my professional portfolio 2015
TRANSCRIPT
My Professional Portfolio
Alyssa Cisneros California Baptist University
November 10, 2015
Philosophy of Health and Professional Goals
Being a professional in health care is more than just making a good salary and having a
stable job that is always in constant demand. Being a physician assistant entails keeping in mind
that the main priority is the well being of your patient and understanding the physical and
biological struggles of each individual’s health. Being a PA also means educating those who do
not know what is happening within them in hopes of improving their health and lifestyle. Being a
PA is more than an honor when helping everyone from a non-biased point of view despite race,
gender, genetics, beliefs, or economic status. My philosophy within the next five years is that as
a physician assistant, I am responsible for providing relevant, accurate, and efficient diagnoses
that will be beneficial to the patient’s life. I need to always keep in mind my patient are more
than just a patient, but rather a precious life that should also be treated as their own and not as a
generalized health concern. When working side by side with patients, I must encourage and
empower them to heed to their health and care for their well being not just for themselves, but
for the sake of their loved ones and their community or others around them. I must help them
understand how important their lives are and how easy it is to take care of oneself. I also should
strive to educate not just the patients, but also the close ones of patients on healthy life choices to
advocate a better quality of life. As a PA, patient confidentiality is also essential within any kind
of setting (whether it being clinical or personal) unless there is an issue where I am mandated to
report by law under HIPAA regulations.
I will use my values of being caring, compassionate, determined, enthusiastic, reliable
and considerate towards every patient I come in contact with. I will also uphold these standards
within my practice and in all decisions I make on a daily basis in order to maximize the potential
of each individual’s life and habits to the best of my capability.
Alyssa Cisneros24033 Cambria Ln. Murrieta, CA 92562Phone: (951) 216-0362 E-Mail: [email protected]
EducationCalifornia Baptist University 2012-Graduate as of May 2016Riverside, CaliforniaBachelor of Science: Health Science Concentration: Pre-Physician Assistant
Experience
Childcare Provider 2006-Present
Independently watched over young children below ages 11 including children with special needs
Was CPR certified and currently planning on re-certifying license by winter of 2016
Obtained strong knowledge in first aid from childcare experience
Retail/ Movie Theater Customer Service 2014-Present
Provided services in numerous positions of customer service alongside working closely with co-workers as a team
Effectively trained new incoming coworkers one-on-one
Efficient in promotional sales and selling techniques to increase company revenue
Honors and Awards:
California Baptist Provost List: (3.0 GPA and above): 2013-Present
Murrieta Mesa Certificate of Achievement of Academic Excellence 3.0 or above: 2009-2012
Top Scholar (Fifteen percentile of class): 2012
AVID Highest GPA Award: 2011-2012
Skills
Proficient with Microsoft Word and Powerpoint (2012)
Obtains mathematical skills up to Pre-Calculus level
Advanced in English and comprehension
Acquires knowledge in basic life support and health science
Can properly organize, manage and lead others efficiently
Community Service:
Internship for Elderly Nutrition in Family Services Association San Bernardino: Fall 2015
Children’s assistant for Calvary Chapel Children’s Ministry: 2009-Present
Assistant with Care Ministries at Calvary Chapel Christian Church: 2010-2012
References for:Alyssa Cisneros
24033 Cambria Ln. Murrieta, CA 92562∘ (951) [email protected]
Dolly Woodland (951) 696-7045General Manager [email protected] Cinema Murrieta, CA 92562
Arlea Anderson (951) 342-3057Preceptor for Elderly Nutrition Clinical [email protected] Services Association Moreno Valley, CA 92557
Mary Kallevig-Byun (951) 265-8630High School Teacher/Child Care Client [email protected] Mesa High School Murrieta, CA 92562
Certifications
CPR/ Basic Life Support Certified 2012-2014o Will be getting re-certified fall of 2016
Will be getting first aid certified fall of 2016 Health Coaching Certification- Fall 2015
Summary of Student Learning Outcomes
As a Health Science major, I have developed many of the student learning outcomes in which
we were required to know before graduating. I have taken multiple classes on our US health care
system and have developed a strong understanding in what goes on in the health care scene. Also, I
have done internship work with local health care assistance to the elderly. Taking multiple science
classes within my Bachelor of Science degree, I have also developed a strong skill of proper research
methodology, statistical analysis, and developed proper comprehension in the scientific method and
other scientific literature. This was done through numerous research papers, science report write ups,
and using excel for displaying results of some science experiment results. And last but not least, I
have developed effective and valuable communication skills through clinical experience, working in
retail for two years, and doing multiple successful group projects for many other classes. The
following will highlight my work product and what I have successfully completed.
