environmental disaster

Search the Internet for an article about a recent environmental disaster.
Consider the following questions as you read the article:

  • How did human actions contribute to this disaster?
  • Which biotic and abiotic factors were involved?
  • How did the disaster affect the flow of materials and energy in the ecosystem

 
Review the Crash Course: Ecology videos on the Khan Academy website.
Consider the following questions as you watch the videos:https://www.khanacademy.org/science/biology/crash-course-bio-ecology

  • How do biotic and abiotic environmental components interact, and how does this affect population growth and regulation?
  • How have human activities affected ecosystems and the biosphere?
  • How do energy and materials flow in an ecosystem?
/by

Nurses as Change Agents in the Community

Nurses as Change Agents in the Community

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,” the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change.
Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances.
Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics.
In addition, subscribe to the “HealthCetera” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera, a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care and for the American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment.

/by

Health Data Standards

Health Data Standards Discussion

What are health data standards and how do they relate to your role as an informaticist? Health data standards are the agreed upon representations of nursing data. From the coding of medical processes to documentation formats and terminology definitions, health data standards help to align nursing language. Being knowledgeable in health data standards is imperative to the data aggregation and informatics system selection process. It is the informaticist’s responsibility to not only understand the nursing domains of each standard, but also to be educated on the standards development organizations (SDO) that create, maintain, and approve these standards.

In this Discussion, you explore one health data standard of your choosing. For the purposes of this Discussion, do not focus on the standardization of nursing terminologies, as you will examine those in next week’s Discussion.

To prepare:

  • Review the health data standards presented in this week’s Learning Resources.
    • How does each provide a framework to align the terminologies and data sets used in health care settings?
  • Reflect upon your current health care setting.
    • Does your setting currently use any of the standards outlined by a specific organization? Why?
    • How might standards impact the documentation processes of your setting? Furthermore, which standards might most apply to you in your work as a nurse?

Note:If you are not currently working in a health care setting, select a setting with which you are familiar for this Discussion.

By Day 3

Post a description of the health data standards(1 or 2) your setting(VHA “Veterans Health Administration) uses and how these standards impact documentation and your specific nursing role (ICU RN Nurse). Explain how standard development organizations impact your health care setting.

*** please read the part “prepare”. APA Style, 500-600 words minimum. 

Due Date: April 11, 2018 at 8pm

/by

CISA Assignment 3

Document attached

/by

Indications for Cardiopulmonary Exercise 

Week 2 Assignment – Indications for Cardiopulmonary Exercise 
· Due Saturday by 11:59pm
 
· Points 120
· Submitting a file upload

Learning Objectives Covered

1. Explain the rationale for exercise conditioning and psychosocial support of patients with chronic pulmonary diseases

2. List and describe the indications for cardiopulmonary exercise testing for evaluation of hypoxemia and desaturation

3. Identify and interpret parameters measured during cardiopulmonary exercise testing

Background

Medical therapy is important in alleviating symptoms of chronic obstructive pulmonary disease (COPD), particularly the frightening symptom of dyspnea (breathing that is labored making it difficult). However, patients are still left to cope with the consequences of a chronic, irreversible condition. These individuals who are often: dyspneic, depressed, dysfunctional, disabled, desperate, and difficult to deal with often visit physician’s offices, emergency departments and hospitals in part because of their inability to cope with their distressing symptoms. Pulmonary rehabilitation programs must incorporate a program with physical and psychological components to assist the patient in returning to the highest level of independent function.

Psychological, emotional and social issues are common among patients with chronic lung disease as they struggle to deal with symptoms that are often poorly understood. Those diagnosed with chronic lung disease often experience depression, fear, anxiety, and dependency. Dyspnea is a frightening symptom! When experiencing dyspnea upon exertion, many patients prefer to reduce their exercise, which leads to more anxiety, which aggravates the dyspnea, and the patient becomes caught in a cycle. In extreme cases, the patient can become housebound.

Subsequent hospital visits follow patients who do not have social support. Therefore, when assessing a patient for cardiopulmonary rehabilitation we must include an assessment of the patient’s: psychological state, cognition, family and social support, activities of daily living and employment history. Identifying key support individuals is paramount. Many programs also measure baseline dyspnea and health-related quality of life at the time of enrollment and at the time of follow-up.

