed leakage of urine synchronous with the cough. Cystometrogram revealed the absence of detrusor instability. The patient failed pelvic muscle exercises and was not interested in an incontinence pessary. Which of the following is the best surgical option for this patient?A. Retropubic urethropexyB. Needle suspensionC. Anterior repairD. Urethral bulking procedureE. Colpocleisis

Answers

Answer 1

Answer:

A. Retropubic urethropexy

Explanation:

Since it is stated that the woman has a two-year history of urine leakage and had a previous abdominal hysterectomy. These are indications of GSI i.e. Genuine Stress Incontinence, a condition in which increments of intra-abdominal pressure produce involuntary urine loss.

Both urethral hypermobility and  Intrinsic Sphincteric Deficiency (ISD) are causes of stress urinary incontinence. Only Retropubic urethropexy is best for patients suffering from GSI due to both hypermobility and  Intrinsic Sphincteric Deficiency (ISD). The other options can only address one or none of the specified causes.


Related Questions

A concept that there is a specific time in an organism's development during which external factors have a unique and irreversible impact is:

A. ethology
B. equifinality
C. critical period
D. zone of proximal development

Answers

Answer:

C. Critical period.

Explanation:

Critical period:

In developmental biology, ciritical period is also known as sensitive period which is defined as a period or stage of maturation in the organism's lifespan in which nervous system is more sensitive to various environmental stimulus. Means, brain cell connections are more receptive to influence from surrounding environmental factors. Our body's many cruical functions including behavior are established during critical period with irreversible impact.

What are expenditures for assets subsequent to acquisition?

Answers

Your answer is:

Repairs and maintenance, Improvements, additions

The expenditures for assets subsequent to acquisition are purchase price, incidental expenses and installation charges.

What is expenditure?

Expenditure is defined as the entire energy cost of maintaining steady bodily conditions plus the energy cost of physical activities.

It can also be defined as a measurement of the increased energy metabolism required to perform a function.

There are four basic component of expenditure

Resting metabolic rate The thermic effect of foodThe thermic effect of energyAdaptive or facultative or thermogenesis

Thus, the expenditures for assets subsequent to acquisition are purchase price, incidental expenses and installation charges.

To learn more about expenditures, refer to the link below:

https://brainly.com/question/13525490

#SPJ2

The process of straightening an unsaturated fatty acid to create a more solid fat that resists rancidity is called

Answers

Answer:

The correct answer is hydrogenation

Explanation:

The process of straightening an unsaturated fatty to produce more saturated and more solid fat is called hydrogenation. In the process of hydrogenation, the hydrogen is added to the liquid unsaturated fats to convert them into solid fat.  

Hydrogenation helps in increasing the shelf life of the oil by resisting rancidity. Most of the trans fat in our diet is made from the process of hydrogenation. Fully hydrogenated oil contains a very small amount of trans fat and is better than trans fat which is partially hydrogenated.

Answer:

Hydrogenation.

Explanation:

Two main types of fatty acid are unsaturated fatty acid and saturated fatty acid. The saturated fatty acid has single bond in their structure whereas unsaturated fatty acid has double or triple bond.

The hydrogenation may be defined as the addition of hydrogen molecules to the unsaturated fatty acids that makes them saturated. This process in the presence of palladium  that acts as catalyst for the reaction. The increases in saturation level decreases the rancidity as well.

Thus, the answer is hydrogenation.

The human stress system evolved to deal with events such as getting chased by a lion. Which modern stress activates the stress system in the same way as getting chased by a lion?

Answers

Adrenaline which creates the “fight or flight respond” basically amplifying the function of many of the body’s internal parts to allow someone to escape from a lion.

Final answer:

Modern stressors like public speaking or deadlines trigger the fight or flight response similar to ancestral threats like being chased by a lion. This chronic activation of the stress system can lead to serious health issues.

Explanation:

The modern stress that activates the stress system in the same way as getting chased by a lion would be psychological threats, such as public speaking or facing a looming deadline. These modern stressors activate the fight or flight response, which the human nervous system has evolved over millions of years to handle immediate physical threats. The autonomic nervous system triggers a series of hormonal and physiological adjustments when faced with such stress. Unfortunately, modern stressors tend to be prolonged and can lead to chronic activation of this system, which can have serious health consequences, including cardiovascular disease, diabetes, anxiety disorders, depression, and impaired judgment.

