1. Choose the best answer and short explanation1. A patient wi
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1. Choose the best answer and short explanation 1. A patient with chronic-stable angina is on prophylactic beta-blocker therapy, with sublingual nitroglycerin used PRN (as needed) for managing acute angina. One day he experiences particularly severe angina and takes the usually recommended dose of sublingual nitroglycerin (NTG). His discomfort is not reduced at all. Seeking relief, he repeats the usual recommended dose of NTG dose 6 times over a period of about 10 minutes, and now has taken far too much of the nitrovasodilator. An electrocardiogram taken by the paramedics, who were called for the patient’s emergency, shows changes consistent with myocardial ischemia. The patient incurs a massive infarction, goes into cardiac arrest, and cannot be resuscitated. Which of the following is the most likely cause of or contributing factor to the patient’s ultimately fatal response to the excessive dosage of NTG? Assume the patient was taking no other drugs except the NTG and a beta-blocker. A. Cyanide, or toxic metabolite of NTG, accumulated. B. NTG directly induced coronary vasoconstriction. C. NTG lowered arterial (coronary perfusion) pressure excessively D. Beta-blocker counteracted the effects of NTG and increased the risk of ischemia 2. Dopamine, epinephrine (or norepinephrine) and histamine are important neurotransmitter agonists. When these ligands interact with their cellular receptors, how do they mainly elicit their responses? A. Activate adenylyl cyclase directly, leading to increased intracellular cAMP levels B. Activate phospholipase C C. Induce or inhibit synthesis of ligand specific intracellular proteins D. Open or close ligand gated ion channels E. Regulate intracellular second messengers through G-protein-coupled receptors 3. A 65-year old man with heart failure is unable to climb a flight of stairs without experiencing dyspnea. After several years of therapy with carvedilol, captopril and furosemide, the therapeutic plan probably needs to change now. You empirically add digoxin to improve cardiac muscle contractility. Within 4 week he has a marked improvement in his symptoms. Which of the following best describes the main cellular action of digoxin that accounts for its ability to improve his cardiovascular function? A. Activates beta1-adrenergic receptors B. Facilitates GTP binding to specific proteins C. Increases mitochondrial calcium (Ca++) release D. Inhibits sarcolemmal Na/K-ATP-ase 4. A patient has frequent episodes of paroxysmal supraventricular tachycardia (PSVT). Which of the following drugs would be most suitable for outpatient prophylaxis of these events? A. Adenosine B. Lidocaine C. Nifedipine D. Verapamil 5. A patient with chronic-stable angina begins taking metoprolol, and once blood levels reach the therapeutic range the frequency and severity of angina attacks and the need for sublingual nitroglycerin were reduced. Which of the following states the direct pharmacologic ...
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1. Jack is the principal. Mary is Jacks agent. Mary enters into
1. Jack is the principal. Mary is Jack's agent. Mary enters into a contract with Peter whereby Peter sells his house to Mary.
a. Under what circumstances will Jack be liable for this contract with Peter. That is, under what circumstances will Jack be required to pay Peter for the house?
b. Under what circumstances will Mary be liable for this contract with Peter. That is, under what circumstances will Mary be required to pay Peter for the house?.
2. Principal and agent are in principal's car. Principal is driving the car. Principal negligently injures a pedestrian who is lawfully crossing the street. Whom should the pedestrian sue? That is, who is likely liable to the pedestrian? Explain.
3. Principal and agent are in principal's car. Agent is driving the car. Agent negligently injures a pedestrian who is lawfully crossing the street. Whom should the pedestrian sue. That is, who is likely liable to the pedestrian? Explain.
4. Agent enters into a contract with Peter on behalf of principal whereby Agent purchases a house from Peter. Principal did not authorize this contract.
a. Should Peter sue principal to obtain payment for the purchase of the house? Explain.
b. Should Peter sue agent to obtain payment for the purchase of the house? Explain.
Chapter 33
Agency Liability
and Termination
Acct352 Sections 012, 015, 017
SPRING 2021
Clarkson/Miller, Business Law: Text and Cases, Fifteenth Edition. © 2021 Cengage. All Rights Reserved.
May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Clarkson/Miller, Business Law: Text and Cases, Fifteenth Edition. © 2021 Cengage. All Rights Reserved.
May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
§1: LEARNING OBJECTIVES
• Describe how agency relationship is terminated
• Describe the duty of loyalty agents owe to principals
• Describe the principal’s liability to third parties for tortious conduct of agent
and independent contractors
• Describe the agent’s liability to third parties stemming from breach of
contract
• Describe how independent contractor status is created
• Describe the principal’s liability for the tortious conduct of an independent
contractor
• Describe the principal’s liability for the contracts created by an independent
contractor
Clarkson/Miller, Business Law: Text and Cases, Fifteenth Edition. © 2021 Cengage. All Rights Reserved.
May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
§2: Liability of Agent to Principal
Agents owe to their principals a duty of loyalty. This is a fiduciary duty to not act
adversely to the interests of the principal
• An agent acts adversely to the interests of her principal when she does any of the
following
• Self-dealing
• Usurps an opportunity of the principal
• Competes with the principal
• Misuses the principal’s confidential informati ...
1. IntroversionScore 11 pts.4 - 22 pts.Feedback Some peop
1. Introversion
Score : 11 pts.
4 - 22 pts.
Feedback: Some people thrive in teleworking arrangements, whereas others discover that it is neither a satisfying nor productive work environment for them. This scale assesses three personal dispositions that are identified in the literature as characteristics of effective teleworkers: (a) high company alignment, (b) low social needs at work and (c) independent initiative.
Company alignment
Company alignment estimates the extent to which you follow company procedures and have values congruent with company values. The greater the alignment, the more likely that you can abide by company practices while working alone and with direct supervision. While some deviation from company practices may be appropriate, teleworkers need to agree with company values and provide work that is consistent with company expectations most of the time. Scores on this scale range from 4 to 20.
Extroversion
Score: 17 pts.
4 - 22 pts.
Feedback: Low individualism
Individualism refers to the extent that you value independence and personal uniqueness. Highly individualist people value personal freedom, self-sufficiency, control over their own lives, and appreciation of their unique qualities that distinguish them from others.
However, keep in mind that the average level of individualism is higher in some cultures (such as Australia) than in others.
2. Total score: 8 pts.
RANGE BASED FEEDBACK:
6-12 pts.
Feedback: Low work centrality
People with high work centrality define themselves mainly by their work roles and view non-work roles as much less significant. Consequently, people with a high work centrality score likely have lower complexity in their self-concept. This can be a concern because if something goes wrong with their work role, their non-work roles are not of sufficient value to maintain a positive self-evaluation. At the same time, work dominates our work lives, so those with very low scores would be more of the exception than the rule in most societies. Scores range from 6 to 36 with higher scores indicating higher work centrality. The norms in the following table are based on a large sample of Canadian employees (average score was 20.7). However, work centrality norms vary from one group to the next. For example, the average score in a sample of Canadian nurses was around 17 (translated to the scale range used here).
3. Total score: 32 pts.
RANGE BASED FEEDBACK:
28-32 pts.
Feedback: High need for social approval
The need for social approval scale estimates the extent to which you are motivated to seek favourable evaluation from others. Founded on the drive to bond, the need for social approval is a secondary need, because people vary in this need based on their self-concept, values, personality and possibly social norms. This scale ranges from 0 to 32. How high or low is your need for social approval? The ideal would be to compare your score with the collective results of other students in your class. Otherwi ...
1. International financial investors are moving funds from Talona
1. International financial investors are moving funds from Talona to other countries. This depreciation is causing even more disenchantment with this Talona's currency. Describe the affects will this have on the supply and demand curves for this currency on the foreign exchange markets?
2. Using a supply and demand diagram, demonstrate how a negative externality leads to market inefficiency. How might the government help to eliminate this inefficiency?
3. Briefly discuss the shortcomings of environmental command-and-control regulations.
4. Some data that at first might seem puzzling: The share of GDP devoted to investment was similar for the United States and South Korea from 1960-1991. However, during these same years South Korea had a 6 percent growth rate of average annual income per person, while the United States had only a 2 percent growth rate. If the saving rates were the same, why were the growth rates so different?
5. “Block Imports—Save Jobs for Some Americans, Lose a Roughly Equal Number of Jobs for Other Americans, and Also Pay High Prices.” Discuss this statement within the context of protectionism.
6. Steve and Craig have been shipwrecked on a deserted island in the South Pacific. Their economic activity consists of either gathering pineapples or fishing. We know Steve can catch four fish in one hour or harvest two baskets of pineapples. In the same time Craig can reel in two fish or harvest two baskets of pineapples.
Assume Craig and Steve both operate on straight-line production possibilities curves. What is Steve's opportunity cost of producing a basket of pineapples? Of a producing a fish? What is Craig's opportunity cost of producing a basket of pineapples? Of a producing a fish?
7. Provide examples of market-oriented environmental policies.
Running head: SC PLAN 1
SC PLAN 4
SC PLAN
Student’s Name
Institution Affiliation
SC PLAN
1. Describe the actions you will take to increase your net cash flows in the near future.
The first step is to reduce living expenditures. It is critical to lessen the amount spent on living expenses and other variables and save for future use. I will have to prevent luxuries such as vacation costs or keep them in check to avoid spending a hefty amount on them. I should check the option to cook for myself and avoid buying food. Also, I will choose a destination I can drive myself to save on rental car expenditures and airfare. I will have a detailed budget indicating the amount required for savings, debt repayment, and investment that will assist only to spend the money on essential expenditures. Further, the savings can help to start a business and become self-employed in the distant future.
I would have to look for a job that pays well or engage in a robust salary negotiation. The right time to negotiate for salary is during a performance review, compensation meeting, or job promotion (Bellon, Cookson, Gilje, & Heimer, 2020). I will ensure that I expand my education and technic ...
1. Interventionstreatment· The viral pinkeye does not need any
1. Interventions/treatment
· The viral pinkeye does not need any medication
· The bacterial pinkeye is treated with ointment or eye droplets
2. Possible nursing diagnosis
· Checking the specific infection affecting the eye
· Identifying burning eyes
· Increased anxiety with red eyes
3. Sign and symptoms
· Eye irritation
· Eye tearing
· Eye redness
· Eye discomfort
4. Nursing Interventions
· Putting some droplets in the kid’s eye
· Using a antibiotic ointment
· Administering ibuprofen to the kid
5. Risk factors
· Allergies
· A women having an STD during pregnancy
· Exposing the child to areas with lots of bacteria
6. Pathophysiology
The infected eye shows through an inflammation that is swollen and red. The conjunctiva shows and this is the clear membrane seen in the part where the eye is white. It remains this way if not treated for a while before it ends with medication administered or just ends naturally.
7. Complications
· A scaring in the child’s eye if the conjunctivitis is caused by allergic reactions
· It can aggravate to cause different conditions such as meningitis
8. Diagnostic Procedure
· Administering the medicine using eye droplets
· Rubbing the eye area with the ointment
...
1. Introduction and background information about solvatochromism u
1. Introduction and background information about solvatochromism using Reichardt’s dye? (400-500 words)
2. Discuss the properties of Reichardt’s dye that cause it to change its wavelength of maximum absorbance in the presence of solvents of differing polarities.
3. Discuss solvatochromism. Are there other dyes which exhibit this effect?
4. Would it be possible to use the wavelength of maximum absorbance in the presence of Reichardt’s dye to determine the water content of acetone solutions?
...
1. Integrity, the basic principle of healthcare leadership.Conta
1. Integrity, the basic principle of healthcare leadership.
Contains unread posts
Mateo Alba posted May 12, 2021 10:04 PM
Subscribe
Integrity of any organization regardless whether it is in healthcare or business or government is paramount. Because of integrity comes trust. Having trust in a healthcare organization is nonnegotiable. It is the foundation of a world-class organization. Executives who ignore ethics run the risk of personal and corporate liability in today’s increasingly tough legal environment (Lynn S. Paine, 1994, Managing for Organizational Integrity, pp. 2-21)
First, the healthcare organization. The healthcare organization is the head or the governing body. It is charged of day-to-day functions, establish policies, guidance, business process, safety, security and all the administrative duties. Integrity is and must be the cornerstone of any healthcare organization. Without it, no clinicians or workers that would knowingly work for an organization that they cannot trust or feel safe. And most importantly, if the patients do not have trust in the organization, they will avoid that facility at all cost.
Second, the clinicians. The clinicians are what makes the organization or facility function. Whether they are the providers, nurses or staff it is important that they have the integrity to always do what is right not only for the healthcare team or the organization, but most specially for the patient. It starts with the clinical leaders building trust to their subordinate staff by having the integrity and values of what a leader should be. Once that is established, then it permeates throughout the entire team. Thereby improving the healthcare delivery.
Lastly, and the most important is the patient. At the center of the entire system needs to be the patient. Once the patient recognizes the integrity or values of the healthcare organization and the clinicians delivering healthcare, patient trust is established. The patient satisfaction also increases. According to Cowing, Davino-Ramaya, Ramaya, Szmerekovsky, 2009, pp.72, “if patients are satisfied with clinician-patient interactions, they are likely to be more compliant with their treatment plan, to understand their role in the recovery process, and to follow through with the recommended treatment”. Having integrity or values in the healthcare delivery is the basic principle of healthcare leadership.
