• Choose an area of the criminal justice system and
• Identify what you believe to be one of the biggest challenges a manager faces in this area of the criminal justice system.
• In a 2-3 page paper tell me what the challenge is and how you would handle it based on your understanding of the background readings
• APA FORMAT SUBJECT HEADING WELL CITED REFERENCES

1. How do Key Risk Indicators help companies identify emerging risks?
2. How do Key Performance Indicators help companies to manage existing risks?
3. If measuring performance is not a component of an ERM program, what is the effect on the overall quality of the program?

Retirement of the primary career jobs is a milestone in the life course of older people, as it signals the transition into late adulthood (Kim & Moen, 2002).  It is double-edged; it can endorse overall physical and mental well-being because workers leave challenging and nerve-wracking jobs on the one hand. On the other hand, retirement may mean the end of a significant source of identity to individuals as they lose their social network of colleagues and friends (Kim & Moen, 2002) as well as their daily routine they were doing for years. In this essay, I will identify three factors that contribute to physical and mental well-being in retirement concerning gender and culture.

Rowe and Kahn (1987) identify the primary components of healthy aging as the absence of disease and disability and lack of predisposing factors towards these, the maintenance of physical and cognitive function, and continued involvement in social activities and productive pursuits (Cherry, Broen, Kim, & Jazwinski, 2016), but what can lead to such healthy aging upon retirement?

Berk (2016) explains that some psychological and social factors, as well as education, can help predict physical and psychological well-being of the elderly after they retire. For example, their feeling of control has a significant impact on satisfaction. Individuals who decided to retire at their convenience are more satisfied than those who give up predictable events in a work-related context. Moreover, the social network of the individual reduces the stress she or he might encounter after retirement (Berk, 2016). Although the size of the social network of a retired individual might shrink outside the professional network, the quality of the network supports the individual mental well-being and reduces stress. Also, Berk (2016) adds that education as another factor that impacts the ability to cope with retirement. Well-educated people with sophisticated jobs have better adjustment owing to their possible ability to transferring their satisfaction and self-achievement from work to other nonwork activities.

As for gender, it has many implications on the nature of occupation and the timing of its onset and retirement, structural constraints, and situational requirements, and retirement and postretirement expectations and experiences (Moen, 1996). Also, the differences in men’s and women’s roles in life and familial pathways imply that their physical and mental health may differ upon retirement. According to Berk (2016), turning points in women’s career peak when they have to adjust their work lives to accommodate their marriage and childrearing responsibilities. From a financial perspective, women are expected to live longer than men with an average gap of five years (Berk, 2014), but women earn less than men, which leads to a financial crisis for women.

For culture, it has a considerable impact on how seniors embrace their retirement and their postretirement experience according to their gender. Lee and Cho (2018) explain that in a working couple, retirement sequence between who retires first, the man or the woman, affects the spouses’ mental health. In societies that have definite gender roles, men do not experience general life satisfaction if they retire first before their wives, and they do not take part in household work or any of her responsibilities because of the social norms (Lee & Cho, 2018).

References

Berk, L. E. (2016). Development Through the Lifespan. Boston: Pearson.

Cherry, K. E., Brown, J. S., Kim, S., & Jazwinski, S. M. (2016). Social Factors and Healthy Aging: Findings from the Louisiana Healthy Aging Study (LHAS). Kinesiology Review, 5(1), 50-56.

Lee, A., & Cho, J. (2018). Effects of Working Couple’s Retirement Sequence on Satisfaction in Patriarchal Culture Country: Probing on Gender Difference. The International Journal of Aging and Human Development, 87(3), 244-267. doi: 10.1177/0091415017727210

Kim, J. E., & Moen, P. (2002). Retirement transitions, gender, and psychological well-being: A life-course ecological model. The Journals of Gerontology: Series B: Psychological Sciences and Social Sciences, 57(3), 212–222.

Rowe, J. W., & Kahn, R. L. (1987). Human aging: usual and successful. Science, 237(4811), 143-149.

• Posted: 8 hours ago
• Due: 02/02/2019
• Budget: $5

• Contents
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• Issue Table of Contents
  • Critical Inquiry, Vol. 24, No. 2, Intimacy (Winter, 1998), pp. 281-637
    • Front Matter
    • Intimacy: A Special Issue [pp. 281-288]
    • Adultery [pp. 289-327]
    • Sex and Talk [pp. 328-365]
    • Sex in America [pp. 366-392]
    • “Pleasure, Sex, and Politics Belong Together”: Post-Holocaust Memory and the Sexual Revolution in West Germany [pp. 393-444]
    • They Repeatedly Lick Their Own Things [pp. 445-472]
    • Jody [pp. 473-497]
    • On Diasporic Intimacy: Ilya Kabakov’s Installations and Immigrant Homes [pp. 498-524]
    • Mediating Intimacy: Black Surrogate Mothers and the Law [pp. 525-546]
    • Sex in Public [pp. 547-566]
    • Coupling [pp. 567-574]
    • The State of Shame: Australian Multiculturalism and the Crisis of Indigenous Citizenship [pp. 575-610]
    • A Dialogue on Love [pp. 611-631]
    • Books of Critical Interest [pp. 632-637]
    • Back Matter

IDS 402 Milestone Three Guidelines and Rubric

Overview: For this milestone, due in Module Five, you will submit a draft of the Plan section of your presentation. In this section, you will create the visual facet of your final project presentation. Keep in mind that in Module Six you will be submitting Milestone Four, which is the oral narration component, and your voice will be the primary carrier of your message and the visuals will play a supporting role. You want your voice and visuals to work together and not compete for attention, so you should minimize the number of words on each slide and maximize the use of visual elements, including photographs, illustrations, and graphs. You will submit this milestone as two documents: a presentation draft in PowerPoint that will include visuals and a Word document with your speaker notes. Milestone Three provides you with an opportunity to obtain valuable feedback from your instructor that you can incorporate into your final project submission. Prompt: In this milestone, you will start assembling your multimedia presentation. Create a multimedia presentation draft using visuals* to articulate your plan to address the issue you described in Milestone Two. Specifically, the following critical elements must be addressed:

III. Plan: For this part of the assessment, you will offer recommendations and a plan to improve your chosen issue as well as strategies for implementing your plan.

