DEVELOPING AN EVIDENCE-BASED PRACTICE

 Overview

For this discussion, you will Identify a situation in your current workplace where evidence based practice has been or could be applied.  Remember, this refers to decisions about patient care that are based on evidence that is produced by well designed research.  You will need to provide a the research to support your decision.  Use 2 professional references that are less than 5 years old.

Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.

Objectives

  • Identify types of research questions to be studied with qualitative methods
  • Describe the steps in making a clinical decision based on evidence

Cystic Fibrosis response

 

Cystic Fibrosis is considered a multiorgan disease that affects the lungs, digestive tract, and reproductive organs (Huether, McCance, & Brashers, 2020).  Clinical manifestations include high chloride content of sweat, meconium ileus, distal intestinal obstruction, exocrine pancreatic insufficiency, growth disturbance, male infertility, and chronic and recurrent pulmonary infections (Malhotra, Hayes, & Wozniak, 2019).  This disease is characterized by airway obstruction, chronic bacterial infection, and excessive inflammatory response (Chmiel & Davis, 2003). 

Cystic Fibrosis is caused by a mutation of the CFTR gene; this gene encodes the cystic fibrosis transmemberane conductance regulator (CFTCR).  This mutation results in abnormal expression of cystic fibrosis transmembrane conductance regulator (CFTCR) protein (an activated chloride channel that exists on the surface of many types of epithelial cells).  As a result of CFTR dysfunction, chloride and water are not transported appropriately across epithelial membranes and this results with thick and dry mucus secretions.  Approximately 2,000 different mutations in the CFTR gene have been identified (Kiedrowski & Bomberger, 2018).  These mutations are further subdivided into five classes based on how they lead to defective defective production of the CFTR protein (Kiedrowski & Bomberger, 2018).  Chronic respiratory infections and ineffective inflammatory response leading to respiratory failure and primary causes in death of these patients (Kiedrowski & Bomberger, 2018). 

Essentially, in the CF respiratory tract, there are numerous contributing factors that result from the dysfunctional CFTR protein combine to create a favorable environment for the promotion of chronic bacterial and viral infections. 

It is suggested that CFTR dysfunction results in an inability to secrete chloride and bicarbonate ions into the airway lumen; unopposed sodium reabsorption results in net water uptake by the respiratory epithelium which liquid (further results in dehydration of airway surface (Malhotra, Hayes, & Wozniak, 2019).  Dehydrated mucus affects mucociliary and cough clearance of mucus, thus providing a favorable environment for colonization and infection of opportunistic pathogens (Malhotra, Hayes, & Wozniak, 2019). 

Another suggestion is that the impairment of CFTR is related to the altered pH of airway surface liquid (ASL).  Studies suggest that CF ASL show reduced bacterial killing due to impaired function of cationic antimicrobial peptides (AMPs); AMPs are innate immune proteins within leukocyte and epithelial secretions, with broad antimicrobial activity against infectious pathogens and immunomodulatory functions (Malhotra, Hayes, & Wozniak, 2019).  Antimicrobial killing of AMPs within the airway of those with CF, is said to be reduced in acidic pH conditions (Malhotra, Hayes, & Wozniak, 2019). 

Furthermore, there is another suggestion that basal inflammation promotes bacterial infection.  It is suggested that excess production of proinflammatory cytokines within the CF airway is related to early promotion and recruitment of inflammatory cells, such as neutrophils.  Neutrophil proteases are able to degrade immune antimicrobials, thus contributing to a secondary bacterial infection (Malhotra, Hayes, & Wozniak, 2019). 

Ultimately, the above-mentioned deficiencies in the CF respiratory tract prevent effective clearance of pathogens from the airway and create an environment favorable for infective pathogens.

References

Chmiel, J.F., & Davis, P.B. (2003). State of the Art:  Why do lungs of patients with cystic fibrosis become

               Infected and why can’t they clear the infection? Respiratory Research 4(1).

https://dx.doi.org/10.1186%2F1465-9921-4-8

Huether, S.E., McCance, K.L., & Brashers, V.L. (2020).  Understanding Pathophysiology (7th ed.).  Elsevier.

