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TASK 7 Name : Kim Morley Age : 36 Admitted : 10 November 2008 Discharged : 11 November 2008 Reason for admission Minor RTA after falling asleep at the wheel-Diagnosis OSA HISTORY: Loud snoring, excessive daytime sleepiness; depression; father had OSA; obese 150 kgs- no weight reduction techniques successful over last 5 years. No history of asthma, emphysema or chronic cough suffered from gout two years ago and psoriasis: alcohol 3-4 glasses daily, usually wine; up to four coffees/day; no medications; Divorced, 2 children; builder owns own business; smoker- 1 pk/day 15 years; had malaria 1998, appendix out 1990. No allergies. Examination: Sleep study (overnight/daytime split night polysmnography) confirmed OSA, face mask used claustrophobia and discomfort so nasal trumpets used. EEG, EOG, chin and leg EMG EKG airflow, thoracic and abdominal recorded. Pt. given Ambien for test. Discharge Plan: Avoid sedatives, hypnotics and narcotics unless sleep apnoea treated No operation of heavy machinery or driving unless sleep apnoea treated See dietitian re: weight loss plant, healthy diet, exercise Use heated humidifier in bedroom Give up Smoking – Given info about Quit program Cut down alcohol and caffeine. Use nasal decongestant See sleep disorder specialist for a CPAP machine. Writing Task: Using the information in the case notes. Write a letter of referral to the sleep disorder specialist, Mrs. Ton wisdom, 23 Wellman St. Camberwell, 330
Model answer by Lifestyle Training Centre
Mrs. Ton Wisdom Sleep disorder specialist 23 Wellman, St. Camberwell, 330
11/11/2008
Dear Mrs Wisdom,
Re: Ms Kim Morley, aged 36 years.
I am writing to refer Ms Morley, who requires assessment and management, following her discharge today. She is currently recovering from a minor road traffic accident that occurred after she fell asleep at the wheel.
During her hospitalisation, Ms Morley underwent an overnight and daytime split-night sleep study due to her excessive daytime sleepiness and loud snoring. Polysomnography confirmed a diagnosis of obstructive sleep apnea, with a noted familial history. To accommodate her claustrophobia and discomfort, nasal trumpets and a face mask were used. Additionally, she was administered Ambien.
Ms. Morley is divorced and has two children. She smokes a pack of cigarettes daily and consumes up to four glasses of coffee and wine each day, which she is advised to quit. Her medical history includes gout and psoriasis, but she has no known allergies.
Based on the above information, please assist Ms. Morley in managing her condition. She should avoid driving or operating heavy machinery. Additionally, she is advised to use a nasal decongestant and a heated humidifier in her bedroom. Until her condition is treated, she must refrain from using sedatives, hypnotics, or narcotics. If you have any further questions, please feel free to contact me.
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The diagram below shows how orange juice is produced. Summarise the important information by selecting and reporting the main features, and make comparisons where relevant.
Model answer by Lifestyle Training Centre
The given diagram outlines the intricate details involved in the processing and production of orange juice.
Overall, the process involves several key actions, including the extraction of juice from collected oranges, the removal of solid waste, and either supplying the fresh juice directly to supermarkets or storing it for later distribution after further processing.
Delving into details, fresh oranges are transported to a factory by truck, where they undergo thorough washing followed by extraction. At this stage, the solid waste is separated for animal feed, and a portion of the extracted juice is packaged and supplied directly to supermarkets.
Concurrently, some of the juice is transported to an evaporation unit in a refrigerated truck, where the water content is removed to produce concentrated juice. Afterward, it is canned and stored in a warehouse. When needed, it is packaged and sent to supermarkets after water is mixed back in at another factory.
List of vocabulary used.
1. Diagram: A visual representation of information, often used to illustrate processes or systems.
2. Outlines: To describe or present the main features or details of something.
3. Intricate: Very detailed or complex.
4. Details: Specific pieces of information or facts about something.
5. Processing: The series of actions taken to change or prepare something, in this case, oranges into juice.
6. Production: The act of creating or manufacturing something, here referring to making orange juice.
7. Involves: To include or encompass as a necessary part or element.
8. Keyactions: Important steps or activities in a process.
9. Extraction: The process of removing or taking out, especially juice from fruit.
10. Removal: The act of taking away or eliminating something.
11. Solid waste: Unwanted materials or by-products that remain after a process, often not usable for further production.
12. Supplying: Providing or making something available to someone.
13. Distribution: The process of delivering products to various locations or consumers.
14. Thorough: Complete and detailed; not leaving anything out.
15. Washing: The act of cleaning something, in this case, removing dirt from oranges.
16. Undergo: To experience or endure something, typically a process or change.
17. Separated: To be divided or set apart from others.
18. Animalfeed: Food for livestock or animals.
19. Portion: A part or segment of a whole.
20. Packaged: To be put into containers or wrapping for protection or distribution.
21. Concurrently: Happening at the same time; simultaneously.
22. Evaporationunit: A facility or equipment used to remove moisture from liquids, typically to concentrate them.
23. Refrigeratedtruck: A vehicle equipped with a cooling system to transport perishable goods.
24. Water content: The amount of water present in a substance.
25. Produce: To create or bring into existence.
26. Canned: Sealed in a can for preservation.
27. Warehouse: A large building for storing goods before distribution.
28. Mixedback in: Combined again with another substance, in this case, water with concentrated juice.
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24. IELTS Writing task 1.Female unemployment rates in each country of the United Kingdom
The graph below shows female unemployment rates in each country of the United Kingdom in 2013 and 2014. Summarise the information by selecting and reporting the main features, and make comparisons where relevant.
Model answer by Lifestyle Training Centre
The given bar diagram outlines the percentage of females who were unemployed in four different countries of the United Kingdom—namely, England, Wales, Scotland, and Northern Ireland—across two distinct years, 2013 and 2014.
In general, it is observed that both England and Scotland had the highest rates of female unemployment in 2013 and 2014. Interestingly, the percentage of female unemployment decreased in all the countries in 2014, except for Scotland, which saw an increase.
Delving into details, England, which had the highest proportion of female unemployment among the other three countries in 2013 at a notable 6.8%, managed to marginally lower it to 6.5% in 2014. In contrast, Scotland’s female unemployment soared from 6.1% in 2013 to 6.7% in 2014.
Wales and Northern Ireland, which had the lowest female unemployment in 2013 at 5.4% and 5.6%, respectively, managed to reduce their rates further in 2014—the former to 5.0% and the latter to 4.6%.
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