80-year-old Caucasian male was seen due to pancytopenia, lethargy and a weight loss of 25 lbs.
Flow Cytometry: CD20(−), CD 10 (−), CD19 (+), CD33 (−), CD34 (+), CD38 (+), CD79a (+), TdT (+), IgS(−), CD45 (+/−), HLA-DR (+), MLL (−), FLT3 (−), TEL AML (−).
He was treated with a pediatric-inspired TOTAL XI schedule. Sixty days afterward, blasts appeared in the peripheral blood review, but inconclusive for MRD+ status.
A month thereafter, blasts with Auer rods were evident in the peripheral blood. The patient started subcutaneous cytarabine and was alive 90 days after initial diagnosis with active AML leukemia.
1. Based on the initial laboratory data available pointing the clonal malignancy, illustrate the cytochemical stain result and classify the disease using FAB classification.
2. What is the WHO classification of this patient's hematologic malignancy?
3. Based on the flow cytometry result, what would be the expected cytogenetic abnormality? Explain how this cytogenetic abnormality would show the flow cytometry results.
4. Based on the post-chemo results, what constitutes MRD+. What laboratory techniques would be able to detect this laboratory status? How would MRD+ impact the prognosis of the patient?
5. Based on your reading of detection of MRD+, compare the methods for the detection of MRD using specificity, sensitivity, method employed and linearity/limits of detection. (Hint: there are multiple methods. Use scientific references or professional resources, Wikipedia and WebMD doesn't count)
6. Did the diagnosis differ based on the follow-up flow cytometry (refer to image above). Interpret the flow cytometry data and establish a preliminary diagnosis based on the population described by flow cytometry.
7. Why would the cytarabine be given to the patient? How does the drug work? Explain in terms of how it affects the clonal disorder
8. We have learned the patient dependent drug metabolism in previous classes, what gene would this drug interact? Describe in terms of the methodology employed and mechanism of detection on how a lab would be able to determine this gene that will interact with the drug?
9. Based on the flow cytometry results, did the diagnosis become different? If it did not become different, why? If the diagnosis become different, why and how?
10. What molecular marker would determine the prognostic score for this? How would finding that marker impact the disease?
Final Diagnosis: Write the final diagnosis following the WHO Criteria

Answers

Answer 1

1. the cytochemical stain result is MPO(+), and the classification of the disease using FAB classification is AML M1.

2. The WHO classification of this patient's hematologic malignancy is AML with myelodysplasia-related changes

3. Based on the flow cytometry result, the expected cytogenetic abnormality is t(8;21) or inv(16).

4. MRD+ constitutes the presence of leukemic cells in the patient's bone marrow or blood even after therapy.

5. RQ-PCR is the gold standard method with a sensitivity range of 0.001% and a specificity range of 90-100%.

6. Based on the follow-up flow cytometry, the diagnosis did differ.

7. Cytarabine was given to the patient to treat AML.

8. Cytarabine interacts with the deoxycytidine kinase (DCK) gene.

9. The diagnosis did become different based on the flow cytometry results.

10. The molecular marker that would determine the prognostic score for this is FLT3.

Here is the explanation:

1. Based on the initial laboratory data available pointing to the clonal malignancy, the cytochemical stain result is MPO(+), and the classification of the disease using FAB classification is AML M1.

2. The WHO classification of this patient's hematologic malignancy is AML with myelodysplasia-related changes (AML-MRC).

3. Based on the flow cytometry result, the expected cytogenetic abnormality is t(8;21) or inv(16). This cytogenetic abnormality would show the flow cytometry results as positive for CD34, CD33, and HLA-DR.

4. MRD+ constitutes the presence of leukemic cells in the patient's bone marrow or blood even after therapy. The laboratory techniques that would detect MRD+ status include polymerase chain reaction (PCR) and flow cytometry. MRD+ would negatively impact the prognosis of the patient.

5. The methods for the detection of MRD+ using specificity, sensitivity, the method employed, and linearity/limits of detection include real-time quantitative polymerase chain reaction (RQ-PCR), digital PCR (dPCR), next-generation sequencing (NGS), and flow cytometry. RQ-PCR is the gold standard method with a sensitivity range of 0.001% and a specificity range of 90-100%.

6. Based on the follow-up flow cytometry, the diagnosis did differ. The preliminary diagnosis based on the population described by flow cytometry is AML with multilineage dysplasia.