Cowing, M., Davino-Ramaya, C. M., Ramaya, K., & Szmerekovsky, J. (2009). Health care delivery performance: service, outcomes, and resource stewardship. The Permanente Journal, 13(4), 72–78. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911834/
Lynn S. Paine, 1994, Managing for Organizational Integrity. Harvard business review, 2-21. Retrieved from Managing for Organizational Integrity (hbr.org)
2. Medical Delivery Influences
Contains unread posts
Robert Breeden posted May 12, 2021 9:44 AM
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Hello,
The influence within the medical community is so important and ...
1. Information organized and placed in a logical sequence (10 po
1.
Information organized and placed in a logical sequence (10 points)
Points Awarded
2.
Demonstrated knowledge of ethical dilemma presented by:
2a. Summarized the situation (10)
2b. Explained the ethical dilemma (5)
2c. Solved the problem as a professional RN (15)
3.
Responses supported with specific ANA Codes
(20)
4.
Visual aids professional, visually interesting
& aided in understanding material; proper grammar/spelling/punctuation-no more than 2 errors in presentation(10)
5.
Maintained eye contact of audience (10)
6.
Voice clear & audible (10)
7.
Encouraged class participation (5)
8.
Reference slide that includes references in APA
format (5)
Total points possible = 100
NSG 100
Case Study in-class Presentations Assignment
1): Moral Courage with a Dying Patient
Mr. T. is an 82-year-old widower who has been a patient on your unit several times over the past 5 years. His CHF, COPD, and diabetes have taken a toll on his body. He now needs oxygen 24 hours a day and still has dyspnea and tachycardia at rest. On admission, his ejection fraction is less than 20%, EKG shows a QRS interval of greater than 0.13 seconds, and his functional class is IV on NYHA assessment.
He has remained symptomatic despite maximum medical management with a vasodilator and diuretics. He tells you, "This is my last trip; I am glad I have made peace with my family and God. Nurse, I am ready to die." You ask about an advance directive and he tells you his son knows that he wants no heroics, but they just have never gotten around to filling out the form. When the son arrives, you suggest that he speak with the social worker to complete the advance directive and he agrees reluctantly. You page the physician to discuss DNR status with the son. Unfortunately, Mr. T. experiences cardiac arrest before the discussion occurs and you watch helplessly as members of the Code Blue Team perform resuscitation. Mr. T. is now on a ventilator and the son has dissolved into tears with cries of, "Do not let him die!"
2): Moral Courage to Confront Bullying
Melissa started on the unit as a new graduate 5 weeks ago. She is still in orientation and has a good relationship with her preceptor. The preceptor has been assigned consistently to Melissa for most of the last 4 weeks, but due to family emergency has not been available in the last week. Melissa has been told that she will be precepted by a different nurse for the remainder of her orientation. The new preceptor has not been welcoming, supportive, or focused on the educational goals of the orientation. In fact, this new preceptor has voiced to all who will listen her feelings about the incompetence of new BSN graduates. The crisis occurs when Melissa fails to recognize a patient's confusion as a result of an adverse medication effect. The preceptor berates Melissa in the nurses' station, makes sarcastic comments in shift report abou ...
1. In our grant application, we included the following interventio
1. In our grant application, we included the following interventions as our evidence-based programs: Family Therapy (to promote family acceptance and support, a key factor for overall health outcomes for this population), Motivational Interviewing (to address higher co-occurrence of substance use concerns), Trauma-Focused Treatment (including EMDR Therapy and TF-CBT, to address higher rates of complex trauma including from systemic oppression), and CBT (a gold standard treatment modality, but adapted to meet the needs of our client population by incorporating elements of
Solution
s-Focused or Narrative approaches to make it more strengths-based).
For questions 2-4, you would need to do some of your own research in the literature on these treatment modalities and determine for yourself if there were best practices that should be incorporated into the plan used at the agency.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Cultural Competency: A Key to Effective Future Social Work With Racially and Ethnically Diverse E...
Min, Jong Won
Families in Society; Jul-Sep 2005; 86, 3; ProQuest One Academic
pg. 347
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
...
Recommended
1. Jack is the principal. Mary is Jacks agent. Mary enters into
1. Jack is the principal. Mary is Jack's agent. Mary enters into a contract with Peter whereby Peter sells his house to Mary.
a. Under what circumstances will Jack be liable for this contract with Peter. That is, under what circumstances will Jack be required to pay Peter for the house?
b. Under what circumstances will Mary be liable for this contract with Peter. That is, under what circumstances will Mary be required to pay Peter for the house?.
2. Principal and agent are in principal's car. Principal is driving the car. Principal negligently injures a pedestrian who is lawfully crossing the street. Whom should the pedestrian sue? That is, who is likely liable to the pedestrian? Explain.
3. Principal and agent are in principal's car. Agent is driving the car. Agent negligently injures a pedestrian who is lawfully crossing the street. Whom should the pedestrian sue. That is, who is likely liable to the pedestrian? Explain.
4. Agent enters into a contract with Peter on behalf of principal whereby Agent purchases a house from Peter. Principal did not authorize this contract.
a. Should Peter sue principal to obtain payment for the purchase of the house? Explain.
b. Should Peter sue agent to obtain payment for the purchase of the house? Explain.
Chapter 33
Agency Liability
and Termination
Acct352 Sections 012, 015, 017
SPRING 2021
Clarkson/Miller, Business Law: Text and Cases, Fifteenth Edition. © 2021 Cengage. All Rights Reserved.
May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Clarkson/Miller, Business Law: Text and Cases, Fifteenth Edition. © 2021 Cengage. All Rights Reserved.
May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
§1: LEARNING OBJECTIVES
• Describe how agency relationship is terminated
• Describe the duty of loyalty agents owe to principals
• Describe the principal’s liability to third parties for tortious conduct of agent
and independent contractors
• Describe the agent’s liability to third parties stemming from breach of
contract
• Describe how independent contractor status is created
• Describe the principal’s liability for the tortious conduct of an independent
contractor
• Describe the principal’s liability for the contracts created by an independent
contractor
Clarkson/Miller, Business Law: Text and Cases, Fifteenth Edition. © 2021 Cengage. All Rights Reserved.
May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
§2: Liability of Agent to Principal
Agents owe to their principals a duty of loyalty. This is a fiduciary duty to not act
adversely to the interests of the principal
• An agent acts adversely to the interests of her principal when she does any of the
following
• Self-dealing
• Usurps an opportunity of the principal
• Competes with the principal
• Misuses the principal’s confidential informati ...
1. IntroversionScore 11 pts.4 - 22 pts.Feedback Some peop
1. Introversion
Score : 11 pts.
4 - 22 pts.
Feedback: Some people thrive in teleworking arrangements, whereas others discover that it is neither a satisfying nor productive work environment for them. This scale assesses three personal dispositions that are identified in the literature as characteristics of effective teleworkers: (a) high company alignment, (b) low social needs at work and (c) independent initiative.
Company alignment
Company alignment estimates the extent to which you follow company procedures and have values congruent with company values. The greater the alignment, the more likely that you can abide by company practices while working alone and with direct supervision. While some deviation from company practices may be appropriate, teleworkers need to agree with company values and provide work that is consistent with company expectations most of the time. Scores on this scale range from 4 to 20.
Extroversion
Score: 17 pts.
4 - 22 pts.
Feedback: Low individualism
Individualism refers to the extent that you value independence and personal uniqueness. Highly individualist people value personal freedom, self-sufficiency, control over their own lives, and appreciation of their unique qualities that distinguish them from others.
However, keep in mind that the average level of individualism is higher in some cultures (such as Australia) than in others.
2. Total score: 8 pts.
RANGE BASED FEEDBACK:
6-12 pts.
Feedback: Low work centrality
People with high work centrality define themselves mainly by their work roles and view non-work roles as much less significant. Consequently, people with a high work centrality score likely have lower complexity in their self-concept. This can be a concern because if something goes wrong with their work role, their non-work roles are not of sufficient value to maintain a positive self-evaluation. At the same time, work dominates our work lives, so those with very low scores would be more of the exception than the rule in most societies. Scores range from 6 to 36 with higher scores indicating higher work centrality. The norms in the following table are based on a large sample of Canadian employees (average score was 20.7). However, work centrality norms vary from one group to the next. For example, the average score in a sample of Canadian nurses was around 17 (translated to the scale range used here).
3. Total score: 32 pts.
RANGE BASED FEEDBACK:
28-32 pts.
Feedback: High need for social approval
The need for social approval scale estimates the extent to which you are motivated to seek favourable evaluation from others. Founded on the drive to bond, the need for social approval is a secondary need, because people vary in this need based on their self-concept, values, personality and possibly social norms. This scale ranges from 0 to 32. How high or low is your need for social approval? The ideal would be to compare your score with the collective results of other students in your class. Otherwi ...
1. International financial investors are moving funds from Talona
1. International financial investors are moving funds from Talona to other countries. This depreciation is causing even more disenchantment with this Talona's currency. Describe the affects will this have on the supply and demand curves for this currency on the foreign exchange markets?
2. Using a supply and demand diagram, demonstrate how a negative externality leads to market inefficiency. How might the government help to eliminate this inefficiency?
3. Briefly discuss the shortcomings of environmental command-and-control regulations.
4. Some data that at first might seem puzzling: The share of GDP devoted to investment was similar for the United States and South Korea from 1960-1991. However, during these same years South Korea had a 6 percent growth rate of average annual income per person, while the United States had only a 2 percent growth rate. If the saving rates were the same, why were the growth rates so different?
5. “Block Imports—Save Jobs for Some Americans, Lose a Roughly Equal Number of Jobs for Other Americans, and Also Pay High Prices.” Discuss this statement within the context of protectionism.
6. Steve and Craig have been shipwrecked on a deserted island in the South Pacific. Their economic activity consists of either gathering pineapples or fishing. We know Steve can catch four fish in one hour or harvest two baskets of pineapples. In the same time Craig can reel in two fish or harvest two baskets of pineapples.
Assume Craig and Steve both operate on straight-line production possibilities curves. What is Steve's opportunity cost of producing a basket of pineapples? Of a producing a fish? What is Craig's opportunity cost of producing a basket of pineapples? Of a producing a fish?
7. Provide examples of market-oriented environmental policies.
Running head: SC PLAN 1
SC PLAN 4
SC PLAN
Student’s Name
Institution Affiliation
SC PLAN
1. Describe the actions you will take to increase your net cash flows in the near future.
The first step is to reduce living expenditures. It is critical to lessen the amount spent on living expenses and other variables and save for future use. I will have to prevent luxuries such as vacation costs or keep them in check to avoid spending a hefty amount on them. I should check the option to cook for myself and avoid buying food. Also, I will choose a destination I can drive myself to save on rental car expenditures and airfare. I will have a detailed budget indicating the amount required for savings, debt repayment, and investment that will assist only to spend the money on essential expenditures. Further, the savings can help to start a business and become self-employed in the distant future.
I would have to look for a job that pays well or engage in a robust salary negotiation. The right time to negotiate for salary is during a performance review, compensation meeting, or job promotion (Bellon, Cookson, Gilje, & Heimer, 2020). I will ensure that I expand my education and technic ...
1. Interventionstreatment· The viral pinkeye does not need any
1. Interventions/treatment
· The viral pinkeye does not need any medication
· The bacterial pinkeye is treated with ointment or eye droplets
2. Possible nursing diagnosis
· Checking the specific infection affecting the eye
· Identifying burning eyes
· Increased anxiety with red eyes
3. Sign and symptoms
· Eye irritation
· Eye tearing
· Eye redness
· Eye discomfort
4. Nursing Interventions
· Putting some droplets in the kid’s eye
· Using a antibiotic ointment
· Administering ibuprofen to the kid
5. Risk factors
· Allergies
· A women having an STD during pregnancy
· Exposing the child to areas with lots of bacteria
6. Pathophysiology
The infected eye shows through an inflammation that is swollen and red. The conjunctiva shows and this is the clear membrane seen in the part where the eye is white. It remains this way if not treated for a while before it ends with medication administered or just ends naturally.
7. Complications
· A scaring in the child’s eye if the conjunctivitis is caused by allergic reactions
· It can aggravate to cause different conditions such as meningitis
8. Diagnostic Procedure
· Administering the medicine using eye droplets
· Rubbing the eye area with the ointment
...
1. Introduction and background information about solvatochromism u
1. Introduction and background information about solvatochromism using Reichardt’s dye? (400-500 words)
2. Discuss the properties of Reichardt’s dye that cause it to change its wavelength of maximum absorbance in the presence of solvents of differing polarities.
3. Discuss solvatochromism. Are there other dyes which exhibit this effect?
4. Would it be possible to use the wavelength of maximum absorbance in the presence of Reichardt’s dye to determine the water content of acetone solutions?
...
