APA format*** 2 paragraphs***at least 4-5 sentences each paragraph***2 References***

Please create a response to my classmates response Below:

My classmates Response is below:

For nurses who have entered the workforce within the last 10 years, paper charting may be something only talked about by older nurses, or utilized begrudgingly during downtime. Since the passage of the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) that promoted the adoption and meaningful use of electronic health records (EHR), EHRs have become synonymous with medical care (McGonigle & Mastrian, 2015). While it may seem that EHRs are efficient and easy to use, the process of adopting these systems is not without challenges.

Resistance to Implementation

Staff resistance to the adoption of an EHR is one of the most challenging aspects of implementing the system in health care facilities. I have even heard grumblings from fellow nurses about finding another job when my facility spoke about initiating the change to EHRs. In fact, “leadership, planning, management, choices, and execution usually are more difficult than dealing with hardware and software choices” (Mooney & Boyle, 2011, p. S5)). It is so important to have buy-in from nursing staff, as they make up a significant portion of health care workforce. In order to combat this resistance, staff nurses should be involved in the transition process from the beginning. If nurses feel that they have stake in the process, they will feel more invested in the outcome and successful on-boarding of the new technology. I suggest having staff nurses participate in early planning meetings, and to train staff nurses to become ‘super users’ within the facility. It will be helpful during implementation for nurses to be assisted by peers versus outside professionals.

Flexibility and Expandability

When choosing an EHR to implement in your workplace, it is so important to plan for the future so that you can ensure that as your facility grows and changes, the EHR can flex with it. For example, in my winter job at a ski resort, electronic charting was implemented only last year. There was a lot of thought that went into the selection process, however, decision-makers did not plan for coordination with Ski Patrol’s electronic charting system. Unfortunately, DocuTap (used by our clinic) does not interoperate with any of the Ski Patrol software currently available. This poses a challenge, as much of the information needed at each place is similar and shared between disciplines. As it stands now, Ski Patrol continues to use paper charting, while the clinic uses DocuTap. We have to copy the information obtained by ski patrol and hand-deliver it to the clinic. To combat this issue, it is imperative that the development team evaluate all software options, as well as the tech support each one offers as this may be a higher start-up cost, but save money in the long-run (Mooney & Boyle, 2011).

Process Improvement

Once an EHR is implemented and the extra support staff is gone, the challenges do not end. Once nurses begin to use the technology more comfortably, they may identify a process that needs to be changed to make it more user-friendly or to better suit the needs of the staff. In order for staff to continue to use the technology appropriately, they need to feel that their input is valued and that there is the possibility for change and improvement within the software after it is implemented. My suggestion to help with this issue is to have a nurse liaison who has clinical experience within the organization and has an interest in nursing informatics. This individual’s role is to act as a leader by relaying staff concerns to the software company to see if there are changes that can be made to make the software more user-friendly or to more appropriately meet the needs of staff. “What health care needs most are effective leaders who understand innovation and how it spreads, who respect the diversity of change itself, and who can nurture innovation in all its rich and many costumes” (Hyrkas & Harvey, 2010, p. 1). The hospital I work for has a liaison employed by Cerner, the company who manages the software we use. This nurse was a staff nurse in the emergency department, then a clinical nurse educator. This system works very well for us.

Summary

In conclusion, there are several potential challenges to implementing EHRs, including: resistance to implementation, flexibility and expandability, and process improvement. Since the HITECH Act of 2009, EHRs have been initiated in every major medical facility in the country. Though not without obstacles, meaningful use of EHRs contribute to the safe, efficient, and accessibility of medical information.

References

Hyrkäs, K., & Harvey, K. (2010). Leading innovation and change. Journal of Nursing Management, 18(1), 1–3.

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Mooney, B. L., & Boyle, A. M. (2011). 10 steps to successful EHR implementation. Medical Economics, 88(9), S4–6, S8–S11.

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As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

• Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
• Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
• Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
• Review the Application Assignment Rubric found under Course Information

To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

• For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment.
• Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

By Day 7

This Assignment is due.

Analysis of the Chilean Mine Rescue

Write a 700-750 word paper that analyzes the Chilean mine rescue. As a leader, you will be faced with responding immediately to solve issues. The Chilean mine rescue is an example of leadership under extreme circumstances. Reflect on this example to shape how you might apply the goal-path theory and the situational approach in an everyday, real-world situation.

Address the following questions and concepts:

How did the leaders demonstrate flexibility and adaptability? Please provide examples.

How did the leaders apply aspects of the path-goal theory to this situation? Provide examples.

Did the leaders communicate effectively with all of the stakeholders involved? How could communication have been improved?

How well did the leaders follow the situational approach to leadership? Provide examples.

How does this example shape how you might apply the goal-path theory and the situational approach in a real-world situation, in your content?

Include three to five references to support your position.

