Asthma and Stepwise Management

Question Description

APA FORMAT PLEASE ASSIGNMENT, TWO PAGES PLEASE

Assignment: 
Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To prepare:
  • Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.
  • Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.
  • Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

BY DAY 7

Write a 2- page paper that addresses the following:

  • Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.
  • Explain the stepwise approach to asthma treatment and management.
  • Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Week 4: Respiratory System

In the United States, 12 million people suffer from chronic obstructive pulmonary disease (National Heart Lung and Blood Institute, n.d.), and about 25 million people suffer from asthma (CDC, 2011). Since various symptoms are associated with chronic obstructive pulmonary disease, asthma, and other common respiratory disorders, a single patient might be prescribed multiple drugs for treatment. Consider an 8-year-old asthmatic patient who frequently presents with acute asthma exacerbations that are triggered by seasonal allergies. As a result of his disorder, he might be prescribed albuterol to treat asthma attacks and Clarinex to treat allergic reactions. This requires you, as the advanced practice nurse, to be aware of risks of polypharmacy and patient factors that impact the effects of drugs.

This week you examine types of drugs prescribed to patients with respiratory disorders, as well as the impact of patient factors on the effects of drugs. You also explore ways to improve patient treatment plans including suggested drug therapies. Finally, you examine asthma treatment and management.

Learning Objectives

By the end of this week, students will:
  • Analyze types of drugs prescribed to treat respiratory disorders
  • Evaluate the impact of patient factors on the effects of prescribed drugs for respiratory disorders
  • Evaluate drug therapy plans for respiratory disorders
  • Assess the impact of asthma treatments on patients
  • Analyze the stepwise approach to asthma treatment and management
  • Understand and apply key terms, concepts, and principles related to prescribing drugs to treat respiratory disorders

Photo Credit: lovleah/iStock/Getty Images Plus/Getty Images

Learning Resources

This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below.

REQUIRED READINGS

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 18, “Otitis Media and Otitis Externa” (pp. 243-252) 
    This chapter compares the causes and pathophysiology of two common ear infections—otitis media and otitis externa. It also identifies types of drugs used to treat these ear infections.
  • Chapter 24, “Upper Respiratory Infections” (pp. 259-374) 
    This chapter explores the causes, pathophysiology, and diagnostic criteria of two upper respiratory infections—the common cold and sinusitis—as well as drug therapy for both infections. It also covers monitoring patient response and patient education of drug therapy for these infections.
  • Chapter 25, “Asthma” (pp. 377-392) 
    This chapter examines the causes, pathophysiology, pharmacogenomics, and diagnostic criteria of asthma. It also outlines suggested drug therapy plans for asthmatic patients.
  • Chapter 26, “Chronic Obstructive Pulmonary Disease” (pp. 395-406) 
    This chapter explains the causes and pathophysiology of chronic obstructive pulmonary disease (COPD). It also examines the process of selecting, administering, and managing drug therapy for COPD patients.
  • Chapter 27, “Bronchitis and Pneumonia” (pp. 407-424) 
    This chapter begins by examining the causes, pathophysiology, and diagnostic criteria of acute bronchitis, chronic bronchitis, and community-acquired pneumonia. It then explores the process of selecting, administering, and managing drug therapy for patients with bronchitis and pneumonia.

National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdl…
This website presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.

OPTIONAL RESOURCES

Refer to the Optional Resources listed in Week 1.

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English homework help

compass icon-01.png Overview:

You have been reading about using counterarguments, concessions, and qualifiers as rhetorical tools to “account for positions outside of, or opposed to, their own claims” (258).
Chapter 17 in the CEL offers some helpful strategies for structuring counterarguments in your writing. Read the section on “Counterarguing” in CEL Ch. 17 (p. 524-526) as you prepare to practice making counterarguments for the issue that you have chosen to write about.

quill icon-01.png Assignment:

Write several short paragraphs explaining how you can use counterarguing to organize your writing for the Unit 3 assignment.
Use the questions below to discover what other perspectives you might want to address through counterargument (adapted from CEL Ch. 12, p. 386):

  • Who might not agree with my perspective on the issue I have chosen? Who defines the issue differently or imagines a different solution?
  • Why might my approach to the solution be misunderstood? What aspects of my approach are ineffectual, idealistic, or impractical?
  • What other insights do people already have into the issue I have chosen? Why are those insights popular or visible?
  • Why ultimately is my approach to the issue I have chosen worth pursuing?