7. Cytarabine was given to the patient to treat AML. The drug works by inhibiting DNA polymerase, leading to the cessation of DNA synthesis and the termination of cell division.

8. Cytarabine interacts with the deoxycytidine kinase (DCK) gene. The methodology employed to determine this gene that will interact with the drug is the genotyping method.

9. The diagnosis did become different based on the flow cytometry results. The preliminary diagnosis based on the initial flow cytometry is AML M1. The preliminary diagnosis based on the follow-up flow cytometry is AML with multilineage dysplasia.

10. The molecular marker that would determine the prognostic score for this is FLT3. Finding this marker would impact the disease as it would help predict the disease prognosis and guide therapy.

Final Diagnosis: AML with multilineage dysplasia (AML MLD).

To know more about cytochemical stains click here:

https://brainly.com/question/13063589

#SPJ11


Related Questions

Which of the following is true about bacteria?


A) They have an open digestive system


B) They belong to the domain Eukarya


C) They lack a nucleus and other organelles


D) They are not living things

Answers

i would say the answer is

A) They have an open digestive system

What is the benefit of writing a net ionic equation instead of a formula equation?
A) The net ionic equation shows the spectator ions in the reaction.
B) The net ionic equation shows a balance of atomic mass of each molecule.
C) The net ionic equation shows only the substances that change in the reaction.
D) The net ionic equation shows only the product that is soluble.

Answers

The benefit of writing a net ionic equation instead of a formula equation is that the net ionic equation shows only the substances that change in the reaction (Option C).

A formula equation is a representation of the chemical reactions that occur in a substance in the form of symbols and formulae for each substance. It provides information about the reactants, products, and other chemical species involved in the reaction, as well as the balanced chemical equation for the response. A net ionic equation is a chemical equation that shows only the soluble, vital electrolytes that are changed in a chemical reaction, omitting spectator ions. The ions that appear in both the reactant and product side, that do not change in the response, are known as spectator ions. Hence, the benefit of writing a net ionic equation instead of a formula equation is that the net ionic equation helps to focus on the essence of the chemical reaction by removing spectator ions, which do not play any part in the response and may sometimes obscure the underlying chemical process.

for further information on the chemical equation visit:

https://brainly.com/question/28792948

#SPJ11

The Xylem carries ______.
A. water

B. sugar

Answers

Answer:

A

Explanation:

The phloem carries sugar

In treisman's theory, a stimulus is broken down into separate feature maps after it is initially registered in area:

Answers

Explanation:

In Treisman's theory, a stimulus is broken down into separate feature maps after it is initially registered in area: A) V1. B) V3. C) V4. D) V5.follow me

Complete the following sentence.
_______ disease is a common type of dementia that causes problems with short-term memory and daily living.

Answers

Answer:

Alzheimer's

Hope this helps!

1
What theory explains how the plates of the Earth are continually moving?
A
The Continental Drift Theory
B
The Theory of Evolution
C
The Plate Tectonic Theory
D
The Big Bang Theory

Answers

Answer:

A

Explanation:

1.
How many chromosomes are in each human cell?

Answers

Answer:

46

Explanation:

True or False?

It takes about the one million years for
the magma to complete one circular
convection flow.

Answers

Answer:

False, since it takes more than one million years

Explanation:

Speeds can be faster for small-scale convection occurring in low-viscosity regions beneath the lithosphere, and slower in the lowermost mantle where viscosities are larger. A single shallow convection cycle takes on the order of 50 million years, though deeper convection can be closer to 200 million years.

Whichof the following techniques was used to create the Flavr Savr tomato? (1 Point)
a. Geneknockout
b. Transgenic technology
d. Antisense RNA
e. Stem cell technology

Answers

The Flavr Savr tomato was produced using genetic engineering methods. A gene construct incorporating the 35S promoter of the cauliflower mosaic virus and a full-length PG cDNA in reverse orientation was introduced into tomato plants to create antisense RNA. Hence (a) is the correct option.

Through transformation mediated by Agrobacterium, the construct was incorporated into the tomato genome. The kanamycin-resistance gene was employed to enable scientists identify plants with the genes effectively inserted during the development of the tomato. Genetic engineering is the method utilised to produce the Flavr Savr tomato. Flavr Savr is produced via an agrobacterium system. The PG-Gene's antisense RNA has been implanted, and this is the foundation of the method.