Article 

Instructor for PowerPoint  

Nino 1233 [Autosaved].pptx 

aticle summary.docx 

 Abstract of article  

Please read the following scenario, knowing that all facts might not be present. You must thoroughly research the topics to determine how missing details might affect your answers:

Memorial Hospital, a hospital in Bordertown, Iowa, has an agreement with Careco, a managed care organization with plan members in the states of Iowa, Nebraska, and South Dakota, to provide medical care to its members. A condition of Memorial’s agreement with Careco states that Careco cannot contract with other hospitals in the Bordertown, Iowa, area. The contract is for one year, and either party may terminate the contract for any reason (with a 60-day notice period).

Discuss any possible antitrust laws that Memorial may have violated by initiating this agreement with Careco. Mention concerns specific to healthcare, that is, concerns not shared by other industries. Also, discuss any defenses that Memorial can establish for an antitrust action

Refer to the Antitrust Laws (The Sherman Antitrust Act, The Clayton Act, The Federal Trade Commission Act) to strengthen your points in the response.

Includes References.

Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61%, compared to 65% nationwide.  Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well.  In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves.  This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting.

For your Final Paper, you will create a 10 to 15 page proposal (excluding title and reference pages) for the Ashford General Hospital Board of Directors. In your proposal, you will:

• Include an executive summary.
• Research and describe solutions implemented at five other hospitals in the US that were dealing with these same issues.
• Based on your research, describe two solutions that are the most viable for Ashford General Hospital to implement within the next two years.
• Create a total of two stakeholder group analyses for two solutions you select. Each analysis should include at least five stakeholder groups involved (e.g. patients, hospital executive administration, accounting, Human Resources (HR), marketing, third-party payers, etc.). As part of your analysis, address the following questions:
  • Who is impacted?
  • What change processes may be required?
  • What fiscal impact would occur?
  • What are the ethical, legal, and diversity risk factors involved?
• Based upon the stakeholder group analyses, recommend the best solution for Ashford General Hospital with detailed justification. Explain why you feel it is the most viable and appropriate solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management.
• To prepare your board proposal, including the textbook, utilize at least 10-to-12 scholarly and/or peer-reviewed sources that were published within the past five years, as well as hospital or foundation websites. All sources must be cited according to APA style.
  .

Writing the Final Paper

The Final Paper:

• Must be 10-to-15 double-spaced pages (excluding title page and references page) in length, and formatted according to APA style.
• Must include a title page with the following:
  • Title of paper
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted
• Must include an executive summary.
• Must begin with an introductory paragraph that has a succinct thesis statement.
• Must address the topic of the paper with critical thought.
• Must end with a conclusion that reaffirms your thesis.
• Including the textbook, must utilize a minimum of 10 to 12 scholarly and/or peer-reviewed sources that were published within the past five years, as well as hospital or foundation websites.  Must document all sources in APA style.
• Must document all sources in APA style.
• Must include a separate reference page, formatted according to APA style

Unit VIII Reflection Paper

Provide an example of a possible confusion between theological beliefs and ethical principles in a commonly-held religious belief system. Are there practices within this faith that might be critiqued as unethical? How should we apply the fundamentals of ethical reasoning in this case?

Your response should be at least three pages in length and in Times New Roman 12pt. font. You are required to use at least your textbook and one scholarly article from any database within the CSU Online Library as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations in APA format. The title and reference page do not count towards the three-page minimum.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below.

This is the assignment that you were experiencing the problems with uploading and getting paid.

In your fourth meeting with the CIO, she tells you she is considering outsourcing several critical IT functions.

Select 1 of the following critical IT functions for your presentation:

• Storage of medical images
• Support of desktop computers
• Support for the organization’s local and wide-area data network.

Create an 8- to 10-slide Microsoft® PowerPoint® presentation for your stakeholders that includes the following:

• Explain the role of Information Technology in facilitating interdisciplinary communication in a health care organization.
• Explain the Information Technology organizational structures and functions for various types and levels of health care organizations.
  • Discuss the process that is considered when working with vendors.

Format your presentation according to APA guidelines. Include a title page, detailed speaker notes, and a references page.

Cite at least 3 peer-reviewed, scholarly, or similar references.

Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the AHA Guide, are shown below in Table 1. All three organizations are not-for-profit.

Table 1: Middleville, Brierfield, and Greystone Health Care Systems

Name	Beds	Admissions	Census	OP Visits	Births	Expenses (000)	Personnel
Middleville	575	13,000	350	221,000	2,300	$125,000	2,000
Brierfield	380	17,000	260	175,000	1,200	$130,000	1,875
Greystone	350	10,000	180	40,000	900	$80,000	1,200

The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.

You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.

Write a six to eight (6-8) page paper in which you:

1. Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.
2. Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.
3. Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21^st century.
4. Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the costs and benefits associated with implementing EMR and associated health data systems. Lay out a plan for how various systems can be implemented.
5. Middleville has faced many challenges in recruiting and retaining nurses and other clinical employees. The economy has hit the area very hard and budgetary limitations have reduced the amount of money available for salary increases. The Board knows it needs to provide other benefits to their valued employees. Provide at least two (2) suggestions to Human Resources to promote employee satisfaction and, therefore, retain experienced personnel.
6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
7. Format your assignment according to the following formatting requirements:

<!–[if !supportLists]–>a. <!–[endif]–>Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.