You might choose to begin with

  • Opposing Point A
  • Your Counterargument
  • Opposing Point B
  • Your counterargument.

Or you might instead organize your ideas as

  • Opposing Point A
  • Opposing Point B
  • Your counterargument to A
  • Your counterargument to B

Submit all of your work to this assignment as your response. You do not have to answer each of these questions word for word in a separate paragraph, but your response overall should show that you are considering all of the questions above.

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>American history homework help

The Imperial Presidency
“The critical tests of the imperial Presidency are threefold: the war making power; the secrecy system; and the employment against the American people of emergency authority acquired for use against foreign enemies.” – Arthur Schlesinger
In Unit 1 you read and analyzed the U.S. Constitution. Now, armed with a textual and nuanced understanding of the U.S. Constitution, including Article II, you may come to the conclusion that the founding fathers, leery of tyrannical monarchs, deliberately made vague the powers and responsibility of the president.
That said, many historians argue that the institution of the presidency has grown over time. In 1973, Arthur Schlesinger Jr. published The Imperial Presidency. Whereas the book examines the history of the presidency since inception, the author focuses on the increasingly expansive executive power of the Nixon presidency. Subsequent scholars have used the term “imperial presidency” to argue that since WWII, that expansion of presidential power and the growth of the federal bureaucracies is a dominant feature of the modern era. (Schlesinger, 1973)
Directions: Using the required, academic readings, and supplemental academic research, please address the following while adhering to the Discussion Board Rubric:

  • Identify the constitutional powers of the presidency.
  • Select two examples of the growth of presidential power during the 20th and 21st centuries.
  • Support your examples with information obtained from the text and at least two academic articles.
  • How does the dramatic growth of the federal bureaucracy affect public policy?
  • Based on your understanding of the U.S. Constitution, how do you understand the increase in presidential power?
    • Does this increase in executive power decrease the authority of the legislative or judicial branch? If so, please provide a specific rationale.

References:
The Constitution of the United States. (n.d.). Retrieved from https://www.archives.gov/founding-docs/constitution.
Schlesinger, A. M. (1973). The imperial presidency. Boston: Houghton Mifflin.

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>Computer Science homework help

BLCN532 Lab 1
Set up your development environment
V2.0

Introduction

This course introduces students to blockchain development for enterprise environments. Before you can develop software applications, you need to ensue your development environment is in place. That means you’ll need all the tools and infrastructure installed and configured to support enterprise blockchain software development projects.
In this lab you’ll set up your own Hyperledger Fabric development environment and install the course software from the textbook. When you finish this lab, you’ll have a working development environment and will be ready to start running and modifying blockchain applications.
The instructions in your textbook are for Mac and Linux computers. However, there is no guarantee that your installation of MacOS or Linux is completely compatible with the environment in which the commands from the textbook work properly. For that reason, I STRONGLY SUGGEST that you acquire an Ubuntu 16.04 Virtual Machine (VM) for your labs. Using an Ubuntu 16.04 VM will make the labs far easier to complete.
The instructions in this course’s labs assume that your computer runs the Windows operating system. If you run MacOS or Linux, you can get Vagrant and VirtualBox for those operating systems and follow the gist of the “Initial setup for Windows computers”.