Presentation- this is an example of a diagnosis dealing with mental disorders. I picked
one character and focused on her Borderline Personality Disorder and broke it down into
key scientific/psychological factors within the mental disorder itself.
Research paper- here is an example of research I did on Anorexia Nervosa as an example
of using my developed research methodology. This research paper also includes
comprehension of how this mental illness affects our public health and how our public
health care system treats this kind of illness.
Written paper- this paper is an example of comprehension of multiple scientific articles
compiled into one paper about the possible side effects of cell phones to ones health.
Excel file project: this project is an example of using excel to put together a cost analysis
if my group were to do a project with certain chemicals/processes to perform an
experiment.
Anorexia Nervosa Eating Disorder Capstone Project
Alyssa J. Cisneros
California Baptist University
Author Note
Alyssa J. Cisneros, Health Science Studies, California Baptist University.
Correspondence concerning this article should be addressed to Alyssa J, Cisneros, Health
Science, California Baptist University, 8432 Magnolia Avenue, Riverside, CA 92504. E-mail:
Abstract
Anorexia Nervosa has been an eating disorder known about for years and generations. However,
it is one of the most misunderstood eating disorders of today. Through this essay, characteristic
symptoms and all other symptoms, prevalence causal factors, and treatment are discussed using
other peer reviewed articles and journals for the last 12 years. Lastly, this essay entails a
discussion discussing someone else’s story of having anorexia nervosa and how they were able
to overcome their problem and how to use their weakness from the past into something that
could benefit others. Also, there discusses how God is important in this disorder and how He can
help aid those who have this illness and how to overcome their illness through scripture.
Anorexia Nervosa Eating Disorder Capstone Project
Imagine seeing a normal-looking girl. She is about the age of 13, who not only looked
beautiful, but also seemed somewhat fit and thin in stature. Now, imagine seeing that same girl
an hour before originally seeing her. She had her dinner just like any other being would, the only
difference, however, is that right after her small meal, she purposely threw it all up in order to
not gain any weight. This is an example of a young adolescent having an eating disorder; this
eating disorder is anorexia nervosa. According to the American Psychiatric Association (2013),
anorexia nervosa is characterized “by a persistent disturbance of eating or eating-related behavior
that results in alter consumption or absorption of food and that significantly impairs physical
health or psychosocial functioning”. This disorder has been greatly misunderstood by many
people saying it is a cry out for help and attention. Although that may be the case in some
situations, anorexia nervosa is a serious psychiatric disorder that does need treatment because it
can distort a person’s mind from not only thinking, but also seeing themselves differently as
oppose to what everyone else sees. In this paper, it will discuss the characteristic symptoms of
anorexia nervosa, its prevalence, the causal factors, and the treatment needed to overcome this
illness. And lastly, at the end of this paper, there will also be a discussion section talking about
the experience of a friend’s relative who had anorexia nervosa and what they went through
before recovering from the illness. First and foremost, in order to detect a mental illness, one
must know the characteristic symptoms to look out for in order to suspect an illness.
Characteristic Symptoms
Characteristic symptoms are very critical to know when trying to detect if a person has a
specific psychiatric disorder, in this case a feeding and eating disorder. Anorexia Nervosa (AN)
has three specified diagnostic criteria’s that stood as signs of having the disease. The three main
diagnostic criteria’s according to the DSM-5 is restriction of energy intake, intense fear of
gaining weight, and also having a disturbance in the way of how ones body looks or weighs
(American Psychiatric Association, 2013). And not only do those criteria’s apply, there are also
physical indicators and emotional indicators that could aid in the diagnosis of AN.
Restriction of Energy Intake
With a restriction of energy intake in which one needs to consume on a regular basis, it
will easily lead to lower body weight in the sense of ones sex, age, developmental progress, and
physical health. Steinglass et al. (2015) discovered through a study that those who had AN were
less likely to choose high-fat foods which therefore meant they preferred low-fat foods.