A grasshopper jumps along a line. His first jump takes him 1 cm., the second 2 cm, etc. Each jump can take him to the right or to the left. Prove that after 2017 jumps, the grasshopper cannot be in the same location it started.

Answers

Answer:

The grasshopper cannot be in the same location it started because by 2017, it would have covered a distance of 1017576.5 to either left or right. and that distance is not an integer.

Explanation:

The grasshopper jumps in integer of 1 cm to either right or left

Calculating for the total distance covered in 2017 jumps

Total Distance = (2017 x 2018)/2 = 2035153 cm

To either right or left: this implies that the total distance be divided by 2

=> 1017576.5 cm

It shows that at some point, the grasshopper will not be in a position of integer on either right or left.

Therefore, it can not get to its initial point of start.

Final answer:

To prove that after 2017 jumps the grasshopper cannot be in the same location it started, we can calculate the total distance covered by the grasshopper. By using the formula for the sum of an arithmetic series, we find that the grasshopper would have covered a total distance of 2036171 cm after 2017 jumps. Therefore, the grasshopper cannot be in the same location it started.

Explanation:

To prove that after 2017 jumps the grasshopper cannot be in the same location it started, we need to consider the distance covered by each jump. The grasshopper jumps 1 cm in the first jump, 2 cm in the second, and so on. We can observe that the distance covered in each jump is increasing by 1 cm. Therefore, after 2017 jumps, the grasshopper would have covered a total distance of 1 + 2 + 3 + ... + 2017 cm.

To find this total distance, we can use the formula for the sum of an arithmetic series: S_n = (n/2) * (a_1 + a_n), where S_n is the sum of the first n terms, a_1 is the first term, and a_n is the nth term. In this case, n = 2017, a_1 = 1, and a_n = 2017.

Substituting these values into the formula, we get S_n = (2017/2) * (1 + 2017) = 2017/2 * 2018 = 2036171 cm.

Based on this calculation, we can conclude that after 2017 jumps, the grasshopper would have covered a total distance of 2036171 cm. Since this distance is greater than zero, it is impossible for the grasshopper to be in the same location it started.

A patient was exposed to a nerve gas during a chemical warfare attack. The nerve gas inhibited the enzyme acetylcholinesterase. What will happen to the amount of acetylcholine in the synaptic cleft

Answers

Use of acetylcholine in warfare Attack

Explanation:

When ACh is consistently released from the synaptic vesicles into the synaptic split, an expansion in transmitter fixation follows. The serine hydrolase AChE causes a fast hydrolysis of ACh with an exceptionally high response rate prompting the breakdown of ACh and its disposal from the synaptic separatedThis response drastically diminishes the grouping of ACh inside the synaptic split. In this manner, ACh focus rots because of hydrolysis, dissemination and connection to AChR in an exponential fashion

What are the disadvantages of a flatworms digestive system having

Answers

The provided question is incomplete, however the complete question is as follows:

What are the disadvantages of a flatworm's digestive system having only one opening?

Answer:

The correct answer is - cannot consume food continuously .

Explanation:

The main disadvantage of digestive system in the flatworm are one way of opening which is a characteristic feature of many Platyhelminthes phylum organism. This type of digestive system where food enters and exits with the same and only opening available.

In flatworms, once the organism take the food it has to wait for the food to be digested and excreted out by the same opening it use to eat and leave the same opening.

Thus, the correct answer is - cannot consume food continuously.

The question is incomplete. The complete question is as follows:

What are the disadvantages of a flatworm's digestive system having only one opening?

Answer:

The digestive system of the flatworms has been modified depending on their host parasite interaction. They have simple digestive system with the single opening.

This digestive system might have some disadvantages as the food consumption is not continuous due to the single opening. The ingestion and excretion as same opening and this increases the timing of the digestion and excretion process. The energy is expanded more in this type of the digestive system.

Which type of epithelium lines the inferior portions of the pharynx?

Answers

Answer:

The type of epithelium that lines the inferior portions of the pharynx is stratified squamous epithelium.

Explanation:

The pharynx is a structure made up of muscles and mucous membranes -like many internal organs- that is part of the respiratory system and is an intermediate step in the digestive tract.