Lab Deliverables:

To complete this lab, you must create a Lab Report file and submit the file in iLearn. The Lab Report file must be a Microsoft Word format (.docx), and have the filename with the following format:
BLCN532_SECTION_STUDENTID_LASTNAME_FIRSTNAME_Lab01.docx
· SECTION is the section number of your current course (2 digits)
· STUDENTID is your student ID number (with leading zeros)
· LASTNAME is your last name, FIRSTNAME is your first name
To get started, create a Microsoft Word document (.docx) with the correct filename for this lab. You’ll be asked to enter text and paste screenshots into the lab report file.
NOTE: All screenshots MUST be readable. Use the Ubuntu Screen Capture utility (see the lab video.) Make sure that you label each screenshot (i.e. Step 2.1.3) and provide screenshots in order. For commands that produce lots of output, I only want to see the last full screen when the command finishes. Provide FULL screenshots, NOT cropped images.

SECTION 1: Initial setup for Windows computers (Chapter 3)

Step 1.1: Install Oracle Virtualbox (Windows, Linux, MacOS)

Oracle Virtualbox is an open source virtualization environment that allows you to run multiple virtual machines and containers on a single personal computer. Virtualbox is free and it is easy to install.
In your favorite web browser, navigate to: https://www.virtualbox.org/ and click the “Download Virtualbox” button. Click the “Windows hosts” link to download the main installation executable. You should also click the “All supported platforms” under the “Extension Pack” heading to download extra software support for devices.
After you download the two files, double click each one to run the install procedure.

Step 1.2: Install Vagrant (Windows, Linux, MacOS)

Vagrant is a free virtual environment management utility. It makes the process of starting, stopping, and managing virtual machines easier. In your web browser, navigate to https://www.vagrantup.com/ then click the “Download” button, and click the version of the Windows executable you’d like to install. (Most of you should select the “64-bit” version.)
Once you download the install program, double-click the file you just downloaded to install Vagrant.
If you want more information on Vagrant and tips on getting the most out of the software, navigate to:
https://www.sitepoint.com/getting-started-vagrant-windows/ .

Step 1.3: Set up your Vagrant project

After installing all the pre-requisite pieces, you need to set up your Vagrant project. A Vagrant project defines your virtual machine environment and helps you organize your collection of VMs into a group that is easy to manage.
We’ll use the Windows PowerShell as our Windows command prompt environment. PowerShell is a very powerful command line interface that is available on all Windows computers.
To launch PowerShell, click the Windows key, type PowerShell, then click the Windows PowerShell menu entry. The figure below shows a portion of the Windows PowerShell command prompt window.
 
PowerShell uses your user’s home directory as its starting directory. In my case, C:\Users\micha is my home directory. For the rest of the lab, I’ll refer to this a %HOME%. Your %HOME% will be different.

1.3.1: Remove existing Vagrant projects

Follow these steps ONLY if you already have a previous Vagrant project you want to remove: (Assume the project you want to remove is located in the %HOME%\vagrant\Hyperledger directory.)
If you DO NOT have an existing Vagrant project that you need to remove, skip to section 1.3.2.
1. PS %HOME%\vagrant\Hyperledger> vagrant global-status
Note the id of the listed VM(s). You’ll use this id in the next command, in place of xxxxxxx.
2. PS %HOME%\vagrant\\Hyperledger> vagrant destroy xxxxxxx
3. PS %HOME%\vagrant\\Hyperledger> vagrant box remove ubuntu/xenial64

1.3.2: Create a new Vagrant project for Hyperledger

Launch PowerShell and enter the following commands: (Don’t type ‘PS %HOME%>’, that’s just the PowerShell prompt. Just type the characters in bold.)
1. PS %HOME%> mkdir vagrant
2. PS %HOME%> cd vagrant
3. PS %HOME%\vagrant> mkdir Hyperledger
4. PS %HOME%\vagrant> cd Hyperledger
5. PS %HOME%\vagrant\Hyperledger> vagrant init kelly219design/ubuntu-xenial-16.04-gui-desktop-base
Make sure that you enter the line above as ONE LINE at the PowerShell prompt 
6. Go to the Blackboard site (ucumberlands.blackcoard.com) and login.
7. Navigate to this course (BLCN532) -> Content for this week, Lab01.
a. Download the Vagrantfile file and copy it to the %HOME%\vagrant\Hyperledger directory. (This will overwrite the Vagrantfile that was already there.)
8. PS %HOME%\vagrant\Hyperledger> vagrant up
NOTE: To stop your VM type vagrant halt in PowerShell