To know more about genetic engineering, click here:

https://brainly.com/question/27079198

#SPJ4

Which of the following techniques was used to create the Flavr Savr tomato? (1 Point)

a. genetic engineering.

b. Transgenic technology

d. Antisense RNA

e. Stem cell technology

 True or False: If two organisms are located near one another on a phylogenetic tree they share a recent common ancestor.

HELP ILL MARK BRAINLIEST!

Answers

Answer:

True

Explanation:

When are the two organisms that share the most common ancestor in the tree 1. the sequence of branching does not necessarily indicate the actual (absolute) ages of the particular species 2. we cannot assume that a taxon on a phylogenetic tree evolved from the taxon next to it (just bc two species are located near each other does not mean the are more clostly related)

“Phylogenetic relationship” refers to the relative times in the past that species shared common ancestors. Two species (B & C) are more closely related to one another than either one is to a third species (A) if, and only if, they share a more recent common ancestor with one another (at Time 2) than they do with the third species (at Time 1).

I believe the answer is true

virus-infected cells produce ________, proteins that help neighboring cells fight further viral infections. group of answer choices histamines interferons lysozymes interleukin 2

Answers

Virus-infected cells produce interferons, proteins that help neighboring cells fight further viral infections.

What are interferons?

Interferons (IFNs) are a group of signaling proteins made and released by host cells in response to the presence of several pathogens such as viruses, bacteria, parasites, and tumor cells. The primary role of interferons is to signal and activate immune cells such as natural killer cells, macrophages, and T-cells to defend the body against pathogens. They also have antiviral, antibacterial, antitumor, and immunomodulatory properties that prevent virus replication and help clear the infection.

Interferons are classified into three categories based on their structure, mode of action, and the cells that produce them:

Type I interferons: They are produced by almost all cells in the body, including fibroblasts, leukocytes, and epithelial cells. They include IFN-α, IFN-β, IFN-ε, IFN-κ, and IFN-ω.

Type II interferons: They are mainly produced by T-cells and natural killer cells. They include IFN-γ.

Type III interferons: They are produced by epithelial cells and leukocytes. They include IFN-λ1, IFN-λ2, and IFN-λ3.

If you need to learn more about proteins click here:

https://brainly.com/question/10058019

#SPJ11

Which of the four learning styles is associated with
learning through the visual presentation of material in a written
format.
a.
Visual/Graphic
b.
Auditory/Verbal
c.
Tactile/Kinesthetic
d.
Read/Write

Answers

Answer: D

Reading and writing is a presentation of material in a written format because it is using writing.

What is the significance of cdk/cyclin interactions with respect to cancer cell proliferation?

Answers

Understanding the mechanisms of CDK/cyclin regulation is crucial for the development of new therapeutic targets for cancer and other diseases.

The cell cycle is crucial for proper cell growth and differentiation in the body. The process of cell cycle regulation is regulated by the cyclin-dependent kinases (CDKs) and their binding partner, the cyclins. CDK/cyclin interactions are vital for driving the cells through the different stages of the cell cycle, including the G1, S, G2, and M phases. The deregulation of CDK/cyclin interactions has been identified as a significant contributor to the development of cancer and other diseases. CDK/cyclin complexes can phosphorylate critical proteins in the cell that govern cell growth, differentiation, and apoptosis (cell death). Therefore, the disruption of these interactions can lead to the uncontrolled proliferation of cells, which is a hallmark of cancer. For instance, Cyclin D1 is overexpressed in many cancers, including breast cancer, esophageal cancer, and colorectal cancer. The overexpression of Cyclin D1 results in hyperactivation of CDK4/6, leading to uncontrolled cell proliferation. In conclusion, CDK/cyclin interactions play a critical role in cell cycle progression and can have profound effects on cellular processes such as proliferation, differentiation, and apoptosis. Therefore, understanding the mechanisms of CDK/cyclin regulation is crucial for the development of new therapeutic targets for cancer and other diseases.

To know more about cyclin-dependent kinases visit: https://brainly.com/question/8166089

#SPJ11

The zona fasciculata in the adrenal gland secretes __________.
A. glucagon
B. epinephrine
C. estradiol
D. aldosterone
E. cortisol

Answers

The zona fasciculata in the adrenal gland secretes E) cortisol.

The adrenal gland is composed of different layers, including the zona fasciculata, which is responsible for the secretion of cortisol.

Cortisol is a steroid hormone classified as a glucocorticoid and plays a crucial role in regulating various physiological processes in the body.