A. Explain the goals of your plan. What are the specific goals you are trying to accomplish with your plan? B. Make recommendations for how the current issue could be addressed in order to minimize its impact on the target population. Think of specific

strategies or tactics that you could implement to address the issue. C. Consider the implications of social attitudes and individual choices to lifelong health and wellness. If you were in charge of addressing your

chosen issue, what challenges would you face when implementing your plan? How would you address those challenges? Support your answer with relevant research or diverse perspectives.

D. Explain the strengths of your plan and why it is likely it would be successful. PowerPoint: You are required to include a combination of text, visuals, and speaker notes in order to support your PowerPoint presentation. Use the Check File Compatibility With Earlier Versions and Are You Having Video or Audio Playback Issues? resources to help you check compatibility between versions of Office. Also, follow the instructions on the Microsoft Support page to compress your presentation as a zipped file. Upload the zipped file when submitting Milestone Three. Reducing the size of the presentation file by compressing it will make it easier for your instructor to download and grade your presentation. *Note: The final presentation requires the use of both visuals and audio. In Module Four, you practiced adding audio to a PowerPoint slide to prepare for Milestone Four’s oral narration of your presentation.

Rubric Guidelines for Submission: Milestone Three should be approximately 4 to 5 presentation slides in length with 2 to 3 pages of speaker notes. The speaker notes should be submitted in a separate Word document with 12-point Times New Roman font, double spacing, and one-inch margins. You are required to include

combination of text and visuals in order to support your work. Cite your supporting sources in APA or MLA format. If you require alternative accommodations for completing this assignment, reach out to your instructor directly for more information. Note that the grading rubric for this milestone submission is not identical to that of the final project. The Final Project Rubric will include an additional “Exemplary” category that provides guidance as to how you can go above and beyond “Proficient” in your final submission.

Critical Elements Proficient (100%) Needs Improvement (85%) Not Evident (0%) Value

Plan: Goals Explains the goals of the plan Explains the goals of the plan, but explanation is cursory

Does not explain the goals of the plan 20

Plan: Recommendations

Makes recommendations for how the current issue could be addressed in order to minimize its impact on the target population

Makes recommendations for how the current issue could be addressed in order to minimize its impact on the target population, but recommendations made are cursory

Does not make recommendations for how the current issue could be addressed in order to minimize its impact on the target population

25

Plan: Challenges Explains what challenges will be faced when implementing the plan and uses relevant research or diverse perspectives

Explains what challenges will be faced when implementing the plan and uses research or diverse perspectives, but explanation is cursory or use of research or diverse perspectives is inappropriate

Does not explain what challenges will be faced when implementing the plan or use relevant research or diverse perspectives

25

Plan: Strengths Explains the strengths of the plan and why it is likely to be successful

Explains the strengths of the plan and why it is likely to be successful, but explanation is cursory

Does not explain the strengths of the plan and why it is likely to be successful

20

Articulation of Response

Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

10

Total 100%

The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types of qualitative studies and give an example of each.

Using a Web browser, search for “incident response template.” Look through the first five results and choose one for further investigation. Take a look at it and determine if you think it would be useful to an organization creating a CSIRT. Why or why not?

Requirements:

• Type your responses with proper headings in a word document.
• Detailed and significant scholarly answers will be graded with full point value. Incomplete, inaccurate, or inadequate answers will receive less than full credit depending on the answers provided.
• APA format

America’s policy makers set forth legislation, policies, and standards impacting the delicate balance between national security and civil liberties. The Freedom of Expression guarantees protected by the First Amendment include freedom of speech, of the press, of association, of assembly and petition.

• How would you characterize an active-duty military member releasing classified information to Wikileaks…a) a lawful expression, b) cyber-terrorism, c) treason, d) a criminal act, or e) something else? Please explain your position.

Answer one of the below questions that has not been answered by anyone else, and then respond to submissions from at least two classmates

Option 1: List and describe the general features of bloodstain formation.

Option 2.  A criminalist studying a dyed sample hair notices that the dyed color ends about 1.5 centimeters from the tip of the hair.  Approximately how many weeks before the examination was the hair dyed?  Explain your answer.

Option 3.  Following are descriptions of several hairs.  Based on these descriptions, indicate the likely race of the person from whom the hair originated.
            a.  Evenly distributed, fine pigmentation.
            b.  Continuous medullation.
            c.  Dense, uneven pigmentation.
            d.  Wavy with a round cross-section.

Option 4.  Criminalist Pete Evett is collecting fiber evidence from a murder scene.  He notices fibers on the victim’s shirt and trousers, so he places both of these items of clothing in a plastic bag.  He also sees fibers on a sheet near the victim, so he balls up the sheet and places it in as separate plastic bag.  Noticing fibers adhering to the windowsill from which the attacker gained entrance, Pete carefully removes it with his fingers and places it in a regular envelope.  What mistakes, if any, did Pete make while collecting this evidence?

Option 5.  You are investigating a hit-and-run accident and have identified a suspect vehicle.  Describe how you would collect paint to determine whether the suspect vehicle was involved in the accident.  Be sure to indicate the tools you would use and the steps you would take to prevent cross-contamination.

Option 6.  While investigating a murder scene, police gather evidence that includes a dead body riddled with stab sounds, fingerprints on a bloody knife found near the body, and a ticket stub from a theater several miles away from the scene.  Detectives determine that the knife belongs to the victim, but matched prints on the knife to an acquaintance of the victim.  When questioned, the acquaintance claims he was at the movies at the time of the murder – the same movie shown on the ticket stub at the scene.  What direct physical evidence connects the acquaintance to the crime scene?  What circumstantial evidence connects him to the scene?  What can you conclude about the acquaintance’s involvement solely from direct physical evidence and deductive reasoning?  What might you conclude considering circumstantial evidence and inductive reasoning as well? 