Section 2: Install Pre-requisites (Chapter 3)

Once you have an operating Linux VM, you can start to install the Hyperledger Fabric pre-requisites. In this section you’ll install all the software and configuration pieces necessary to run the class enterprise blockchain application in Hyperledger Fabric.

Step 2.1: Install pre-reqs

2.1.1: Install dev tools

1. If you haven’t started your VM, do the following:
a. Open Windows PowerShell, then navigate to your Hyperledger project directory.
b. PS %HOME%\vagrant\Hyperledger> vagrant up
2. Login to your VM using the username: vagrant and password: vagrant
3. Click “Search your computer” (upper left corner icon), then type terminal.
4. Click on the Terminal icon to launch a terminal with a shell prompt.
You type all the following commands in your Linux VM (at the Terminal command prompt.)
Don’t type the ‘$’ character. That is the prompt character of a regular user to remind you that this is a command you should enter in Linux. When you see a ‘#’ character, that indicates you are in an elevated privilege shell. And the ‘>’ character indicates you’re in PowerShell. Pay attention to the prompt characters – they give you valuable information about your current context.
5. $ sudo apt-get update
6. $ sudo apt-get install libltdl-dev

2.1.2: Install Docker-CE

You can find complete Docker-CE instructions/docs at: https://docs.docker.com/install/linux/docker-ce/ubuntu/
1. $ curl -fsSL https://download.docker.com/linux/ubuntu/gpg | sudo apt-key add –
2. $ sudo add-apt-repository “deb [arch=amd64] https://download.docker.com/linux/ubuntu $(lsb_release -cs) stable”
Make sure that you enter the line above as ONE LINE in Linux 
3. $ sudo apt-get update
4. $ sudo apt-get install docker-ce docker-ce-cli containerd.io

2.1.3: Install Docker compose

1. $ sudo curl -L “https://github.com/docker/compose/releases/download/1.23.2/docker-compose-$(uname -s)-$(uname -m)” -o /usr/local/bin/docker-compose
2. $ sudo chmod +x /usr/local/bin/docker-compose
3. $ docker-compose version
4. $ date
5. Create a screenshot of the results of steps 1 – 4 and paste it into your Lab Report File.

2.1.4: Install business network pre-reqs

1. $ curl -O https://hyperledger.github.io/composer/latest/prereqs-ubuntu.sh
2. $ chmod u+x prereqs-ubuntu.sh
3. $ ./prereqs-ubuntu.sh
4. $ date
5. Create a screenshot of the results of steps 1 – 4 and paste it into your Lab Report File.
>>> Logout (use the gear icon in the upper right corner) and log back in before continuing.

2.1.5: Install GO language

The next step is to install the GO programming language. You’ll use GO to write and modify source code files for the class blockchain application.
1. $ sudo apt-get update
2. $ wget https://dl.google.com/go/go1.12.1.linux-amd64.tar.gz
3. $ tar xvf go1.12.1.linux-amd64.tar.gz
4. $ nano ~/.profile
5. In the nano editor, add the following 2 lines after the last line in the file:
export GOPATH=$HOME/go
export PATH=$PATH:$GOPATH/bin
6. Save your file and exit nano
7. $ source .profile
8. $ go version
9. $ date
10. Create a screenshot of the results of steps 1 – 9 and paste it into your Lab Report File.

Step 2.2: Install source code and set up business network

In this step you download and install the class application source code and set up the business network.

