Submit the first milestone of your final project, a paper that covers your analysis of the company's transportation needs and a recommendation for mode selection to each of the distribution hubs. Be sure to address the intermodal linkages of the network and how you plan to minimize cost while keeping efficiency at a high level.For additional details, please refer to the Milestone One Guidelines and Rubricdocument.Submit the second milestone of your final project, a paper that assesses the current condition of the national infrastructure most critical to your transportation plan. Predict what long-term issues will affect your plan the most and how your network may adapt to the challenge.In addition, analyze how the massive increase in transportation coming from your production hub will affect the local area in terms of economy, sustainability, and corporate image. Be sure to include both the positive and adverse effects that your operation will have on the local area.For additional details, please refer to the Milestone Two Guidelines and Rubricdocument. Submit the third milestone of your final project, a paper that provides an overview of the current customs procedures for shipping goods to the European Union. Describe the steps in the process to include agencies, forms and procedures. Based on trends in transportation, predict whether these procedures will become more or less restrictive than their current state and how that would affect your network. Your paper should include, at minimum, 3 or more peer-reviewed journal articles and other sources. Be sure to use proper citation and formatting.For additional details, please refer to the Milestone Three Guidelines and Rubricdocument.

Urinary FunctionMr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder.Case Study QuestionsThe attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.Create a list of risk factors the patient might have and explain why.Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.Reproductive FunctionMs. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days.Microscopic Examination of Vaginal Discharge(-) yeast or hyphae(-) flagellated microbes(+) white blood cells(+) gram-negative intracellular diplococciCase Study QuestionsAccording to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?Name the criteria you would use to recommend hospitalization for this patientSubmission Instructions:You must complete both case studies.Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible.Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.