<!–[if !supportLists]–>b. <!–[endif]–>Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.

<!–[if !supportLists]–>c. <!–[endif]–>Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.

Directions

1.  Review the following (or similar) website and selects a professional nursing organization offering a certification of interest to you in your current position or one to which you aspire. www.nurse.org/orgs.shtml  

2.  Thoughtfully and completely answer the questions on the form.

3.  BTLS, ACLS, ATLS, NALS, PALS and other similar certifications do NOT qualify for this assignment. Again, if you have any questions about the organization or the certification, contact your instructor for clarification.

4.  All work must be original (in your own words). Simply copying and pasting information from the website is not sufficient to address the criteria, and may be viewed as a violation of the Academic Integrity Policy.  

Professional Nursing Organization.docx

Calculate the osmotic pressure of a solution containing 16.65 mg of hemoglobin in 15.9 mL of solution at 22 ∘C. The molar mass of hemoglobin is 6.5×104g/mol.

Work & Power

In Lab 5, please review Chapter 6. Chapter 6 involves walking up a flight of stairs and recording your time via a stopwatch or chronograph. You will be asked to make measurements and calculations for the total time to work the flight of stairs (at least 7 steps) and the vertical height of the stairs from the bottom to the top. 

Please Note: There are TWO parts to this lab. The first for running up several steps, and the second to pretend you kept running for one hour. Additionally, your answers should be based on the cost of the runs in terms of ENERGY (KWH) and NOT POWER (kW).

• Fill in the blanks in the Lab Answer Sheet at the end of this lab. THIS LAB IS DUE AT THE END OF THE WEEK. 
• Submit this Lab Answer Sheet when all of the labs are completed. 
• These can be scanned and sent as pdf or picture files (e.g. tif, gif, etc.) or by any other method of your choice as long as the Answer Sheets are legible and translatable by Grantham University faculty.

The lab details follow:

Purpose:  Determine your work and power as you climb a flight of stairs.

Materials:  Yardstick, a stopwatch or digital/analog watch, bathroom scale, calculator, and you, the climber

Procedure: 

• Estimate your mass in kg (Hint: 1 kg (mass) = 2.2 pounds (weight)). 
• You should approach the bottom step of the stairs with a steady speed. 
• You are to start the time as you reach the first stair and stop the clock when you reach the top 

Observations and Data:

• Calculate the work and power for you to climb the flight of stairs 
• Work (you) = _____; power (you) = ________ 
• Calculate your power in kilowatts: (P(kW) = _____. 

Application:

• Your local electric company supplies you with 1 kW of power for 1 hour for 8 cents.  Assume that you could climb these stairs continuously for 1 hour.  How much money would this climb be worth?  $_________. 
• Transfer all answers to the Lab 4 Answer sheet.

Question 1:

Reproduction: Explain why asexually reproducing organisms are generally found in environments that do not change very much through time, while sexually reproducing organisms are very successful in environments that change dramatically through time.

Animal Behavior: How does an animal’s behavior aid survival and reproduction? Provide an example to illustrate your comments. In your response, be sure to include information from the reading to support your answer.

Question 2:

Genetic Drift and the Founder Effect

There are two types of genetic drift. Describe and give an example of both the bottle neck effect and the founder effect.

Your assignment should be 250-500 words in length and APA format.

For your assigned topic (Candidiasis) you are to discuss briefly the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing.

Include 3 references

Writing Assignment, due 4/30 11:59pm

Each of you will write a short paper worth 100 points that accounts for 5% of the grades of this course. The due date is next Sunday (4/30/2017) 11:59pm.

The paper is to be based on an article from a magazine, newspaper, or other popular press source that has something in it about biology. In your paper you should explain the science so that it is clear that you understand the biological principle(s) involved, and you should explain why you chose the article. Why is it interesting, and what does it have to do with your professional or personal interests?

Where To Find a Suitable Article To Write About. Part of the reason for the assignment is to help you to be aware of how many ways biology is involved in ‘‘everyday’’ things. Using an index or abstract is not the way to find an article; rather, just pick up a paper or magazine you would normally read and look in there. I guarantee you’ll find something. (I am suspicious of articles from hard core scientific journals like Nature or Science since I doubt that most of you routinely read those publications.) Newspaper articles, magazine articles, something you’ve read for another class, anything will be suitable as long as it includes something biological.

Explaining the Science. The goal here is to convince anyone who reads the paper, that you have identified and understood the basic biological principles and problems dealt with in the article. You may use your textbook as well as other books or reference materials from the library as a resource to help you understand the science. For instance, if the article is about liver transplant surgery, you will want to know and explain something about why a liver is a necessary organ, why a liver might need replacing, what is transplant rejection, and how it can be prevented. List the reference materials you have consulted in a bibliography at the end of the paper. I expect a minimum of three citations in addition to the original article itself. Generally, dictionaries and encyclopedias are not considered appropriate reference material for this purpose.

