Write an APA formatted paper to address the assignment below. This paper should be approximately 4-5 pages long, not including cover, abstract, references, etc. Be sure the paper thoroughly answers the topics to be addressed and is justified and supported by empirical evidence. It would be best to separate out your answers to each topic in separate sections, which are appropriately identified in the paper.Scenario:You are the new corporate safety, health, and environmental director for a small, but growing manufacturing company that specializes in lithium-ion battery manufacturing for the automotive and aviation industries. Your organization is also set to expand into the European market in the near future with plans to start a manufacturing operation in the United Kingdom. As the corporate safety, health and environmental director you are to have quarterly meetings with corporate management.Prior to your first meeting, the CEO has asked you to submit a report to the executive board. You are to submit a report on the need to formalize and integrate a formal environmental management system (EMS) within the organization. During your presentation, you must address the following:explain what an EMS is,explain the goals of an EMS,explain how an EMS will assist your organization comply with environmental laws,explain how an EMS will assist your organization reduce liability exposures,and explain how the EMS will further benefit your organization.In addition, you are to recommend whether or not your organization should work toward certification of its environmental management system by ISO 14001 standards. Be sure to explain why or why not and provide adequate support for your stance.

Wiley plus online HW, two assignments, 10 questions each only and it has to be right from the first 4 tries

Ms. J.S., a 52 yo white female with two children (16 and 14 yo) presents with history of fatigue, weight gain and muscle weakness over past two years. She initially thought it was caused by work stress and busy family life but has also noticed that she bruises more easily than in the past. She also noted purple lines (stretch marks) that you identified as striae . All of the above symptoms have been getting worse. Blood pressure is 170/110, respirations 12/min and some ankle edema (non-pitting) was noted. The limbs seem relatively thin and the trunk thickened, especially between the upper shoulder blades. Diagnosis was made of Cushing's disease/syndrome. How could you differentiate between the two? Elevated levels of cortisol has two effects of plasma leading to increased volume: 1) up-regulation of receptors for aldosterone and 2) an increased effectiveness of ADH (either by centrally increasing ADH release or peripherally by increasing the cellular responsiveness). 1 What effects would these two changes (increased responsiveness to aldosterone and ADH) have on Na+, K+ and water levels in the plasma? (Endocrine Mod 3: MO2, MO3, CO2, CO3, CO4)2 Where does cortisol secretion occur, and thus is a potential site of an over-secreting tumor? How else could someone develop Cushing syndrome if not by a tumor in that area? (Endocrine Mod 3: MO1, MO2, MO3, CO1, CO2, CO3, CO4, CO5)3 Which of the following influences the secretion of ACTH? (Endocrine Mod 3: MO1, MO2, CO1, CO2, CO3)Cortisol levels in the plasma 3 Corticotropin releasing hormone from the hypothalamusNeuro-endocrine reflexes 4 All of the above4 What is the most common cause of Cushing syndrome in the United States? (Endocrine Mod 3: MO1, MO2, MO3, CO1, CO2, CO3, CO4, CO5)Adrenal tumors 3 InfectionsPituitary tumors 4 Glucocorticoids prescribed by healthcare workersMr. M.S., an overweight, 55 yo white male presents to your clinic with chest pains. He has a history of hypertension, alcohol use and does not restrict his diet. He is currently taking nitroglycerin tablets as needed for angina. This pain is worse and is not controlled by nitroglycerin. The pain is radiating down his left arm. The pain in the chest feels like pressure or heartburn. You hear inspiratory rales, consistent with pulmonary edema. His blood pressure is 100/75. He begins to have difficulty breathing, especially when lying down. EKG and serum enzymes suggest a left ventricular wall myocardial infarction. Cardiac catheterization reveals a pulmonary wedge pressure of 30 mm Hg (normal, 5 mm Hg) and two-dimensional echocardiography measured an ejection fraction of 0.35 (normal, 0.55). In the Coronary ICU, he was treated with thrombolytic agents (tPA), digitalis (a positive inotropic agent) and furosemide (Lasix, a loop diuretic)5 What measures above helped you determine that the stroke volume (considering the measures that factor into it) was reduced? (Cardiovascular Alterations Mod 5: MO7, MO9, MO10, MO12, MO17, CO2, CO3, CO4, CO5)6 Describe the mechanism of how digitalis (AKA Oubain) works at a molecular level to increase contractility (positive ionotrope)? Discuss the ion gradients, how they were created/maintained for a cell at resting membrane potential and the effects of this drug that lead to its action on muscle. (Cardiovascular Structure and Function Mod4: MO2, MO6, MO7, MO9, MO11, CO1, CO2, CO3)7 Statins are commonly used to treat cardiovascular disease. Describe their effect and the mechanism of how that effect is brought about. Explain if men and women with similar cholesterol profiles are at similar risk for cardiovascular disease (i.e. are they equally predictive of cardiovascular risk for men and women). Supply a link to an article that supports your assertion and in a sentence or two, describe the “take home point(s)” of the article (Cardiovascular Structure and Function Mod 5: MO1, MO5, MO7, MO8, MO9 CO1, CO2, CO3)8 Supply one link/web address/citation to an article that describes differences in either gender or race in the treatment or assessment of risk for cardiovascular disease and a statement of how that information will affect your assessment/treatment of patients in practice.