2.2.1: Forking and Cloning the trade-finance-logistics repository

1. In a browser (in Windows) go to: https://github.com/HyperledgerHandsOn/trade-finance-logistics
2. Sign up or log in
3. Click Fork
You type all the following commands in your Linux VM (at the command prompt.)
4. $ cd $GOPATH/src
5. $ git clone https://github.com/YOUR_GIT_ID/trade-finance-logistics.git
6. $ cd $GOPATH/src
7. $ mkdir -p github.com/hyperledger
8. $ cd github.com/hyperledger
9. $ git clone https://github.com/hyperledger/fabric.git -b release-1.1
10. $ cd fabric
11. EDIT FILES *****
a. $ nano Makefile
b. Find the line starts with CHAINTOOL_RELEASE (hint: use CTRL W to search)
c. Change the line you just found to this: CHAINTOOL_RELEASE=1.1.3
d. Find the line that starts with CHAINTOOL_URL (hint: use CRTL W to search)
e. Change the line you just found to this: CHAINTOOL_URL ?= https://hyperledger.jfrog.io/hyperledger/fabric-maven/org/hyperledger/fabric-chaintool/$(CHAINTOOL_RELEASE)/fabric-chaintool-$(CHAINTOOL_RELEASE).jar
NOTE: The line above should be on a SINGLE LONG LINE (don’t break up the line into multiple lines)
f. Save the file (hint: use CRTL O to write the file)
g. Exit the nano editor (hint: use CTRL X to exit)
h. $ nano images/javaenv/Dockerfile.in
i. Find the line that starts with && curl -fsSL https://nexus.hyperledger.org
j. Change the line you just found to this: && curl -fsSL https://repo1.maven.org/maven2/org/apache/maven/apache-maven/$MAVEN_VERSION/apache-maven-$MAVEN_VERSION-bin.tar.gz \
NOTE: The line above should be on a SINGLE LONG LINE (don’t break up the line into multiple lines)
k. Save the file (hint: use CRTL O to write the file)
l. Exit the nano editor (hint: use CTRL X to exit)
12. $ make docker
13. $ make configtxgen cryptogen
14. $ git clone https://github.com/hyperledger/fabric-ca.git
15. $ cd fabric-ca
16. $ make docker
17. $ date
18. Create a screenshot of the results of steps 1 – 17 and paste it into your Lab Report File.

2.2.2: Generate network cryptographic material

1. $ cd $GOPATH/src/trade-finance-logistics/network
2. $ nano ~/.profile
change last line to this (all on 1 line, not 2):
export PATH=$PATH:$GOPATH/bin:$GOPATH/src/github.com/hyperledger/fabric/build/bin:$GOPATH/src/github.com/hyperledger/fabric/build/docker/bin
3. Save file and exit nano
4. $ source ~/.profile
5. $ cryptogen generate –config=./crypto-config.yaml
6. $ date
7. Create a screenshot of the results of steps 1 – 6 and paste it into your Lab Report File.