It is involved in the regulation of metabolism, immune response, and stress response. Cortisol helps in maintaining blood glucose levels, suppressing inflammation, and modulating the immune system.

The secretion of cortisol is regulated by the hypothalamus-pituitary-adrenal (HPA) axis, with the zona fasciculata responding to adrenocorticotropic hormone (ACTH) released by the pituitary gland.

Learn more about adrenal gland here: brainly.com/question/29590708

#SPJ11

CAN SOMEONE PLEASE HELP ME!!!!!! THIS IS MY LAST CHANCE!!!!

Answers

I can try? So the 1st one I think the answer is ‘contaminating...” -that one. The 2nd is “of pollution...”- that one. The 3rd is “the flowering plants...”- that one. The 4th is “the plants that could tolerate...”- that one. And then the last is ‘a population only...”. Hope this helps or works!

What are three of the products whales are hunted for by the whalers and their substitute products?

Answers

I know that they are hunted with Whale oil

the two traditional modes of genetic engineering may result in alterations of:

Answers

The two traditional modes of genetic engineering may result in alterations of the genetic information.

Traditional modes that result in genetic transformation:

Transgenic or Gene Addition: In this mode, a gene from one organism is introduced into the genome of another organism. This process can result in alterations of several aspects, including:

Phenotypic Traits: The introduced gene can express a new protein or modify the expression of existing proteins, leading to changes in the phenotypic traits of the organism. For example, the introduction of a gene for insect resistance into a crop plant can alter its resistance to pests.Metabolic Pathways: The introduced gene can encode enzymes that participate in metabolic pathways, affecting the production or breakdown of specific compounds within the organism. This can lead to alterations in the metabolic profile of the organism.Developmental Processes: If the introduced gene is involved in developmental processes, such as regulating the timing or pattern of growth, it can result in modifications in the organism's development and morphology.

Gene Editing: In this mode, specific changes are made to the organism's own DNA sequence. The alterations that can occur through gene editing include:

Gene Knockout: By using techniques like CRISPR-Cas9, specific genes can be targeted and disrupted or deleted. This can result in the loss or reduction of function of the targeted gene, which may lead to phenotypic changes.Gene Insertion or Modification: Gene editing techniques can also be used to insert new genetic material or modify existing genes within the organism's genome. This can lead to alterations in protein expression or the functioning of specific genes, impacting various biological processes.

The alterations resulting from traditional modes of genetic engineering are aimed at introducing desired traits or modifying specific characteristics of an organism for various purposes, such as improving crop yields, enhancing disease resistance, or producing valuable proteins. It's important to note that the effects of genetic engineering can vary depending on the specific genes and organisms involved and the intended modifications.

Learn more about genetic engineering:

https://brainly.com/question/1204462

#SPJ11

Fill in the blank

DNA IS NOT “TURNED ON” ALL OF THE _____ IN ALL OF THE CELLS.

Answers

maybe it is nucleus or mitochondria!?

name the living matter of the cell.​

Answers

The cytoplasm and the nucleus together are known as the protoplasm, the living matter of the cell.

A garden contains 40 flowers, 30 of which are red. What is the frequency of red flowers?

Answers

Answer:

0.75

Explanation:

a frequency of 1.0 occurs when all the flowers are red

A garden that contains 40 flowers, 30 of which are red. Then, the frequency of red flowers is 75% of 1:3.

What is Frequency?

Frequency is the number of occurrences of a repeating event per unit time. It is also referred to as the temporal frequency for clarity, and is distinct from angular frequency. Frequency is usually measured in hertz (Hz) which is equal to one event per second.

Gene frequency is the fraction or percentage of a population which carries a particular allele at a particular gene locus. In this case, a garden has 40 flowers, in which 30 are red.

Therefore, the frequency of red flowers = Number of red flowers/ Total number of flowers

The frequency of red flowers = 30/ 40 = 75% or 1/3

Learn more about Frequency here:

https://brainly.com/question/5102661

#SPJ2

Please help and thank you whoever you are

Answers

Answer: Should be 3


factors necessary for germination of seed..
pls answer and hiii​

Answers

All seeds need water, oxygen, and proper temperature in order to germinate. Some seeds require proper light also. Some germinate better in full light while others require darkness to germinate. When a seed is exposed to the proper conditions, water and oxygen are taken in through the seed coat.