Explaining Why You Chose This Article. Your goal here is to connect this article and the scientific content to something else in your personal or professional life. Why did the article catch your attention? How does it relate to other things that are important to you? How will

The Mechanics. The papers should be typed with the following specifications: double-spaced, one-inch margins, font size 12, four pages maximum and two pages minimum, with a bibliography of at least three citations which is not included in the page limits. (The citation for the source article is included in these three citations.) List any reference materials you consulted in the bibliography. You may use any appropriate style for the bibliography as long as it is complete and internally consistent.

Of the 100 total points for the paper, you will receive 100% of them if you simply complete the assignment (i.e. choose an appropriate topic, explain it adequately, and include a bibliography, all within the page limits specified). An extra 10 points are a reward for doing an extra good job (at my discretion). I will be looking for thorough, thoughtful and well-supported discussions, regardless of the topic.

Grammar and spelling do count but are not the prime consideration. I expect complete sentences and correct spelling (i.e. I have to be able to read and understand what you write). If it’s absolutely awful, I may deduct up to 10 points for the grammar and spelling.

The due date is non-negotiable. You will lose 5 points for every day or part of a day that it is late

need to answer each question on these 3 unit. unit 1, 2 and 7 (don’t write it as an essay)

UNIT 1

1.Identify examples of various relationship among elements of the ecosystem.

2.Discuss basic environmental principles that control or influence behaviors and actions within the ecosystem.

3.Based on 2nd law of thermodynamic, do like to eat  fish or shrimp? Why?

4.Explain how to make DC more sustainable city in water resources management.

5.What is 1st and 2nd Law of thermodynamic and how do they apply to urban water quality management?

6.Explain point and non-point source of pollution. Which one is difficult to regulate?

7.Water is the only chemical that has three phases at ambient temperature. What is the importance of this unique property for the existence of life on earth?

8.Plot a graph of dissolved oxygen level in a eutrophic lake for 24 hours of hot summer.

9.Controlling water pollution is controlling human activities.  Explain.

10.What is the source and sink of DO in surface waters? How can we increase DO in a slow-moving-polluted river.

11.Does pollution affect the formation of cloud and rain? How?

UNIT 2 

1.Explain point and non-point source of pollution. Which one is difficult to regulate?

2.Water is the only chemical that has three phases at ambient temperature. What is the importance of this unique property for the existence of life on earth?

3.Plot a graph of dissolved oxygen level in a eutrophic lake for 24 hours of hot summer.

4.Controlling water pollution is controlling human activities.  Explain.

5.What is the source and sink of DO in surface waters? How can we increase DO in a slow-moving-polluted river.

6.Does pollution affect the formation of cloud and rain? How?

7.  Suppose the Potomac River is receiving

◦Waste water effluent with100 g/m3  Phosphorus at 1000 m3/day.

◦Agricultural runoff of 50 g/m3 Phosphorus at 50 m3/km flow for about 2 km river stretch.

◦Margin of Safety is 5 kg/day

◦Reserve Capacity is 10 kg/day

a)Calculate Total Maximum Daily Load in ton/day

b)If the point source load is 100 kg BOD/day and discharge of 1000 m3/day,  what will be the concentration of BOD in g/m3?

c)If maximum assimilative capacity of the river is 100 kg/day, what will be the maximum pollution load?

7. What is the importance of the following water quality variables:

◦Temperature

◦DO

◦pH

◦Electric Conductivity (EC)

◦Alkalinity

◦

8. When raw sewerage enters into the river, how does it affect the dissolved oxygen, pHand EC level in the river?

9. Why and how do we measure T,  DO, pH, EC and Turbidity?

UNIT 7

1.Explain DO sag curve

2.Explain receiving water based effluent quality regulation.

3.Describe the constituents of concern in receiving waters and how to reduce them.

4.Explain source water assessment program

5.Describe how to protect sources water pollution.

6. Describe interaction of urban wastewater system (IUWS) components?

7. Describe the governing principle of IUWS management.

Managers need to understand the impact on the financial viability of a health service organization for providing care to the uninsured or underinsured. Review the following case scenario and provide a substantive 150 to 200 word response that thoroughly answers each of the following questions:

Joe Smith is a 27- year-old Caucasian male who works two part-time jobs for two different construction companies. Joe has been having dizzy spells off and on for the past two months. While driving to work one day, he loses consciousness and is involved in a motor vehicle accident. Joe is admitted to your not-for-profit hospital with a broken leg and multiple lacerations.

• Does Mr. Smith fit the typical profile for an uninsured person in the United States? Justify your answer.
• How will your hospital most likely be reimbursed for Mr. Smith’s medical care?
• During the recent economic downturn, your community has experienced unemployment rates of approximately 9%. What can be done to mitigate the effects of the financial impact to your organization?