Participants in the study with anorexia nervosa also expressed wanting low calorie food over the
high calorie food as well aside from just the low-fat foods. Thorpe et al. (2011) did a case report
on a 19 year-old male with AN who restricted his diet in calories alongside excessively
exercising and went from being 130 kg to 60 kg. The case report displays evidence that the
restriction of energy intake was equivalent to lower body weight; in this case it was drastic
change in body weight. Aside from restriction of calories and energy intake, those with anorexia
nervosa also struggle with a fear of gaining weight along with having disturbances of how their
body looks.
Fear of Gaining weight and Body Disturbance
Not only is fear of gaining weight a part of anorexia nervosa’s criterions, in this criterion
it also includes a persistent behavior that interferes with weight gain even if the person has a
significantly low weight. These persistent behaviors could include: self-induced vomiting,
misusage of diuretics or laxatives, excessive exercising, dieting, or fasting (American Psychiatric
Association, 2013). Rushford (2006) explains in his research that fear of weight gain was directly
assessed in patients and was also strongly connected to the inpatients negative attitudinal
approach to their body dissatisfaction alongside their perceived flaws of their own bodies. This
kind of fear extends to different emotions, which greatly is deemed effective upon the person
perception of them. And this also leads into how fear coexists alongside one’s body disturbances
when having anorexia nervosa. Body disturbance is the self-evaluation of ones weight or shape
which can also lead to persistent lack of recognition of the seriousness of ones current weight
(American Psychiatric Association, 2013). These kinds of body disturbances have been led to
find that there are low levels of self focused attention upon oneself and that anorexia nervosa
may lessen this pathological self-focus (Zucker et al., 2015). Because of the lack of self-focus
because of the illness, this makes it more presumed that the disorder makes that difficult for one
who has AN to see that they are underweight. This also is a key element to show that AN goes
beyond not eating but also plays apart of the psychological aspect.
Physical and Emotional Indicators
There are also physical characteristics and emotional characteristics associated with those
who have AN. Physical characteristics can include the following: fatigue, generalized weakness,
bradycardia, loss of subcutaneous fat tissue, impaired menstrual function, hypothermia, hair loss,
and also the feeling of being bloated or having upset stomach (Sidiropoulos, 2007). Because of
all these physical causes, it was also said to be associated alongside with depression and an
obsessive-compulsive behavior since developing fat is the last thing a person with AN wants to
have (Calugi, El Ghoch, Conti, & Dalle Grave, 2014). Social withdrawal, irritability, insomnia,
and diminished interest in sex are also some emotional factors to look after those who have AN
also according to the DSM-5 (American Psychiatric Association, 2013). All these things must be
considered when looking at someone who may have AN. The next thing one should look at is the
prevalence of anorexia nervosa and how much does it affect our population around us.
Prevalence
One thing known for sure about the prevalence of anorexia nervosa is that it is far more
prevalent in females than males. However, just because it is not as prevalent in males, it does not
mean it is not prevalent at all in males; the clinical population with AN is 10:1 female-to-male
ratio (American Psychiatric Association, 2013). The high-risk group dealing with anorexia
nervosa happens to be affiliated with the group of 15-19 year old girls and a prevalence rate of
370 per 100, 000 young females a year (Smink, Hoeken, & Hoek, 2012). Smink, Hoeken, and
Hoek (2012) also stated that there is a .3% prevalence rate of AN within the male gender. The
prevalence among specific ethnicity is not fully specified on account that AN can happen to
anyone. But, there is lower prevalence among the Latinos, African Americans, and Asians in the
United States (American Psychiatric Association, 2013). As for ethnic prevalence in the western
countries versus the non-western countries, the prevalence rate in western countries is higher
here and increasing than it is in the non-western countries (Makino, Tsuboi & Dennerstein, 2004
also cited in Smink, Hoeken & Hoek, 2012).
Causal Factors
In causal factors, there are many things that can cause anorexia nervosa. There are also
many different aspects as to how they affect anorexia nervosa as well. The causal factors to
consider are the following: biological, social, cultural, and environmental.