This structure has two portions:

Upper or nasopharynx Lower, or oropharynx, in contact with the airways.

Some even propose that the borderline surface between the pharynx and larynx can be called the laryngopharynx, due to its tissue structure.

The lower portion of the pharynx is covered by a squamous stratified epithelium, the inner layers of which rest on a basal lamina. The more superficial layers provide protection to the interior of the pharynx against friction, in addition to remaining lubricated by mucous secretion at that level.

Learn more:

Lower portion of the pharynx https://brainly.com/question/7300121

During a party, Michael was talking to a friend about the symbolism involved in a recent movie. Michael attributed the explanation of the symbolism to a prominent movie critic, when actually he heard it from his roommate. This example illustrates which of the following phenomena?a. Source-monitoring error
b. Serial position effect
c. Cryptomnesia
d. Amnesia

Answers

Answer:

a. Source-monitoring error

Explanation:

Source-monitoring error is a phenomenon that refers to a type of memory error in which an individual’s recall of a memory or experience is disrupted leading to incorrect attribution of an experience to an incorrect source. Several factors have been identified to be the cause of this memory error. They include, brain injury, amnesia, depression, aging, high stress level, etc.

Answer:

A. Source-monitoring error.

Explanation:

Source monitoring errors occur when normal memory recall and perceptual processes are disrupted and a memory error occurs. Source monitoring itself is an unconscious mental test that humans perform in order to determine if a memory is "real" and accurate as opposed to being from an extraneous source like a dream or a movie. People use many sources to determine the source of a memory or idea. When a disruption in source monitoring occurs errors in recall can result as a source monitoring error. These occur when a specific recalled experience is falsely attributed to be the source of a particular memory.

In this instance now, Michael was talking to someone about symbolism in a recent movie. Instead of Michael to attributes the explanation to his roommate that told him, he attributed the explanation to a prominent movie critic.

When sperm and egg cells undergo meiosis, the number of chromosomes goes from ______ to _______. When an egg is fertilized by a sperm cell that number goes from ______ to ______. 2 to 2; 1 to 1 1 to 1; 2 to 2 1 to 2; 2 to 1 2 to 1; 1 to 2

Answers

Final answer:

The number of chromosomes in sperm and egg cells goes from diploid (46) to haploid (23) during meiosis. Upon fertilization, these haploid cells merge to form a diploid zygote with 46 chromosomes. The correct sequence is 2 to 1; 1 to 2.

Explanation:

When sperm and egg cells undergo meiosis, the number of chromosomes goes from diploid (2n) to haploid (n). Specifically, the number goes from 46 to 23 chromosomes in humans. When an egg is fertilized by a sperm cell, this number goes from haploid to diploid, or from n to 2n, effectively from 23 to 46 chromosomes. Therefore, the correct sequence of numbers from the options provided is 2 to 1; 1 to 2.

During this process, DNA is copied once, and then the cell divides twice, leading to gametes with half as much genetic information as the original cell. Upon fertilization, the gametes unite and the original number of chromosomes is restored in the zygote, which now contains the full complement of genetic information necessary for the development of a new organism.

Adult male humans generally have deeper voices than do adult female humans, which is the direct result of higher levels of testosterone causing growth of the larynx. If the fossil records of apes and humans alike show a trend toward decreasing larynx size in adult females and increasing larynx size in adult males, then _________.a. sexual dimorphism was developing over time in these speciesb. intrasexual selection seems to have occurredc. stabilizing selection was occurring in these species concerning larynx sized. selection was acting more directly upon genotype than upon phenotype

Answers

Answer:

a. sexual dimorphism was developing over time in these species

Explanation:

Sexual dimorphism is an evolutionary change that occurs over time in species, which could be as a result of sexual selection which makes both sex of a species develop a systematic difference in form, which can manifest in terms of body size, color, secondary sex characteristics, and size of some structures such as larynx size which accounts for deeper voices in males in relation to levels of testosterone. This is later passed across from generation to generation over time.

Which of the following is the earliest step in transcription? A. RNA polymerase encounters a termination signal, and the DNA molecule is released. B. Complementary RNA nucleotides are synthesized and added to the mRNA molecule. C. Introns are excised from the pre-mRNA strand. D. RNA polymerase binds to the promoter on the template strand of DNA.