Option 7: Criminalist Mick is collecting evidence from a fire scene.  He gathers about a quart of ash and soot debris from several rooms surrounding the point of origin.  He stores the debris in a new, clean paint can, filled about three-quarters full.  Seeing several pieces of timber he believes may contain accelerant residues, he cuts them and places them in airtight plastic bags.  A short time later a suspect is arrested and Mick searches him for any signs of an igniter or accelerant.  He finds a cigarette lighter on the suspect and seizes it for evidence before turning the suspect over to the police.  What mistakes, if any, did Mick make in collecting the evidence?

Option 8: List and describe the four types of impact bloodstain spatter patterns.

Option 9: What are the characteristics of gunshot spatter and of cast-off spatter?

Option 10: Describe the procedures to document bloodstain pattern evidence.

Option 11: List and give the characteristics of seven of the major generic fibers not addressed by another student.

Option 12: The identification and comparison of manufactured fibers consists of at least three examinations and comparisons.  List and describe them.

Option 13: Briefly describe the chemistry of fire.

Option 14: Define conduction, radiation, and convection.

Option 15: List the characteristics of a fire scene that would indicate the use of accelerants.  MAKESURE TO SITE YOUR WORK !!!!!!!!    HAS TO BE 150 OR MORE WORDS NOT INCLUDING THE REFERNCES                    

ASSIGMENT NEEDS TO BE DONE IN 18 HOURS MAX! THANKS

Select only one of the topics and discuss the issue and develop an overview of the problem as described in the Topic below. Your report should address the points as indicated, estimated of quantities, materials and other relevant information. Please limit your report to 2-4 pages (appendices are OK) including figures, tables, calculations, references. 

Extra credit: I have provided a paper to read: “From electronic consumer products to e-wastes: Global outlook, waste quantities, recycling challenges” 

Provide a brief discussion (1 page) on the global cross boundary transport of e-wastes. 

Instructions

Research and identify an environmental or occupational  toxicant that effects   either the respiratory, immune, or hepatic system.  Research and discuss the   following: 

1.   Explain the normal function of the system and what makes it susceptible        to toxicity. 
2. Describe how exposure to the toxicant is possible. 
3. Analyze the acute and/or chronic effects of the toxicant. 
4. Describe recent concerns about the toxicant (within the last two years)        and any actions taken to reduce the toxicant in the environment or reduce        occupational exposure to the toxicant. 

Your research paper should meet the following  requirements: 

1. Address all of the above mentioned aspects in the discussion. 
2. The paper should be a minimum of three pages in length, not including        title and reference pages. 
3. Utilize at least four credible references no more than five years old.          
4. Utilize proper APA formatting and citations.

Anatomy

Backward effects of left-sided heart failure include:

A.    Pulmonary congestion

B.     Jugular vein distention

C.     Dependent edema in the legs

D.    Bounding pulses

Anatomy

In performing a physical assessment, the nurse notes the patient has a “barrel” configuration to the chest. This is a consequence of:

A.    Reduced intrapleural pressures

B.     Bronchial airway expansion

C.     Increased vital capacity

D.    Increased residual lung volume

Anatomy

Ausculation of the chest reveals bilateral fine crackles in the bases bilaterally, indicating:

A.    Right-sided heart failure

B.     Left-sided heart failure

C.     Pneumonia

D.    Acute respiratory distress syndrome

Biology
The signs and symptoms of anemia are all related to what common pathophysiologic feature of the condition?

A.    Increased oxygen consumption by tissues

B.     Decreased blood oxygen content

C.     Vasodilation

D.    A shift in the oxyhemoglobin dissociation curve

Biology
In addition to hypertension, preeclampsia is characterized by:

A.    Nausea and vomiting

B.     Fatigue and lower back pain

C.     Protein in the urine and edema

D.    Retinal changes and rates in the lungs

Biology
Common manifestations of bacterial pneumonia include all of the following except:

A.    Fever

B.     Productive Cough

C.     Tachypnea

D.    Hyperinflation

Biology
Closed drainage systems work to re-expand a lung after pneumothorax by:

A.    Re-establishing the normal negative intrapleural pressure.

B.     Creating a positive pressure in the pleural space

C.     Removing excess fluid from the pleural space so that there is room for lung expansion.

D.    Pulling oxygen into distal air sacs to re-expand lung tissue

Biology
Patients with chronic renal failure usually exhibit:

A.    Bradycardia

B.     Hypokalemia

C.     Hypocalcemia

D.    Hematomas

Biology
The diet of a patient in end-stage kidney disease is restricted in all of the following except:

A.    Fluid

B.     Potassium

C.     Protein

D.    Calories

Anatomy

Which of the following is true of the biological functions of progesterone?

A.    Progesterone is the most important hormone associated with pregnancy.

B.     Progesterone directs male sexual characteristics.

C.     Levels of progesterone increases if the egg is not fertilized.

D.    Levels of progesterone remain stable if the egg is not fertilized.

Anatomy

Which of the following is true of the biological functions of testosterone?

A.    Testosterone is not secreted by the ovaries.

B.     Testosterone is needed for development of female secondary sexual characteristics.

C.     Testosterone stimulates ovulation.

D.    Testosterone is needed for development of male secondary sexual characteristics.

Anatomy

Which of the following is true of the biological functions of estrone?

A.    Estrone is required for proper development of male secondary sexual characteristics.

B.     Level of estrogen degreases if the egg is not fertilized.

C.     Estrone is required for proper development of female secondary sexual

characteristics.

D.    Estrone affects only the reproductive organs.

Biology

What is the function of hemoglobin?