2.2.3: Generate channel artifacts

1. $ cd $GOPATH/src/trade-finance-logistics/network
2. Execute the follow commands OR run the trade.sh script (AFTER step 9)
3. $ mkdir -p channel-artifacts
4. $ configtxgen -profile FourOrgsTradeOrdererGenesis -outputBlock ./channel-artifacts/genesis.block
5. $ configtxgen -profile FourOrgsTradeChannel -outputCreateChannelTx ./channel-artifacts/channel.tx -channelID tradechannel
6. $ configtxgen -profile FourOrgsTradeChannel -outputAnchorPeersUpdate ./channel-artifacts/ExporterOrgMSPanchors.tx -channelID tradechannel -asOrg ExporterOrgMSP
7. $ configtxgen -profile FourOrgsTradeChannel -outputAnchorPeersUpdate ./channel-artifacts/ImporterOrgMSPanchors.tx -channelID tradechannel -asOrg ImporterOrgMSP
8. $ configtxgen -profile FourOrgsTradeChannel -outputAnchorPeersUpdate ./channel-artifacts/CarrierOrgMSPanchors.tx -channelID tradechannel -asOrg CarrierOrgMSP
9. $ configtxgen -profile FourOrgsTradeChannel -outputAnchorPeersUpdate ./channel-artifacts/RegulatorOrgMSPanchors.tx -channelID tradechannel -asOrg RegulatorOrgMSP
OR (Instead of typing the commands above, the author provides a script to do it all)
1. $ ./trade.sh generate -c tradechannel
Troubleshooting help:
· If you encounter problems with your blockchain network in this lab or future labs, the ./trade.sh script may help you resolve them. If you are getting errors when trying to launch or interact with your network, try these commands at the Ubuntu command prompt:
o ./trade.sh down # If your network is up and running
o ./trade.sh clean
o ./trade.sh generate -c tradechannel 
o ./trade.sh up

2.2.4: Launch the sample trade network

There are two ways to launch the sample trade network, using the docker-compose command directly, or by using the author-supplied trade.sh shell script. We’ll use the shell script in most of our activities.
1. $ cd $GOPATH/src/trade-finance-logistics/network
2. $ ./trade.sh up
3. $ date
4. Create a screenshot of the results of steps 1 – 3 and paste it into your Lab Report File.

Step 2.3: Verifying your business network

The last step in this lab is to verify that your business network is up and running.
1. Open a new terminal window in your Vagrant Hyperledger VM. Click “Search your computer” (upper left corner icon), then type terminal, then click the Terminal icon.)
2. Enter the following command:
3. $ docker ps -a
4. $ date
5. Create a screenshot of the results of steps 2 – 4 and paste it into your Lab Report File.
6. The first column in the previous output is the “container-ID”. Find the container-ID for the orderer process, and use it for the following command: (Don’t type the “<” or “>” characters)
7. $ docker logs <container-ID>
8. Create a screenshot of the results of step 7 and paste that screenshot into your Lab Report File.

Section 3: Wrapping up

Once you have your network up and running, the only step to complete is to learn how to properly shutdown your business network.
1. Shut down the business network in Linux:
2. $ ./trade.sh down
3. Exit from your Linux Terminal command prompt(s) (i.e. close any open Terminal windows.)
4. $ exit
5. In Windows PowerShell, shut down your Hyperledger virtual machine:
9.  PS %HOME%\vagrant\Hyperledger> vagrant halt
10. Create a snapshot (NOT A SCREENSHOT) of your Ubuntu VM in VirtualBox. This allows you to easily restore to this point if you ever need to “undo” subsequent steps and return to a known point.
a. PS %HOME%\vagrant\Hyperledger> vagrant snapshot EndOfLab01
You should have 8 screenshots in your Lab Report File. Save your file and submit it in iLearn as a file attachment for the Lab 1 assignment.
Congratulations! You have complete lab 1.

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Literature Review

Week 4 Assignment Instructions

Tutor MUST have a good command of the English language

Please read all the instructions and requirements

Sources need to be less than five years old and journal/scholarly articles. 

No textbook or direct quotes 

All the Rubric requirements listed MUST be met.

***I have attached the  DPI Project Milestone: 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project Assignment with the instructor’s corrections/comments. This needs to be revised as well meeting the instructor’s expectations. 

Details:

 

Empirical research is the foundation of scholarly research and scholarly writing. An empirical article is defined as one that reports actual results of a research study. An empirical article includes a description of the study, an introduction, a research question, an explanation of the study’s methodology, a presentation of the results of the study, and a conclusion that discusses the results and suggests topics for further study.

As you search the library for scholarly research, you should limit your search to identify empirical articles. (You can use the “Empirical Research Checklist” from DNP-801 to assist in this determination.) After finding an empirical study, begin to assess the validity of the conclusion by determining if the conclusion answers the proposed research question and if the methodology is appropriate.