Answers

Answer:

D.

Explanation:

Transcription is the first step in gene expression. It involves duplicating a gene's DNA sequence to make an RNA molecule.

It is performed by enzymes called RNA polymerases, which link nucleotides to form an RNA strand (using a DNA strand as a template)

Answer: D. RNA polymerase binds to the promoter on the template strand of DNA.

Explanation: The first step in transcription is termed initiation step. In this step, the enzyme RNA polymerase binds to a region or section of a gene called the promoter. This specific action results to the signalling of the DNA to unwind so the enzyme can decode the bases in the DNA strands. The enzyme now make a strand of mRNA with contemporary bases.

What is not a role of activated complement?

Answers

what the activated complement does is protect the body by sending out WBS's wherever infections are located, this is it's only function.

Overactive sebaceous glands can cause:________a) fine hairs on the forehead to become brittle. b) the forehead's skin to become dry. c) bacteria on the forehead's skin to grow and multiply freely. d) seborrhea, a disease characterized by red, itchy lesions on the scalp.

Answers

Answer:

d) seborrhea, a disease characterized by red, itchy lesions on the scalp.

Explanation:

Sebaceous gland are the glands which are usually present beneath the skin and with the hair follicles. They are also known as oil-producing glands as they released sebum.  

If the sebaceous gland becomes too active and secrete extra sebum than it can cause a condition called Seborrhoea. In Seborrhoea microbe  like Malassezia fungi species colonizes the area where sebum is produced and initiates local inflammatory response which causes scaly patches,  itchy lesions, and red skin. So the correct answer is d.

Final answer:

Overactive sebaceous glands primarily cause seborrhea, which is characterized by red, itchy lesions on the scalp. The glands produce excessive sebum resulting in this condition, while options a, b, and c are not direct consequences of overactive sebaceous glands.

Explanation:

Overactive sebaceous glands in the skin can lead to various outcomes, but the most corresponding answer to this question is option d) seborrhea, a disease characterized by red, itchy lesions on the scalp. The sebaceous glands produce an oily substance called sebum, which plays a critical role in the protection and nourishment of skin. However, when these glands become overactive, they generate excessive amounts of sebum. This excess sebum can result in a condition known as seborrhea, displaying symptoms of redness, itchiness, and flaky skin particularly on the scalp. Options a, b, and c are not direct effects of overactive sebaceous glands.

Learn more about Sebaceous Glands here:

https://brainly.com/question/31712282

#SPJ6

The water-to-land transition occurred independently several times in the protostomes. What is not an example of an adaptation for terrestrial living that may have arisen by convergent evolution?

Answers

Answer: Decreased surface to volume ratios to increase the efficiency of the gas exchange in air

Explanation:

The protostomes are coelomate invertebrates in which the mouth is been formed firstly from an opening called the blastopore. They are arthropods, mollusks, and annelids.The important difference between protostomes and deuterostomes is between the point of the blastopore. In protostomes, the blastopore is been developed into the mouth, and the opposite cavity develops into the anus. While In deuterostomes (the group that includes echinoderms and vertebrates ), the blastopore in been developed into the anus.

What activity does bipedalism in primates describe? Group of answer choices walking on two feet walking on four feet walking using two legs and a tail swinging from branch to branch

Answers

Bipedalism in primates is described as walking on two feet.

Explanation:

Bipedalism refers to the ability of walking on two feet. This is an evolutionary adaptation that has developed in many higher animals and has enabled them to reside and survive in diverse habitat. Though bipedalism is possible in all primates but it is generally not followed by them except in human beings.

Answer:

walking on two feet

Explanation:

took the quiz

After teaching a class about the endocrine system, the instructor determines that the students need additional instruction when they identify which of the following as an endocrine gland?
A)
Pancreas
B)
Adrenal gland
C)
Testes
D)
Kidneys

Answers

Answer:

The correct answer is D)  Kidneys

Explanation:

The endocrine system contains the glands which secrete their secretion called hormone directly in the blood because their target organs are situated distantly from them where the hormone reach through blood.

