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Q1
How does gender identity develop? What factors (cultural, social, peers, siblings, etc.) do parents need to focus on to ensure a healthy overall identity in their children?
Take a few minutes and reflect on your middle childhood/early adolescence years. If you could go back in time and talk to that version of you, what would you say? Based on what you learned this week and your own personal experience, write a letter to the younger you. Keep in mind the developmental changes you were going through and give the younger you advice on school, peers, sports, family, etc.
Q2
Youth sports participation involves a large number of individuals in the United States. The competition level is very competitive at the youngest of ages. Organizing and running successful youth sport leagues is a daunting task. Surveys show that kids participate in sports to have fun, be with friends and learn. Coaches and parents surveyed simply stated winning as the most important thing. With all of the millions of dollars professional athletes are paid it is no wonder mom and dad want their son or daughter to be the best at everything. How would you handle the following scenario?
You are the director of a youth basketball league in a large city with thousands of kids participating. You count on parental involvement to coach your teams, but you continue to have verbal abuse problems with parents towards the referees, opposing team's parents, and even children playing against their team. Using bullet points, present a policy for dealing with these parents and their child.
Q3
Little Jimmy, who is fifteen years old, is a high school football player at Dead End High School. At the start of every football season, the school’s athletic department requires that each student under eighteen years old get parental permission. On the back of the parental permission form is a waiver and release clause. It states:
The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
1. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation; and,
2. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and,
3. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS ______________________________________; (Legal Name Of Your Sports Program, Ex: League Name) its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
4. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
___________________________________ __________________________________ (PARENT/GUARDIAN SIGNATURE) (PRINT NAME)
Date Signed:___________________________________
UNDERSTANDING OR RISK
I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulation, and accept them as a participant.
___________________________________ __________________________________ (PARTICIPANT SIGNATURE) (PRINT NAME)
Date Signed:___________________________________
Little Jimmy’s mother and father are not supportive of Little Jimmy’s decision to play football. Last season, Little Jimmy broke his leg during a game, resulting in months of physical rehabilitation. Because of his parents’ reluctance, Little Jimmy forged his mother and father’s signature. The next day, Little Jimmy hands in the form with the forged signatures. During a game later in the season, Little Jimmy suffered a heart attack. Thereafter, Little Jimmy’s parents sued the school, arguing that he should not have been playing football and that the school had not ensured that he was physically fit to play. The school raised the signed permission form with the release/waiver provisions in its defense. Little Jimmy’s parents argued that they never signed the form.
Please analyze this situation.
CLB 475 – Seminar Spring 2020
Research Proposal
(20% of final grade)
The final research proposal is a combination of the Literature Review and Methodology assignments in one paper. The guidelines for the research proposal are as follows:
• There should be ONE cover page and ONE reference list; these pages do not count towards the page limit
• Literature review section:
o 4 to 6 pages in length o Contain all sections specified in the Literature Review Instructions and Rubric document o AT LEAST five (5) primary references should be used o References must be included as in-text citations in the body of the literature review and in
the reference list o All references (primary and secondary) should be formatted in APA format
• Methodology section
o 1 to 2 pages in length o Contain all sections as specified in the Methodology Instructions and Rubric document
• The entire document should be formatted in Times New Roman font, size 12, 1-inch margins, and
double-spaced.
• The entire document should not exceed 10 pages. All pages, except the cover page, should be numbered.
• Proper grammar and spelling are required. ______________________________________________________________________________ Rubric for Assessment of Research Proposal:
Rubric for Assessment of Literature Review Rubric for Assessment of Methodology
• Problem statement – 1 point • Description of published literature on topic –
3 points • Purpose – 1 point • Significance – 1 point • Research question – 1 point • Hypothesis – 1 point
• Design – 1 point • Variables – 2 points • Participants – 2 point • Controls – 1 point • Sampling – 1 point • Validity and Reliability – 1 point • Data Collection Technique – 1 point • Research ethics – 1 point
• References and in-text citations in APA format – 1 point • Format and page limit – 0.5 point • Proper grammar and spelling – 0.5 point
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Literature Review on How Biofilm Affect the Patient Recovery at the Hospital
Student’s Name
Professor’s Name
Course Name
Date
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Introduction
Regulating biofilms for injury and insertion can have a variety of adverse effects on
patient well-being, including delayed recovery and implant evacuation. Biofilm drugs currently
do not completely destroy or prevent microbial colonization, indicating the need for further
research. The final review of drugs for biofilms focuses on components of nanotechnology-based
drug delivery, combination therapy, and coupling repair. Ultrasonic cleaning and hydrogels, as
well as recent improvements in incorporation, have great potential for use in discrete trauma and
medicine applications. This study reviews various literatures on the development of
microorganisms in biofilms and how it affects patient recovery at the hospital.