A.    Hemoglobin is the protein in red blood cells that is responsible for carrying oxygen to the cells of the body.

B.     Hemoglobin is a lipid in red blood cells that is responsible for carrying oxygen to the cells of the body.

C.     Hemoglobin is a protein in white blood cells that is responsible for carrying oxygen to the cells of the body.

D.    Hemoglobin is a protein in red blood cells that is not responsible for carrying carbon dioxide to the cells of the body.

Biology

Why is heat an effective means of sterilization?

A.    Heat is an effective means of sterilization because it destroys the proteins of microbial life forms, including fungi, bacteria, and viruses.

B.     Heat is an effective means of sterilization because it destroys the proteins of anaerobic microbial life forms, including fungi, bacteria, and viruses.

C.     Heat is an effective means of sterilization because it destroys the lipids of microbial life forms, including fungi, bacteria, and viruses.

D.    Both (B) and (C).

Chemistry:

List the enzymes whose levels are elevated in the blood serum following an MI.

A.    CPK, LDH, AST, and SGOT

B.     LDH, AST, and SGOT

C.     CRE, AST, and ALT

D.    None of the above

Chemistry

What is the physiological function of gluconeogenesis?

A.    Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.

B.     Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are high. This ensures proper function of brain and white blood cells, which only use glucose as fuel.

C.     Gluconeogenesis is production of glucose from carbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.

D.    None of the above

Chemistry

What effect does glycogen metabolism have on glucose levels?

A.    Glycogen metabolism traps glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.

B.     Glycogen metabolism traps glucose within liver cells and increases storage of glucose in the form of glycogen. These processes increase blood glucose levels.

C.     Glycogen metabolism releases glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.

D.    None of the above

Chemistry

Carbon monoxide binds tightly to the heme groups of hemoglobin and myoglobin. How does this affinity reflect the toxicity of carbon monoxide?

A.    Since carbon monoxide binds the heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen enhancement result in what divers call the “bends.”

B.     Because carbon monoxide binds the heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.

C.     Because carbon monoxide binds tightly to the heme groups of hemoglobin, it is not easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.

D.    None of the above

Pathophysiology

Which of the following may be a reason to order an ABG on a patient?

A.    The patient suddenly develops shortness of breath

B.     An asthmatic is starting to show signs of tiring

C.     A diabetic has developed Kussmaul’s respirations

D.    All of the above

Pharmacology

How do sulfa drugs selectively kill bacteria while causing no harm to humans?

A.    Folic acid is a vitamin required for the synthesis of a coenzyme needed to make the amino acid methionine and the purine and pyrimidine nitrogenious bases for DNA and RNA and folic acid is produced by humans.

B.     Sulfa drug binds to the enzyme, no product is formed, folic acid is made and the biosynthesis of methionine and nitrogenous bases increases.

C.     Humans are not harmed because they do not synthesize their own folic acid. It is obtained in the diet.

D.    None of the above

Pharmacology

What occurs when glycogen metabolism is stimulated by insulin?

A.    Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis.

B.     Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also stimulates removal of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.

C.     Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also stimulates uptake of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.

D.    All of the above

Pharmacology

What is the medical application of cortisone? Cortisone is used to treat:

A.    Rheumatoid arthritis, asthma, gastrointestinal disorders, and a variety of skin conditions.

B.     Kidney disease, high blood pressure, and osteoporosis.

C.     Muscle disorders, tuberculosis, and thyroid disorder.

D.    All of the above

Anatomy

Oxygen saturation is likely to be lowest when an asthmatic with a diagnosis of pneumonia is positioned:

A.    In a high Fowler position

B.     Lying on the left side

C.     Lying on the right side

D.    Lying supine with the head of the bed flat

Chemistry

Laboratory test results indicative of thrombocytopenia, in addition to a low platelet count, would be:

A.    Increased PT

B.     Prolonged bleeding time and poor clot retraction.

C.     Increased aPTT

D.    Decreased RBC count.

Pharmacology

The purposes of epinephrine injection include all of the following except:

A.    Stabilizing mast cell membranes.

B.     Relaxing bronchial smooth muscle.

C.     Supporting arterial blood pressure.

D.    Blocking histamine receptors.

Pharmacology
Therapeutic interventions focused on increasing the oxygen supplied to the heart and decreasing the heart’s demand for oxygen include:

A.    Antiplatelet drugs

B.     Anticoagulants

C.     Morphine sulphate

D.    Thrombolytic drugs

Pharmacology
An intervention that would contribute toward the healing of a peptic ulcer is:

A.    Steroid administration

B.     Blocking or neutralizing of acid secretion

C.     Surgical removal of the ulcer

D.    Intravenous nutritional support

Pharmacology
Aspirin and NSAIDs are causative factors for the development of peptic ulcer disease because they:

A.    Increase acid secretion

B.     Allow proliferation of H. pylori

C.     Damage the mucosal barrier

D.    Alter platelet aggregation

Pharmacology
Your patient is interested in trying medication to improve low mood/depression. All of the following medications might be appropriate except:

A.    Selective serotonin reuptake inhibitors

B.     Amitriptyline

C.     Serotonin and norepinephrine reuptake inhibitors

D.    Benzodiazepines

Latif Abdullah

October 17th, 2019

BIO 310

Air Pollution

Pollution is a subject that many countries and almost everyone knows about. When we think about pollution, the first thing comes to our mind is the air pollution because we see the pollution from the factories, cars, smokers and firing. What is obvious is that the air pollution would cause diseases is the lungs and the heart because they are responsible for the Oxygen in the human body. However, 60% of the oxygen that we breath is going to the brain. Therefore, we ask ourselves what might occur in the brain due to the pollution.