1. Integrity, the basic principle of healthcare leadership.Conta
1. Integrity, the basic principle of healthcare leadership.
Contains unread posts
Mateo Alba posted May 12, 2021 10:04 PM
Subscribe
Integrity of any organization regardless whether it is in healthcare or business or government is paramount. Because of integrity comes trust. Having trust in a healthcare organization is nonnegotiable. It is the foundation of a world-class organization. Executives who ignore ethics run the risk of personal and corporate liability in today’s increasingly tough legal environment (Lynn S. Paine, 1994, Managing for Organizational Integrity, pp. 2-21)
First, the healthcare organization. The healthcare organization is the head or the governing body. It is charged of day-to-day functions, establish policies, guidance, business process, safety, security and all the administrative duties. Integrity is and must be the cornerstone of any healthcare organization. Without it, no clinicians or workers that would knowingly work for an organization that they cannot trust or feel safe. And most importantly, if the patients do not have trust in the organization, they will avoid that facility at all cost.
Second, the clinicians. The clinicians are what makes the organization or facility function. Whether they are the providers, nurses or staff it is important that they have the integrity to always do what is right not only for the healthcare team or the organization, but most specially for the patient. It starts with the clinical leaders building trust to their subordinate staff by having the integrity and values of what a leader should be. Once that is established, then it permeates throughout the entire team. Thereby improving the healthcare delivery.
Lastly, and the most important is the patient. At the center of the entire system needs to be the patient. Once the patient recognizes the integrity or values of the healthcare organization and the clinicians delivering healthcare, patient trust is established. The patient satisfaction also increases. According to Cowing, Davino-Ramaya, Ramaya, Szmerekovsky, 2009, pp.72, “if patients are satisfied with clinician-patient interactions, they are likely to be more compliant with their treatment plan, to understand their role in the recovery process, and to follow through with the recommended treatment”. Having integrity or values in the healthcare delivery is the basic principle of healthcare leadership.
Cowing, M., Davino-Ramaya, C. M., Ramaya, K., & Szmerekovsky, J. (2009). Health care delivery performance: service, outcomes, and resource stewardship. The Permanente Journal, 13(4), 72–78. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911834/
Lynn S. Paine, 1994, Managing for Organizational Integrity. Harvard business review, 2-21. Retrieved from Managing for Organizational Integrity (hbr.org)
2. Medical Delivery Influences
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1. Information organized and placed in a logical sequence (10 po
1.
Information organized and placed in a logical sequence (10 points)
Points Awarded
2.
Demonstrated knowledge of ethical dilemma presented by:
2a. Summarized the situation (10)
2b. Explained the ethical dilemma (5)
2c. Solved the problem as a professional RN (15)
3.
Responses supported with specific ANA Codes
(20)
4.
Visual aids professional, visually interesting
& aided in understanding material; proper grammar/spelling/punctuation-no more than 2 errors in presentation(10)
5.
Maintained eye contact of audience (10)
6.
Voice clear & audible (10)
7.
Encouraged class participation (5)
8.
Reference slide that includes references in APA
format (5)
Total points possible = 100
NSG 100
Case Study in-class Presentations Assignment
1): Moral Courage with a Dying Patient
Mr. T. is an 82-year-old widower who has been a patient on your unit several times over the past 5 years. His CHF, COPD, and diabetes have taken a toll on his body. He now needs oxygen 24 hours a day and still has dyspnea and tachycardia at rest. On admission, his ejection fraction is less than 20%, EKG shows a QRS interval of greater than 0.13 seconds, and his functional class is IV on NYHA assessment.
He has remained symptomatic despite maximum medical management with a vasodilator and diuretics. He tells you, "This is my last trip; I am glad I have made peace with my family and God. Nurse, I am ready to die." You ask about an advance directive and he tells you his son knows that he wants no heroics, but they just have never gotten around to filling out the form. When the son arrives, you suggest that he speak with the social worker to complete the advance directive and he agrees reluctantly. You page the physician to discuss DNR status with the son. Unfortunately, Mr. T. experiences cardiac arrest before the discussion occurs and you watch helplessly as members of the Code Blue Team perform resuscitation. Mr. T. is now on a ventilator and the son has dissolved into tears with cries of, "Do not let him die!"
2): Moral Courage to Confront Bullying
Melissa started on the unit as a new graduate 5 weeks ago. She is still in orientation and has a good relationship with her preceptor. The preceptor has been assigned consistently to Melissa for most of the last 4 weeks, but due to family emergency has not been available in the last week. Melissa has been told that she will be precepted by a different nurse for the remainder of her orientation. The new preceptor has not been welcoming, supportive, or focused on the educational goals of the orientation. In fact, this new preceptor has voiced to all who will listen her feelings about the incompetence of new BSN graduates. The crisis occurs when Melissa fails to recognize a patient's confusion as a result of an adverse medication effect. The preceptor berates Melissa in the nurses' station, makes sarcastic comments in shift report abou ...
1. In our grant application, we included the following interventio
1. In our grant application, we included the following interventions as our evidence-based programs: Family Therapy (to promote family acceptance and support, a key factor for overall health outcomes for this population), Motivational Interviewing (to address higher co-occurrence of substance use concerns), Trauma-Focused Treatment (including EMDR Therapy and TF-CBT, to address higher rates of complex trauma including from systemic oppression), and CBT (a gold standard treatment modality, but adapted to meet the needs of our client population by incorporating elements of
Solution
s-Focused or Narrative approaches to make it more strengths-based).
For questions 2-4, you would need to do some of your own research in the literature on these treatment modalities and determine for yourself if there were best practices that should be incorporated into the plan used at the agency.
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Cultural Competency: A Key to Effective Future Social Work With Racially and Ethnically Diverse E...
Min, Jong Won
Families in Society; Jul-Sep 2005; 86, 3; ProQuest One Academic
pg. 347
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Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
...
1. I believe that the protagonist is Nel because she is the one th
1. I believe that the protagonist is Nel because she is the one that goes through different changes throughout the book. I also think she is the protagonist because most people can relate to her more. Nel was done wrong by Sula and her husband Jude Green. Sula did the one thing that a best friend should never do and, that is sleep with your best friend's husband. Even though Sula did a terrible thing Nel still cares about her best friend because she goes and visits her when she is sick even after all the pain she caused her. Nel is also deeply saddened when she visits Sulas grave. That is not the only thing that happened to Nel. Nel not only had to deal with the affair but also accepted her guilt in Chicken Little's drowning. But in the end, Nel realized she enjoyed watching him drown.
Everything changed when Sula came back to Nels life. Nel was happy before. She was happy with her family and her husband, but when Sula came back that all changed. After the affair and Sulas death, Nel was alone. Nel became a single mother and, she no longer has a good relationship with another man.
2. I believe that although the title of the story is Sula, the main protaginist of the story is Nel. Nel is kept until the end of the story and Sulay passes away and exit's the story. I think in this pivitol moment is when the author wanted to make Nel the main character. Nel contained her emotion until towards the end of the story when she has a conversation with Eva, Nel nervously comments "Who told you all these lies? Miss Peace? Who told you? Why are you telling lies on me?" I believe the author wanted us to feel the anxiousness and wonder that Nel found out that somebody finally knew about the little boy being thrown. I believe this admission of guilt to Eva brings closure to Nel. Nel was trying to hide her emotions the entire time and it wasn't after being confronted that she broke down about it and visited Sulay's grave. Nel even stated "I don't know. No." when asked whether somebody saw the boy being thrown into the river. This shows that Nel was not sure at all in the moment it happened whether somebody knew. Nel wanted to not think about what happen forever and try to mute the situation but Eva bringing it up, made Nel feel terrible about what happened which is why she ended up visting Sulay's grave. I think muting herself from knowing the little boy was thrown was still not a 'good' way to look at it, from her end. She wanted to believe a lie by just pretending it never happened. It wasn't after someone brought up the situation to her that her feelings change.
3. Although the novel is titled Sula, the real protagonist is Nel because she is the one who is transformed by the end. Sula and Nel were very great friends and were very dedicated to each other. But they were also very different. Nel was known as the more mature and "good person" while Sula is more impulsive. "Nel is the product of a family that believes deeply in social conventions, hers is a st ...
1. If the profit from the sale of x units of a product is P =
The document provides 11 math word problems related to profit, costs, revenue, supply and demand functions, and other economics topics. Students are asked to solve the problems by finding break-even points, maximum or minimum values, equilibrium quantities and prices, and other values. The problems cover concepts like profit maximization, optimal production levels, and using equations to model economic relationships.
1. How does CO2 and other greenhouse gases promote global warmin
1. How does CO2 and other greenhouse gases promote global warming? Discuss your opinion on the use of geoengineering measures to mitigate the effects of global warming.
Your response should be at least 250 words in length.
2. How does CO2 and other greenhouse gases promote global warming? Discuss your opinion on the use of geoengineering measures to mitigate the effects of global warming.
Your response should be at least 250 words in length.
Raw DataNamePayResponsibilitiesSupervisionGenderDepartmentRudolph211MaleAccountingOlga211FemaleAccountingInstructionsErnest211MaleAccountingEmily211FemaleAccountingThe sheet labeled "Raw Data" lists 366 employees and their rating (1-5) of their satisfaction with their Pay, Responsibilities, and Supervision. A rating of 5 is the highest satisfaction.Bobby211MaleAccountingRaw Data also includes the Gender and Department for each employee.Benjamin211MaleAccountingBeatrice211FemaleAccountingInsert a new column in EKeith211MaleAccountingLabel this new column "Overall Satisfaction Rating"Hilda211FemaleAccountingFor each employee, compute the Overall Satisfaction Rating as the Average of Pay, Responsibilities, and Supervision.Leslie311MaleAccountingFormat Overall Satisfaction Rating to one decimal place.Curtis311MaleAccountingAlice311FemaleAccountingOn a New sheet titled Results, create a Pivot Chart & Pivot TableSophie311FemaleAccountingAssign Gender to Columns, Department to rows, and Pay to Values. Change the value field setting from Sum to Average if necessary.Sally311FemaleAccountingSort the departments in descending order of satisfaction.Melvin311MaleAccountingCreate a title for the chart, which includes your last namePearl411FemaleAccountingBe sure your chart includes a legend for male & female employees, change male color to blue and female to orangeJohnny411MaleAccountingBe sure to include axis titlesEunice411FemaleAccountingFormat the vertical axis for a max of 5 and major tick marks at 1 and one decimal place.Opal212FemaleAccountingJulia212FemaleAccountingCreate a new sheet titled "Graphs".Jimmie212MaleAccountingCopy & Paste as Picture your graph of Pay SatisfactionEsther212FemaleAccountingAlbert212MaleAccountingAlter your Pivot chart/table to display Responsibilities Satisfaction. Change titles as needed.Mike212MaleAccountingPaste this chart on the Graphs sheetMarion212MaleAccountingJosephine212FemaleAccountingAlter your Pivot chart/table to display Supervision Satisfaction. Change titles as needed.Ida212FemaleAccountingPaste this chart on the Graphs sheetGerald212MaleAccountingCaroline212FemaleAccountingAlter your Pivot chart/table to display Overall Satisfaction. Change titles as needed.Alberta212FemaleAccountingPaste this chart on the Graphs sheetLeroy312MaleAccountingLeave Results sheet with the Pivot Table & Chart displaying the Overall Satisfaction.Anita312FemaleAccountingMildred412FemaleAccountingBeulah412FemaleAccountingAda412FemaleAccountingClayton212MaleAccountingWayne312MaleA ...
1. How do you think communication and the role of training address
1. How do you think communication and the role of training address performance gaps or training needs as it relates to how Adults learn?
2. There are many ways – or methods – available to gather data during a need’s assessment. Each one has advantages and disadvantages. What is important is to select the appropriate method based on your business problem. The most common methods for data gathering are:
· Document reviews or Extant Data Analysis – reviewing existing material like process maps, procedure guides, previous training material, etc.,
· Needs Assessment
· Interviews
· Focus groups
· Surveys
· Questionnaires
· Direct Observations
· Testing
· Subject Matter Expert Analysis
Select one of these data gathering methods to discuss and share what you see as the advantages and disadvantages associated with using the selected method.
1. Team teaching
In team teaching, both teachers are in the room at the same time but take turns teaching the whole class. Team teaching is sometimes called “tag team teaching.” You and your co-teacher teacher are a bit like co-presenters at a conference or the Oscars. You don’t necessarily plan who takes which part of the lesson, and when one of you makes a point, the other can jump in and elaborate if needed.
Team teaching can make you feel vulnerable. It asks you to step outside of your comfort zone and allow another teacher to see how you approach a classroom full of students. However, it also gives you the opportunity to learn about and improve your teaching skills by having a partner who can provide feedback and — in some cases — mentorship.
In team teaching, as well as the five other co-teaching models below, a teacher team may be made up of two general education teachers, two special education teachers, or one of each. Or, in some cases, it may be a teacher and a paraprofessional working together. Some IEPs specify that a student’s teaching team needs to include a general education teacher and a special education teacher.
Here’s what you need to know about the team teaching method:
What it looks like in the classroom
Both teachers teach at the front of the room and move about to check in with students (as needed).
Benefits
· Provides both teachers with an active instructional role
· Introduces students to complementary teaching styles and personalities
· Allows for lessons to be presented by two different people with different teaching styles
· Models multiple ways of presenting and engaging with information
· Models for students what a successful collaborative working relationship can look like
· Provides more opportunities to pursue teachable moments that may arise
Challenges
· Takes time and trust for teachers to build a working relationship that values each teacher equally in the classroom
· Necessitates a lot of planning time and coordination of schedules
· Requires teachers to have equal involvement not just in planning, but also in grading, which means assignments need to be evaluated ...
