What causes the change in prepubescent humans that designates the beginning of puberty? (and sidenote what are the most common ways people deal with these changes.)

How would you prepare for unexpected expenses in a healthcare organization?

In which way does nicotine cause addiction? by stimulating the brain’s pleasure center by increasing blood-sugar levels by decreasing dopamine levels by reducing depression and anxiety

A41-year-old man comes to the clinic complaining of a chronic cough over the past 4 months, which has now been accompanied by haemoptysis. he denies smoking or any past medical history. on physical examination, his head and neck examination is normal. his lungs have diffuse bilateral rales. cardiac examination is normal. laboratory findings reveal na 142 meq/l, k 4.2 meq/l, cl 110 meq/l, hco3 24 meq/l, bun (blood urea nitrogen) 39 mg/dl, creatinine 2.9 mg/dl. urinalysis reveals microscopic haematuria and 4+ proteinuria. which of the following serologic blood tests would most confirm the suspected diagnosis? - anti-glomerular basement membrane antibodies- anti-mitochondrial antibodies- anti-neutrophilic antibodies- anti-parietal cell antibodies- anti-smooth muscle antibodies