Biological
The DSM-5 states that there is an increased risk of anorexia nervosa among first-degree
biological relatives of individuals with the disorder (American Psychiatric Association, 2013). It
has also been found that the rate for anorexia nervosa is significantly higher in monozygotic
twins than it is in dizygotic twins. Another biological cause of anorexia nervosa is that there have
been magnetic resonance images (MRI’s) that display that there are brain abnormalities in
correlation to the disorder. Andrés-Perpiña et al. (2014) did neuropsychological studies that
revealed, although not all but a great amount, patients with AN were discovered to have sense of
cognitive impairment. Some AN patients were seen to also had anxiety also which could be
another cause in developing AN. Aside from biological factors, there is also social, cultural and
environmental factors to consider.
Social, Cultural, and Environmental
Many see the development of this disorder most prominent within the adolescent phase of
life. There is reason as to why this is, and that is based upon social constructs. Allison, Warin,
and Bastiampillai (2014) discuss in their article that social peer influence is a high status desired
and valued by western culture. And because of social influences encouraging the crafting of thin
bodies, these kinds of bodies become a capital within today’s peer groups. Peer influence is one
of the many things that create a social environment. There has also been epigenetic research that
has suggested that there is also a possibility that “complex interaction where there is social
environment may also modify genetic risk” (Allison, Warin, & Bastiampillai, 2014). During this
time however, in the early stages of AN, it is well recognized that friendships are lost rapidly and
therefore causes social isolation. Family is key in these kind of relational issues in order to
encourage their loved one with AN in order to help direct them onto the road of recovery. With
that being said, there is a way to recover from this disorder. And family happens to be a part of
that treatment.
Treatment
Thankfully, anorexia nervosa is a disorder that can be treated as long as the patient with
the disorder is willing to change. Calugi, El Ghoch, Conti, and Dalle Grave (2014) bring up that
one of the best psychotherapeutic ways of treating anorexia nervosa is through cognitive
behavioral therapy. This form of therapy has been considered more effective when it comes to
having a long-term effect. With this kind of treatment, there has been evidence of significant
improvement in weight and habits because that is the main target of the therapy. Another
psychotherapy considered when a patient has anorexia nervosa is muilti-family therapy (MFT).
Voriadaki et al. (2015) explains about how MFT helps share the experiences with other families
of what has happened along with giving role-playing in order to increase expression of emotion
and receive mutual learning and support from others who are going through the same thing.
Lastly, another treatment can be with the aid of a psychotropic, which is olanzapine. Olanzapine
is a selective serotonin uptake inhibitor (SSRI), which has been proven to have positive effects
on body mass index, eating disorder symptoms, and functional impairment in some age groups
(Balestrieri et al., 2013).
Discussion
I had talked to a friend’s relative who had anorexia nervosa. And everything she told me,
was everything I did my research on basically. She was excessively working out, never felt
comfortable with her body, occasionally self-inflicted purging, always cold, and had menstrual
problems. She also felt very depressed and socially isolated because anyone who got in the way
of her working out or ever questioned her eating habits, she would push away. She finally got
help when one of her most dear family members realized what was happening to her. She
became too skinny, gaunter in the face, and was no longer happy or looked alive for that matter.
She underwent CBT a few times a week and her family watched over her and encouraged her to
healthier lifestyles little by little. She eventually got better and completely recovered from her
disorder. Also, she is now a fitness trainer and knows when her clients are practicing unhealthy
habits just to lose weight and strays them away from those habits. In the bible it says we are to
treat our bodies as temples (1 Corinthians 6:19) and do so by glorifying God (1 Corinthians 6:20)
at the same time. And although gluttony is considered a sin, so is eating because it not only hurts
you physically, but mentally. We are all made in the image of God (Genesis 1:27). Even with a
mental disorder or eating disorder, that should always be viewed so we can overcome the feeling
of not being good enough in our eyes or societies eyes etc. because we are made in His image!
For we can do all things through HIM who strengthens us (Philippians 4:13) even recovery from
anorexia nervosa.
References
Allison, S., Warin, M., & Bastiampillai, T. (2014). Anorexia nervosa and social contagion:
Clinical implications. Australian And New Zealand Journal Of Psychiatry, 48(2), 116-
120. doi:10.1177/0004867413502092
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.