Utilize at least one scholarly source, cited in correct APA format that supports factual statements and conclusions about the topic. Review several of your classmates’ posts. Provide a substantive response to at least two of your peers by Day 7.

Notes: Although there is a minimum word count of 2,000 words for this exam, you will find that it is likely going to require more than the minimum to fully answer the question. You may not copy or quote from any source. All information must be re-written in your own words. Answer all questions.

Question 1. Biomolecular Structure and Function:

Describe the structure and function of biological molecules and their conversion through the sequence of reactions in metabolic pathways. Include in your answer:

a. the structure and function of functional groups and the small biological molecules defined by them (amino acids, sugars, lipids and nucleotides) b. the role of enzymes and a description of their action

c. the diversity and functions of polymers derived from linking together small molecules

Question 2. Mendelian and Population Genetics

Describe Mendel’s theory of inheritance (1865) and the Hardy-Weinberg principle (1908) applied to changing gene frequencies in populations. Include in your essay:

a. a definition of each of the following terms: genotype and phenotype; dominant, recessive, and co-dominant; homozygous and heterozygous b. a description of Mendel’s experiments

c. the supporting evidence Mendel presented for the principles of (1) segregation and (2) recombination

d. a discussion of population genetics theory as described by Hardy and Weinberg and the differences between “Mendelian genetics” and “population genetics”

e. the “forces of evolution” defined by the Hardy-Weinberg principle

Question 3. The Central Dogma

Describe the molecular nature of DNA, genes, and the role genes play in the determination of the variety of individuals. Include in your answer: a. a summary of the “central dogma” and a description of the relationships between DNA, RNA and protein

b. a description of the experiments of Griffith and of Avery, McCarty and MacLeod that proved DNA was the genetic material and the experiments of Beadle and Tatum that supported the one gene – one enzyme hypothesis

c. a description of the various kinds of mutations that increase variety of nucleotide and gene sequences and chromosome structure

d. a description of how genes are “mapped” to specific locations on chromosomes

Question 4. Tissue Trauma and Wound Healing

Describe the sequence of events following tissue trauma that lead to the initial stages of wound healing. Include in your answer:

a. the mechanisms by which cells signal and recognize other cells and adhere to them

b. the events that create inflammation

c. the sequence of structures involved in the production of proteins and their secretion or incorporation into cell membranes (the processes involved in membrane trafficking)

Immediately following the essay, two lines below the last line of your essay, list all sources used in writing your essay to answer the question. Do not use in-text citations and do not use footnotes. Simply list your sources in this “References” section. You must have a References section with at least five references which you have used in preparing your answers: the course website, the textbook, and at least three additional sources. If you do not include a References section, you will lose 10 points (2 points for each missing source). Be sure to include the References section with your submission to Turnitin. If you forget, you are able to re-submit until the deadline, but not after.

Consider the case study information presented on pages 600 & 601 of your textbook. Then answer the following questions.

How would you use the transtheoretical perspective to help Olivia? REMEMBER THAT YOU WOULD BE INCORPORATING THIS PERSPECTIVE INTO YOUR ACTIVITIES-BASED INTERVENTIONS

What stage might she be at currently and how did you determine that?

How might you help her move from one stage to the next? REMEMBER THAT YOU WOULD BE DOING THIS AS PART OF  YOUR ACTIVITIES-BASED INTERVENTIONS

How might you work to minimize or remedy setbacks?

How might another theory of learning presented in this chapter of your textbook be helpful in this case?

Can you think of a client with whom you worked as an OTA for whom the transtheoretical perspective could have been helpful to use, in addition to the other perspectives that were already incorporated? Explain your reasoning and provide some details from that client example.

Here’s the link to the book

https://books.google.com/books?id=zLh3h6v5O_0C&pg=PA601&lpg=PA601&dq=olivia+behavior+change&source=bl&ots=LyzASIWqXk&sig=bathwjsuQxon_joCI1X9TWC-HFo&hl=en&sa=X&ved=0ahUKEwjcvJrm0trKAhWGdR4KHTeVBaQQ6AEINTAG#v=onepage&q=olivia%20behavior%20change&f=false

Questions #1-50 are multiple choice – 3 points each, 150 points total. For questions that indicate there may be more than one correct answer, please select all correct answer(s).

Questions #51-60 are short answer – 6 points each, 60 points total. Make sure submitted work is your own. Any instance of plagiarism from the internet or copying from another test will result in an exam score of 0.

The exam will be graded out of 200 points (not 210 – this is default based on Canvas).

• 135 Minutes limits

I will give u my account on Canvas.

The nucleus of an atom consists of

A. electrons and neutrons B. electrons and protons C. protons and neutrons D. All of the above

Pulmonary Case Study

CH is a sixty-three-year-old man who has had emphysema problems for many years. History: He smoked for twenty years before quitting.

The nurse meets CH for the first time. In performing a physical assessment, the healthcare provider would expect CH to have a “barrel” configuration to the chest. What is the underlying pathological process that contributed to the “barrel” chest configuration?