Patients with biofilms wounds excrete various microbes from their own skin and current
state, and if they receive hospitalization for treatment, they are likely to receive MRE and HAI
from surfaces, patients, staff, and emergency department equipment (Wu et al., 2018). This
literature states that such patients have high levels of biofilm contamination for biofilm reduction
applications in consuming patients include silver and various metals. Other elements indicating
this condition include disinfectants, hydrogels, light and sonic treatments to initiate atomic
sensitization to deliver dynamic oxygen (Wu et al., 2018). Small particles of these contaminants
allow penetration into the dividing layer of cells, glycans, lactobacilli and treatment with phages.
Other scholars such as Muhammad et al. (2020) and Barzegari et al. (2020) assert that the
accumulation of microorganisms can be immobile and live and attached to the surface. The
regimen of this group of people is not the same as that of planktonic development, where
microorganisms are isolated and flexible in environment (Muhammad et al., 2020). Cecillus cells
differ from planktonic cells in their morphology, physiology and qualitative articulation. The
ability to adhere to and thrive on surfaces such as biofilms is a gradual survival process that
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allows microorganisms to colonize the zone (Muhammad et al., 2020). Microbes are constantly
changing from planktonic aggregates to sedentary ones. This variety of conditions is key for cells
as they allow rapid changes in their natural state.
Wound swelling can be characterized as the ability of microorganisms to thrive when
antimicrobial compounds are present in the climate. The obstructive component is hereditary and
prevents the antitoxin from working for its purpose (Barzegari et al., 2020). This literature
indicates that the term resistance should be used for microbes that may be caused by high-class
antibiotics but whose development is delayed. This element, which explicitly describes the life of
sessile bacteria, is reversible, phenotypic and non-obtainable. Biofilm bacterial cells resuspended
in liquid media will regain their in vitro susceptibility to antimicrobial agents.
The journal by Thi et al. (2020) shows that the size of bacterial biofilm is a major brake
in the phagocytic cycle. During internal immune reactions, macrophages and neutrophils are
rapidly activated upon direct contact with microorganisms (Thi et al., 2020). Here, the rapid safe
response leads to significant neutrophil accumulation around the biofilm structure associated
with oxygen exhaustion due to functional stimulation of oxidative digestion when subatomic
oxygen is reduced to superoxide. Phagocytic cells infiltrate with extracellular tissue problems.
Thi et al. (2020) assert that these cells recover and are more susceptible to inactivation by
bacterial chemicals. In addition, prolonged neutrophil lysis causes a flux to a noxious mixed
environment that is responsible for subsequent tissue damage. Resistant host response is the main
reason behind hard tissue damage by bacterial contamination.
Regarding the memory of resistant scaffold reactions, it has been reported that CF
patients emit specific antibodies against bacterial mixtures such as elastase, LPS or flagella. This
information indicates that the antigenic determinant has been killed by continued lung
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contamination (Magana et al., 2018). Unfortunately, these antibodies have been shown to
contribute to the accelerated assembly of immune structures in the parenchyma and result in
extreme tissue damage through complementary initiation and opsonization of neutrophils,
particularly by bypass. This literature postulate that the resistance of biofilms to external
influences, especially antitoxin drugs, is an unusual element. According to this research, the
MICs of antimicrobial formulations that were successful against sessile microbes were 10 times
greater than those that were dynamic in their planktonic presentation (Magana et al., 2018). This
decrease in antimicrobial resistance can have several causes. Usually inherent in biofilms, but
can also be acquired through the inheritance of opposing factors.
Magana et al. (2018) state that the extracellular lattice provides a mechanical barrier that
limits the spread of infection within the biofilm and its access to microorganisms. The
electrostatic charge or some part of the lattice binds and traps the antimicrobial atoms. The
overall high consistency of the polymer network may also prevent the anti-infective from
reaching its focus in the deeper layers of the local area of the bacteria (Magana et al., 2018).
Thus, microscopic organisms in the outer layers of the biofilm pass after antimicrobial treatment,
while those in the deeper layers have a chance to react. This study shows that the polymer binds
to antimicrobial compounds in the periplasm, causing the antitoxin to diffuse into the cell and
preventing it from reaching its site of activity.
Hartmann et al. (2019) note that the antitoxins has a unique capacity in combating the
climate and limiting the development of competitors. The production of antimicrobial agents by
the microorganisms themselves allows the killing of hunters. Anti-infective atoms are only a
small part of the natural mixture created by microscopic organisms (Hartmann et al., 2019).
Therefore, it is highly expected that they may affect the overall metabolic capacity for correcting
microbes, like other comparable brands. Phylogenetic studies have supported this suspicion that
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antimicrobial safe properties existed in the bacterial genome long before the widespread use of
antitoxins. A comparative article “Emergence of three-dimensional order and structure in
growing biofilms. Nature Physics” is concerned about metagenomic studies which demonstrate
the presence of an ancient and distinct set of properties of -lactamases, despite the unknown
climate of this antimicrobial family.