Andrés-Perpiña, S., Lozano-Serra, E., Puig, O., Lera-Miguel, S., Lázaro, L., & Castro-Fornieles,
J. (2014). 'Clinical and biological correlates of adolescent anorexia nervosa with impaired
cognitive profile': Erratum. European Child & Adolescent Psychiatry, 23(9), 851.
doi:10.1007/s00787-014-0569-0
Balestrieri M, Oriani M, Simoncini A, Bellantuono C. Psychotropic drug treatment in anorexia
nervosa. Search for differences in efficacy/tolerability between adolescent and mixed‐age
population. European Eating Disorders Review [serial online]. September
2013;21(5):361-373. Available from: PsycINFO, Ipswich, MA. Accessed April 25, 2015.
Calugi, S., El Ghoch, M., Conti, M., & Dalle Grave, R. (2014). Depression and treatment
outcome in anorexia nervosa. Psychiatry Research, 218(1-2), 195-200.
doi:10.1016/j.psychres.2014.04.024
Makino, M., Tsuboi, K., & Dennerstein, L. (2004). Prevalence of Eating Disorders: A
Comparison of Western and Non-Western Countries. Medscape General Medicine, 6(3),
49.
Rushford, N. (2006). Fear of Gaining Weight: Its Validity as a Visual Analogue Scale in
Anorexia Nervosa. European Eating Disorders Review, 14(2), 104-110.
doi:10.1002/erv.682
Sidiropoulos, M. (2007). Anorexia Nervosa: The physiological consequences of starvation and
the need for primary prevention efforts. McGill Journal of Medicine : MJM, 10(1), 20–
25.
Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of Eating Disorders:
Incidence, Prevalence and Mortality Rates. Current Psychiatry Reports, 14(4), 406–414.
doi:10.1007/s11920-012-0282-y
Steinglass, J., Foerde, K., Kostro, K., Shohamy, D., & Walsh, B. T. (2015). Restrictive food
intake as a choice—A paradigm for study. International Journal Of Eating Disorders,
48(1), 59-66. doi:10.1002/eat.22345
Thorpe, M., Nance, M., Gilchrist, P., & Schutz, J. (2011). Symptoms of psychosis in a patient
with anorexia nervosa. Australian And New Zealand Journal Of Psychiatry, 45(9), 791.
doi:10.3109/00048674.2011.578566
Voriadaki, T., Simic, M., Espie, J., & Eisler, I. (2015). Intensive multi‐family therapy for
adolescent anorexia nervosa: Adolescents’ and parents’ day‐to‐day experiences. Journal
Of Family Therapy, 37(1), 5-23. doi:10.1111/1467-6427.12067
Zucker, N., Wagner, H. R., Merwin, R., Bulik, C. M., Moskovich, A., Keeling, L. and Hoyle, R.
(2015), Self-focused attention in anorexia nervosa. Int. J. Eat. Disord., 48: 9–14. doi:
10.1002/eat.22307
Alyssa Cisneros
Dr. Ferko
CHE115 Section F
19 November 2014
Potential Risks of Cell Phones Essay
No one had ever imagined the idea of a device that can vocally communicate over vast
distances, and yet phones were invented. And from telephones, no one thought it was possible
for these kinds of communication devices to become mobile. And yet, over thirty years ago, a
man by the name of Martin Cooper invented the first cellular device known to man
(FoxNews.com). It is amazing to see how much progress was developed via technology.
However, does anyone ever come across a thought of: “what if such great powered technology
devices, have a side affect that could be dangerous to my well being?” Typically, this is not the
first thing that comes to a person’s mind. And for quite a few years, scientists’ have done many
studies and observations to see if there is any dangers attached to these great devices us humans
use on an every day basis. In the next three articles, they address the potential risks that cell
phone could possibly obtain.
In the first article titled “Cell phone-cancer study an enigma” by Janet Raloff, it basically
discusses about how researchers remain questioning if cell phones are of any threat to our brains
or health. This article explained how gliomas is the only tumor that could be linked to cell phone
usage but only if a person is a heavy user of a cell phone. In the study of this article it was said,
“Fewer than 5 percent of meningiomas and 9 percent of gliomas seen in study participants
occurred among people who had used cell phones for more than 10 years” (Raloff 13). This
means that the people who had the gliomas, only 9 percent of the affected were avid phone users.
That is a rather small percentage compared to the other remaining 91 percent that had the
gliomas and may or may not have been moderate cell phone users also. With this result, it seems
that cell phones have little effect to causing these gliomas if anything. And the end of this article
talks about how even though cell phone risks are still unknown that “cell phone owners should
adopt the ‘precautionary principle’” (Raloff 14). So although this article talks about phones
having a little affect, the next article does reveal certain research that shows that the brain still
has an effect whether we know it or not.