Lab values were drawn during the last physician visit; would you expect arterial gases to be normal or abnormal? Identify the pathological process involved in your response. CH and other patients with emphysema are at risk for what complications because of the pathologic process of their disease?

Background:

Evolution occurs in all living organisms from the smallest bacterial cells to the most complex animals. In bacterial cells evolution occurs rapidly in response to environmental pressures due to their simple genome and rapid reproduction rates. In this assignment you will explore the evolution in bacterial cells in relation to the development of resistance to antibiotic drugs.

Choose a bacterium that has become resistant to multiple antibiotics. Consult the resources for additional information.

Create a 10-15 slide power point presentation (with detailed speaker notes) wherein you address the following points:

1. Give a brief overview of the chosen bacterium including the genus and species. What disease(s) does the bacterium cause in humans?
2. Briefly explain how the bacterium has evolved to become resistant to antibiotics.
3. How is natural selection involved in the development of antibiotic resistance in bacteria?
4. How do antibiotics reduce bacterial biodiversity?
5. Given what you have learned, how do you think the medical community should address the problem of antibiotic resistance?

Include:

Appropriate pictures with citations. Include academic references in APA format

Reference page using ( National Institute of Health: http://www.nih.gov/ and Center for Disease Control: http://www.cdc.gov/ )

Resources:

• National Institute of Health: http://www.nih.gov/
• Center for Disease Control: http://www.cdc.gov/ 

1. To learn about implementing healthcare delivery connected to strategy, read in Essentials of Strategic Planning in Healthcare:
2. Chapter 10: Strategic Planning and Post-acute Care Services
3. Chapter 11: Strategic Planning in Health Systems
4. Chapter 12: Pay for Performance and the Healthcare Value Paradigm
5. Create an 8-10 slide PowerPoint presentation with relevant graphics titled “Strategy Issues in Healthcare Delivery” and address the following concepts:
6. As Warren Buffet stated, “Price is what you pay. Value is what you get.” Does this apply to pay for performance approaches to physician compensation? Present a few thoughts on pros and cons of physician pay for performance compensation.
7. The number of hospitals in the U.S. has only marginally increased since 1999, however, the number of hospitals affiliated with systems has increased significantly (Harrison, 2016).
   1. Review the discussion of hospital mergers and acquisitions in Essentials of Strategic Planning in Healthcare, pages 214-215. Communicate how mergers and acquisitions may be changing the face of healthcare delivery within the nation. How do these changes impact the day-to-day work of hospital employees?
   2. Read Essentials of Strategic Planning in Healthcare, pages 218-220. Discuss the importance of strategic planning at the health system level in the merger and acquisition environment. How might system-level leaders effectively engage in these planning processes?
8. Dr. Debra Harrison stated, “In a culture where there is trust, respect and a moral foundation, the young can grow and the elderly thrive.” How does the network of post-acute care services illustrated in Exhibit 10.1 demonstrate a system supportive of growth and thriving across the generations?
9. Review the healthcare quality discussion from Essentials of Strategic Planning in Healthcare (pages 234-242) and discuss quality assurance approaches presently taken within your own healthcare organization

Complete this Virtual Lab by interacting with the online Simulation. Answer the Virtual Lab Questions in complete sentences to demonstrate your learning. Submit your answers in a word document.

• To open the lab link below, please right click on the link and open in a new tab or window.

CLICK HERE TO VIEW DETERMINING THE HEAT OF REACTION IN AQUEOUS SOLUTION  http://chemcollective.org/chem/jsvlab/

Prior to the September 11, 2001 terrorist attacks, the United States had a long record of safeguarding against home front attacks. When the 9/11 terrorist attacks occurred, many people, including key government officials, were shocked that a terrorist attack, especially one of such magnitude, could occur on American soil. Since then, homeland security has become a top priority. Structures, policies, and strategies in existence prior to 9/11 have been critically examined to determine inadequacies, and new structures, policies, and strategies have been developed. This course is designed to give you an understanding of terrorism, terrorist groups, and pre- and post-9/11 U.S. counterterrorism structures, policies, and strategies. Understanding these areas is fundamental to combating terrorism and predicting and preventing future terrorist attacks.

Terrorism by definition is the use of force or violence against persons or property in violation of criminal laws for purpose of intimidation, coercion, or ransom. Terrorist acts range from threats and assassinations to hijackings and bombings (FEMA, 2009). These acts are of extremism born from no single race, religion, national, or political affiliation. Terrorism is not a new phenomenon. It has existed in every era of history and continues to evolve. Likewise, terrorist groups such as Al Qaeda have evolved, adapted, and sometimes flourished despite heightened international efforts to combat terrorism and dismantle terrorist groups. The likelihood of terrorism ceasing to exist in the future is slim to none; however, there are strategies that can slow the promulgation of terrorist groups, stifle terrorist activities, and predict and prevent future terrorist attacks.