How might we determine if the trait of albinism is dominant or recessive?

Answers

Answer:

inheritance. Oculocutaneous albinism is inherited in an autosomal recessive pattern, which means both copies of a gene in each cell have mutations.

Explanation:

Hope this helped Mark BRAINLIEST!!!

a. explain what is the recombinant technological procedure in biotechnology

Answers

Recombinant technology involves transferring specific genes into organisms using vectors, enabling the expression of desired traits or proteins in the recipient organism.

Recombinant technology, also known as genetic engineering or genetic modification, is a fundamental procedure in biotechnology that involves manipulating the genetic material of organisms to create new and improved products or traits. It allows scientists to transfer specific genes from one organism to another, regardless of species boundaries, to produce desired characteristics or perform specific functions.

The recombinant technological procedure typically involves several key steps. First, the target gene of interest is identified and isolated from the DNA of the donor organism. This gene is then inserted into a vector, such as a plasmid or a viral DNA, which serves as a carrier for the gene. The vector is modified to ensure efficient uptake and expression of the gene in the recipient organism.

Next, the vector containing the desired gene is introduced into the recipient organism through various methods, such as transformation, transfection, or viral infection. Once inside the recipient organism, the vector integrates into the host's DNA and the gene is expressed, leading to the production of the desired protein or trait.

To learn more about recombinant technology

https://brainly.com/question/32508064

#SPJ4

Which biome has no trees and is frozen year round?
A tundra
B taiga
C desert
D grassland​

Answers

Answer:

tundra

Explanation:

tree growth is hindered specifically by low temperatures

The answer is tundra.

Explain the mistake you see in image 1

Answers

Cytoplasm should be present inside the cell.

The cytoplasm is needed inside of the cell because it hold all of the membrane-bound organelles together

Select all that apply. Which of the following molecules stimulate the activation of lipases in adipocytes?
caffeine
erythropoietin
glutamate
epinephrine
insulin
2.) When pyruvate is formed in a well-oxygenated human cell it will:
a.) become decarboxylated, leaving its remaining two carbon atoms bound to coenzyme A.
b.) lose carbon dioxide, producing acetaldehyde.
c.) be reduced to lactate.
d.) eventually be converted to glucose in the liver via gluconeogenesis.
e.) be converted to ethanol plus CO2.
3.) Select all that apply. Which of the following is true concerning leptin?
a.) Leptin reduces the activity of acetyl-CoA carboxylase.
b.) Leptin is a fat substitute used by human dieters.
c.) Leptin levels are always lower in obese people.
d.) Leptin generally depresses the appetite.
e.) Leptin reduces fatty acid oxidation.

Answers

Lipase is a class of enzymes that catalyzes the hydrolysis of fats or lipids. Adipocytes are fat cells that store fats in the form of triglycerides.

1) Epinephrine and caffeine stimulate the activation of lipases in adipocytes. Epinephrine, a hormone released from the adrenal glands, acts on the β-adrenergic receptors of adipocytes and stimulates the breakdown of stored triglycerides into free fatty acids.

Caffeine, a methylxanthine alkaloid, works by blocking the inhibitory effect of adenosine on the β-adrenergic receptor, thereby increasing the activity of epinephrine.

2) When pyruvate is formed in a well-oxygenated human cell it will eventually be converted to glucose in the liver via gluconeogenesis. In the absence of oxygen, pyruvate is converted to lactate through lactic acid fermentation.

Pyruvate can also be converted to acetyl-CoA through pyruvate dehydrogenase and then oxidized in the citric acid cycle to produce ATP. However, when the energy demand of the cell is high, pyruvate is converted to oxaloacetate via pyruvate carboxylase and then to glucose via gluconeogenesis.

3) Leptin generally depresses the appetite and reduces fatty acid oxidation. Leptin is a hormone secreted by adipocytes that regulates body weight and energy balance by acting on the hypothalamus. Leptin inhibits the synthesis of neuropeptide Y and agouti-related peptide, which stimulate the appetite, and activates the synthesis of pro-opiomelanocortin and cocaine and amphetamine-regulated transcript, which reduce the appetite.

Leptin also stimulates the activity of AMP-activated protein kinase, which increases fatty acid oxidation and glucose uptake in skeletal muscle. Therefore, options (d) and (e) are true concerning leptin. Options (a) and (c) are false because leptin increases the activity of acetyl-CoA carboxylase and its levels are usually higher in obese people. Option (b) is false because leptin is not a fat substitute used by human dieters.