Pancreas, adrenal gland, and testes are the endocrine glands which secrete hormones directly in the blood. The kidney is not an endocrine gland and does not secrete any hormone. The kidney is responsible for filtering blood and removal of nitrogenous and other waste from the body. Therefore the correct answer is D.

While testing for biological macromolecules in an unknown, you find that it reacts strongly with iodine and the solution immediately turns a very dark black. The macromolecule at hand must be:_________.

Answers

The macromolecule must be starch.

Explanation:

Starch is a polymer of Glucose joined by glycosydic bond.

Starch is the main energy storage substance in green plants.

Starches react with iodine and give a bluish black or black color and thus iodine test is considered as a confirmatory test for starches.

In this experiment ,the solution turns very dark black on addition of iodine so we can be sure that the solution contained starch.

In C3 plants the conservation of water promotes_______.a. photorespiration. b. a shift to C4.c. photosynthesis.d. the opening of stomata.e. the light reactions.

Answers

Answer:

A) photorespiration.

Explanation:

Photorespiration is the harmful metabolic process which takes place when the concentration of oxygen in the leaf increases compared to carbon dioxide.

The RUBISCO enzyme which usually binds the carbon dioxide now binds the oxygen and form the phosphoglycolate and 3 phosphoglycerate. The phosphoglycolate is lost through the Calvin cycle as Carbon dioxide molecule. This loss proves harmful to the plants.

The photorespiration occurs when the plant faces high temperature therefore n order to prevent water loss the stomata gets closed. This result in the binding of the oxygen to the RUBISCO and thus photorespiration begins.

Thus, Option-A is correct.

Cells grown in laboratory culture dishes undergo only a fixed number of division before dying. The number of possible divisions drops depending on the age of the donor organism. This phenomenon is called the

Answers

Answer:

Hayflick limit

Explanation:

The Hayflick limit, or Hayflick phenomenon, is the number of times a normal human cell population will divide before cell division stops. It was postulated by Leonard Hayflick in 1961,

Brian wants to buy a mare which he can breed to help develop a horse-breeding operation. Larson offers to sell Brian a horse which he believes is healthy, and should make a good broodmare when a little older. After two years, the horse has not yet foaled. The veterinarian tells Brian that the horse is incapable of breeding. If Brian sues to rescind the contract with Larson, it is:

Answers

Horse breeding Operation

Explanation:

Brian was not aware of that fact that the horse is incapable of breeding at the point he buys it, but Larson assures Brian the horse is healthy. In this light, if Brian sues to cancel the contract with Larson, the court will allow it based on a mistake of fact. This way the court will reduce any civil liability or criminal culpability because Larson might not know that the horse cannot breed, although he is certain that the horse is healthyHence, the right answer is "Likely that a court will allow the rescission based on a mistake of fact"

The sensory receptors of the inner ear for equilibrium are

Answers

Final answer:

The inner ear structures responsible for equilibrium are the utricle, saccule, and three semicircular canals. They contain hair cells with stereocilia that sense head position and movement. Signals from these structures reach the brain stem and cerebellum via the vestibulocochlear nerve.

Explanation:

The sensory receptors of the inner ear responsible for equilibrium, or balance, are primarily located within the vestibule of the inner ear. Specific structures involved are the utricle, saccule, and the three semicircular canals.

Each of these structures plays a distinctive role in maintaining equilibrium: the utricle and saccule help sense head position, while the semicircular canals sense head movement. They contain mechanoreceptors, specifically hair cells with stereocilia, that sense your body's position and motion and send this information to the brain.

The sensory signals generated in these structures are transmitted to the brain via the vestibulocochlear nerve, eventually reaching the brain stem and cerebellum, thereby allowing you to maintain balance and orientation.

Learn more about Inner ear equilibrium here:

https://brainly.com/question/33708094

#SPJ11

Otolith receptors in the inner ear help detect balance and head movements by transducing signals to the brain.

Otolith receptors are two inner ear vestibular receptors that transduce linear accelerations and head tilt into neural signals for detecting balance. These receptors, located in the utricle and saccule, play a crucial role in maintaining equilibrium. The neural signals from these receptors are transmitted to the brain for interpretation.

A team of scientists and dentists collaborates to develop a toothpaste that can instantly whiten teeth. A meeting is held so that the team members are acquainted with each other. The members formally introduce themselves and collectively establish group norms. This group is in the _____ stage of team development.