Kiedrowski, M.R., & Bomberger, J.M. (2018). Viral-Bacterial Co-Infections in the Cystic Fibrosis

               Respiratory Tract.  Frontiers in Immunology, 9. https://doi.org/10.3389/fimmu.2018.03067

Malhotra, S., Hayes Jr., D., & Wozniak, D.J. (2019).  Cystic Fibrosis and Pseudomonas aeruginosa: the

               Host-Microbe Interface.  American Society For Microbiology 32(3).

               https://doi.org/10.1128/CMR.00138-18.

NEED URGENT HELP

For this assignment, address all items listed below for the GAP, Inc. Based on your findings in parts 1–3 below, comment on the Gap’s financial position in FY2020, which ended on January 30, 2021. The Gap’s financial statements are available as form 10-K at sec.gov. 

Compute three financial ratios of the firm in each category (liquidity, solvency, asset management, and profitability) at the end of FY2020. The financial ratios you need to calculate are as follows:

Liquidity: current ratio, quick ratio, and cash ration

Solvency (leverage): long-term debt ratio, debt to equity ratio, and times interest earned ratio

Asset management: total assets turnover, inventory turnover, and receivables turnover

Profitability: profit margin, ROA, and ROE

Compare the ratios you computed in part a) with the industry average at the end of the same fiscal year. To compute the industry average, pick the firm’s closest five competitors, compute the ratios you used in part a) for each competitor, and then average them. A list of the firm’s competitors can be found either in the firm’s 10-K report or in the Mergent Online database that you can find in the Pace online library.


Compare the Gap’s ratios you computed in part a) with those of the previous FY. 


The assignment will be graded on three criteria: 1) the accuracy of your calculations and explanations; 2) use of analytics, numbers, graphs, etc.; and 3) the organization and clarity of your written report. 

Note on how to present your work:

Report and explain all your findings in a Word document. Summarize the ratios you calculate in a table. Show all your calculations in Excel as supporting evidence. Each numerical answer reported in your Word document should have a reference to where in the Excel spreadsheet I can find your calculations. Use only one Excel spreadsheet, but different tabs (if necessary) for your calculations. The report should use a 12 point font, be double spaced, and not more than five pages long (including graphs, tables, references, and appendices).

Cite your sources (financial reports and others) in the Word document, and specify the page number where you found the information.

I do not have the book. Please advise if it can be done without it

  1. From the Best Practices in Talent Management textbook, select either the Porter Novelli (Chapter 12) or Southern Company (Chapter 13) case study for this assignment.
    Write a 5–7 page paper in which you:

    1. Evaluate the effectiveness of the roles that the strategic leaders played in the formation of the performance management strategy.
    2. Develop five-point criteria for evaluating the effectiveness of the talent management strategy and how the data could be collected.
    3. Critique the components of your talent management strategy and suggest alternative ways to achieve effective results.
    4. Outline the functional expertise component of this strategy and how it optimizes the company’s ability to identify highly qualified individuals.
    5. Use at least five quality academic resources in this assignment. Note: Wikipedia and other websites do not quality as academic resources.
    6. This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.
      The specific course learning outcome associated with this assignment is:
    • Propose alternative talent management strategies, including strategies for developing functional expertise.
  2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

Book list assignment

Introduction

One of the most effective ways to promote children’s language and increase their vocabulary is through reading!  Every classroom needs to be rich in literacy-enhancing materials and experiences. This assignment will link selecting quality books for young children to a variety of subject matter.

The Assignment

For this assignment, you will create a list of 8 children’s books that promote literacy in the areas of Math, Science, Social Studies and Technology (2 for each category).  You will be looking for books that encourage children to explore these content areas.  Included for each book must be:subject, title, author, illustrator, copyright date and a brief description (minimum length of 3 complete sentences) of the story. Books (a total of 8) must be numbered and in a chart format.

In addition: you are to choose 2 of your books and discuss how you plan to use these books in your classroom with children.  Areas that must to be addressed are:

What content/subject matter does the book cover? (math, science, ss, or technology)

What skills will you focus on?  (what concepts of math, science, etc are you wanting them to learn?)