1. How brain meets its requirement for its energy in terms of well
1. How brain meets its requirement for its energy in terms of well-fed and during starvation or fasting?
2. Explain the utilization of different sources of energy in muscle during anaerobic and aerobic conditions of high physical activity and resting?
3. Why and how adipose tissue and kidney are significant for fuel metabolism?
4. Explain in detail why liver is significant for metabolism of mammals and how does it coordinate the different metabolic pathways essential for organism?
5. Explain the Cori cycle and glucose-alanine cycle for interorgan fuel metabolism?
...
1. Give an introduction to contemporary Chinese art (Talk a little
1. Give an introduction to contemporary Chinese art (Talk a little bit about some of the major changes in Chinese art)
2. Read the article that is provided. Do some research on the artist, Xu Bing. According to the article, give some background information about Xu Bing, and investigate the body of work.
3. Select one piece of his artwork to write about. It could be a traditional work of art, such as drawing, painting, or sculpture, or something more experimental like performance art, body art, or installation art.
4. Write a 3-page analysis of the artwork you select. The paper should have a short introduction and conclusion, but the body should focus on your analysis of the artwork. Some of the questions that you might want to work through in the paper include: Why is the work important? In what ways does it challenge the viewer? Is there an allegorical meaning to the work? How is it in dialogue with Western art traditions or earlier Chinese art traditions? Does it engage with Chinese history? Etc.
5. Be sure to include an image of the work you select into the paper, and the paper must be grammatically correct.
...
1. For this reaction essay is a brief written reaction to the read
1. For this reaction essay is a brief written reaction to the readings. It may be somewhat informal (and I would encourage you to be personal), but it must be well-written and well-organized. It must not be more than 2 pages, use 12-point font, single-spaced, at least 1" margins. You will react to the results of this systematic review article on Telemedicine " Effectiveness of Telemedicine A Systematic Review of Reviews.pdf
Focus on the results of the synthesis only, react to the authors' conclusions- do you agree or disagree with their synthesis? Discuss your opinion, are there faults in their conclusions?
Telemedicine is increasingly being suggested as an alternative for an in-person visit, especially with emergent diseases that call for person-to-person distancing. What are the potential concerns with this suggestion? What are in the authors' synthesis and conclusions underscore the limitations of this suggestion?
2. The next day a representative from Bristol Myers Squibb visits your office and tells you that Plavix® (clopidogrel) decreases cardiovascular events by 8.7% compared to aspirin. That sure sounds good to you, as you have many elderly patients at risk of heart attacks and strokes and many are already on aspirin. The brochure quotes the CAPRIE study, and you decide to investigate this further. A review of the 1996 article reveals that study patients on Plavix® experienced cardiovascular events 9.78% of the time compared to 10.64% of the time with aspirin. Plavix® was approved by the FDA based on this one study. Cost of Plavix/day=$6.50. Cost of aspirin/day = $1.33
• What was the NNT?
• How much does Plavix® cost monthly?
• What meaning do these values have for this problem?
• Be sure to include your actual calculations/math
i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 7 9 ( 2 0 1 0 ) 736–771
j o u r n a l h o m e p a g e : w w w . i n t l . e l s e v i e r h e a l t h . c o m / j o u r n a l s / i j m i
Effectiveness of telemedicine: A systematic review of
reviews
Anne G. Ekeland a,∗, Alison Bowes b, Signe Flottorp c,d
a Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, P.O. Box 6060, N-9038 Tromsø, Norway
b Department of Applied Social Science, University of Stirling, Scotland, UK
c Norwegian Knowledge Centre for the Health Services, Oslo, Norway
d Department of Public Health and Primary Health Care, University of Bergen, Norway
a r t i c l e i n f o
Article history:
Received 23 April 2010
Received in revised form
11 July 2010
Accepted 29 August 2010
Keywords:
Telemedicine
Telecare
Systematic review
Effectiveness
Outcome
a b s t r a c t
Objectives: To conduct a review of reviews on the impacts and costs of telemedicine services.
Methods: A review of systematic reviews of telemedicine interventions was conducted. Inter-
ventions included all e-health interventions, information and communication technologies
for communication ...
1. Find something to negotiate in your personal or professional li
1. Find something to negotiate in your personal or professional life. Examples include: redistribution of household chores, a personal or professional purchase, a contract at work, asking for a raise, booking a vacation, hiring a contractor, etc. The deal does not have to be implemented for the purposes of this class (e.g. you can finalize the price for something you’re thinking of buying without following through on the purchase right now). The scenario you choose should be significant enough to allow you to do substantial research and detail for your paper. Submit a five page paper (minimum), double spaces, utilizing proper grammar and spelling, which summarizes the following:
1. Your Preparation – Describe the process you used and results of your preparation. You should also discuss your strategies, targets, and negotiating plan. Make sure you do your research, working on both your BATNA and the other party’s. (Consider newspapers, bookstores, libraries, the internet, and personal calls and visits as possible sources of information). This is the most important step, so being thorough is critical.
1. The Negotiating Process – Describe what happened in the negotiation itself. List he sequence of events and how you reacted/adjusted to the other party’s position. What was the negotiation style of the other party? What “tricks” did they try? How did you react? Were there any other influencing factors (e.g. cultural differences, misperceptions, emotion, etc.)?
1. The Outcome – What was the outcome and how did you feel about it? What worked well? What would you have done differently? Do you feel the result you arrived at was better than it would have been if you hadn’t taken the class? Why/Why not?
Your understanding of the appropriate preparation and process steps to take in negotiating this deal is more important than the final outcome.
Be sure to cite your sources, and include copies of necessary quotes/documentation.
1.
Find something to negotiate in your personal or professional life. Examples include:
redistributi
on of household chores, a personal or professional purchase, a contract at work,
asking for a raise, booking a vacation, hiring a contractor, etc. The deal does not have to be
implemented for the purposes of this class (e.g. you can finalize the price for
something you’re
thinking of buying without following through on the purchase right now). The scenario you
choose should be significant enough to allow you to do substantial research and detail for your
paper. Submit a five page paper (minimum), double
spaces, utilizing proper grammar and
spelling, which summarizes the following:
2.
Your Preparation
–
Describe the process you us
ed and results of your preparation. You should
also discuss your strategies, targets, and negotiating plan. Make sure you do your research,
working on both your BATNA and the other party’s. (Consider newspapers, bookstores, libraries,
the internet, and p
ers ...
1. FAMILYMy 57 year old mother died after a short illness
1. FAMILY
My 57 year old mother died after a short illness last June. She was a wonderful mother and my 66 year old father
adored her. They had been married for 38 years. He is finding it extremely difficult to cope without her. To make
matters worse, he retired just two months before she died and is at a loss to fill his days.
He is disorganized and has not established any pattern in his life. I invite him for meals and outings, but he is
detached and depressed. He doesn’t seem to be part of the world any more. I am terribly worried about him. How
long will he be like this? I am 34 and have small children. I thought being with the children would help him, but it’s
as though he doesn’t see or know them. He just sits and stares into space for much of the day. He seems locked
into his grief.
2. FAMILY
One of our 17 year old son’s best friends took his life several months ago. Our son didn’t say much at the time, but
he was very shaken. Since then he has gradually “retired” into himself. He stays in his room most of the time
listening to rock music.
He is unemployed and no longer sees his former schoolmates. We are very worried about him. How do we get him
out of himself? He has always been a quiet guy but his present behavior is beyond “quiet.” We have two other
children, girls aged 13 and 10, but our son now just ignores them.
3. FAMILY - rural
Ken is a 67 year old farmer who lives with his wife Margaret. Ken and Margaret had hoped to retire late in their 60s
and move to the west coast to be closer to their children, reluctantly selling the family property that has been
struggling financially. They have limited investment funds set aside to support their retirement and have been told
it is unlikely that they would be successful in selling their farm. Ken also suffers chronic back pain from a previous
farm injury. A neighbor has become concerned about Ken’s ability to cope with his property, and has visited Ken
and Margaret a number of times due to problems with his stock and pasture management. Margaret believes the
farm is “too much for them now,” but feels she can’t talk to Ken about this. Ken has become withdrawn and
refuses to discuss the issue. He talks about there being “no way out of this,” and that it “might as well be over.” He
sees his physician infrequently, having difficulty traveling the 60 miles to the nearby town.
4. FAMILY - rural
Jason is 34 years old and lives with his wife Jenny and their two children (8 and 3 years old). After completing a
mechanical trade apprenticeship in Boston, he has returned home with plans to build his future as a farmer. He has
become increasingly irritable and frustrated with what he believes is his failure to “get on top of things” on the
farm, and they are struggling to manage financially.
Jason is drinking heavily, mostly at home, but still drives his car into town. Jenny is angry and worried about this.
She is feeling isolated, having few friends in the area, and relying on Jas ...
1. Explain the four characteristics of B-DNA structure Differenti
1. Explain the four characteristics of B-DNA structure? Differentiate between the A-DNA and Z-DNA structural features?
2. Describe the supercoiled DNA with its properties and how naturally occurring DNA under wound?
3. What are topoisomerases? Explain the two types of topoisomerases with their mechanism of action?
4. Explain the three interactions that are required to stabilize nucleic acids? How DNA denatures and renatures?
5. What are ribozymes and explain their properties?
Case 20 Restructuring
General Electric
The appointment of Larry Culp as the chairman and CEO of the General Electric
Company (GE) on October 1st, 2018 was a clear indication of the seriousness of the
problems that had engulfed the company. Culp, the former CEO of the highly-successful
conglomerate, Danaher Corporation, had been appointed a GE director only six months
previously and was the first outsider to lead GE—every one of GE’s previous CEOs had
been a career manager at the company. On the same day as Culp’s appointment, GE
abandoned its earning guidance for the year and announced a $23 billion accounting
charge arising from a write-down of goodwill at its troubled electrical power division.1
Culp’s predecessor, John Flannery had been CEO for a mere 14 months—a sharp
contrast to GE’s two previous CEOs: Jeff Immelt (16 years) and Jack Welch (20 years).
Flannery’s tenure at GE has coincided with of the company’s most difficult periods in its
entire 126-year history. In November 2017, amidst deteriorating financial performance,
Flannery announced a halving of GE’s quarterly dividend, the proposed sale of its
lighting and locomotive units—two of GE’s oldest businesses—and the elimination of
12,000 jobs in the power division.
In 2018, the situation worsened. In January, GE announced that it would be paying
$15 bn. to cover liabilities at insurance companies it had sold 12 years previously. In
February, GE confirmed suspicions over its dubious accounting practices by restating its
revenues and earnings for the previous two years, while also announcing the likelihood
of legal claims arising from its its subprime mortgage lending over a decade earlier.
The outcome was a precipitous fall in GE’s share price (see Figure 1) that culminated
in GE’s dismissal from the Dow Jones Industrial Average (DJIA). Until June 2018, GE
was the sole surviving member of the DJIA when it was created in 1896.
The crisis at GE presented the board with two central questions. First, should GE
be broken up? Second, if GE was to continue as a widely-diversified company, how
should it be managed?
As a diversified corporation that extended from jet engines, to oil and gas equipment,
to healthcare products, to financial services, GE was an anomaly. For three decades, con-
glomerates—diversified companies comprising unrelated or loosely related businesses—
had been deeply unfashionable. CEOs, Jack Welch and Jeff Immelt, had claimed that,
by virtue of its integrated m ...
1. examine three of the upstream impacts of mining. Which of these
1. examine three of the upstream impacts of mining. Which of these do you think would be most difficult to estimate in a life cycle assessment?
Your response should be at least 250 words in length.
2. Discuss the pollutants that are emitted during the operation stage of a life cycle assessment for a fossil fuel source.
Your response should be at least 250 words in length
Body Ritual among the Nacirema
H O R A C E M I N E R
University of Michigan
HE anthropologist has become so familiar with the diversity of ways iq T which different peoples behave in similar situations that he is not a p t to.
be surprised by even the most exotic customs. I n fact, if all of thelogically
possible combinations of behavior have not been found somewhere in the
world, he is a p t to suspect that they must be present in some yet undescribed
tribe. This point has, in fact, been expressed with respect to clan organization
by Murdock (1949: 7 1 ) . I n this light, the magical beliefs and practices of the
Nacirema present such unusual aspects that i t seems desirable t o describe
them a s an example of the extremes to which human behavior can go.
Professor Linton first brought the ritual of the Nacirema to the attention
of anthropologists twenty years ago (1936:326), but the culture of this people
is still very poorly understood. They are a North American group living in the
territory between the Canadian Cree, the Yaqui and Tarahumare of Mexico,
and the Carib and Arawak of the Antilles. Little is known of their origin, al-
though tradition states that they came from the east. According to Nacirema
mythology, their nation was originated by a culture hero, Notgnihsaw, who is
otherwise known for two great feats of strength-the throwing of a piece of
wampum across the river Pa-To-Mac and the chopping down of a cherry tree
in which the Spirit of Truth resided.