Antimicrobial mixtures appear to go about as flagging particles, controlling the
homeostasis of bacterial networks to initiate explicit quality record. As sessile cells are
fundamentally less delicate to antimicrobials, biofilm arrangement would be an essential
development of bacterial populaces to balance non-deadly portions of anti-toxins created by soil
microorganisms (Magana et al., 2018). This case infers that antimicrobials can likewise be useful
for the endurance of helpless planktonic cells in nature. In this manner, they can allow a more
proficient colonization of heterogeneous conditions. Particularly at subinhibitory levels, anti-
microbials regulate bacterial destructiveness, stress reaction, motility, and biofilm arrangement.
Generally, clinical microbial science research centers have zeroed in on the way of life of
separated bacterial strains and give their defenselessness to anti-microbials in characterizing the
breakpoints and the PK/PD boundaries under planktonic development conditions (Thi et al.,
2020). The relating anti-toxin treatments, in view of non-disciple microorganisms, are frequently
connected with treatment disappointments and additionally repeat of the disease. No rules are
proposed to clinicians to effectively treat biofilm diseases, which can result to misleading
negative information in the event that the examples don't essentially address the primary
contamination.
Furthermore, as Thi et al. (2020) state, there is still no accessible normalized instrument
to recognize effectively the presence of sessile cells in a clinical example and permit assurance
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of their particular anti-infection helplessness. As biofilm microscopic organisms are intrinsically
more lenient to antimicrobials, the foundation of the relating breakpoints to anticipate helpful
achievement is required. New strategies checking the impact/reaction of biofilm cells to anti-
microbial treatment should be planned. Presently, two advancements were grown however not
yet normalized for a fast standard use in medical clinic research facilities.
Conclusion
The treatment of bacterial diseases with artificially unmistakable anti-infection agents
can prompt an assortment of reactions from sessile microscopic organisms. Notwithstanding the
expanded resilience of microorganisms toward antimicrobials, a few atoms are generally
successful against recently follower microbes. In clinical practice, when situations allow,
concerning the diabetic condition for example, to fall back on effective organization to give high
neighborhood fixations to the disease site without fundamental aftereffects. However, various
investigations have likewise portrayed that low dosages of anti-toxins can altogether actuate
biofilm development in vitro for an assortment of bacterial animal categories. More literatures on
anti-microbial prompted biofilm development are expected to clarify the elaborate components.
Clinical preliminaries that check the importance of this interaction in patients and the likely
relationship with treatment will likewise be exceptionally useful. The possibility of integral tests
assessing the weakness of free and sessile cells to anti-toxins would likewise permit the
improvement of the overall utilization of antimicrobials in the treatment of biofilm-related
contaminations.
References
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Barzegari, A., Kheyrolahzadeh, K., Hosseiniyan Khatibi, S. M., Sharifi, S., Memar, M. Y., &
Zununi Vahed, S. (2020). The Battle of probiotics and their derivatives against
Biofilms. Infection and Drug Resistance, 13, 659-
672. https://doi.org/10.2147/idr.s232982
Hartmann, R., Singh, P. K., Pearce, P., Mok, R., Song, B., Díaz-Pascual, F., Dunkel, J.,
Drescher, K. (2019). Emergence of three-dimensional order and structure in growing
biofilms. Nature Physics, 15(3), 251-256. https://doi.org/10.1038/s41567-018-0356-9
Magana, M., Sereti, C., Ioannidis, A., Mitchell, C. A., Ball, A. R., Magiorkinis, E.,
Chatzipanagiotou, S., Hamblin, M. R., Hadjifrangiskou, M., & Tegos, G. P. (2018).
Options and limitations in clinical investigation of bacterial Biofilms. Clinical
Microbiology Reviews, 31(3). https://doi.org/10.1128/cmr.00084-16
Muhammad, M. H., Idris, A. L., Fan, X., Guo, Y., Yu, Y., Jin, X., Qiu, J., Guan, X., &
Huang, T. (2020). Beyond risk: Bacterial Biofilms and their regulating
approaches. Frontiers in Microbiology, 11. https://doi.org/10.3389/fmicb.2020.00928
Thi, M. T., Wibowo, D., & Rehm, B. H. (2020). Pseudomonas aeruginosa
Biofilms. International Journal of Molecular Sciences, 21(22),
8671. https://doi.org/10.3390/ijms21228671
Wu, Y., Cheng, N., & Cheng, C. (2018). Biofilms in chronic wounds: Pathogenesis and
diagnosis. Trends in Biotechnology, 37(5), 505-
517. https://doi.org/10.1016/j.tibtech.2018.10.011

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