In fact, Researchers indicated that living in areas of high pollution has serious long-term health effects. Living in these areas during childhood and adolescence lead to diminished mental capacity and an increased risk of brain damage. People of all ages who live in high pollution areas for extended periods place themselves at increased risk of various neurological disorder. In fact, both air pollution and heavy mental pollution have been implicated as having negative effects on central nerves system functionality. The ability of pollutants to affect the neurophislophy of individuals after the structure of the CNS has become mostly stabilized is an example of negative neuroplasticity. In addition, by permanently affecting vascular structures in the brain, air pollution can have serious effects on neural functioning and neural matter. In dogs air pollution shows to cause damage to the CNS by altering the blood–brain barrier, causing neurons in the cerebral cortex to degenerate, destroying glial cells found in white matter, and by causing neurofibrillary tangles. (scientist magazine)

Furthermore, researchers are amassing evidence of cognitive and psychiatric dysfunction in pollution-exposed younger people, whose developing brains may be particularly vulnerable. In 2016, researchers found that Swedish children and adolescents were more likely to have been prescribed psychiatric medicine if they lived in areas with high nitrogen dioxide concentrations, and research published a few months ago linked lifetime exposure to air pollution with depression and anxiety in 12-year-olds living in Ohio.

According to the scientist magazine a study carried out a couple of years ago by researchers at ISGlobal compared different regions of the brain and found that some areas might be particularly susceptible. The team reported that schoolchildren exposed to high PAH levels showed particularly stunted growth in the caudate nucleus, a region deep within the brain that is linked to behavioral disorders such as ADHD. This region already generates relatively high levels of reactive oxygen species, explains study coauthor Marion mortems, now at INSERM in France. “The hypothesis is that . . . the local mechanism to fight the oxidative stress is completely overwhelmed by another intrusion of oxidative stress provoked by the exposure to PAH.”

Furthermore, many of the studies on the effects of chronic exposure to air pollution are observational, making researchers wary of saying air pollution causes reduced cognitive function. Nevertheless, evidence from in vino studies in humans and non-humans’ animals, combined with in vitro research and analyses of postmortem brains, is beginning to lend support to the ideas

In the other hand, the biological factors involved in smoking relate to how the brain responds to nicotine. When a person smokes, a dose of nicotine reaches the brain within about ten seconds. At first, nicotine improves mood and concentration, decreases anger and stress, relaxes muscles and reduces appetite.

Therefore, secondhand smoke also has a direct, measurable impact on the brain similar to what’s seen in the person doing the smoking, according to a new study. The finding highlights the importance of limiting exposure to secondhand smoke in cars and other enclosed spaces. In fact, tobacco is the leading cause of preventable death nationwide. People who smoke are up to 6 times more likely than non-smokers to suffer a heart attack. Tobacco is also one of the strongest cancer-causing agents. Up to 90% of lung cancer deaths are attributed to smoking.

However, the smoker isn’t the only one harmed by cigarette smoke. According to the U.S. Centers for Disease Control and Prevention, almost 50,000 deaths per year can be attributed to secondhand smoke. A Surgeon General’s Report in 2006 concluded that secondhand smoke causes heart disease and lung cancer in nonsmoking adults. It also causes serious health conditions in children, including sudden infant death syndrome, respiratory infections and more severe asthma.

select your on topic

The topic needs to be somewhat related to your field of cybersecurity.

Research Project Survey Instrument Students will be responsible for developing an instrument to be used for their final research project. Your instrument      should be a way of gathering data from your study participants. You must develop the questions for the instrument and be able to thoroughly explain how your instrument will answer your research questions.

Presenting Problem Client presented in the emergency room (ER) having been brought in the previous night by her parents. Following an argument with her parents, L cut her right wrist. L’s mother reported that L started screaming rapidly and became physically violent toward her prior to cutting her own wrist. Psychological Data L is a 17-year-old Hispanic female who resides in Pennsylvania with her mother, father, and older sister. She is in 11th grade at the local public school. L appeared to be of average to above-average intelligence, as she was able to respond to numerous questions in an articulate and intelligent manner. She was well versed about world history and current affairs. Her mother confirmed that she has done well in school, maintaining a B+ average and participating in various school activities (e.g., chorus, school paper) until last year. L slowly dropped out of many activities she liked in the past. Her mother noticed about 8 months ago that L had also begun having difficulty doing schoolwork. Erratic behavior arose during episodes when L also became irritable and explosive. During these repeated episodes, she became quite defiant, cut classes, had to be placed in school detention, and had even assaulted the principal. L has numerous friends and believed she can relate to all types of people. She has a boyfriend who adores her, but she said she doesn’t feel the same about him. The school counselor confirmed that L is outgoing, popular, and smart; but during these episodes she became another person, one who is very violent and difficult. Medical History A physical examination by a staff doctor revealed superficial cuts on L’s left and right wrist. The cuts appeared to be a few weeks old. There were cigarette burns on her right wrist that looked to be approximately one week old. In questioning L about the cigarette burns, L responded, “I just wanted to see how it felt—now I know.” When questioned about old cuts on her left wrist, she responded, “I don’t want to talk about it.” L weighs 103 pounds and is 5’ 6” tall. L denied any dieting or fasting, but her mother noticed over this past year that her weight has dropped. Substance Abuse History L denied any drug or alcohol use. When she was questioned regarding such, her response was “I could do drugs if I wanted to. I don’t want to, because it’s dumb.” Family History L’s mother is 42 years old and works as a secretary for a large telephone company. Her father is 49 years old and operates a small landscaping business. Both are U.S. citizens, with a cultural background from Guatemala of which they are proud. Both have