Common Goals of a Pulmonary Rehabilitation Program 

· Controls of respiratory infections

· Basic airway management

· Improvement of ventilation and cardiac status

· Improvement in ambulation and other types of physical activity

· Reduction of overall medical cost

· Reduction of hospitalization

· Psychosocial retaining and replacement

· Family education, counseling and support

· Patient education, counseling and support

Program Design Format

· Opened ended design-this format allows patients to enter the program and progress through until predetermined objectives are met. This format is best suited for self-directed patients or patients with scheduling difficulties. Major drawback is the lack of group support and involvement.

· Closed designed-this format is more traditional with a set time period to cover content of the program. A typical program run 6-16 weeks, with classes meeting 1-3 times a week. All sessions are formal and group support and involved are encouraged. A major drawback to this format is that the schedule and not objectives determines program completion.

Content

The program will combine physical reconditioning and educational content. The education portion of the program is necessary and an especially important part of the pulmonary rehabilitation program. There are twelve typical education topics for a program.

· Introduction and welcome

· Respiratory structure, function, and pathology*

· Breathing control methods*

· Relaxation and stress management

· Proper exercise techniques and personal routines*

· Methods to aid secretion clearance (bronchial hygiene)*

· Home oxygen and aerosol therapy*

· Medications

· Use of MDI’s and spacers*

· Dietary Guidelines

· Recreation and vocational counseling

· Planning for the future

The educational topics with an * are typically taught by a registered respiratory therapist.

Physical Reconditioning

The physical reconditioning will consist of an exercise prescription with a target heart rate based on the initial exercise evaluation. The prescription usually includes:

· Lower extremity (leg) aerobic exercises

· Time walking (6 or 12 minute walk)

· Upper extremity (arm) aerobic exercises

· Ventilator muscle training

Program Implementation

· Staffing-should be multidisciplinary involving various health care professionals involved in the planning, implementation, and evaluation of the program. It is recommended that staff members be certified in basic life support or advance cardiac life support.

· Facilities- the quality and location of the program is directly related to patient’s attendance. Patients are more likely to attend if they have access to public transportation and parking arrangement.

· Scheduling-timely scheduling of the session, usually three times a week for 1-2 hours. The length of the program is often projected by insurance coverage.

· Class size-the ideal size of a group should range from 3-10 participants.

Watch the video below on Pulmonary Rehabilitation and Exercise (Total time 38:17 minutes). This video will provide you with an understanding of how patients are instructed on exercise and fitness to promote a healthier life with pulmonary disorders.

https://www.youtube.com/watch?v=nwxy9FLBMjk (Links to an external site.)Links to an external site.
Prompt
Choose three of the asterisked rehabilitation education topics above. These topics are based on the information covered during a 12-week rehabilitation program as outlined in your reading. Based on the program outlined in your reading, explain how you would teach the information to a patient participating in the pulmonary rehabilitation program. Be creative!
Submit your answers in at least 500 words on a Word document. You must cite at least three references in APA format to defend and support your position.
Please proceed to the remaining item for week two when you are ready

/by

Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue, options to solve the issue, and the best way to solve this issue

Policy Brief

Question description
Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue, options to solve the issue, and the best way to solve this issue. Select a public health issue from one of the following American Public Health Association websites: Climate Change (https://www.apha.org/topics-and-issues/climate-change) or Topics and Issues (https://www.apha.org/topics-and-issues).
Follow this outline when writing the policy brief:

  1. Identify issue.
  2. Background information – (a) Population effected; (b) Local, state or national level; and (c) Evidence about the issues supported by resources
  3. Problem statement.
  4. Suggestions for addressing the issue (solutions) – (a) Including necessary stakeholders (government officials, administrator); and (b) Include budget or funding considerations, if applicable
  5. Impact on the Health Care Delivery System

Include three peer-reviewed sources and two other sources to support the policy brief.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin.