You begin your study of terrorism by examining its potential causes as well as the motivations of terrorists. In doing so, you might be surprised to learn that there is no one single cause of terrorism. Rather, there is a multitude of causes or contributing factors that may lead to terrorism. These causes or contributing factors include poverty, perceived social and political injustice, religious extremism, fanaticism, ethnic conflict, and inequality. Just as there is no one single cause of terrorism, there is no agreed-upon profile that applies to all terrorists. While many people may assume that terrorists generally are uneducated, mentally unstable, or have a history of criminal activity, this simply is not the case. Terrorists come from a wide array of backgrounds and in some ways share similarities with the general population, making it difficult to detect them. There also are many different political, religious, social, and psychological motivations for terrorists to commit acts of terror.

In addition to studying terrorists and their motivations, you also examine terrorist groups, their evolution, and their distinct characteristics. Initially you are exposed to literature on a wide range of terrorist groups, including homegrown and international terrorist groups. However, as you progress through the course, you focus exclusively on Al Qaeda and its associated movements (AQAM). You focus on AQAM because it poses a significant threat to U.S. homeland security. As you study AQAM, you consider its political objectives, ideology, worldview, and terrorist activities. You also consider the current debate about its evolution and structure as a leaderless movement or a hierarchical organization.

The remaining weeks of the course focus on U.S. counterterrorism structures, policies, and strategies. You begin by examining the pre-9/11 approach to terrorism. Prior to 9/11, terrorism was viewed as a law enforcement issue rather than a homeland security issue. Therefore, the focus was on gathering evidence to capture and convict suspected terrorists of crimes they had already committed rather than trying to predict and prevent terrorist attacks. In addition, government agencies vital to the prevention of terrorism (e.g. FBI, CIA, FAA, etc.) lacked communication and collaboration. To round out your study of the pre-9/11 approach to terrorism, you also explore the 9/11 Commission Report. The 9/11 Commission was created in late 2002 to examine the circumstances surrounding the 9/11 terrorist attacks. In 2004, the Commission published a report that included missteps that occurred prior to the attacks as well as recommendations for future counterterrorism efforts. You explore those recommendations, their significance, and their implementation.

After the 9/11 Commission published their report, there were major changes made to national security laws and policies. Several legislative acts were passed to strengthen national security, ensure public safety, and prevent future terrorist attacks. You explore many of these legislative acts, including the Transportation Security Act, Homeland Security Act, Comprehensive Security Act, and Patriot Act, as well as their strengths and limitations. This provides you with foundational knowledge for a later week in this course, in which you examine the delicate balance between civil liberties and national security. It also provides you with foundational knowledge to complete the Final Project. For your Final Project, you are asked to develop a proposal on how to improve U.S. counterterrorism policy in a specific area.

The “lessons learned” and recommendations from the 9/11 Commission Report, and the laws and policies passed following 9/11, directly influence contemporary U.S. counterterrorism strategies. One area that received significant attention was intelligence. Information gathering is an important tool for predicting and preventing terrorist attacks and warning government officials and citizens of potentially imminent terrorist attacks. However, there are many challenges related to collecting intelligence and issuing warnings. In this course, you explore pre- and post-9/11 counterterrorism strategies and consider some of the challenges related to ensuring the effectiveness of counterterrorism efforts.

As you near the end of the course, you take an in-depth look at international law, its impact on the designation, detainment, and treatment of suspected terrorists, and the political, legal, and ethical issues related to the treatment of detainees. As you do so, you consider the complexities related to how to best manage suspected terrorists during times of war. You also reflect on the future of Al Qaeda in the coming years and consider how the U.S. might amend or adapt its structures, policies, and strategies to address the evolving terrorist threat.

Motivations of Terrorists

What motivates a man like Osama Bin Laden to encourage the use of indiscriminate violence to further his political objectives? How, if at all, do his motivations differ from those of terrorists of a previous generation, such as Carlos the Jackal? Although it is common, even stereotypical, to consider terrorists as all having similar view points, in most cases they are distinctly different. Goals and motivations vary at the organizational and individual levels. Socialization, revenge, and perceived injustice are all possible motivations, but, like causes of terrorism, there is no single explanation behind each act.

To prepare for this Discussion:

Review the Course Introduction, located above in BOLD. Keep this overview in mind as you work through each week of the course.

Review Chapter 1 in the course text Terrorism in Perspective. Reflect on the motivations of terrorists.

Review Chapter 4 in the course text Introduction to Homeland Security: Understanding Terrorism with an Emergency Management Perspective and the assigned pages of Chapters 3 and 7 in the course text Terrorism in Perspective. Reflect on motivations of specific terrorists.

Select a terrorist to use for this assignment. You may select any individuals mentioned in the Learning Resources, the FBI “Most Wanted Terrorists” website: http://www.fbi.gov/wanted/terrorists/fugitives.htm, or another of your choosing. Note: Do not choose Osama Bin Laden.

Using the Learning Resources, Walden’s Library, and/or the Internet, research the motivations of the terrorist you selected.