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a high school education. L’s sister is considerably younger, aged 8. Their relationship is described as unremarkable, although L’s mother noted that the younger sister stays away when L is upset. Marital circumstances are uncertain, although the parents admitted that they are trying to keep the family together for their children, and they are of the Catholic faith. Treatment costs for L have been an additional difficulty for the family, but they said they are very worried about L’s lack of self-control and discipline. Extended family are far away and mostly still in Guatemala. L’s parents were not aware of any other family members with psychiatric problems. Psychiatric History L was evaluated three times at the community hospital ER during the past 4 years. Hospital evaluations were usually done after suicide attempts or threatening violent behavior toward others. L thought that the clinicians trying to diagnose her only had book skills and no people skills. She assumed that no one will ever know what is wrong with her; she did not plan to tell them because she doesn’t like them. L said she knows she “is not crazy,” but she was convinced that the therapist thought she is crazy or a “bad” kid. “They’re just experimenting with me,” L said. L indicated that she had been prescribed medications to alter her mood, but she couldn’t recall what it was, as she stated, “I don’t need those; nothing is wrong with me.” L’s mother reported that L was involved in outpatient counseling on at least four occasions as well as being placed in a shelter once after school truancy, running away from home, and threatening to assault her. A social worker was even sent for home visits for a 3-month period. Each time, L would abruptly end therapy by becoming verbally abusive or totally noncommunicative toward the therapist and would adamantly refuse to continue therapy. She even admitted to shoving a desk toward a therapist and threatening her with a pencil. When questioned about this behavior, L responded, “Well she told me to express myself and let my true feelings out, so I did.” (L also laughed and glanced at her mother during this exchange.) L’s mother was particularly perplexed and overwhelmed by these behaviors. She stated that her husband is completely frustrated and angry. Both admitted that L’s behavior is part of the considerable strain on their marriage. L denied being under any continued psychiatric care even though it was recommended numerous times. She refused to go, stating, “The therapists are the ones who are crazy.” L was first seen in outpatient counseling 9 years ago after she began to have nightmares and experienced tremendous anxiety after her godmother threatened to kidnap her. Her godmother became obsessed with L when L was 6 years old, first threatening to kidnap her then. Her godmother had to be institutionalized after exhibiting bizarre behavior. Recently, the godmother started threatening to kidnap L again. Three years ago, L was sent for counseling after she ran away from home after getting a bad report card and also discovering that her parents were considering a divorce. L requested therapy, as she reported that at 8 years of age she was sexually molested by an older man in the community (who is now deceased). She expressed having mixed emotions, because she viewed her perpetrator as her friend. By pretending that nothing

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happened, she could think of him as a nice old man, and she didn’t have to deal with the thought of something this bad happening to her. L’s mother reported that she herself was raped at 8 years old and that L had knowledge of this. Two years ago, L and the entire family again became involved in outpatient counseling after L’s godmother accused L’s mother of child abuse. L’s mother thought this was largely done out of spite. An investigation by Child Protective Services revealed no abuse. Mental Status (1 day after she had been evaluated at the ER) L presented casually, disheveled, in shorts and a tee shirt, and with minimal makeup. L admitted to being in a nasty mood. There was little eye contact, and conversation was difficult. Thought and speech patterns were clear. Affect was flat. She was oriented to time, place, and person. L denied feeling depressed. When questioned about her suicide attempt the previous day, she suddenly became quiet and teary eyed. She lowered her head and responded, “You don’t understand, he made me do it. I don’t want to hurt myself.” L denied even remembering cutting her wrist, saying, “He must have done it or made me do it.” L was questioned about the person she was talking about. She related that there has been a male presence in her life since she was 6 years old and that he makes her do things that she doesn’t want to do or things she can’t even remember. This presence showed up after the funeral of her best friend, Michael. L said he communicates with her through her mind. She seemed distressed when speaking about him. Her mother appeared distressed and fearful as well. L’s mother confirmed that L had trouble sleeping and concentrating at school after the funeral. She did not want to attend Girl Scouts anymore, because the uniform had gotten tight and the male presence was laughing at her. L’s mother remembered how scared she had become on a few occasions when L attempted to run out into traffic. Every time L’s mother yelled at L for doing that, L stated that the male presence explained that this was how she could join her friend Michael. L’s mother took L to a therapist. When L entered the third grade, L’s mother took her out of therapy. L reported that during her awake hours she can’t see this presence, but she can sense him. She said she does see him in her dreams, and his appearances in them have intensified within the past year. In her dreams, he torments children, and he controls people through a haunted mirror and a magic book. He reads and controls thoughts. L described him this way: “He looks in his 40s, but is really ageless. Always dressed in dark colors, but I can’t tell the exact colors he wears. I know his eyes are powerful, but I never really look at his eyes.” L was asked why she never shared this information before. She stated, “Because I would be put in the hospital and medicated—and I told you, I’m not crazy. I know you don’t understand, but I am him and he is me, and he eventually wants to totally control me.” She admitted to acting out impulsively at times, such as throwing things for no reason. L reported that the presence was in the room during this interview. When questioned about why he doesn’t influence her now or make her do something, she replied, “He’s too smart, he wouldn’t do that.” L also mentioned that during the past

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couple of months another male presence has been with her. This new presence seems to be controlled by and intimidated by the primary presence. The two males communicate with one another about how to hurt the children in her dreams. L ended the session by saying, “I know this sounds weird, but this is what is happening to me. If you tell any other therapist, I’ll deny it, because I don’t want to be put away.”

I need this by 7am PST FRIDAY, Each to be done independently

Task 1

nstructions: So many public health issues plague communities across the globe. Complete the following:

Suggest how communities can prioritize their health problems and concerns with the limited allocated resources in their intervention efforts.
Discuss the limitations to the intervention methods you are proposing.
Explain how the intervention methods could be improved.

Use at least two references and add citations

Number of Pages: 1 Page
TASK 2

Instructions: Discuss how your data collection and analysis plan will answer your research questions.

What are the potential confounders in your study? (Study: low income individuals have a higher risk for developing obesity)

How will you minimize confounding bias?

Use at least two references and add citations

Number of Pages: 1 Page

Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.

To Prepare:

• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.
• Reflect on your results of the CliftonStrengths Assessment, and consider how the results relate to your leadership traits.

The Assignment (3 pages):

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

• A description of your core values
• A personal mission/vision statement
• An analysis of your CliftonStrengths Assessment summarizing the results of your profile
• A description of two key behaviors that you wish to strengthen
• A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
• Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.