Nacirema culture is characterized by a highly developed market economy
which has evolved in a rich natural habitat. While much of the people’s time
is devoted to economic pursuits, a large part of the fruits of these labors and a
considerable portion of the day are spent in ritual activity. The focus of this
activity is the human body, the appearance and health of which loom a s a
dominant concern in the ethos of the people. While such a concern is certainly
not unusual, its ceremonial aspects and associated philosophy are unique.
The fundamental belief underlying the whole system appears to be that the
human body is ugly and that its natural tendency is t o debility and disease.
Incarcerated in such a body, man’s only hope is to avert these characteristics
through the use of the powerful influences of ritual and ceremony. Every house-
hold has one or more shrines devoted to this purpose. The more powerful in-
dividuals in the society have several shrines in their houses and, in fact, the
opulence of a house is often referred to in terms of the num ...
1. Examine Hofstedes model of national culture. Are all four dime
1. Examine Hofstede's model of national culture. Are all four dimensions still important in today's society as it relates to the success of the multinational manager? Why, or why not? Which do you think is the least important as it relates to multinational management? Why?
2. More companies are seeking to fill multinational management positions due to the influx of business growth abroad. If you were offered and accepted a position as a multinational manager, what would you do to personally prepare for the culture of a different country? Where would you seek information? What overall responsibilities would you expect of the job? How do you think the managerial responsibilities would be different from those you would face in the United States?
3. Multinational managers encounter many levels of culture. Which of the culture levels do you think might be the most difficult to manage? Why? Share an example. Which culture level do you think might be the easiest to understand? Why? Give an example of this.
4. In your own words, what is your perception of free trade? Think about the advantages of free trade; what are two benefits that result from free trade? There is also a downside to free trade; what are two disadvantages resulting from free trade? Provide reasoning for your choices.
5. What are the three major economic systems that nations utilize, and what is the role of each? How does each affect and influence individuals, multinational managers, and corporations?
6. How would you define ethical convergence? What are the four basic reasons for ethical convergence? Which might be the most difficult for multinational companies to follow, and why?
7. Describe the four major world religions. What are the impacts of each religion type on an economic environment? What do you think makes religion a concern in societies?
8. If you were a multinational manager, and you encountered an ethical dilemma within the multinational company, what heuristic questions would you use to decide between ethical relativism and ethical universalism? Of the different heuristic questions, which one do you think is most important? Explain your reasoning.
1
Week Two Instructor’s Notes
PHIL 1103 Summer
This week you will be learning in detail about the four different moral perspectives that
we will use to analyze moral questions.
Notice two things right at the start. First, because normative ethics is our main focus this
term, we are not going to attempt to settle the question of whether any moral perspective at all
could be correct or known to be correct—that is a task for metaethics. Our task in this second
week is to learn in some detail about four different kinds of consideration or value that often
seem relevant when we try to decide what is morally right or wrong in particular cases, namely:
(1) Respect for the rights and autonomy of the persons involved
(2) Increasing the overall well-being of the most individuals possible
(3) Asking wha ...
1. Do you think the Earth is a living organism Why or why not
This document contains a variety of questions related to geology, environmental science, natural hazards, and sustainability. It asks about the role of plate tectonics in local environments, ways rocks can impact or benefit the environment, assessing earthquake and flooding risks, and developing education programs around volcanic eruptions and tsunamis. References for a job application are also discussed.
1. Discuss the nursing implications of the findings of the researc
1. Discuss the nursing implications of the findings of the research. Consider the following questions:
· Were the results statistically significant, if reported?
· What is the clinical significance of the findings?
· What are the risks vs. benefits to practice of the findings?
· Are the findings feasible to implement?
Work 57 (2017) 259–268
DOI:10.3233/WOR-172551
IOS Press
259
“I’ve never been able to stay in a job”:
A qualitative study of Veterans’
experiences of maintaining employment
Molly Harroda,∗, Erin M. Millerb, Jennifer Henrya and Kara Zivina,b,c,d
a VA Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, MI, USA
bDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
cDepartment of Health Management and Policy, University of Michigan School of Public Health,
Ann Arbor, MI, USA
dInstitute for Social Research, University of Michigan, Ann Arbor, MI, USA
Received 5 February 2016
Accepted 4 December 2016
Abstract.
BACKGROUND: Ensuring Veteran employment needs are met is a top priority for the Department of Veteran Affairs
and the United States government. However, Veterans, especially those with mental health disorders, continue to encounter
difficulties when employed. While many employment related programs offer numerous services aimed at helping Veterans
gain employment, their ability to maintain long-term employment remains unknown.
OBJECTIVE: The objective of this study was to understand factors that affect the ability of Veterans with mental health
disorders to maintain long-term employment.
METHODS: An exploratory, qualitative study design consisting of semi-structured interviews with 10 Veterans was per-
formed. Inductive thematic analysis was performed to identify salient themes.
RESULTS: We found that participants’ symptoms manifested themselves within the workplace affecting their ability to
maintain employment, participants felt as if they had been demoted from what they did in the military, and they felt unable
to relate to civilian co-workers. Strategies that helped some transition into the civilian workforce were also identified.
CONCLUSIONS: A better understanding of the difficulties some Veterans face when trying to maintain employment is
needed. Our findings suggest that increasing awareness of existing programs and ensuring that services provide resources
and skills that help Veterans maintain long-term employment is critical.
Keywords: Long-term employment, mental health, reintegration
1. Introduction
Within the United States there are approximately
5.5 million Veterans who served during the Gulf War
era (from August 1990 until present) [1]. These Vet-
erans are younger, more likely to be of working age
(18–55), and looking to secure civilian employment.
∗Address for correspondence: Molly Harrod, HSR&D (152)
P.O. Box 130170 Ann Arbor, MI 48113-0170, USA. Tel.: +1 734
845 3600; Fax: +1 734 222 7503; E-mail: [email protected]
Ensuring that V ...
1. Define the following concepts (key terms) in YOUR OWN WORDS
1. Define the following concepts (key terms) in YOUR OWN WORDS:
◦ object permanence
◦ causality
◦ mental combinations
◦ deferred imitation
2. Using this list of behaviors, sort them into the correct sensorimotor stage in the table below. You must use them all:
• Looks for hidden objects
• Shakes rattle in different ways
• Grasping
• Repeats interesting action
• Putting mom’s hands together to make her clap
• Plays alone with a doll
• Sits & passes toy from one hand to another
• Attempting to hold a bottle to drink it
• Gazes at adults
• Laughs when mom starts playing
• Manipulates items
• Makes deliberate cry to get attention
• Plays peek-a-boo
• Imitates parts of an adult role
• Looks in several places for lost object
• Sucks on own hands
• Sucking on pacifier or bottle
• Feels texture of blanket
• Imaginary play
• Hides from dad at bedtime
• Points to car and says, “car”
• Reaches for bib at feeding time
Sensorimotor
Substage
Age Range? Typical Behaviors (from the list above)
Substage 1:
Reflexive
Substage 2:
Primary Circular
Reactions
Substage 3:
Secondary Circular
Reactions
Substage 4: of
Secondary Circular
Reactions
Substage 5:
Tertiary Circular
Reactions
Substage 6: Mental
Representation
C
ee eBook Collection
mielipiteesi ruokauhri rinnetta kukaan kysymyksia merenneuvosto joukkonsa neuvoston jumalansa huostaanvakivaltaa aitisi tuomioita naista saimme palkkaa aineetkuunnelkaa lauletaan tuollaisia pitaa tutkin allas henkilolleluulin kuolevat kuuluva varsin askel iltaan tuskanjalkelaiset kaytossa luovutan katto nimesi sydameniulkoapain poistettu neuvon poliitikot maakuntien sivuavaadit postgnostilainen jumalansa lepoon markkaamatkaansa rukoilevat serbien keskuudessaan kari otatteseisoi kestaa polttaa vanhimmat hyvinvointivaltionulkoapain kisin lahestyy seitsemas kaikkialle markkaakohteeksi lahjoista puhdistaa vahemmisto nuoremmankelvottomia maat alkutervehdys muukalaisina temppelilleerikoinen ihmisilta seurakunnat sopimusta nahdaan kaskypitempi mennessaan annoin huomiota maalia vaimokseenkahleet alati itseensa riitaa jatka rukoukseni vaatiitsetseenien porton alla vai haltuunsa hyvat pellotkansoja inhimillisyyden havittanyt viisaiden jatti siunaustiede muuttunut naiset pakenivat erikoinen aarista laskeevahainen suureen kummankin haran pilviin ruokauhriristiinnaulittu osa ahdinko sairastui todistettu kahdestiv a r m a a n o h j e l m a n k u t a k i n k y s y k a a k u u l u v ...
1. Development Plan Career Activity. Respond to the following
This document provides guidance on conducting a Social Return on Investment (SROI) analysis. SROI is a framework for measuring and accounting for the social, environmental, and economic value created by an organization's activities. The summary outlines the key stages of an SROI analysis: 1) establishing scope and identifying stakeholders, 2) mapping outcomes, 3) evidencing outcomes and valuing them, 4) establishing impact by accounting for deadweight, attribution, and drop-off, 5) calculating the SROI ratio, and 6) reporting and embedding the results. The document emphasizes involving stakeholders throughout the process and only claiming the value that the organization is responsible for creating.
1. Developing Information Technology training that can be understo
1. Developing Information Technology training that can be understood by users at all levels (e.g., formal training, how to guides, operating procedures).
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
2. Recommending information technology hardware and/or software solutions to meet system requirements.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
3. Incorporating information security practices and principles throughout the Systems Development Life Cycle.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
4. Resolving user/client information technology hardware and/or software issues utilizing an incident management process.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer. Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
5. Validating system and operational requirements using information technology testing methodologies.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer. Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
6. Implementing system improvements based on analyzing measures or indicators of information technology system performance.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
9. Conducting root cause analysis for resolution of information technology issues (e.g., network, database, server, applications).
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
10. Testing information technology solutions to ensure they meet the organization’s needs.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide releva ...
1. Describe digital freight matchmaking in your own words.2. How
1. Describe digital freight matchmaking in your own words.
2. How has digital freight matchmaking been able to gain traction?
3. Who stands to benefit most from digital matchmaking and why? What is the primary benefit they get?
4. Who stands to lose most from digital matchmaking and why?
...
1. Describe the ways in which governments and international bodi
1. Describe the ways in which governments and international bodies promote and regulate global trade (150 words)
2. Identify the questions to ask in choosing the appropriate form of ownership for a business (150 words)
3. You’re a partner in a U.S. engineering firm that’s interested in bidding on a water-treatment project in China. You know that firms from two other countries—Malaysia and Italy—will submit bids. The U.S. Foreign Corrupt Practices Act forbids you from making any payment to Chinese officials to enlist their help in getting the job. Unfortunately, the governments of Malaysia and Italy don’t prohibit local firms from offering bribes. Are you at a disadvantage? Should the Foreign Corrupt Practices Act be repealed? Why, or why not? (1page)
4. Because the United States has placed quotas on textile and apparel imports for the last thirty years, certain countries, such as China and India, have been able to export to the United States only as much clothing as their respective quotas permit. One effect of this policy was spreading textile and apparel manufacture around the world and preventing any single nation from dominating the world market. As a result, many developing countries, such as Vietnam, Cambodia, and Honduras, were able to enter the market and provide much-needed jobs for local workers. The rules, however, have changed: as of January 1, 2005, quotas on U.S. textile imports were eliminated, permitting U.S. companies to import textile supplies from any country they choose. In your opinion, what effect will the new U.S. policy have on each of the following groups: (1page)
· Firms that outsource the manufacture of their apparel
· Textile manufacturers and workers in the following countries:
• China• Indonesia• Mexico• United States
· 3. American consumers
...
1. Describe the process of beta oxidation of fatty acids with FA a
1. Describe the process of beta oxidation of fatty acids with FA activation and degradation?
2. Discuss the oxidation of unsaturated FAs with their three problems?
3. Explain the steps of odd chain FAs oxidation with emphasis on mutase?
4. Give the differences in peroxisomal and mitochondrial beta oxidation?
5. What are ketone bodies and write the steps of ketogenesis and metabolic degradation of ketone bodies?
Firewall Security Strategies
You are working with your manager on a project. You are attempting to determine the best approach for securing inbound traffic from the Internet to various application servers on the client’s local area network (LAN). You would like to select a strategy that gives the client significant control over user accessibility. You would also like to ensure that all data passing into your client’s network is properly evaluated before access is granted. Integrity of data is the top priority; however, your client has a limited budget for deployment.
Using the information presented above, discuss which of the following firewall security strategies would be a good fit for your client’s network environment.
Firewall Security Strategies
Security through obscurity
By configuring systems in a way that does not follow normal patterns and is not easily understandable, security through obscurity can be obtained. By utilizing abnormal configurations, the probability of exploitation is reduced and a level of protection is obtained. Administrators seek security through obscurity by performing one or more of the following actions:
· Modification of default ports
· Spoofing of banners or headers
· Utilization of extraordinary long Uniform Resource Locators (URLs)
· Utilizing uncommon protocols or operating systems
Keep in mind that this strategy may instill a false sense of security. Because attackers have multiple methods to scan against system configurations, utilizing this as the only security mechanism is like using nothing at all.