As you move forward in your doctoral journey, you will read research papers that will require you to assess the validity of the studies in question. To accomplish this, qualitative assessments about the research must be made by comparing, contrasting, and synthesizing what the research says.

In this assignment, you will continue to develop the skill of writing, by reviewing 15 research articles associated with your chosen topic and using the content to identify at least five major concepts and subthemes related to your topic.

General Requirements:

Use the following information to ensure successful completion of this assignment:

  • Use      the “Empirical Research Checklist” to assist in the      determination of empirical articles.
  • Use      the “Research Article Chart” to provide a summary review of each      component of your assignment.
  • Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the Student Success Center.
  • This      assignment uses a rubric. Please review the rubric prior to beginning the      assignment to become familiar with the expectations for successful      completion.
  • You      are required to submit this assignment to Turnitin. Please refer to the      directions in the Student Success Center.

Directions:

Part 1: Selection of 15 Articles 

Select 15 empirical articles related to your PICOT question. Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria. At least one article must demonstrate a quantitative methodology.

Clinical/PICOT Question: 

In Patients > 65 years of age with central line catheters, how does staff training of key personnel and reinforcement of central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections) at a level two trauma facility compared to standard care over a one-month period? 

P: Patients > 65 years of age with a central line

I: Staff training and reinforcement of central catheter, hub hygiene 

C: Compared to standard care 

O: Reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections)

T: A period of one-month

Part 2: Research Article Chart

Using the articles acquired in Part 1, provide a summary review of each component using the “Research Article Chart” template.

Part 3: Synthesis of Research Studies

Based upon your review of the 15 research articles, identify at least five major concepts that relate to your project topic, and three subthemes related to each concept.  

Using the information from the completed “Research Article Chart,” and the major concepts and subthemes you have identified, write a 2,000-3,000 word paper that synthesizes the content of the 15 research studies.

Summarize each major concept and focus on providing a detailed synthesis of the three identified subthemes that support that concept by addressing the following.

  1. Introduction      of the identified subtheme
  2. Summary      of the research questions posed by the studies
  3. Summary      of the sample populations used
  4. Summary      of the limitations of the studies
  5. Summary      of the conclusion and recommendations for further research
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>English homework help

Four page position essay on “The Metamorphosis” by Franz Kafka.
Prompt:  With what character do you sympathize and/or identify most from ? Why? Does your response conform to or contradict the text’s overall argument or purpose? With what character are you supposed to sympathize and/or identify most? How and why does the text manipulate your response to this character?
REQUIRED: 
– Four pages and a works cited page with at least two sources OTHER than the story itself. Sources must come from an academic source such as a library database. 
– No summary of the story within the text. Assume the reader already knows what you’re talking about. 
– Minimal to no use of first person. 
– Reference the text at least 4-5 times throughout the writing. 

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CISA Assignment 2

Document attached

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WEEK 1 KEEPING CURRENT IN THE FIELD

WEEK 1 KEEPING CURRENT IN THE FIELD

Division chiefs, program managers, and other senior staff members working in CISO organizations frequently find themselves needing to stay current on technologies while, at the same time, leading and managing segments of the IT security program and assigned staff. Attending conferences is one way that these senior level personnel can learn about new technologies, tactics, techniques, and practices which can be adopted by an enterprise. Over the course of two or three days, a busy manager or executive can attend a large number of briefings while also developing business relationships by networking with others in the field.

Find an IT Security or Cybersecurity conference that will be offered in the next six months and research the types of presentations and workshops which will be offered. Research the costs associated with attendance (conference fees, meals, lodging, travel). The conference venue must be within the continental United States. The conference itself should be one that you are interested in and would attend if the funding were made available.

Write up a travel request which includes a summary of the conference, a justification which explains the benefits of attendance (many conferences will provide a template), and an estimate for the costs that includes the following categories: conference or workshop fees, meals, lodging, travel. Format your travel request as a 1 – 1/2 page business memorandum (no more than 7 paragraphs) addressed to the Padgett-Beale CISO.