Answers

Answer:

forming

Explanation:

Team development is a process wherein different individuals come together and learn to work efficiently to carry out a specific task.

There are certain stages that a team goes through during the development phase and these are:

1. Forming

2. Storming

3. Norming

4. Performing

5. Adjourning

The stage of team development where the different members get to know each other and orient themselves concerning each other's space is known as forming. This is a stage where they get acquainted with each other and explore and learn the ideas fo different team members.

Since in the given situation the scientists and dentists are holding a team meeting to get acquainted with each other and formally introducing themselves, the team is currently in the development stage of forming.

Q. A person’s blood glucose level fluctuates during the day, asrepresented in Figure 1. Two hormones, insulin and glucagon,are directly involved in regulating the blood glucose level tomaintain a healthy level. Insulin acts to lower the blood glucoselevel, and glucagon acts to increase the blood glucose level.Which of the following best predicts what will happen to theblood glucose level if the person has another meal at 5 pm?Immediately after the meal, the blood Immediately after the meal. the blood. glucose level will decrease because of the . glucose level will increase, and then insulinincrease in glucagon levels. will be secreted to counter the increase.Several hours after the meal, the blood The blood glucose level Will not change after. . the 5 pm. meal because the person hasglucose level wull Increase sharply because of. . . . already consumed two meals and the bloodan Increase In the amount of glucagon .secreted glucose level has been adjusted to a steady.' state level.

Answers

Answer:

If the person has another meal after 5 pm, the glucose level in the blood will increase, and the insulin level too.

Several hours after the meal, the glucose levels will decrease, and the glucagon levels will increase.

Explanation:

When a person ingests another meal after 5 p.m, the glucose levels in the blood will increase, as the body does not need all that glucose right now the insulin levels in the blood will increase to store glucose for later. The glucagon levels after a meal are very low because the aim is to store glucose not use it.

Several hours after the meal, the body needs the energy to keep operating so it will use the glucose that was stored, to do this, the levels of glucagon in blood have to increase and release the glucose, and the levels of insulin in blood have to decrease.

Final answer:

Following a meal, blood glucose levels rise which triggers the production of insulin. Insulin helps in glucose absorption and reduces the blood glucose level. Several hours post-meal, as glucose levels drop, glucagon gets released which assists in raising the blood glucose level by promoting glycogen breakdown and gluconeogenesis.

Explanation:

When a person has a meal, the glucose level in the blood increases. This is due to the carbohydrates in the food being broken down into glucose. This rise in glucose triggers the pancreas to produce and release insulin. Insulin aids the cells in absorbing glucose and regulating the blood glucose level by reducing it. Moreover, insulin stimulates the liver and muscles to store excess glucose as glycogen.

Several hours after the meal, as the glucose is utilized, blood glucose levels start to drop. This decrease signals the pancreas to release glucagon. Glucagon stimulates the liver to break down the stored glycogen into glucose and release it back into the blood, thereby increasing the blood glucose level. Additionally, glucagon promotes the process of gluconeogenesis in the liver, where it synthesizes glucose from amino acids absorbed from the bloodstream. Both of these actions mediated by glucagon result in an increase in blood glucose levels to maintain it at a steady state.

In conclusion, immediately after a meal, the blood glucose level will increase and then insulin will be secreted to counter the increase. Then several hours after the meal, the blood glucose level will increase again due to an increase in the amount of glucagon secreted.

Learn more about Blood Glucose Regulation here:

https://brainly.com/question/32062934

#SPJ12

Maureen does not seem to take responsibility for her actions (e.g., always creating excuses for coming home past curfew and acting like a victim of teachers when it comes to bad grades). In order for her to take responsibility for her behavior, she needs to become more ____________.A. situation-conscious.
B. self-conscious.
C. self-possessed.
D. condent.

Answers

C is the answer for the question

Final answer:

Maureen should become more self-conscious (B), aware of her actions and their consequences, and develop an internal locus of control to take responsibility for her behavior, enhancing her conscientiousness.