Least privilege
This strategy requires that each user or group that requires access to resources be explicitly granted permission. Because all resource access would be denied by default, each individual access need would have to be individually addressed. When least privilege is employed, there is often a dramatic increase in administrative overhead as a direct result. Least privilege is preferred for administrative scenarios.
Simplicity
This strategy reinforces that the selected solution should remain simple. By retaining a simple solution, the potential for error in configuration, bugs, or other problems is reduced.
Defense in Depth
This strategy emphasizes on a layered approach. The use of multiple safeguards ensures that no system that represents a single point of failure could be breached. The characteristics of a defense-in-depth strategy are:
· Public networks are separate from private networks
· Multiple security controls are implemented
· Redundant security controls are implemente ...
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1. I believe that the protagonist is Nel because she is the one that goes through different changes throughout the book. I also think she is the protagonist because most people can relate to her more. Nel was done wrong by Sula and her husband Jude Green. Sula did the one thing that a best friend should never do and, that is sleep with your best friend's husband. Even though Sula did a terrible thing Nel still cares about her best friend because she goes and visits her when she is sick even after all the pain she caused her. Nel is also deeply saddened when she visits Sulas grave. That is not the only thing that happened to Nel. Nel not only had to deal with the affair but also accepted her guilt in Chicken Little's drowning. But in the end, Nel realized she enjoyed watching him drown.
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3. Although the novel is titled Sula, the real protagonist is Nel because she is the one who is transformed by the end. Sula and Nel were very great friends and were very dedicated to each other. But they were also very different. Nel was known as the more mature and "good person" while Sula is more impulsive. "Nel is the product of a family that believes deeply in social conventions, hers is a st ...
1. If the profit from the sale of x units of a product is P =
The document provides 11 math word problems related to profit, costs, revenue, supply and demand functions, and other economics topics. Students are asked to solve the problems by finding break-even points, maximum or minimum values, equilibrium quantities and prices, and other values. The problems cover concepts like profit maximization, optimal production levels, and using equations to model economic relationships.
1. How does CO2 and other greenhouse gases promote global warmin
1. How does CO2 and other greenhouse gases promote global warming? Discuss your opinion on the use of geoengineering measures to mitigate the effects of global warming.
Your response should be at least 250 words in length.
2. How does CO2 and other greenhouse gases promote global warming? Discuss your opinion on the use of geoengineering measures to mitigate the effects of global warming.
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1. How do you think communication and the role of training address
1. How do you think communication and the role of training address performance gaps or training needs as it relates to how Adults learn?
2. There are many ways – or methods – available to gather data during a need’s assessment. Each one has advantages and disadvantages. What is important is to select the appropriate method based on your business problem. The most common methods for data gathering are:
· Document reviews or Extant Data Analysis – reviewing existing material like process maps, procedure guides, previous training material, etc.,
· Needs Assessment
· Interviews
· Focus groups
· Surveys
· Questionnaires
· Direct Observations
· Testing
· Subject Matter Expert Analysis
Select one of these data gathering methods to discuss and share what you see as the advantages and disadvantages associated with using the selected method.
1. Team teaching
In team teaching, both teachers are in the room at the same time but take turns teaching the whole class. Team teaching is sometimes called “tag team teaching.” You and your co-teacher teacher are a bit like co-presenters at a conference or the Oscars. You don’t necessarily plan who takes which part of the lesson, and when one of you makes a point, the other can jump in and elaborate if needed.
Team teaching can make you feel vulnerable. It asks you to step outside of your comfort zone and allow another teacher to see how you approach a classroom full of students. However, it also gives you the opportunity to learn about and improve your teaching skills by having a partner who can provide feedback and — in some cases — mentorship.
In team teaching, as well as the five other co-teaching models below, a teacher team may be made up of two general education teachers, two special education teachers, or one of each. Or, in some cases, it may be a teacher and a paraprofessional working together. Some IEPs specify that a student’s teaching team needs to include a general education teacher and a special education teacher.
Here’s what you need to know about the team teaching method:
What it looks like in the classroom
Both teachers teach at the front of the room and move about to check in with students (as needed).
Benefits
· Provides both teachers with an active instructional role
· Introduces students to complementary teaching styles and personalities
· Allows for lessons to be presented by two different people with different teaching styles
· Models multiple ways of presenting and engaging with information
· Models for students what a successful collaborative working relationship can look like
· Provides more opportunities to pursue teachable moments that may arise
Challenges
· Takes time and trust for teachers to build a working relationship that values each teacher equally in the classroom
· Necessitates a lot of planning time and coordination of schedules
· Requires teachers to have equal involvement not just in planning, but also in grading, which means assignments need to be evaluated ...
1. How brain meets its requirement for its energy in terms of well
1. How brain meets its requirement for its energy in terms of well-fed and during starvation or fasting?
2. Explain the utilization of different sources of energy in muscle during anaerobic and aerobic conditions of high physical activity and resting?
3. Why and how adipose tissue and kidney are significant for fuel metabolism?
4. Explain in detail why liver is significant for metabolism of mammals and how does it coordinate the different metabolic pathways essential for organism?
5. Explain the Cori cycle and glucose-alanine cycle for interorgan fuel metabolism?
...
1. Give an introduction to contemporary Chinese art (Talk a little
1. Give an introduction to contemporary Chinese art (Talk a little bit about some of the major changes in Chinese art)
2. Read the article that is provided. Do some research on the artist, Xu Bing. According to the article, give some background information about Xu Bing, and investigate the body of work.
3. Select one piece of his artwork to write about. It could be a traditional work of art, such as drawing, painting, or sculpture, or something more experimental like performance art, body art, or installation art.
4. Write a 3-page analysis of the artwork you select. The paper should have a short introduction and conclusion, but the body should focus on your analysis of the artwork. Some of the questions that you might want to work through in the paper include: Why is the work important? In what ways does it challenge the viewer? Is there an allegorical meaning to the work? How is it in dialogue with Western art traditions or earlier Chinese art traditions? Does it engage with Chinese history? Etc.
5. Be sure to include an image of the work you select into the paper, and the paper must be grammatically correct.
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1. For this reaction essay is a brief written reaction to the read
1. For this reaction essay is a brief written reaction to the readings. It may be somewhat informal (and I would encourage you to be personal), but it must be well-written and well-organized. It must not be more than 2 pages, use 12-point font, single-spaced, at least 1" margins. You will react to the results of this systematic review article on Telemedicine " Effectiveness of Telemedicine A Systematic Review of Reviews.pdf
Focus on the results of the synthesis only, react to the authors' conclusions- do you agree or disagree with their synthesis? Discuss your opinion, are there faults in their conclusions?
Telemedicine is increasingly being suggested as an alternative for an in-person visit, especially with emergent diseases that call for person-to-person distancing. What are the potential concerns with this suggestion? What are in the authors' synthesis and conclusions underscore the limitations of this suggestion?
2. The next day a representative from Bristol Myers Squibb visits your office and tells you that Plavix® (clopidogrel) decreases cardiovascular events by 8.7% compared to aspirin. That sure sounds good to you, as you have many elderly patients at risk of heart attacks and strokes and many are already on aspirin. The brochure quotes the CAPRIE study, and you decide to investigate this further. A review of the 1996 article reveals that study patients on Plavix® experienced cardiovascular events 9.78% of the time compared to 10.64% of the time with aspirin. Plavix® was approved by the FDA based on this one study. Cost of Plavix/day=$6.50. Cost of aspirin/day = $1.33
• What was the NNT?
• How much does Plavix® cost monthly?
• What meaning do these values have for this problem?
• Be sure to include your actual calculations/math
i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 7 9 ( 2 0 1 0 ) 736–771
j o u r n a l h o m e p a g e : w w w . i n t l . e l s e v i e r h e a l t h . c o m / j o u r n a l s / i j m i
Effectiveness of telemedicine: A systematic review of
reviews
Anne G. Ekeland a,∗, Alison Bowes b, Signe Flottorp c,d
a Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, P.O. Box 6060, N-9038 Tromsø, Norway
b Department of Applied Social Science, University of Stirling, Scotland, UK
c Norwegian Knowledge Centre for the Health Services, Oslo, Norway
d Department of Public Health and Primary Health Care, University of Bergen, Norway
a r t i c l e i n f o
Article history:
Received 23 April 2010
Received in revised form
11 July 2010
Accepted 29 August 2010
Keywords:
Telemedicine
Telecare
Systematic review
Effectiveness
Outcome
a b s t r a c t
Objectives: To conduct a review of reviews on the impacts and costs of telemedicine services.
Methods: A review of systematic reviews of telemedicine interventions was conducted. Inter-
ventions included all e-health interventions, information and communication technologies
for communication ...
1. Find something to negotiate in your personal or professional li
1. Find something to negotiate in your personal or professional life. Examples include: redistribution of household chores, a personal or professional purchase, a contract at work, asking for a raise, booking a vacation, hiring a contractor, etc. The deal does not have to be implemented for the purposes of this class (e.g. you can finalize the price for something you’re thinking of buying without following through on the purchase right now). The scenario you choose should be significant enough to allow you to do substantial research and detail for your paper. Submit a five page paper (minimum), double spaces, utilizing proper grammar and spelling, which summarizes the following:
1. Your Preparation – Describe the process you used and results of your preparation. You should also discuss your strategies, targets, and negotiating plan. Make sure you do your research, working on both your BATNA and the other party’s. (Consider newspapers, bookstores, libraries, the internet, and personal calls and visits as possible sources of information). This is the most important step, so being thorough is critical.
1. The Negotiating Process – Describe what happened in the negotiation itself. List he sequence of events and how you reacted/adjusted to the other party’s position. What was the negotiation style of the other party? What “tricks” did they try? How did you react? Were there any other influencing factors (e.g. cultural differences, misperceptions, emotion, etc.)?
1. The Outcome – What was the outcome and how did you feel about it? What worked well? What would you have done differently? Do you feel the result you arrived at was better than it would have been if you hadn’t taken the class? Why/Why not?
Your understanding of the appropriate preparation and process steps to take in negotiating this deal is more important than the final outcome.
Be sure to cite your sources, and include copies of necessary quotes/documentation.
1.
Find something to negotiate in your personal or professional life. Examples include:
redistributi
on of household chores, a personal or professional purchase, a contract at work,
asking for a raise, booking a vacation, hiring a contractor, etc. The deal does not have to be
implemented for the purposes of this class (e.g. you can finalize the price for
something you’re
thinking of buying without following through on the purchase right now). The scenario you
choose should be significant enough to allow you to do substantial research and detail for your
paper. Submit a five page paper (minimum), double
spaces, utilizing proper grammar and
spelling, which summarizes the following:
2.
Your Preparation
–
Describe the process you us
ed and results of your preparation. You should
also discuss your strategies, targets, and negotiating plan. Make sure you do your research,
working on both your BATNA and the other party’s. (Consider newspapers, bookstores, libraries,
the internet, and p
ers ...
1. FAMILYMy 57 year old mother died after a short illness
1. FAMILY
My 57 year old mother died after a short illness last June. She was a wonderful mother and my 66 year old father
adored her. They had been married for 38 years. He is finding it extremely difficult to cope without her. To make
matters worse, he retired just two months before she died and is at a loss to fill his days.
He is disorganized and has not established any pattern in his life. I invite him for meals and outings, but he is
detached and depressed. He doesn’t seem to be part of the world any more. I am terribly worried about him. How
long will he be like this? I am 34 and have small children. I thought being with the children would help him, but it’s
as though he doesn’t see or know them. He just sits and stares into space for much of the day. He seems locked
into his grief.
2. FAMILY
One of our 17 year old son’s best friends took his life several months ago. Our son didn’t say much at the time, but
he was very shaken. Since then he has gradually “retired” into himself. He stays in his room most of the time
listening to rock music.
He is unemployed and no longer sees his former schoolmates. We are very worried about him. How do we get him
out of himself? He has always been a quiet guy but his present behavior is beyond “quiet.” We have two other
children, girls aged 13 and 10, but our son now just ignores them.
3. FAMILY - rural
Ken is a 67 year old farmer who lives with his wife Margaret. Ken and Margaret had hoped to retire late in their 60s
and move to the west coast to be closer to their children, reluctantly selling the family property that has been
struggling financially. They have limited investment funds set aside to support their retirement and have been told
it is unlikely that they would be successful in selling their farm. Ken also suffers chronic back pain from a previous
farm injury. A neighbor has become concerned about Ken’s ability to cope with his property, and has visited Ken
and Margaret a number of times due to problems with his stock and pasture management. Margaret believes the
farm is “too much for them now,” but feels she can’t talk to Ken about this. Ken has become withdrawn and
refuses to discuss the issue. He talks about there being “no way out of this,” and that it “might as well be over.” He
sees his physician infrequently, having difficulty traveling the 60 miles to the nearby town.
4. FAMILY - rural
Jason is 34 years old and lives with his wife Jenny and their two children (8 and 3 years old). After completing a
mechanical trade apprenticeship in Boston, he has returned home with plans to build his future as a farmer. He has
become increasingly irritable and frustrated with what he believes is his failure to “get on top of things” on the
farm, and they are struggling to manage financially.
Jason is drinking heavily, mostly at home, but still drives his car into town. Jenny is angry and worried about this.
She is feeling isolated, having few friends in the area, and relying on Jas ...
