Julie is talking on the phone to her sister who lives in another state. they are talking about a struggle julie has been having since her husband died and many of her friends retired to other states. julie’s sister suggests that julie start volunteering at her church or join a scrapbooking club. what change is julie most likely struggling with?
a. a physical change
b. a social change
c. a emotional change
d. a self-esteem change

To confirm when to exclude children from school, it's recommended that you refer to guidelines from which of the following organizations? a. national association for child care professionals b. academy of family practices c. american academy of pediatrics d. national association for the education of young children

Some plants have reproductive structures that them reproduce using natural forces or animals. how does the reproductive structure shown here ensure the reproductive success of plants?

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy