Antibiotic Resistance
For many years, antibiotics have been effectively used to treat bacterial disease.
A growing concern for treating bacterial diseases is the evolution of antibiotic resistance by bacterial populations. Resistance means that a particular antibiotic is no longer effective in treating a disease. This resistance can be viewed as evolution of a new trait at the population level, which is resistance to an antibiotic.
Recommended: Click on the following links to review materials to increase your understanding of natural selection and antibiotic resistance.
Understanding Evolution
Antibiotic Resistance
Focus your discussion on 1 of the following topics:

  • The use, overuse, and abuse of antibiotics are accredited with creating antibiotic-resistant strains of bacteria. Explain how this relates to natural selection.
  • Using a credible source, describe at least 2 of the things that people do (you can include individuals, doctors, health care professionals, hospitals, farmers, and so on) that contribute to this problem. Explain.
  • Are there things that you can personally do to reduce your risk or even to reduce the spread of these dangerous microbes?

Utilize at least 1 credible source to support the arguments presented in your post.
In your own words, post a response to the Discussion Board, and comment on at least 2 other postings. You will be graded on both level of engagement and the quality of the contribution to the discussion.
References
Centers for Disease Control and Prevention. (n.d.). About antibiotic use and resistance. Retrieved from https://www.cdc.gov/antibiotic-use/community/about/index.html
University of California Museum of Paleontology. (n.d.). Understanding evolution. Retrieved from https://evolution.berkeley.edu/evolibrary/home.php

Labor and Delivery (pregnant women)
The major project will be focused on Labor and Delivery (pregnant women)
Identify and discuss key elements to functioning effectively in a collaborative team environment.
•In terms of patient outcomes, identify the benefits to multidisciplinary collaboration.
•Describe the challenges that might arise when working with a diverse group of individuals.
◦Consider the variety of backgrounds, educational levels, professional roles, personalities, et cetera.
•Describe the team that will be the audience of your presentation.
◦As you think about your Health Assessment presentation, what challenges might the team present?
◦What elements do you think will come into play to function effectively with this group?
◦What things will you particularly have to pay attention to?
•Describe how might you adjust your presentation to effectively communicate with this group of people.
◦What are several strategies that you can identify to help overcome these challenges in an effort to enhance professionalism and foster optimal patient outcomes?

Psychology homework help

The number of children diagnosed with autism has risen dramatically during the past few decades. Researchers are now calling it an urgent health matter; some are calling it an epidemic. Between 1991 and 1999, the number of children in the United States receiving special education services for autism rose to 500%. The rate has nearly doubled in the past ten years across the United States. In 2002, the number of children in the United States with autism was 1 in every 150 children. At this point in time, approximately one in every eighty children has autism (Baio, 2012). This increase is not only happening in the United States. Studies have found rates to be rising in Canada (Ouellette-Kuntz, Coo, & Gorski, 2012) and in Europe (Baron-Cohen et al., 2009) also.
After completing the required readings for this week, post an initial response discussing the following three possible causes or reasons for this increase in prevalence:

  • Why are so many children developing autism?
  • Does research indicate that the rise is due to better methods for identifying and diagnosing children with autism, or is there some environmental, genetic, or cultural reason for the increase?
  • What should we do, as a society, to address this epidemic?

Address each of the questions and cite your sources properly.

References:

Baio, J. (2012). Prevalence of autism spectrum disorders—Autism and
Developmental Disabilities Monitoring Network, 14 sites, United States,
2008. CDC Morbidity and Mortality Weekly Report61(SS03), 1–19.
Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6103a1.
htm
Baron-Cohen, S., Scott, F. J., Allison, C., Williams, J., Bolton, P., Matthews,
F. E., & Brayne, C. (2009). Prevalence of autism-spectrum conditions:
UK school-based population study. The British Journal of Psychiatry,
194(6), 500–509. Retrieved from http://bjp.rcpsych.org/content/194/6/
500.full
Ouellette-Kuntz, H., Coo, H., & Gorski, D. (2012). Findings from the National
           Epidemiologic Database for the Study of Autism in Canada: Changes
           in the prevalence of autism spectrum disorders in Newfoundland and
           Labrador, Prince Edward Island, and Southeastern Ontario. Ottawa,
ON, Canada: Canadian Institutes of Health Research. Retrieved from
http://authoring.wp.queensu.ca/lenya/nedwww/live/Publications/Family
Updates/NEDSAC_Report_March2012.pdf

