No plagiarism please.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations. 

This week’s Discussion will focus on sharing experiences that you have encountered so far in your pediatric clinical rotation, specifically with children who present with respiratory disorders or conditions.

(Give example of seeing children with the acute nasopharyngitis (common cold)  and acute pharyngitis) mention how there is no need for antibiotics if is non bacterial and recommend suggestions for home remedies. 

Coffee Consumption and Cardio-Vascular Diseases

    There has always been a controversy about coffee consumption. While many say it causes various cardiovascular problems others say that coffee is actually beneficial for the health.

    Lang et al. (1983) showed that there was blood pressure (BP) increase from 125.6/79.8 +/- 15.0/10.5 mm Hg in non-coffee consumption category to 128.1/80.6 +/- 15.6/10.2 mm Hg in the highest consumption category (greater than or equal to 5 cups/day). They concluded that coffee was a significant contributor to the variation in BP levels. Riksen, Rongen and Smits (2008) in their work “Acute and long-term cardiovascular effects of coffee: Implications for coronary heart disease” indicated that “both experimental studies and epidemiological studies favor a deleterious role of coffee consumption as a trigger for coronary events, rather than in promoting the development of atherosclerosis” (p.189).

    Revuelta-Iniesta and Al-Dujaili (2008) studied biochemical aspects of green and black coffee and proposed that coffee intake, especially green coffee, might play a role in the reduction of cardiovascular risk factors and perhaps cardio-vascular diseases (CVD) in the long term. In the same 2008 year Geleijnse conducted a metanalysis of multiple studies and came to conclusion that regular coffee intake does not increase the risk of hypertension. 

    Some may argue that even though coffee consumption is considered safe for healthy individuals, it still may be harmful if consumed by people who already suffer from CVD. But recent work by Chrysant (2017) demonstrated that coffee consumption has either neutral or beneficial effects on BP, CVD, heart failure, cardiac arrhythmias, and diabetes mellitus (DM). 

     Changes in approach to one of the most popular beverages explained by different types of coffee that was studied. If years ago people drunk mainly boiled coffee, nowadays we prefer filtered coffee. According to O’Keefe et al. (2013) filtered coffee contains less amounts of cafestol and kahweol, substances which increase serum cholesterol. This supports previously mentioned conclusion of Riksen et al. (2008), that coffee consumption does not promote the development of atherosclerosis. In fact, to O’Keefe et al. (2013) indicated in the same work that coffee intake is beneficial in reduction of DM type two and may reduce the risk of stroke. Also, regular coffee intake does not cause increase in BP, although in non-habitual drinkers temporary BP increase is noticed.

    In conclusion, contrary to older studies coffee consumption considered not harmful and even beneficial, in some cases, nowadays. One of the explanations for this is the way coffee brewed. It may be concluded that filtered coffee is healthier than boiled coffee. Accidental consumption of this beverage by people who already suffer from chronic CVD is not recommended, whereas habitual drinkers can consume coffee regardless of their CVD status. 

References:

Chrysant, S. G. (2017). The impact of coffee consumption on blood pressure, cardiovascular disease and diabetes mellitus. Expert Review of Cardiovascular Therapy, 15(3), 151–156. https://doi.org/10.1080/14779072.2017.1287563

Geleijnse, J. M. (2008). Habitual coffee consumption and blood pressure: an epidemiological perspective. Vascular Health Risk Manag, 4, 963–970. https://doi.org/10.2147/VHRM.S3055 

Lang T., Degoulet P., Aime F., Fouriaud C., Jacquinet-Salord M.C., Laprugne J., Main J., Oeconomos J., Phalente J., Prades A. (1983). Relation between coffee drinking and blood pressure: Analysis of 6,321 subjects in the Paris region. The American Journal of Cardiology, 52(12), 1238-1242

O’Keefe, J. H., Bhatti, S. K., Patil, H. R., DiNicolantonio, J. J., Lucan, S. C., & Lavie, C. J. (2013). Effects of Habitual Coffee Consumption on Cardiometabolic Disease, Cardiovascular Health, and All-Cause Mortality. Journal of the American College of Cardiology (JACC), 62(12), 1043–1051. https://doi.org/10.1016/j.jacc.2013.06.035

Revuelta-Iniesta R.and Al-Dujaili E.A.S. (2014).  Consumption of Green Coffee Reduces Blood Pressure and Body Composition by Influencing 11b-HSD1 Enzyme Activity in Healthy Individuals: A Pilot Crossover Study Using Green and Black Coffee. BioMed Research International, 2014, 1-9. 

Riksen, N. P., Rongen, G. A., & Smits, P. (2009). Acute and long-term cardiovascular effects of coffee: Implications for coronary heart disease. Pharmacology and Therapeutics, 121(2), 185–191. https://doi.org/10.1016/j.pharmthera.2008.10.006

Innate and Adaptive Immunity

Melissa is a 15-year-old high school student. Over the last week, she had been feeling tired and found it difficult to stay awake in class. By the time the weekend had arrived, she developed a sore throat that made it difficult to eat and even drink. Melissa was too tired to get out of bed, and she said her head ached. On Monday morning, her mother took her to her doctor. Upon completing the physical exam, he told Melissa the lymph nodes were enlarged in her neck and she had a fever. He ordered blood tests and told Melissa he thought she had mononucleosis, a viral infection requiring much bed rest.

1. Innate and adaptive immune defenses work collectively in destroying invasive microorganisms. What is the interaction between macrophages and T lymphocytes during the presentation of antigen?
2. Melissa’s illness is caused by a virus. Where are type I interferons produced, and why are they important in combating viral infections?

4 pages APA not including title page and reference page

You will need to discuss the fragile balance between the need for public health agencies to acquire data and the demand for security of sensitive information. Review the article Ethics in Public Health Research.

As public health director in a small county, you must maintain records that track diabetes rates, the incidence of HIV, and immunization records. Recently, there have been at least two breaches when computers were stolen from employees or an outside hacker broke into the system and downloaded data.

Now you must write an open letter addressing the community and explain how the department is going to protect the information. In your letter, address the following questions.

1. Explain why the health department collects this information conveying the idea of how it serves the greater good.
2. Discuss the public’s interest in privacy and why this is important in our society.
3. Discuss why the department needs to infringe on the community’s privacy.
4. Explain how the department might ensure greater security.
5. Be sure to identify at least one applicable regulation, statute, or source that supports the ability of the department to collect this information.

1. Limit your response to 3 pages, not including title and reference pages.
2. Be sure to utilize at least 3-4 scholarly references to support your discussions.
3. Be sure to properly cite your references within the text of your assignment and listed at the end.
4. Be sure to apply critical thinking skills to the write-up of your assignment, especially for numbers 1, and 2 above.

Please write in APA format, 12 PT, Double-spaced 

I will provide the references.