Your travel request should include links (URLs) for the conference and venue (including the hotel where you would stay). If meals are included in the conference fee then you should state that and not include those meals in your estimate. Use this GSA website to obtain estimates for meals that are not included in the conference fees:  https://www.gsa.gov/travel/plan-book/per-diem-rates

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HOW YOU VIEW YOUR CURRENT OR FUTURE RESPONSIBILITIES FOR PROMOTING STRATEGIC HUMAN RESOURCES MANAGEMENT WITHIN HEALTH CARE.

Human Resources Management Discussion 300-350 words Strategic human resources management aligns human resource practices with the strategic objectives of an organization. Successful health care managers need to understand how human resource functions can be utilized to fulfill their organization’s mission and goals, such as the promotion of high-quality care, a customer-service orientation, and financial viability.

  • Share key insights you have gained about the impression (positive, negative, or mixed) that you and others have of human resources management. Also, explain what factors might be contributing to this perception.
  • Describe how you view your current or future responsibilities for promoting strategic human resources management within health care.
  • Analyze two metrics and indicate how each could be used as an indicator of HR efficiency, productivity, and/or value added.

Q2

Information Systems

3-4 pages APA format

As the manager of the CTU Health Care information systems department, the chief information officer (CIO) has asked you to complete the following:

  • Analyze the implications and challenges of cost, quality, and external forces on electronic health record (EHR) or electronic medical record (EMR) selection and implementation within your department.
  • Conduct research on 1 major external threat facing the EHR today.
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Statistics homework help

Due: November 11th, 3:00 PM PST-Statistics Assignment

1.  For the population of low birth weight infants, a significant linear relationship was found to exist between systolic blood pressure and gestational age (the data set lowbwt1.csv, and lowbwt2.txt; these datasets both include variables for the same samples, in the same order, with different but overlapping columns). The measurements of systolic blood pressure are saved under the variable name sbp, and the corresponding gestational ages under gestage. Also contained in the data set is the variable name apgar5, the five-minute apgar score for each infant. (The apgar score is an indicator of a child’s general state of health five minutes after it is born; although it is actually an ordinal measurement, it is often treated as if it were continuous.) (11 marks)
(a)  (2 marks) Create a scatter plot of systolic blood pressure versus five-minuteapgar score. Does there appear to be a linear relationship between these two variables?
(b)  (2 marks) Using systolic blood pressure as the response and gestational ageand apgar score as the explanatory variables, fit the multiple linear regression
yˆ = a + βˆ1x1 + βˆ2x2.
Interpret βˆ1, the estimated coefficient of gestational age. What does it mean in words? Similarly, interpret βˆ2, the estimated coefficient of five-minute apgar score.
(c)  (1 mark) What is the estimated mean systolic blood pressure for the populationof low birth weight infants whose gestational age is 31 weeks and whose fiveminute apgar score is 7?
(d)  (2 marks) Test the null hypothesis:
H0 : β2 = 0
at the 0.05 level of significance. What do you conclude?
(e)  (2 marks) Construct a plot of the residuals versus the fitted values of systolicblood pressure. What does this plot tell you about the fit of the model to the observed data?
2.  The data set lowbwt also contains sex, a dichotomous random variable designating the birth sex assigned to each infant. (4 marks)
(a)  (2 marks) Add the indicator variable sex (where 1 represents male and 0 female) to the model that contains gestational age. Given two infants with identical gestational ages, one assigned male and the other female, which would tend to have the higher systolic blood pressure? By how much, on average?
(b)  (2 marks) Add to the model a third explanatory variable that is the interactionbetween gestational age and birth sex. Does gestational age have a different effect on systolic blood pressure depending on the birth sex of the infant?

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    Statisticsassignment.docx
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    lowbwt1.csv
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    lowbwt1.txt
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