With these thoughts in mind:

Post by Day 2 a brief description of the terrorist you selected. Then explain the motivations of the terrorist. Be specific and use examples to illustrate your explanation.

Note: Put the name of the terrorist you selected in the first line of your post. You will be asked to respond to a colleague who selected a terrorist that you did not.

Be sure to support your postings and responses with specific references to the Learning Resources.

One and a half page with at least two reference….

It is important that you cover all the topics identified in the assignment. Covering the topic does not mean mentioning the topic BUT presenting an explanation from the context of ethics and the readings for this class

To get maximum points you need to follow the requirements listed for this assignments 1) look at the page limits 2) review and follow APA rules 3) create subheadings to identify the key sections you are presenting and 4) Free from typographical and sentence construction errors.

REMEMBER IN APA FORMAT JOURNAL TITLES AND VOLUME NUMBERS ARE ITALICIZED.

MULTIPLE USE OF INTEXT CITATION

Readings

Course Introduction (located on the left navigation bar)

Course Text: Mahan, S., & Griset, P. L. (2013).Terrorism in perspective(3rd ed.). Los Angeles: Sage.

oChapter 1, “What is Terrorism?”

oChapter 3, “International Terrorism” (pp. 98-107 only)

oChapter 7, “Women Terrorists” (pp. 245-254 only)

Course Text: McEntire, D. A. (2009). Introduction to homeland security: Understanding terrorism with an emergency management perspective. New York: Wiley.

oChapter 2, “Identifying Terrorism: Ideologically Motivated Acts of Violence”

oChapter 3, “Recognizing the Causes of Terrorism: Differing Perspectives and the Role of Ideology”

oChapter 4, “Comprehending Terrorists and Their Behavior: Who They Are and What They Do”

Optional Resources

Website: U.S. Department of State: More Information. Retrieved from http://www.state.gov/j/ct/info/index.htm

Media

Video: Laureate Education, Inc. (Executive Producer). (2010). Terrorism: Legislation and policy: Causes of terrorism. Baltimore: Author.

I need someone to solve question 2 as asked in the image. You do not need to do the “compare the analytical results” part of the question. Just the derivation. You must show your work in step by step process. Question 1 just included for reference only.

Thanks.

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Concept Analysis Paper

Description

In this paper you will demonstrate scholarly, graduate school level writing and critical analysis of existing nursing knowledge. Your final paper will be 7–10 pages (excluding title page and references), using APA format with at least 8–10 scholarly nursing sources of information.

Directions:

For your final submission, you will take a concept of interest to you and develop it into a final concept analysis paper. You may choose to apply your Unit 3 concept to this Assignment, or you may select another single word (concept) that you have wondered about or discovered in your readings.

The Unit 9 Assignment will focus solely upon the discipline of nursing with the inclusion of nursing scholarly sources to substantiate the literature review. Locate evidenced-based articles (based on research studies in nursing) that use the concept or discuss the concept.

For this paper you will:

Identify the concept and purpose for studying the concept.

Describe reasons for this concept being of interest to nursing and its body of knowledge.

Define the attributes of the concept and relevant uses.

Provide a summary of the concept as described in each article with examples of how the term was defined.

Provide the theoretical and operational definition of the concept based on the review of literature. (Theoretical is pure definition and operational is how it is used in practice.)

Apply the concept as it relates to your practice and how you will use this concept in the future.

Describe the value of these concept analyses to your understanding of nursing knowledge.

Example of concepts used in Nursing:

fail, error, death, innovation, quality,team, soul, spirit, research, evidence,loneliness, hardiness, stress, grief, care, rehabilitation, trauma , etc

Consider I am a Labor and Delivery RN

Include at eleast 7-8 references  

Epidemiology is the study of epidemics. More specifically, it is the study of the occurrence and distribution of health problems. Using any of the epidemiological techniques outlined in the chapters from this week’s reading, address the questions for one of the case studies outlined below.

•  Epidemiological Case #1: Gastroenteritis at a University in Texas 
•  Epidemiological Case #2: Norovirus in Vermont 

There are two parts to this assignment:

Part I: Provide a brief statement of the investigative issue. Describe the epidemiological steps you would take by addressing the questions asked
within the case study you select.

Part II: Address the questions noted at the end of your selected case study. Your paper should be at least four pages in length, but can exceed this depending on how much detail you provide on the epidemiological steps you take for your case. You should use at least one additional scholarly source in addition to the textbook. Format your paper and all citations according to APA style guidelines as outlined in the Ashford Writing Center.

Carefully review the 
Grading Rubric for the criteria that will be used to evaluate your assignment.

For the assignment due on day 7, you are to select one of the case assignments found under the Week 2 assignment tab.  With this assignment, instead of writing a paper, you may copy each question and provide your response below each question.  The assignment should be completed in a MS Word document.  As a reminder, there is a Part I and a Part II.

You should use at least one additional scholarly source in addition to the textbook. Format your paper and all citations according to APA style guidelines as outlined in the Ashford Writing Center.