Explanation:

In order for Maureen to take responsibility for her behavior, she needs to become more self-conscious. This means she should be more aware of her own actions and their impact, as well as develop an ability to reflect on her behavior. For example, instead of blaming others for her bad grades, like Jane with an external locus of control, Maureen could develop an internal locus of control where she recognizes her role in her academic performance. Developing conscientiousness is also key, as it involves being punctual, following rules, working hard, and being decisive—all traits that support taking personal responsibility.

Although the mechanisms by which aerobic training leads to enhanced aerobic performance in adolescents are still unclear, it is likely that ________________ may play a role.

Answers

Answer:

increased maximal stroke volume

Explanation:

Stroke volume is the amount of blood put out by the left ventricle during a contraction. By doing the regular aerobic training one can increase its maximal stroke volume. More the stroke volume of a person less will be its heart rate because more amount of blood will be pumped by the heart in a single time.

This is the reason why athletes have a decreased heart rate than normal people. So till now the mechanism of enhanced aerobic performance lead by aerobic training is not clear but it can be said that increased maximal stroke volume may play a role.

mutations can cause a change in a gene allele, which can be harmful. ocasionally mutations can be beneficial. some changes however are 'silent', i.e. they dont cause a change in the trait. explain how this is possible.

Answers

Answer: They replace the original amino acid with the same or a chemically similar amino acid

Explanation:

If for instance: glutamate is replaced by aspartate in a polypeptide chain, then the mutation is called 'silent' because both glutamate and aspartate are acidic amino acids, hence it does not result in a change of the amino acid sequence of the protein.

1. The carrier proteins through which sugar enters pancreatic beta cells have______.A. A Lower Km.B. A Higher Km.C. The Same Km.2. Than the carriers through which sugar enters muscle cells . In order for muscle cells to increase sugar import_______.A. Blood sugar levels must be high.B. Insulin must be present.C. Glycogen must be present.D. Glucagon must be present.3. Oh, and glucokinase has a______when compared to hexokinase.A. High Km.B. Low Km. 4. ________are responsible for the release of transferrin from the transferrin receptor and iron form transferrin. A. Proton Pumps.B. Iron Reductases.C. Ferriportins.D. Iron Oxidases.5. ________Convert the iron to the active form in which it may be exported.A. Proton Pumps.B. Iron Reductases.C. Ferriportins.D. Iron Oxidases. 6. This happens in the_______.A. Lysosome.B. Cytoplasm.C. Intermembrane Space.D. Interstitial Fluid.

Answers

The carrier proteins through which sugar enters pancreatic beta cells have "Higher Km" (a high Km indicates low affinity for the substrate) than the carriers through which sugar enters muscle cells at fasting blood sugar levels.

In order for muscle cells to increase sugar import Insulin "must be present". Oh, and glucokinase has a High Km (a lower affinity for glucose ) when compared to hexokinase.

"Proton pumps" are responsible for the release of transferrin from the transferrin receptor and iron form transferrin  (Proton pumps are transporters that move hydrogen ions from regions with low concentration to regions with higher concentration)

"Iron Reductases" convert the iron to the active form in which it may be exported (ferric iron is converted to ferrous iron by ferric reductase). This happens in the "Lysosome" (lysosome is an organelle that contains hydrolytic enzymes)

ANSWER 4 QUICK QUESTIONS!!
What accomplishment are you most proud of? ...
Which of your friends are you proudest of? ...
What's the most beautiful place you've ever been? ...
Do you feel like a leader or a follower? ...

Answers

Answer:

Quick?

Explanation:

My garden.

My best friend.

the mountains.

Follower.

Answer:

I am proud of washing the dishes

My friend I'm most proudest of is James, because he washed the dishes

The most beautiful place I've been to is the sink.

I feel like a leader because I wash the dishes

Explanation:

In a winter of an epidemic flu, 2000 babies were surveyed by a well-known pharmaceutical company to determine if the company's new medicine was effective after two days. Among 120 babies who had the flu and were given the medicine, 29 were cured within two days. Among 280 babies who had the flu but were not given the medicine, 56 were cured within two days. Is there any significant indication that supports the company's claim of the effectiveness of the medicine?

Answers

Final answer:

A preliminary comparison of cure rates indicates a slight advantage for the medicated group over the non-medicated group, but statistical analysis is required to determine significance. The medicine's goal is to manage symptoms, as complete prevention is not typically achievable with current antivirals like oseltamivir.