Assignment 1: Health Policy and Law Basics
Due Week 3 and worth 150 points
As a chief operating officer of a hospital, you have been tasked with opening a new ambulatory care center in your city.
Write a 2-3 page paper in which you:

  1. Specify whether you would utilize the professional autonomy, social contract, or free market perspective as the paradigm to design the structure of your new center. Debate at least two (2) advantages and two (2) disadvantages of your chosen perspective. Provide at least two (2) examples of your perspective in action to support your response.
  2. Analyze the key components of three (3) sources of law related to the effects that each source could potentially have on your healthcare organization’s new initiative.

Enoxaparin (Lovenox) Nursing Implications Question
Before administering medications to a client hospitalized 3 days ago for acute asthma, the nurse compares the morning laboratory results with the admission data.  The nurse should confirm which prescription with the health care provider prior to administration?

  1. Albuterol nebulization every 4 hours
  2. Enoxaparin 40 mg subcutaneously every 24 hours
  3. Methylprednisolone 20 mg intravenously every 6 hours
  4. Potassium chloride 20 mEq/L every 24 hours

Enoxaparin (Lovenox) Nursing Implications Answer and explanation
The corect answer is 2- Enoxaparin 40 mg subcutaneously every 24 hours
Explanation:
ORDER A PLAGIARISM-FREE PAPER NOW
Enoxaparin (Lovenox) is a low-molecular-weight heparin anticoagulant administered for prophylaxis of deep venous thrombosis in hospitalized clients.  Bleeding and thrombocytopenia (platelet count <150,000/mm3 [150 x 109/L]) are possible complications of anticoagulant therapy.  Heparin-induced thrombocytopenia (HIT) is a serious condition that often develops rapidly, requiring prompt recognition and treatment.  Unlike other drug-induced forms of thrombocytopenia, HIT can result in arterial or venous thrombosis(eg, stroke, extremity infarction), although the exact association is unknown.  This client’s platelet count (96,000/mm3 [96 x 109/L]) has dramatically decreased since admission.  The nurse should note this drastic change and question the continuation of the prescription with the health care provider before administering the medication.
(Option 1)  Bronchodilators such as albuterol and ipratropium are indicated in acute asthma and chronic obstructive pulmonary disease exacerbations.
(Option 3)  Methylprednisolone (Solu-Medrol) is an anti-inflammatory corticosteroid drug indicated for treatment of lung inflammation associated with asthma; the route, dosage, and frequency are correct.  This client’s elevated white blood cell count is likely due to glucocorticoid administration and is an expected effect of corticosteroids.
(Option 4)  Potassium chloride is an electrolyte replacement drug and is indicated by the presence of hypokalemia (<3.5 mEq/L [3.5 mmol/L]); the route, dosage, and frequency are correct.  Frequent use of albuterol likely caused hypokalemia in this client.
Enoxaparin (Lovenox) Nursing Implications Educational objective:
Heparin-induced thrombocytopenia can result in arterial or venous thrombosis.  Platelet counts should be carefully monitored in any client receiving anticoagulant therapy.

 Psychology homework help
Prior to beginning this discussion, please read and view the following required sources:

  • “Flexible Retrieval: When True Inferences Produce False Memories”
  • “Memory Suppression in Alzheimer’s Disease”
  • “Mnemonic Instruction in Science and Social Studies for Students with Learning Problems: A Review”
  • “Short-Term Memory and Long-Term Memory Are Still Different”
  • “The Development of Real-Time Stability Supports Visual Working Memory Performance: Young Children’s Feature Binding Can Be Improved Through Perceptual Structure”
  • Memory

In your initial post, you will apply what you learned from each of the five articles, but you will discuss the findings and implications for just one of these articles. The articles are assigned based on the first letter of your last name. Please see the list below to determine which of the articles you will focus on for your initial post based on the first letter of your last name:

  • A through E: “Flexible Retrieval: When True Inferences Produce False Memories”

In your initial post,

  • Explain the empirical research presented in your assigned article, applying appropriate citations and references.
  • Describe, in your own words, how the research relates to your own experiences as well as how this area of psychology may have affected your past or current beliefs about memory development. Do the research findings refute or support your current beliefs, and in what ways? Are there variables about memory of which you were unaware based on your article?
  • Apply skeptical inquiry to the potential problems that might arise from research in the area of memory, and relate it to the APA’s Ethical Principles of Psychologists and Code of Conduct.
  • Provide a rationale for whether or not this premise is valid and/or appropriate based on the findings reported by the assigned articles.