Assignment Goals and Objectives: 

• Identify and describe health issues for vulnerable populations in the United States
• Identify and describe health policy options aimed at vulnerable populations in the United States
• Locate and use information from credible and reliable sources to inform yourself about public health and health policy issues
• Communicate public health information effectively in written form

Activity & Topic

Research the vulnerable population or sub-populations below that is listed. The team will research that population to identify specific health issues that the population faces as well as at least one example of a health policy aimed at addressing that specific issue. 

Teams 1 – 5 : Hispanic population

Questions

Based on your research, prepare a response to each of the items below.  

PART I – Describe a specific health issue faced by the population.  Include in your description:

1. WHO is being most impacted by this health issue?
2. WHAT is the nature of the health issue? (Use statistics that demonstrate the magnitude and/or severity of the issue)
3. WHY is the problem occurring?
4. HOW is this population impacted by the health issue?

(Tip: Remember the health determinants and the wide variety of issues that can be considered health issues.)

PART 2 –  Discuss at least one health policy (law or regulation) that is aimed at addressing the health issue you have identified in Question #1.  Include in your discussion:

1. IDENTIFY the policy and what it does.
2. WHAT is the goal of the policy?
3. WHICH health determinants does it impact?
4. HOW does it help address the health issue?

When you post your response, make sure to number each part of your response to coordinate with the questions presented. 

Sources & Citations

You should identify at least three of your own sources to support your responses.  This does not include your textbook.  You should cite your textbook if you rely on it for your responses, but it does not count as one of your three sources.  Government websites, professional associations, and health policy groups are great sources of information.  Avoid unknown sources of information that may not be credible or reliable. 

Using in text citations is required in addition to your list of sources at the end.  Review APA format if you are not sure how to cite a source.  

Callista Roy and Betty Neuman’s theories view the person (individual, group, or community) as a holistic adaptive system that constantly interacts with the internal and external environments. Both theories view the person as being the center of nursing and present health/wellness and illness as parts of the same continuum, however there are some key assumptions that are different. As such, select one of the theories and identify 1 assumption of the theory and discuss how the care rendered for this patient by an advanced practice nurse would be structured (assessment, diagnosis, planning, intervention, evaluation) according to the theory. Give 2 specific examples of interventions that you anticipate will be included in the patient’s care. 

Mr. Reynolds is a 32 year-old male patient hospitalized on the orthopedic unit of the hospital. He is status-post motorcycle accident and right leg below the knee amputation. He has a history of Depression and Schizophrenia. He is currently separated from his wife and estranged from his family. He is awaiting social work for placement in a rehabilitation facility, where he will continue his recovery.

use: APA formate and pictures added

I need at least 2-3 references

Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:

• The medical problem/diagnosis/disease. (I want to talk about Endometriosis)
• Typical presenting signs and symptoms including:
  • Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected
  • Concomitant disease states associated with the diagnosis
• The pathophysiology of the problem.
• Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.
• Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.
• The expected outcomes of the intervention.
• Algorithms if available.
• A typical clinical note in SOAP format. (sample soap note attached)

This final video in the documentary series chronicles the pilfering of ideas, known as the “Great Artist Steal,” in the PC industry. The PC market was increasing exponentially, but Xerox—who ironically developed many of the PC concepts—was not a player in the PC market.

To complete this assignment, address the following critical elements in a written summary report:

• Summarize the video overall in the form of an abstract statementDescribe the video’s main points (two to three paragraphs minimum)
• Explain whether you agree or disagree with any of the points made and why (two paragraphs minimum)
• Analyze the social or ethical issues involved from your vantage point
• Finally, list 10 nuggets of information you found interesting or did not know

Research a health care organization or a network that spans several  states within the U.S. (Example: United Healthcare, Vanguard, Banner  Healthcare, etc.).

Harvard Business Review Online and Hoover’s Company Records, found  in the GCU Library, are useful sources. You may also find pertinent  information on your organization’s webpage.

Review “Singapore Airlines Case Study.”

Prepare a 1,000-1250-word paper that focuses on the organization or  network you have selected.

Your essay should assess the readiness of the health care  organization or network in addressing the health care needs of  citizens in the next decade, and include a strategic plan that  addresses issues pertaining to network growth, nurse staffing,  resource management, and patient satisfaction. Provide a comparison to  the health care organization or network and the Singapore Airlines.  Include any cultural issues that may influence the practices listed above.

Prepare this assignment according to the APA guidelines found in the  APA Style Guide, located in the Student Success Center. An abstract is  not required.

This assignment uses a rubric. Please review the rubric prior to  beginning the assignment to become familiar with the expectations for  successful completion.

You are required to submit this assignment to LopesWrite. Please refer  to the directions in the Student Success Center.

For this discipline-based literature review, you will research peer-reviewed articles that were published within the last 10 years in the Ashford University Library on the following major perspectives of personality.

• Psychodynamic
• Behavioral
• Trait
• Learning/Social
• Humanistic

You will utilize your researched article to create your literature review. The review should be formatted with the headings and content designated below.

Introduction
Assess the types of personality measurements and research designs used in in the peer-reviewed articles you researched. Briefly describe the main theoretical models represented within each of the perspectives of personality and explain the commonalities found across all five. 

Discussion
Examine the major theoretical approaches, research methods, and assessment instruments used in the five perspectives of personality. Evaluate and describe the current research in these perspectives using a minimum of one peer-reviewed article for each of the five required perspectives. Present a detailed critique of each of the perspectives by evaluating the standardization, reliability and validity, and cultural considerations present in the most common personality assessments used within each. Support your opinions about each model by substantiating them with scholarly research.  Be sure to include the following:

• The theoretical framework(s) for the selected models
• The major contributors to those fields
• The methods of inquiry and assessment usually associated with those models
• An overview of the characteristics, strengths, and weaknesses of the models

Conclusion
Provide a summary of your evaluation addressing the current use and relevance of these perspectives in explaining personality citing research as appropriate. 