Explanation:

To assess the effectiveness of the pharmaceutical company's new flu medicine, we can compare the cure rates between the group that received the medicine and the group that did not. In the medicated group, 29 out of 120 babies were cured within two days, giving us a cure rate of approximately 24.2%. In contrast, the non-medicated group saw 56 out of 280 babies cured, which translates to a cure rate of around 20%.

While there is a numerical difference between the cure rates of the two groups, to determine if this difference is statistically significant, a hypothesis test such as Chi-square or Fisher's exact test would usually be conducted. These tests would provide a p-value that, when compared against a chosen significance level (commonly 0.05), would indicate whether the observed difference in cure rates could be due to chance or if it is statistically significant. However, without further statistical analysis, we cannot make a definitive conclusion on the effectiveness of the medicine.

It is also important to note that antivirals like oseltamivir and other medications prescribed for flu symptoms work to reduce symptom duration and inhibit the spread of virus but are not curative. They are part of the recommended treatment protocols for managing flu symptoms along with prophylactic antimicrobials and over-the-counter drugs to alleviate fever and headache.

Other Questions
10. The physician ordered 3.75 mg of Warfarin sodium. Available are Warfarin 7.5 mg scoredtablets. How many tablets will you give? Ethan conducted multiple marketing research activities for the Protiviti global consulting firm. After he created reports highlighting his marketing findings he considered his next step. What is the next step Ethan needs to take with sharing the information? A pilot can withstand an acceleration of up to 9g, which is about 88 m/s2, before blacking out. What is the acceleration experienced by a pilot flying in a circle of constant radius at a constant speed of 475 m / s if the radius of the circle is 1790 m The probability of getting a 4- bedroom home with a open porch based off the table. You testify as an expert witness in a case involving an accident in which car A slid into the rear of car B, which was stopped at a red light along a road headed down a hill. You find that the slope of the hill is = 12.0, that the cars were separated by distance d = 24.0 m when the driver of car A put the car into a slide (it lacked any automatic anti-brake-lock system), and that the speed of car A at the onset of braking was Vo= 18.0 m/s. With what speed did car A hit car B if the coefficient of kinetic friction was (a) 0.60 (dry road surface) and (b) 0.10 (road surface covered with wet leaves)? Solve for x in the diagram below Match each cardiac valve with the two chambers it separates. Each pair of chambers may be used more than once, or not at all. tricuspid mitral bicuspid pulmonary semilunar aortic semilunar A. right atrium and right ventricle B. left atrium and left ventricle C. right ventricle and pulmonary artery D. left ventricle and aorta E. right ventricle and aorta F. left ventricle and pulmonary artery The full classification of human beings is as follows: Animalia,Chordata, Mammalia, Primates, Hominidae, Homo, HomoSapiens.Based on the above, enter the name of the order to whichhumans belong. Licensee Judy takes a weekly ad out in the South Side Journal. Judy does not place ads in any of the other neighborhood newspapers. What might be said about Judy's advertisement practices? which of the following is not an element of baroque a movement b columns c ornamentation c minimalism Jill is 2 1/2. She has been physically abused at home by her parents. Unlike most children her age, she exhibits no signs of the "terrible twos." Jill tries very hard to be good and doesn't say no to her parents or refuse to obey them. Jill's behavior is called what type of physical feature describes mountains peninsulas and archipelagos If the side of square is 1/5 inches. Then what is the area of the square? In one study, when White participants were asked about perceptions of race relations at a university, progress was framed as either "minority gain" or "decrease in White students." White participants perceived the ________ as larger than the ________. In which of the following substances does a beam of light travel the fastest?A. waterB. plasticC. glassD. air What happens to most of the water that falls on central Pennsylvanias Happy Valley each year (or any similar place, such as Washington, DC or other places with trees)? Complete the sentence with the best choice in Spanish.If I want to remember what I've studied, I have to take .-vocabulario -presionar -practicar -investigar -introduccin -explicacin -escuchar -escribir -en clase -apuntes. Please help me, I linked an image of the assignment. a number decreased by 7 is less than 4 Ana ____________ empezar el trabajo despus de un mes.A. tiene queB. tengo queC. tenemos queD. tienen queReset Next