To learn more about pyruvate visit:

https://brainly.com/question/30452859

#SPJ11

carolus linnaeus used the plant and animal kingdoms to classify organisms in the 1700s. what was the most likely reason for only having a 2 kingdom system at that time.

Answers

The most likely reason for Carolus Linnaeus having a two-kingdom system for classifying organisms in the 1700s was due to limited knowledge and understanding of the diversity of life on Earth at that time. Linnaeus developed his classification system based on observable physical characteristics of organisms, primarily focusing on plants and animals. The understanding of microorganisms, such as bacteria and fungi, was limited during Linnaeus' time, and their classification into separate kingdoms was not yet established.

Additionally, Linnaeus based his classification system on the concept of a hierarchical organization, where organisms were grouped into broader categories based on similarities and differences in their characteristics. The two-kingdom system of plants and animals provided a simplified framework for organizing and categorizing the known organisms.

As scientific knowledge advanced and more discoveries were made, the limitations of the two-kingdom system became apparent. The development of microscopy and the discovery of microorganisms led to the recognition of a separate kingdom for bacteria and later the inclusion of fungi as a separate kingdom. Over time, the classification system evolved and expanded to accommodate the growing understanding of the diversity of life forms, eventually leading to the development of the modern classification systems with multiple kingdoms and domains.

To know more about classification of organisms, visit:

brainly.com/question/1747655

#SPJ11

4 sentences saying the benefit of online delivery

Answers

What are the benefits of online delivery? Well online delivery can actually save you time and money. First of all since we are in a pandemic, its safer too get your packages to ship to your house or apartment. If you are working long shifts it saves you time then going out to purchase them. You can also choose when you want it to be delivered.

lol have a nice day

Answer:

Ordering online can often be more efficient than going out to a store to pick up and buy items. Its very easy to use as the ordering process is easier and you don't need to worry about it being out of stock and having to drive to different stores. You can do it in the comfort of your own home, so you don't have to drive around and wait in long lines to get the items you want or need. Online shopping can often be cheaper than instore prices, making it a better option for saving if your looking for that.

Explanation:

Changing an RNA sequence following transcription by removing segments is done by O the spliceosome O RNA editing O translation O capping O polyadenylation

Answers

The spliceosome is a complex molecular machinery responsible for the removal of introns, non-coding segments, from pre-mRNA during the process of RNA splicing. Here option A is the correct answer.

After transcription, pre-mRNA molecules contain both coding regions called exons and non-coding regions called introns. The spliceosome recognizes specific sequences at the boundaries between exons and introns, called splice sites, and precisely removes the introns from the pre-mRNA.

The spliceosome is composed of small nuclear ribonucleoproteins (snRNPs) and other associated proteins. These snRNPs, including U1, U2, U4, U5, and U6 snRNPs, recognize the splice sites and form a complex with the pre-mRNA. The spliceosome then catalyzes two transesterification reactions to remove the intron and join the exons together, forming a mature mRNA molecule.

Alternative splicing is another important aspect of RNA processing controlled by the spliceosome. It allows the generation of multiple protein isoforms from a single gene by selectively including or excluding certain exons. This process greatly enhances the diversity of the proteome.

To learn more about spliceosome

https://brainly.com/question/31864341

#SPJ4

Complete question:

Which process is responsible for changing an RNA sequence following transcription by removing segments?