1. Explain the four characteristics of B-DNA structure Differenti
1. Explain the four characteristics of B-DNA structure? Differentiate between the A-DNA and Z-DNA structural features?
2. Describe the supercoiled DNA with its properties and how naturally occurring DNA under wound?
3. What are topoisomerases? Explain the two types of topoisomerases with their mechanism of action?
4. Explain the three interactions that are required to stabilize nucleic acids? How DNA denatures and renatures?
5. What are ribozymes and explain their properties?
Case 20 Restructuring
General Electric
The appointment of Larry Culp as the chairman and CEO of the General Electric
Company (GE) on October 1st, 2018 was a clear indication of the seriousness of the
problems that had engulfed the company. Culp, the former CEO of the highly-successful
conglomerate, Danaher Corporation, had been appointed a GE director only six months
previously and was the first outsider to lead GE—every one of GE’s previous CEOs had
been a career manager at the company. On the same day as Culp’s appointment, GE
abandoned its earning guidance for the year and announced a $23 billion accounting
charge arising from a write-down of goodwill at its troubled electrical power division.1
Culp’s predecessor, John Flannery had been CEO for a mere 14 months—a sharp
contrast to GE’s two previous CEOs: Jeff Immelt (16 years) and Jack Welch (20 years).
Flannery’s tenure at GE has coincided with of the company’s most difficult periods in its
entire 126-year history. In November 2017, amidst deteriorating financial performance,
Flannery announced a halving of GE’s quarterly dividend, the proposed sale of its
lighting and locomotive units—two of GE’s oldest businesses—and the elimination of
12,000 jobs in the power division.
In 2018, the situation worsened. In January, GE announced that it would be paying
$15 bn. to cover liabilities at insurance companies it had sold 12 years previously. In
February, GE confirmed suspicions over its dubious accounting practices by restating its
revenues and earnings for the previous two years, while also announcing the likelihood
of legal claims arising from its its subprime mortgage lending over a decade earlier.
The outcome was a precipitous fall in GE’s share price (see Figure 1) that culminated
in GE’s dismissal from the Dow Jones Industrial Average (DJIA). Until June 2018, GE
was the sole surviving member of the DJIA when it was created in 1896.
The crisis at GE presented the board with two central questions. First, should GE
be broken up? Second, if GE was to continue as a widely-diversified company, how
should it be managed?
As a diversified corporation that extended from jet engines, to oil and gas equipment,
to healthcare products, to financial services, GE was an anomaly. For three decades, con-
glomerates—diversified companies comprising unrelated or loosely related businesses—
had been deeply unfashionable. CEOs, Jack Welch and Jeff Immelt, had claimed that,
by virtue of its integrated m ...
1. examine three of the upstream impacts of mining. Which of these
1. examine three of the upstream impacts of mining. Which of these do you think would be most difficult to estimate in a life cycle assessment?
Your response should be at least 250 words in length.
2. Discuss the pollutants that are emitted during the operation stage of a life cycle assessment for a fossil fuel source.
Your response should be at least 250 words in length
Body Ritual among the Nacirema
H O R A C E M I N E R
University of Michigan
HE anthropologist has become so familiar with the diversity of ways iq T which different peoples behave in similar situations that he is not a p t to.
be surprised by even the most exotic customs. I n fact, if all of thelogically
possible combinations of behavior have not been found somewhere in the
world, he is a p t to suspect that they must be present in some yet undescribed
tribe. This point has, in fact, been expressed with respect to clan organization
by Murdock (1949: 7 1 ) . I n this light, the magical beliefs and practices of the
Nacirema present such unusual aspects that i t seems desirable t o describe
them a s an example of the extremes to which human behavior can go.
Professor Linton first brought the ritual of the Nacirema to the attention
of anthropologists twenty years ago (1936:326), but the culture of this people
is still very poorly understood. They are a North American group living in the
territory between the Canadian Cree, the Yaqui and Tarahumare of Mexico,
and the Carib and Arawak of the Antilles. Little is known of their origin, al-
though tradition states that they came from the east. According to Nacirema
mythology, their nation was originated by a culture hero, Notgnihsaw, who is
otherwise known for two great feats of strength-the throwing of a piece of
wampum across the river Pa-To-Mac and the chopping down of a cherry tree
in which the Spirit of Truth resided.
Nacirema culture is characterized by a highly developed market economy
which has evolved in a rich natural habitat. While much of the people’s time
is devoted to economic pursuits, a large part of the fruits of these labors and a
considerable portion of the day are spent in ritual activity. The focus of this
activity is the human body, the appearance and health of which loom a s a
dominant concern in the ethos of the people. While such a concern is certainly
not unusual, its ceremonial aspects and associated philosophy are unique.
The fundamental belief underlying the whole system appears to be that the
human body is ugly and that its natural tendency is t o debility and disease.
Incarcerated in such a body, man’s only hope is to avert these characteristics
through the use of the powerful influences of ritual and ceremony. Every house-
hold has one or more shrines devoted to this purpose. The more powerful in-
dividuals in the society have several shrines in their houses and, in fact, the
opulence of a house is often referred to in terms of the num ...
1. Examine Hofstedes model of national culture. Are all four dime
1. Examine Hofstede's model of national culture. Are all four dimensions still important in today's society as it relates to the success of the multinational manager? Why, or why not? Which do you think is the least important as it relates to multinational management? Why?
2. More companies are seeking to fill multinational management positions due to the influx of business growth abroad. If you were offered and accepted a position as a multinational manager, what would you do to personally prepare for the culture of a different country? Where would you seek information? What overall responsibilities would you expect of the job? How do you think the managerial responsibilities would be different from those you would face in the United States?
3. Multinational managers encounter many levels of culture. Which of the culture levels do you think might be the most difficult to manage? Why? Share an example. Which culture level do you think might be the easiest to understand? Why? Give an example of this.
4. In your own words, what is your perception of free trade? Think about the advantages of free trade; what are two benefits that result from free trade? There is also a downside to free trade; what are two disadvantages resulting from free trade? Provide reasoning for your choices.
5. What are the three major economic systems that nations utilize, and what is the role of each? How does each affect and influence individuals, multinational managers, and corporations?
6. How would you define ethical convergence? What are the four basic reasons for ethical convergence? Which might be the most difficult for multinational companies to follow, and why?
7. Describe the four major world religions. What are the impacts of each religion type on an economic environment? What do you think makes religion a concern in societies?
8. If you were a multinational manager, and you encountered an ethical dilemma within the multinational company, what heuristic questions would you use to decide between ethical relativism and ethical universalism? Of the different heuristic questions, which one do you think is most important? Explain your reasoning.
1
Week Two Instructor’s Notes
PHIL 1103 Summer
This week you will be learning in detail about the four different moral perspectives that
we will use to analyze moral questions.
Notice two things right at the start. First, because normative ethics is our main focus this
term, we are not going to attempt to settle the question of whether any moral perspective at all
could be correct or known to be correct—that is a task for metaethics. Our task in this second
week is to learn in some detail about four different kinds of consideration or value that often
seem relevant when we try to decide what is morally right or wrong in particular cases, namely:
(1) Respect for the rights and autonomy of the persons involved
(2) Increasing the overall well-being of the most individuals possible
(3) Asking wha ...
1. Do you think the Earth is a living organism Why or why not
This document contains a variety of questions related to geology, environmental science, natural hazards, and sustainability. It asks about the role of plate tectonics in local environments, ways rocks can impact or benefit the environment, assessing earthquake and flooding risks, and developing education programs around volcanic eruptions and tsunamis. References for a job application are also discussed.
1. Discuss the nursing implications of the findings of the researc
1. Discuss the nursing implications of the findings of the research. Consider the following questions:
· Were the results statistically significant, if reported?
· What is the clinical significance of the findings?
· What are the risks vs. benefits to practice of the findings?
· Are the findings feasible to implement?
Work 57 (2017) 259–268
DOI:10.3233/WOR-172551
IOS Press
259
“I’ve never been able to stay in a job”:
A qualitative study of Veterans’
experiences of maintaining employment
Molly Harroda,∗, Erin M. Millerb, Jennifer Henrya and Kara Zivina,b,c,d
a VA Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, MI, USA
bDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
cDepartment of Health Management and Policy, University of Michigan School of Public Health,
Ann Arbor, MI, USA
dInstitute for Social Research, University of Michigan, Ann Arbor, MI, USA
Received 5 February 2016
Accepted 4 December 2016
Abstract.
BACKGROUND: Ensuring Veteran employment needs are met is a top priority for the Department of Veteran Affairs
and the United States government. However, Veterans, especially those with mental health disorders, continue to encounter
difficulties when employed. While many employment related programs offer numerous services aimed at helping Veterans
gain employment, their ability to maintain long-term employment remains unknown.
OBJECTIVE: The objective of this study was to understand factors that affect the ability of Veterans with mental health
disorders to maintain long-term employment.
METHODS: An exploratory, qualitative study design consisting of semi-structured interviews with 10 Veterans was per-
formed. Inductive thematic analysis was performed to identify salient themes.
RESULTS: We found that participants’ symptoms manifested themselves within the workplace affecting their ability to
maintain employment, participants felt as if they had been demoted from what they did in the military, and they felt unable
to relate to civilian co-workers. Strategies that helped some transition into the civilian workforce were also identified.
CONCLUSIONS: A better understanding of the difficulties some Veterans face when trying to maintain employment is
needed. Our findings suggest that increasing awareness of existing programs and ensuring that services provide resources
and skills that help Veterans maintain long-term employment is critical.
Keywords: Long-term employment, mental health, reintegration
1. Introduction
Within the United States there are approximately
5.5 million Veterans who served during the Gulf War
era (from August 1990 until present) [1]. These Vet-
erans are younger, more likely to be of working age
(18–55), and looking to secure civilian employment.
∗Address for correspondence: Molly Harrod, HSR&D (152)
P.O. Box 130170 Ann Arbor, MI 48113-0170, USA. Tel.: +1 734
845 3600; Fax: +1 734 222 7503; E-mail: [email protected]
Ensuring that V ...
1. Define the following concepts (key terms) in YOUR OWN WORDS
1. Define the following concepts (key terms) in YOUR OWN WORDS:
◦ object permanence
◦ causality
◦ mental combinations
◦ deferred imitation
2. Using this list of behaviors, sort them into the correct sensorimotor stage in the table below. You must use them all:
• Looks for hidden objects
• Shakes rattle in different ways
• Grasping
• Repeats interesting action
• Putting mom’s hands together to make her clap
• Plays alone with a doll
• Sits & passes toy from one hand to another
• Attempting to hold a bottle to drink it
• Gazes at adults
• Laughs when mom starts playing
• Manipulates items
• Makes deliberate cry to get attention
• Plays peek-a-boo
• Imitates parts of an adult role
• Looks in several places for lost object
• Sucks on own hands
• Sucking on pacifier or bottle
• Feels texture of blanket
• Imaginary play
• Hides from dad at bedtime
• Points to car and says, “car”
• Reaches for bib at feeding time
Sensorimotor
Substage
Age Range? Typical Behaviors (from the list above)
Substage 1:
Reflexive
Substage 2:
Primary Circular
Reactions
Substage 3:
Secondary Circular
Reactions
Substage 4: of
Secondary Circular
Reactions
Substage 5:
Tertiary Circular
Reactions
Substage 6: Mental
Representation
C
ee eBook Collection
mielipiteesi ruokauhri rinnetta kukaan kysymyksia merenneuvosto joukkonsa neuvoston jumalansa huostaanvakivaltaa aitisi tuomioita naista saimme palkkaa aineetkuunnelkaa lauletaan tuollaisia pitaa tutkin allas henkilolleluulin kuolevat kuuluva varsin askel iltaan tuskanjalkelaiset kaytossa luovutan katto nimesi sydameniulkoapain poistettu neuvon poliitikot maakuntien sivuavaadit postgnostilainen jumalansa lepoon markkaamatkaansa rukoilevat serbien keskuudessaan kari otatteseisoi kestaa polttaa vanhimmat hyvinvointivaltionulkoapain kisin lahestyy seitsemas kaikkialle markkaakohteeksi lahjoista puhdistaa vahemmisto nuoremmankelvottomia maat alkutervehdys muukalaisina temppelilleerikoinen ihmisilta seurakunnat sopimusta nahdaan kaskypitempi mennessaan annoin huomiota maalia vaimokseenkahleet alati itseensa riitaa jatka rukoukseni vaatiitsetseenien porton alla vai haltuunsa hyvat pellotkansoja inhimillisyyden havittanyt viisaiden jatti siunaustiede muuttunut naiset pakenivat erikoinen aarista laskeevahainen suureen kummankin haran pilviin ruokauhriristiinnaulittu osa ahdinko sairastui todistettu kahdestiv a r m a a n o h j e l m a n k u t a k i n k y s y k a a k u u l u v ...
1. Development Plan Career Activity. Respond to the following
This document provides guidance on conducting a Social Return on Investment (SROI) analysis. SROI is a framework for measuring and accounting for the social, environmental, and economic value created by an organization's activities. The summary outlines the key stages of an SROI analysis: 1) establishing scope and identifying stakeholders, 2) mapping outcomes, 3) evidencing outcomes and valuing them, 4) establishing impact by accounting for deadweight, attribution, and drop-off, 5) calculating the SROI ratio, and 6) reporting and embedding the results. The document emphasizes involving stakeholders throughout the process and only claiming the value that the organization is responsible for creating.