/by

make observations and discriminate between scientific and pseudoscientific explanations

Biology Discussion Post

NOTE:  Follow all the directions carefully in order to receive full credit.
Relevant Course Outcomes:
– make observations and discriminate between scientific and pseudoscientific explanations
– use critical thinking, what you have learned in the course modules, and a web-search to determine whether or not the following examples are Science or Pseudoscience.
Before you begin, you may find this article useful: Science and Pseudoscience in Adult Nutrition Research and Practice:http://www.csicop.org/si/show/science_and_pseudoscience_in_adult_nutrition_research_and_practice            /
Directions:
Pick one of the options below and try to locate a published, peer-reviewed or scholarly article that supports the claim that is being made. Can you find one? Does it validate all the claims being made or just some part? From what you have found out in your web research, is the site/article I gave you making scientific claims, pseudo-scientific claims or outright unsubstantiated claims! How much or little is it overstating its case?
Summarize your conclusion in 300- 400 words and be sure to reference something you read in the course materials as well. Your conclusion must be supported by at least one reliable information source in addition to the course material. Please see this link at UMUC’s Library if you need help with web and library searches:http://www.umuc.edu/library/libhow/how_find.cfm. Google Scholar is also a good way to find peer-reviewed scholarly articles, but some will not be free to access (don’t pay any fees for articles – use the UMUC library if you find something with a charge to view!).
Options:
1.      Green coffee supplements burn fat: http://www.globalhealingcenter.com/natural-health/weight-loss-benefits-of-green-coffee-bean/
2.      The blood type diet improves your health: http://www.dadamo.com/program_welcome2.htm 
3.      The Atkins Diet will help you lose weight quickly:http://www.atkins.com/Program/Overview.aspx
4.      Talking to your plants make them grow faster:http://organicgardening.about.com/b/2009/06/23/its-true-you-really-should-talk-to-your-plants-especially-if-youre-a-woman.htm 

/by

Accounting homework help

Assignment: Ethics Writing Assignment
Ethics plays a vital role in business and the accounting profession. Here is an opportunity to connect your current learning about inventory with the profession’s commitment to ethics.
EC5: Tiffany Lyons was just hired as the assistant treasurer of Key West Stores. The company is a specialty chain store with nine retail stores concentrated in one metropolitan area. Among other things, the payment of all invoices is centralized in one of the departments Tiffany will manage. Her primary responsibility is to maintain the company’s high credit rating by paying all bills when due and to take advantage of all cash discounts.
Jay Barnes, the former assistant treasurer who has been promoted to treasurer, is training Tiffany in her new duties. He instructs Tiffany that she is to continue the practice of preparing all checks “net of discount” and dating the checks on the last day of the discount period. “But,” Jay continues, “we always hold the checks at least 4 days beyond the discount period before mailing them. That way, we get another 4 days of interest on your money. Most of our creditors need our business and don’t complain. And, if they scream about our missing the discount period, we blame it on the mailroom or the post office. We’ve only lost one discount out of every hundred we take that way. I think everybody does it. By the way, welcome to our team!”
Weygandt, J. J., Kimmel, P. D., & Kieso, D. E. (2018). Accounting principles (13th ed.). Hoboken, NJ: Wiley.
You are to write a 2-3 pages paper. Use the ethics resources for accounting. Make sure to cite at least one source from those provided and reference them (in your separate reference page) following APA guidelines.
Respond thoroughly to the following questions in your reflective essay:
1.         What are the ethical considerations in this case?
2.         Who are the stakeholders that are harmed or benefited in this situation?
3.         Should Tiffany continue the practice started by Jay? Does she have any choice?
4.         Which Code of Conduct principle would you act on from the professional codes of conduct guiding ethical behavior in this field (Provide the name of the organization and the code of conduct that pertains to why you act, and then provide the URL for your source)?
5.         Based on your chosen code of conduct principle(s), what would you do (step-by-step) to act in accordance with your chosen principle to address this situation?
Here is the resource to be used- https://www.aicpa.org/research/standards/codeofconduct.html
  • attachment