A) The spliceosome

B) RNA editing

C) Translation

D) Capping

E) Polyadenylation

Other Questions
Which is the graph of x - y = 1?yy554433322211431 2554-3-2-1,1 2 3 4 5 X41 2 35-4-3-2-115-4-3-2-12-22--334455ly543 2. A hormone that is produced by the endocrine system targets specificcells ir many different parts of the body. Which of the followingmechanisms explains the best way for the hormone to efficiently reach allof its target cells?The hormone is released into the bloodstream where it can be carried throughout thebody to the target cells with specific receptorsThe hormone reacts with neurons close by that signal the target cells throughout thebodyThe hormone is transported by local regulation to cells close by that trigger the targetcellsThe hormones moves throughout all the cells until it reaches the cells with thespecific receptors for the signalHurry please Im taking a exam Jose purchased a delivery van for his business through an online auction. His winning bid for the van was $34,750. In addition, Jose incurred the following expenses before using the van: shipping costs of $1,470; paint to match the other fleet vehicles at a cost of $1,590; registration costs of $4,836, which included $4,600 of sales tax and an annual registration fee of $236; wash and detailing for $141; and an engine tune-up for $318.Required:What is Joses cost basis for the delivery van? 6-4x+6(x-2) solve for x 30 points!!The story is Freak the Mighty.Think about the novel or short story you read for Module Five. What is the theme?Cite quotations and page numbers from your novel or short story to support your ideas.Write a short paragraph explaining how the theme developed in your story. Cite quotations and page numbers from your novel or short story to support your ideas.Think about the novel or short story you read for Module Five. What does the resolution tell you about the future of the protagonist? Cite quotations and page numbers from your novel or short story that support your ideas. the cultural characteristic that refers to the degree to which employees are encouraged to air conflicts and criticisms openly is known as ___________. In a large population of college-educated adults, the mean IQ is 112 with standard deviation 25. Suppose 30 adults from this population are randomly selected for a market research campaign. The probability that the sample mean IQ is greater than 115 is 0.019 b.0.256 c 0.461. d.0.328 QUESTION 15 In a large population of college-educated adults, the mean IQ is 112 with standard deviation 50.62. Suppose 30 adults from this population are randomly selected for a market research campaign. The distribution of the sample mean IQ is a approximately Normal, with mean 112 and standard deviation 1.44). bapproximately Normal, with mean 112 and standard deviation 4.564. c approximately Normal, with mean 112 and standard deviation 9.241. Cd approximately Normal, with mean equal to the observed value of the sample mean and standard deviation 25. what's the answer to this? GIVING BRAINLIEST NO LINKSUsing the information in the Box-and-Whisker plot below, what is the 3rd Quartile?A) 5B) 12.5C) 20D) 27.5 2. Which part of a eukaryotic cell contains the instructions on how to recombine the molecules in nutrients into new molecules that the cell can use? A. DNA in the nucleusB. Chlorophyll in chloroplasts C. Water in vacuolesD. Digestive chemicals in lysosomes Which one of the following is TRUE?Select one:a.Preference shareholders usually have the voting right.b.The previously unpaid dividends for non-cumulative preference shares can be skipped.c.For tax, legal and accounting purposes, preference shares are treated as debt.d.Like debtholders, preference shareholders can force a firm into bankruptcy.e.Preference shareholders stand behind ordinary shareholders in line for dividends. Write three ways womans lives improvend during ww1 AND the 1920'shelp! Suppose an experiment is done with criminals released from prison in a certain state where the recidivism rate is 37%; that is, 37% of criminals return to prison within three years. One hundred random prisoners are made to attend a "boot camp" for two weeks before their release, and it is hoped that "boot camp" will have a good effect. Suppose 32 of those prisoners return to prison within three years. The null hypothesis is that those attending boot camp have a recidivism rate of The weight of one serving of trail mix is 2.5 ounces. How many servings are there in 22.5 ounces of trail mix?9.025.011.556.25 Describe an example of analogous structures. What additional evidence would help you show that these structures are not homologous? Socialists believe that F wealth should be distributed equally to everyone G free enterprise and individual liberty should be protected H the government should protect the rights of the wealthy I government interference would disrupt natural selection list the three types of minerals/rocks that have everyday uses and what they are used for. How would the article be different if the section "Question: What Were The Motivations Of The Women You Studied?" came before the section "Question: How Did They Do It?"AThe article would follow more of a chronological structure, by first explaining what might cause a woman to enlist and then describing the process and experience in later sections.BThe article would follow more of a cause-and-effect structure, by outlining the journey of a woman from her first day as a soldier to her reflections on how the experience had changed her life.CThe article would follow more of a problem-and-solution structure, by first describing the challenges female soldiers faced and then detailing how they were able to solve them in later sections.DThe article would follow more of a compare-and-contrast structure, by providing ways that female soldiers were similar to men and then emphasizing the major differences in their experiences. sorry if its too blurry but i need help with this The manager of the customer service department of an e-commerce company wants to know the average hold time for customers who call the department. The department receives about 850 calls each hour. The following data set shows the hold time, in minutes, for 10 calls picked at random. 2,1,4,5,3,3,7,4,3,2. Calculate the approximate hold time for all customers who call the customer service department. The approximate hold time for all customers who call the customer service department is A 4 minutes. B 3 minutes. cannot be calculated from the given data. d 7 minutes