It is recommended that you research articles in the Ashford University Library to support your assertions if the required articles do not provide sufficient information. Your initial post should be at least 500 words in length.

Choose one of the following health care organizations:

  • Hospital Corporation of America (HCA)
  • Tenet Health System
  • Mayo Clinic
  • Henry Ford Health System
  • Centers for Disease Control (CDC)
  • Children’s Miracle Network
  • Deborah Heart and Lung Center
  • Medtronic
  • Veterans Health Administration (VHA)
  • National Institutes of Health (NIH)
  • Planned Parenthood
  • Indian Health Service (IHS)
  • Health Markets

Conduct an evaluation of the organization based on strategic planning analysis, which includes the strengths and/or weaknesses that are internal to the organization and opportunities and/or threats external to the organization.  Your strategic plan analysis must include at least three strengths and three weaknesses that are internal to the organization and at least three opportunities and three threats that are external to the organization. You must utilize at least five valid sources in your analysis. Examples of valid sources include organizational websites, annual reports, personal interviews with organizational leadership, investigative reports, government reports, and conference transcripts.  Your Final Paper must address at least five key areas, concepts, and strategies that are outlined in the course text.  These include:

  • Internal and external assessments
  • Competitive marketing analysis
  • Identification of stakeholders
  • Overview and assessments of services provided
  • Competencies and resource
  • Public entities and regulatory requirements
  • Demographics served
  • Strategic financial planning
  • Financial and operational outcomes
  • Current and future direction of the organization of choice

Writing the Final Paper
The Final Paper:

  1. Must be 8 to 10 double-spaced pages in length, excluding the title and references pages, and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must include a title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  3. Must begin with an introductory paragraph that has a succinct thesis statement.
  4. Must address the topic of the paper with critical thought.
  5. Must end with a conclusion that reaffirms your thesis.
  6. Must use at least five scholarly sources, including a minimum of two from the Ashford University Library.
  7. Must document all sources in APA style as outlined in the Ashford Writing Center.
  8. Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
Evaluating the Effectiveness of Reinforcement
No Introduction or conclusion necessary, a minimum of 380 words,!
There are many variations to schedules of reinforcement which impact behavior of individuals in organizations. Understanding and applying schedules of reinforcement can lead to increases in productivity, and improvement in staff morale among others.
Chapter 5 of your textbook (See attached)provides a comprehensive review of research in the area of schedules of reinforcement located in Table 5.1 (pp. 149–155). For your Discussion this week you should select one of the studies listed in Table 5.1 and complete the following:

  1. Define schedule of reinforcement.
  2. Identify the schedule of reinforcement examined in the study. Describe the schedule and include a discussion of the response rates and patterns associated with each.
  3. Give a brief summary of the results. Discuss the implications of the results and importance of schedules of reinforcement in relation to behavior of individuals within an organization.
  4. Discuss how you would use visual analysis of graphed data to determine the effectiveness of the schedule of reinforcement on the outcome or performance measure.

Translating Evidence into Clinical Practice
Choose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.  Why should we, as healthcare providers, use evidence-based practice?  Evidence-based practice benefits: •Leads to highest quality care and patient outcomes •Reduces health care costs •Reduces geographic variations in the delivery of care •Increases healthcare provider empowerment and role satisfaction •Reduces healthcare provider turnover rate •Increases reimbursement from 3rd party payers •Reduces complications and payment denials •Meets the expectation of an informed public  Include 3 evidence-based articles to support your work that are less than 3 years old.  Before finalizing your work, you should: •be sure to read the Assignment description carefully (as displayed above); •consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and •utilize spelling and grammar check to minimize errors.  Your writing Assignment should: •follow the conventions of Standard English (correct grammar, punctuation, etc.); •be well ordered, logical, and unified, as well as original and insightful; •display superior content, organization, style; and •use APA 6th Edition format as outlined in the APA Progression Ladder.