    11.pdf
/by

>Education homework help

Strategic planning occurs within the established governance and structure of K-12 education. A meaningful strategic plan cannot be developed without a clear mission, vision, and goals that are known and understood by all participants in the strategic planning process. Further, an effective strategic plan cannot be developed without the engagement and support of a variety of internal and external stakeholders. Additionally, an effective educational leader can analyze the governance and structure of K-12 educational institutions including both internal and external frameworks and the leadership practices required in these areas.
This assignment concerns unified, union high school, and K-8 school districts. Assume that all districts have distinct attendance boundaries, are led by a superintendent, and are governed by a publicly-elected governing board that is required to make all decisions in public meetings. The districts abide by all pertinent state laws and are funded by the state at a set amount per student.
A unified school district serves kindergarten through grade 12. In some cases, the district may also sponsor a preschool on a campus (PK-12). The district administrative structure includes a superintendent and, depending on the size of the district, there also will be additional administrators to oversee areas such as curriculum, human resources, special education, and facilities. The superintendent also supervises school principals.
An elementary district serves students in kindergarten through grade 8 and may also include a preschool (PK-8). The administrative structure is similar to a unified district in that the total enrollment of the district drives the size of the administrative structure. Elementary schools are held accountable for student achievement on annual state-regulated assessments, with particular attention paid to reading achievement for third graders.
A union high school district serves students in grades 9-12. The administrative structure is driven by the student enrollment. Because high schools are generally larger than elementary schools, individual schools often include assistant principals. Districts that serve high school students (unified or union) are held accountable for their graduation rates, dropout rates and student achievement on annual state-regulated assessments.
General Requirements:
Use the following information to ensure successful completion of the assignment:

  • Refer to the Topic 2 assignment “Benchmark-Connecting a Philosophy of Education with K-12 Historical Events.”
  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • Refer to the Publication Manual of the American Psychological Association for specific guidelines related to doctoral level writing. The Manual contains essential information on manuscript structure and content, clear and concise writing, and academic grammar and usage.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:
Part 1
Present a revised version (2,250-2,550 words total) of the paper “Benchmark-Connecting a Philosophy of Education with K-12 Historical Events” that makes improvements in the caliber of the writing and incorporates instructor feedback regarding content and writing. Include the following in your submission:

  1. A reflection (250-300 words) that provides a bulleted list of the changes you made to the paper and discusses your revision process including how you incorporated your instructor’s feedback into the revised version. Similar to an abstract, this section will receive its own page following the title page and preceding the introduction to the paper.
  2. The revised paper that incorporates instructor feedback; clarifies the thesis statement and solidifies supporting arguments; edits for grammar, spelling, and punctuation; adjusts word choice to display professional and scholarly language; and adjusts sentence structure for improved readability.

Part 2
Write an additional 1,500-2,000 words that compares governance and structure between a unified school district and a K-8 or union high school district. Include the following in your paper:

  1. A comparison of the governance and structure between a unified school district and a K-8 or high school district. (Benchmarks C7.2: Analyze the governance and structure of K-12 educational institutions including both internal and external frameworks and the leadership practices required in these areas.)
  2. A discussion of what common leadership practices are required for successful strategic planning.
  3. A discussion of how your philosophy of education will support the stakeholder relations practices necessary for success in a diverse district. (Benchmarks C7.3: Examine the stakeholder relations practices that are necessary to sustain the diverse learning infrastructure of K-12 education.)
  • attachment

    K12Historicalevents-instructorfeeback.docx
/by

Endoplasmic reticulum

When you look around at the world, you can see many examples that demonstrate how an object’s or a system’s structure relates to its function. The structure of a highway system, for example, can affect traffic flow. You can, no doubt, think of many other examples.
Your text describes the difference between the organelles in a eukaryotic cell and the simpler structure of a prokaryotic cell as an analogy between the chief executive officer’s (CEO’s) corner office and a cubicle. Organelles are like appliances or pieces of furniture that perform specific functions. You can use analogies to describe the structure and function of these organelles as well. For example, a chloroplast is like a solar panel in that it converts light energy to a more usable form. The alignment of chloroplasts in a leaf is similar to the alignment of a solar array, and so on.
Choose 1 organelle from the following list, and use an analogy to explain its function:

  • Nucleus
  • Golgi
  • Lysosome
  • Mitochondria
  • Chloroplast
  • Endoplasmic reticulum

Based on the analogy you created, describe the most significant differences between your organelle and the object you compared it to. If you compared the chloroplast to a solar panel, you might discuss how the chloroplast not only converts sunlight energy into chemical energy, but also how it stores that energy long term in the carbon-to-carbon bonds of sugar molecules. One of the great drawbacks to solar panels is the lack of an efficient storage system.
Use the following guidelines for your paper:

  • Utilize at least 1 credible source to support the descriptions presented in the paper. Make sure you cite appropriately within your paper and list the reference(s) in APA format on your Reference page.
  • Your paper should be 2–3 paragraphs in length, not counting the Title page and Reference page. In accordance with APA formatting requirements, it should be double-spaced and include a running head and page numbers.
/by