Writing the Discipline Based Literature Review

The paper:

• Must be seven double-spaced pages in length and formatted according to APA style as outlined in the Ashford Writing Center.
• Must include a title page with the following:
  • Title of paper
  • Your name
  • Course name and number
  • Your instructor’s name
  • Date submitted
• Must begin with an introduction that describes and the main theoretical models represented within each of the perspectives of personality.
• Must address the topics of the paper with critical thought.
• Must end with a conclusion that summarizes your evaluation addressing the current use and relevance of these perspectives in explaining personality.
• Must use at least five peer-reviewed sources from the Ashford University Library.
• Must document all sources in APA style as outlined in the Ashford Writing Center.
• Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center

Gretell Alfonso Discussion 6

 

Top of Form

Being in the health care profession for 3 years now has given me a better idea as to what role each health care professional has. However, at the beginning of my nursing career I was a bit confused as to what the difference was between a medical doctor and a nurse practitioner aside from the obvious amount of schooling years. I have witnessed that nurse practitioners evaluate patients just how a medical doctor would, therefore making the difference a bit harder to be obvious. After 3 years in the nursing profession I can definitely point out the differences between a medical doctor and a nurse practitioner. A medical doctor goes to school for a longer time compared to a nurse practitioner and they aren’t nurses. A nurse practitioner is a nurse with a higher degree that is able to treat patients and evaluate them as well. I think that nurse practitioners shouldn’t be paid as much as doctors because that would take a lot of the doctors credit and professional work away but I do believe that they should be payed more then what they are getting payed now. The reason why I think that nurse practitioners should get payed more then what they are getting payed at the moment is because nurse practitioners today are health care providers that evaluate patients in many different settings, evaluate patients in a doctors office and hospitals, order treatments and are responsible for many more tasks as well. Also, doctors are basically being relieved or covered in their practices and offices by a nurse practitioner when they aren’t around to make decisions for their clients in emergencies or certain situations. Therefore, although nurse practitioners and medical doctors work together I don’t believe that they. should be billing a nurse practitioners work by billing through a medical doctors license, instead I believe that nurse practitioners should be payed more then what they are getting payed currently.

Bottom of Form

Eduardo Soto Quinones

 

Advanced practice nurses play a very important role in the health care delivery system. They occupy a pivotal point that actually makes the difference in health care today, yet they have to deal with equality when it comes to payment. They have to deal with significant bureaucracy and politics that indeed prevent them from practicing in an effective manner. Studies have shown that APNs are able to offer care that is actually comparable with that offered by physicians in as far as safety and quality is concerned (Woo, Lee & San, 2017). This is a very important consideration when considering the positioning of APNs in regard to pay. APNs have also been allowed in many states to practice independently and the effects of this move can be seen. According to the Institute of Medicine, nurses need to be allowed to practice without restrictions. They need to be allowed to practice to the full extent of their education, skills and expertise (IoM, 2011). This is a recommendation that will help in offsetting issues and challenges regarding safety and quality of care especially due to the shortage of nurses.

Therefore, as APNs position themselves in the field of practice, they should not settle for less. They need to demand for equal pay for the same amount of work as well as qualifications. The same service offered by anyone as a provider should be paid in the same manner. Any forms of restrictions prevent APNs to perform to their best. The fact that APNs can practice over a wide scope is an advantage to the health care delivery system. However, bureaucrats fail to see this and most APNs still have restrictions on their scope, let alone on matters pertaining to reimbursement. There is still need to advocate and champion for lifting of such restrictions and to make sure that APNs are positioned in ways that allow them to receive equal reimbursement for similar services.

 

 

References

Institute of Medicine (US). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. (2011). The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press

Woo, B. F. Y., Lee, J. X. Y., & San Tam, W. W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human resources for health, 15(1), 63

Develop a 2-4-page scholarly paper in which you describe a quality or safety issue, or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.

The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as we’ve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in health care transformation, baccalaureate-prepared nurses are expanding taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria and makes a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into health care settings.

It would be an excellent choice to complete the Vila Health Determining the Credibility of Evidence activity prior to developing the report. The activity is a media simulation that offers an opportunity to review a scenario and work on determining the credibility of presented evidence. These skills will be necessary to complete Assessment 2 successfully. This media simulation is one potential source of context on which to base your assessment submission. This will take just a few minutes of your time and is not graded.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
  • Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
  • Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
• Competency 3: Apply an evidence-based practice model to address a practice issue.
  • Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.
• Competency 4: Plan care based on the best available evidence.
  • Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
• Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.

Scenario

For this assessment, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis for researching and completing this assessment:

• The specific diagnosis you identified in your previous assessment.
• The simulation Vila Health: Determining the Credibility of Evidence.
• A personal practice experience in which a sentinel event occurred.

Instructions

The purpose of this analysis is to better understand what constitutes credibility of journal articles as well as websites. The role of the baccalaureate-prepared nurse in incorporating evidence-based research continues to growth in clinical practice. As quality improvement (QI) measures to reduce safety risks continue to be emphasized, the need for evidence-based models and evidence-based templates is growing. This type of systematic approach to incorporating evidence-based findings allows nurses to make clinical and operational decisions based upon the best available evidence. When the most up-to-date evidence-based findings are utilized, patient-centered care improves outcomes and enhances the patient experience.

For this assessment:

• Explain the criteria that should be used when determining the credibility of journal articles as well as websites.
• Support your explanations with references to the literature or research articles that describe criteria that should be used to determine credibility.
  • Your identification and determination of credibility should be done within the context of your chosen scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis you identified in the first assessment, you may want to begin your literature and evidence search from the databases that identified. Any of the three scenario options are acceptable. So, pick the one that most interests you.

Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

• Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
• Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
• Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
  • This is where you are selecting the specific resources to help address the issue in your chosen scenario.
• Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.
• Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Submission Requirements

Your assessment should meet the following requirements:

• Length of submission: 2–4-page scholarly paper, this does not include the APA-formatted title page and reference list.
• Number of references: Cite 3–5 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than five years old.
• APA formatting: References and citations are formatted according to current APA style.

 Venlafaxine is the new medication

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’
   •  Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
3. The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.
4. This is worth 20 points.