Assignment 1
After reading the attached case study answer the following questions based on Freudian theory.
75 points
Assignment 2

  1. Briefly Explain Sigmund Freud’s Psychoanalysis
  2. Briefly Explain the theory that make the most sense to you in treating patients (cognitive, behavioral, REBT, etc.)
  3. Briefly Explain Treatment for Anxiety disorders
  4. Briefly Explain Treatment for Bi-Polar disorder
Sigmund Freud Case Study
QUESTIONS
1. Does the Freudian perspective indicate that Steve’s relationships with women are internally or externally motivated?
2. According to Freud, which state of consciousness is most involved in controlling Steve’s behavior?
3. Which component (id, ego, superego) of the personality structure is most involved in determining Steve’s behavior? Give an example(s) to support your answer.
4. At which stage of psychosexual development is Steve most likely fixated? Give an example(s) to support your answer.
CASE STUDY
Steve is sitting at a restaurant table waiting for his date to come bac from the restroom, As he waits, he imagines what the rest of the evening will be like. The restaurant they are eating at is one of those little Italian places with red-and-white checkered tablecloths and candles in Chianti bottles. A violin player strolls around the tables playing romantic music. Steve considers that these types of restaurants always work well for him. His date would be charmed by the atmosphere and begin to feel romantic. This would allow Steve to make his move, and typically, he and his date would end up at either his apartment or hers for a night of great sex.
Steve is 38, of Italian-American descent, and single: a bachelor by choice, but his friends worry about his happiness. They wonder if Steve is unable to form a long-term relationship, that he has a fear of commitment and an addiction to sex and the passion that marks the beginning of relationships. They also wonder whether Steve’s strained relationship with his mother is at least partly to blame for his behavior. Steve’s mother, while caring for his physical needs, was not openly affectionate and did not give Steve the demonstrative affection and loving interaction he craved. They wonder if his anger toward her and her negligent behavior toward Steve is being manifested as anger toward women in general.
Steve has been a flirt ever since puberty. In high school, he had a reputation for insincerity. Girls were attracted to him; he was handsome and spent a lot of time and money on his appearance. Unbeknownst to his friends, however, Steve secretly feared that he was unattractive, so he did what he could to improve his looks.
The girls he asked out always had a good time on their dates, but it soon became known that he would always pressure his dates for sex and, in many cases, tell them that he loved them to convince them to have sex. He was also rumored to have made one girl pregnant and then claimed that it was not his child. To his close male friends, he said that she was not going to tie him down, that “there were too many women and not enough time.” This pattern of relationships continued during college. He would date women, have sex with them a few times, and then break off the relationship. He estimated that by the time he was 21, he had sex with about eight dozen women. He bragged about this among his male friends.
After college, and through the present time, Steve also continued to form relationships with women that were based on sexual attraction and nothing more substantial. One by one, he watched his male friends settle down and commit to one woman. Every time this happened, he would express astonishment and disbelief, stating that his friends were being duped and that no one would make him live with one woman for the rest of his life. When women agreed to go out with him or go to bed with him, Steve felt attractive, and no one was going to take that away from him. In fact, Steve secretly feared that no woman would find him attractive enough to marry. He believed that these women went out with him initially to get a free meal and would soon want to break up with him when someone better came around. So, he broke up with them first.
His friends believed that Steve’s latest sexual interest, Diane, would be the one he would marry. She seemed to be all that any man could hope for. She was pretty, smart, caring, and had a good sense of humor. Steve had been dating her for a longer time than he typically dated women, and his friends thought that he was finally growing up and settling down. As it turns out, the relationship lasted longer than usual because she was reluctant to have sex with him. She finally did after a couple of months when she was convinced that Steve really loved her and was not just using her for sex. Unfortunately, Diane should have trusted her initial instincts. Steve broke up with her after they had sex on three different occasions.
His present date was a woman he met at the gym where he worked out. She was very attractive, with a great body. He used to date women he met at work, but after someone accused him of sexual harassment, he decided to no longer date women from work. He was angered by the specific accusation and the hype associated with sexual harassment in general. A man just couldn’t follow his instincts anymore without the possibility of losing his job. At least he could still meet women at other places.