1. Developing Information Technology training that can be understo
1. Developing Information Technology training that can be understood by users at all levels (e.g., formal training, how to guides, operating procedures).
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
2. Recommending information technology hardware and/or software solutions to meet system requirements.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
3. Incorporating information security practices and principles throughout the Systems Development Life Cycle.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
4. Resolving user/client information technology hardware and/or software issues utilizing an incident management process.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer. Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
5. Validating system and operational requirements using information technology testing methodologies.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer. Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
6. Implementing system improvements based on analyzing measures or indicators of information technology system performance.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
9. Conducting root cause analysis for resolution of information technology issues (e.g., network, database, server, applications).
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide relevant examples of the more complex work you have been responsible for that demonstrate your ability to perform this task(1000 characters max):
10. Testing information technology solutions to ensure they meet the organization’s needs.
EXPERIENCE - Describe your work experience relevant to performing this task, both paid and volunteer.
Qualifications:
Provide releva ...
1. Describe digital freight matchmaking in your own words.2. How
1. Describe digital freight matchmaking in your own words.
2. How has digital freight matchmaking been able to gain traction?
3. Who stands to benefit most from digital matchmaking and why? What is the primary benefit they get?
4. Who stands to lose most from digital matchmaking and why?
...
1. Describe the ways in which governments and international bodi
1. Describe the ways in which governments and international bodies promote and regulate global trade (150 words)
2. Identify the questions to ask in choosing the appropriate form of ownership for a business (150 words)
3. You’re a partner in a U.S. engineering firm that’s interested in bidding on a water-treatment project in China. You know that firms from two other countries—Malaysia and Italy—will submit bids. The U.S. Foreign Corrupt Practices Act forbids you from making any payment to Chinese officials to enlist their help in getting the job. Unfortunately, the governments of Malaysia and Italy don’t prohibit local firms from offering bribes. Are you at a disadvantage? Should the Foreign Corrupt Practices Act be repealed? Why, or why not? (1page)
4. Because the United States has placed quotas on textile and apparel imports for the last thirty years, certain countries, such as China and India, have been able to export to the United States only as much clothing as their respective quotas permit. One effect of this policy was spreading textile and apparel manufacture around the world and preventing any single nation from dominating the world market. As a result, many developing countries, such as Vietnam, Cambodia, and Honduras, were able to enter the market and provide much-needed jobs for local workers. The rules, however, have changed: as of January 1, 2005, quotas on U.S. textile imports were eliminated, permitting U.S. companies to import textile supplies from any country they choose. In your opinion, what effect will the new U.S. policy have on each of the following groups: (1page)
· Firms that outsource the manufacture of their apparel
· Textile manufacturers and workers in the following countries:
• China• Indonesia• Mexico• United States
· 3. American consumers
...
1. Describe the process of beta oxidation of fatty acids with FA a
1. Describe the process of beta oxidation of fatty acids with FA activation and degradation?
2. Discuss the oxidation of unsaturated FAs with their three problems?
3. Explain the steps of odd chain FAs oxidation with emphasis on mutase?
4. Give the differences in peroxisomal and mitochondrial beta oxidation?
5. What are ketone bodies and write the steps of ketogenesis and metabolic degradation of ketone bodies?
Firewall Security Strategies
You are working with your manager on a project. You are attempting to determine the best approach for securing inbound traffic from the Internet to various application servers on the client’s local area network (LAN). You would like to select a strategy that gives the client significant control over user accessibility. You would also like to ensure that all data passing into your client’s network is properly evaluated before access is granted. Integrity of data is the top priority; however, your client has a limited budget for deployment.
Using the information presented above, discuss which of the following firewall security strategies would be a good fit for your client’s network environment.
Firewall Security Strategies
Security through obscurity
By configuring systems in a way that does not follow normal patterns and is not easily understandable, security through obscurity can be obtained. By utilizing abnormal configurations, the probability of exploitation is reduced and a level of protection is obtained. Administrators seek security through obscurity by performing one or more of the following actions:
· Modification of default ports
· Spoofing of banners or headers
· Utilization of extraordinary long Uniform Resource Locators (URLs)
· Utilizing uncommon protocols or operating systems
Keep in mind that this strategy may instill a false sense of security. Because attackers have multiple methods to scan against system configurations, utilizing this as the only security mechanism is like using nothing at all.
Least privilege
This strategy requires that each user or group that requires access to resources be explicitly granted permission. Because all resource access would be denied by default, each individual access need would have to be individually addressed. When least privilege is employed, there is often a dramatic increase in administrative overhead as a direct result. Least privilege is preferred for administrative scenarios.
Simplicity
This strategy reinforces that the selected solution should remain simple. By retaining a simple solution, the potential for error in configuration, bugs, or other problems is reduced.
Defense in Depth
This strategy emphasizes on a layered approach. The use of multiple safeguards ensures that no system that represents a single point of failure could be breached. The characteristics of a defense-in-depth strategy are:
· Public networks are separate from private networks
· Multiple security controls are implemented
· Redundant security controls are implemente ...
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- 1. 1. Choose the best answer and short explanation 1. A patient with chronic-stable angina is on prophylactic beta- blocker therapy, with sublingual nitroglycerin used PRN (as needed) for managing acute angina. One day he experiences particularly severe angina and takes the usually recommended dose of sublingual nitroglycerin (NTG). His discomfort is not reduced at all. Seeking relief, he repeats the usual recommended dose of NTG dose 6 times over a period of about 10 minutes, and now has taken far too much of the nitrovasodilator. An electrocardiogram taken by the paramedics, who were called for the patient’s emergency, shows changes consistent with myocardial ischemia. The patient incurs a massive infarction, goes into cardiac arrest, and cannot be resuscitated. Which of the following is the most likely cause of or contributing factor to the patient’s ultimately fatal response to the excessive dosage of NTG? Assume the patient was taking no other drugs except the NTG and a beta-blocker. A. Cyanide, or toxic metabolite of NTG, accumulated. B. NTG directly induced coronary vasoconstriction. C. NTG lowered arterial (coronary perfusion) pressure excessively D. Beta-blocker counteracted the effects of NTG and increased the risk of ischemia 2. Dopamine, epinephrine (or norepinephrine) and histamine are important neurotransmitter agonists. When these ligands interact with their cellular receptors, how do they mainly elicit
- 2. their responses? A. Activate adenylyl cyclase directly, leading to increased intracellular cAMP levels B. Activate phospholipase C C. Induce or inhibit synthesis of ligand specific intracellular proteins D. Open or close ligand gated ion channels E. Regulate intracellular second messengers through G-protein- coupled receptors 3. A 65-year old man with heart failure is unable to climb a flight of stairs without experiencing dyspnea. After several years of therapy with carvedilol, captopril and furosemide, the therapeutic plan probably needs to change now. You empiri cally add digoxin to improve cardiac muscle contractility. Within 4 week he has a marked improvement in his symptoms. Which of the following best describes the main cellular action of digoxin that accounts for its ability to improve his cardiovascular function? A. Activates beta1-adrenergic receptors B. Facilitates GTP binding to specific proteins C. Increases mitochondrial calcium (Ca++) release D. Inhibits sarcolemmal Na/K-ATP-ase 4. A patient has frequent episodes of paroxysmal supraventricular tachycardia (PSVT). Which of the following drugs would be most suitable for outpatient prophylaxis of these events?
- 3. A. Adenosine B. Lidocaine C. Nifedipine D. Verapamil 5. A patient with chronic-stable angina begins taking metoprolol, and once blood levels reach the therapeutic range the frequency and severity of angina attacks and the need for sublingual nitroglycerin were reduced. Which of the following states the direct pharmacologic action by which the beta-blocker produced the desired effects? A. Decreased myocardial oxygen demand B. Dilated coronary vasculature C. Directly inhibited angiotensin II synthesis D. Reduced total peripheral resistance 6. A patient with newly diagnosed essential hypertension starts treatment with a commonly used antihypertensive drug at a dose that is considered to be therapeutic for the vast majority of patients. Soon after starting therapy the patient experiences crushing chest discomfort. ECG changes show myocardial ischemia. Studies in the cardiac catheterization lab show episodes of coronary vasospasm, and it is likely the antihypertensive drug provoke the vasospasm. Which antihypertensive drug most likely caused the ischemia and the angina? A. Atenolol B. Diltiazem
- 4. C. Hydrochlorothiazide D. Lozartan 7. A 28-year-old woman is receiving drug therapy for essential hypertension. She subsequently becomes pregnant. You realize that the drug she’s been taking for her blood pressure can have serious, if not fatal, effects on the fetus. As a result, you stop the current antihypertensive drug and substitute it with another drug that is deemed to be equally effective in terms of her blood pressure, and safer for the fetus. Which of the following drugs was she most likely taking before she became pregnant? A. Alpha-Methyldopa B. Captopril C. Furosemide D. Labetalol E. Verapamil 8. The use of propranolol as an antiarrhythmic agent is contraindicated in patients with: A. COPD B. Asthma C. Severe heart failure D. A and C E. All of the above 9. A patient has frequent episodes of paroxysmal atrial fibrillation. He has received a medication for prophylaxis of these events. Which of the following is the most suitable for
- 5. long term use? A. Nifedipine B. Adenosine C. Amiodarone D. Heparin E. Lidocaine 10. A 52-year-old woman with essential hypertension, hypercholesterolemia, and chronic-stable angina, develops severe constipation. Which of the following drugs is the most likely cause? A. Atorvastatin B. Captopril C. Labetalol D. Nitroglycerin E. Verapamil Alpha adrenergic antagonists compete with endogenous catecholamines for binding at alpha- 1 and alpha -2 receptors. Because norepinephrine and epinephrine cannot bind to a receptor that is occupied by an antagonist, the actions of catecholamines are inhibited. Adrenergic receptor blockers are used to treat hypertension. What side effects can be expected? _________________________________________
- 6. _________________________________________ Nonspecific beta blockers (block both beta- 1 and beta -2 receptors) have been used as first-step antihypertensive agents. Because these agents block beta-2 as well as beta -1 receptors, bronchospasm may occur. Newer agents are beta-2 specific and are not contraindicated in asthmatic patients. Give some examples and your explanations for the benefits and risks associated with these medications. _______________________________________________ 2. Solve this case and answer case-related questions: Case. A patient (76 years old female) with compromised cardiac function was hospitalized due to significant volume overload and generalized edema. Chest X-ray confirmed pulmonary edema, ejection fraction was estimated - 20%. Patients’ heart rate and blood pressure have been monitored. Despite intravenous use of diuretics she still feels significant shortness of breath, her blood pressure is now 90/60 mm Hg. Blood tests confirmed that renal function is worsening. Blood creatinine – 2.0 mg/L, Na – 132 mEq/L; K – 3.9 mEq/L. Intravenous therapy with Dobutamine was initiated. Questions: What group of cardiovascular drugs does dobutamine belong to? What is mechanism of action?
- 7. What effect this drug has on cardiac and vascular adrenergic receptors? After intensive treatment at the hospital for more than a week, this patient was released home and will be followed by primary care physician. Along other medication lisinopril was prescribed. Questions: What group of cardiovascular drugs does lisinopril belong to? What is mechanism of action? What effect this drug has on patient’s neurohumoral responses? What potential side effects can be related to long term lisinopril use? Two months later this patient was readmitted for an episode for cardiac arrhythmia. She was diagnosed with atrial fibrillation. Amiodarone was initiated for her arrhythmia treatment. Questions: What group of cardiovascular drugs does Amiodarone belong to? What is the mechanism of action? What effect this drug has on patient’s heart rate? What potential side effects can be related to long term Amiodarone use?
- 8. 4. 1. A 51-year-old man asks his physician for a prescription for sildenafil to improve his sexual performance. Because of risks from a serious drug interaction, this drug should not be prescribed and the patient should be urged not to try to obtain it from other sources, if he is also taking which of the following drugs? A. Angiotensin-converting enzyme inhibitor B. Beta-adrenergic blocker C. Nitrovasodilator (eg. Nitroglycerin) D. Thiazide or loop diuretic 2. A patient with heart failure, hypertension and hyperlipidemia is taking furosemide, captopril, atenolol, and simvastatin. During a scheduled physical examination, about a month after starting all the drugs, the patient reports a severe, hacking and relentless cough. Which of the following is the most likely cause of the cough? A. An expected effect of the captopril B. An allergic reaction to the statin C. Dyspnea due to captopril’s bronchoconstrictor action D. Hyperkalemia caused by an interaction between furosemide and captopril E. Excessive doses of furosemide, which lead to hypovolemia 3. Flecainide and propafenone are in Vaughan-Williams
- 9. (antiarrhythmic) Class IC. What is the clinically relevant “take home” message about this class of drugs? A. Are only given for arrhythmias during acute myocardial infarction (MI) B. Are particularly suited for patients with low ejection fraction or cardiac output C. Are preferred drugs for relatively non-severe ventricular arrhythmias D. Have a significant pro-arrhythmic effect (induction of lethal arrhythmias) E. Cause pulmonary fibrosis and a hypo-thyroid syndrome when given long term. 7