In the second article “ FOR KIDS: Cell Phones on the Brain” by Stephen Ornes, talked
about how a certain experiment showed that even though unseen, the cell phone does in fact have
a certain effect on the brain. This article stated that spending 50 minutes on a cellular device
could cause brain an increase in brain activity (Ornes 1). When cell phones are on, they emit
energy in radiation form that may or may not be harmful. The article talks about how an
experiment was done with 47 participants had cell phones strapped on each side of their head.
On the left ear, the phone was off and on the right ear the phone played a message for fifty
minutes but had no volume to be heard. After doing a PET scan, showed the left side had no
activity while the right side had used more glucose meaning the brain was actively working.
In the last article, “Worrying about wireless” talked about how the concerns of cell
phone dangers are to be considered misplaced and increasingly irrelevant. This article clarified
how “radio waves do not pack anywhere near enough energy to produce free radicals” (Worrying
2). This article also talks about how the amount of energy emitted is less than a millionth of the
energy needed to cause ionisation (forming ions in conjunction with other chemical changes).
They therefore classified cell phones as a Group 2B risk meaning its only a concern if heavily
using a phone for a long period of time.
In my personal opinion, I do not see any extreme causes by the usage of a cell phone and
do not believe that cell phones are an extreme danger, yet at least. I feel the only time that cell
phones will become risky to human health however is if a phone was poorly manufactured and
emitted more energy than intended or if a person actually taped a cell phone to their head. Even
if I do believe that cell phones are not an extreme factor that could change our health, I do
believe that it does have some sort affect to our brains.
In the second article by Stephen Ornes, it was visible through a PET scan that the brain
had used glucose while the 50 minute message was playing through the multiple participants’
ears. Any sort of sign when a brain or cell is using glucose, shows a sign of cellular respiration
and the whole purpose of cellular respiration is to produce energy for cells that are in need to
work and function. So why would glucose be used if cells were not being used? Because they
actually were working and were active due to the radiation being emmitted through the cell
phone. So although not completely harmful, cell phones are exposing us to certain radio waves
that do affect our brains one way or another.
With that being said, because cell phones do have some sort of affect on our brains, there
should be precautions taken when using them. This can easily be preventable with using
bluetooth devices that emit even smaller amounts of radiation compared to a cell phone being put
to your ear. Another way to prevent this kind of exposure is also just using speaker phone. The
cell phone is placed at a certain distance away from your face therefore it isn’t so direct to your
body and the radiation from the phone will not be as effective. I do believe though, that these
next few generations will receive more effects of cell phones if there are any discovered in the
future compared to our older generations since they weren’t exposed to these devices their whole
lives. Cell phones, I believe do more good than they do harm in the end from what I can see.
Bibliography
Ornes, Stephen. "FOR KIDS: Cell Phones on the Brain." Science News. N.p., 7 Mar. 2007. Web.
16 Nov. 2014.
Raloff, Janet. "Cell Phone-cancer Study an Enigma." Science News. N.p., 19 June 2010. Web. 16
Nov. 2014. <https://www.sciencenews.org/article/cell-phone-cancer-study-enigma>.
"The First Mobile Phone Call Was Placed 40 Years Ago Today." Fox News. FOX News
Network, 03 Apr. 2013. Web. 16 Nov. 2014.
"Worrying about Wireless." The Economist. N.p., 3 Sept. 2011. Web. 16 Nov. 2014.
Cost Analysis Excel Project for General Chemistry 1
1g 100 kg(=100,000 g)
Item Price Item PriceAluminum Free Alumnum FreeKOH pellets $0.20 KOH pellets $20,000.009M H2SO4 $40.66 9M H2SO4 $4,066,000.00Filter Paper $0.31 Filter Paper $31,000.00Waste Disposal $2.55 Waste Disposal $255,000.00Labor Cost for 4 people@ $9/3hr $108.00
Labor Cost for a team of 20 people $54,000,000
Total $151.72 Total $58,372,000.00
Honor/Awards/Leadership
Deans List 2012-Present
o For those with a 3.3 GPA and above
LinkedIn Account
https://www.linkedin.com/in/alyssacisneros