What activities will you incorporate related to the book? How will you use the book in whole group and then in small group/centers? 

**For each book, the write up should be a minimum of 7 sentences.  (stating that you will read the book to the children is not sufficient)  You should also include the actual cover of the 2 books that you have chosen. **not a picture of the book that you took off the Internet

Grading Criteria

The summary is graded on a 100 point scale. Maximum points are given when 8 books are listed (in chart form) with the subject, title, author, illustrator, copyright year and brief description 

*10 points: information is in a chart format

*1 point: for each required component of the books.

*20 points: for descriptions of the books.  

*20 points:paragraph write up for 2 books is included 

*10 points: photos of 2 chosen books

-Spelling and Grammar will be evaluated

Resources

Public library, book stores, etc.  

i need a discussion done for week 2 and a response to 2 other classmates

 Week 2 DiscussionCOLLAPSE

Pitch Your Big Idea in Video

For your course project, you need to identify an innovative “big idea” for your Business Plan. This DQ is designed to help you select and refine your “big idea.” You will prepare and record a short video recording (2 minutes or less) about your “big idea” as your initial DQ post. Work through the steps below to plan and create your DQ video:

Step 1. What is your “big idea?” If you don’t have one, see the Assignment 1 Instructions for resources to help you identify one.

Step 2. Using the prompts below, draft notes for a brief, succinct pitch on your “big idea”:

  • What type of Business Plan will you develop: Entrepreneurial, Intrapreneurial, or Nonprofit?
  • Briefly describe your “big idea” and explain what you find exciting about this product or service.
  • What problem in the market or in the community will your “big idea” solve?
  • Why doesn’t this product or service already exist in the market?
  • Identify the Strengths, Weaknesses, Opportunities, and Threats for your “big idea.”

Step 3. Use the PowerPoint SWOT template, provided in the Assignment 1 resources, to create a visual SWOT analysis chart for your “big idea.” The content in the SWOT chart comes from your notes for the last bullet point in Step 2.

Step 4. Use Zoom or the software of your choice to record your “big idea” pitch. Then post the MP4 video recording as your initial DQ response. Your video should last no more than 2 minutes.

Post your initial response by Wednesday, midnight of your time zone, and reply to at least 2 of your classmates’ initial posts by Sunday, midnight of your time zone.​

1st Response

 
14 hours agoMalgorzata Perotin RE: Week 2 Discussion AttachmentCOLLAPSE

Good morning Class and Dr. A,

Below please see my BIG Idea pitch video and SWOT analysis visual.

Thank you,

Maggie

References:

  1. Caroline Castrillon. 2019. Why More Women Are Turning To Entrepreneurship. Forbes. https://www.forbes.com/sites/carolinecastrillon/2019/02/04/why-more-women-are-turning-to-entrepreneurship/?sh=2ddc6e8c542a
  2. Daniel Goleman. 2000. Leadership That Gets Results. Harvard Business Review
  3. Guidant Financial. 2019. 2019 Trends – Women In Business. A look at women-owned businesses in 2019. https://www.guidantfinancial.com/small-business-trends/women-in-business/
  4. Emily Heyward. 2020. So You Want to Be an Entrepreneur? Harvard Business Review.
  5. Guy Kawasaki. 2015. The Art of the Start 2.0. Portfolio. Penguin.
  6. Datareportal. Global Social Media Stats. https://datareportal.com/social-media-users

2nd Response

 

Hi all,

Please see the following week 2 DQ video post.

Please see the following SWOT Analysis:

SWOT

Looking forward to your feedback.

Thank you,

Marco

References:

  1. Kawasaki, G. (2004). The Art of the Start 2.0.
  2. Frankenfield, J. (2021). Data Analytics. Investopedia. Retrieved from https://www.investopedia.com/terms/d/data-analytics.asp
  3. Brown, T. (2008). Design Thinking. Harvard Business Review.
  4. HBR. (2012). Disruptive Innovation Explained. YouTube. Retrieved from https://www.youtube.com/watch?v=qDrMAzCHFUU&t=1s
  5. Canada. (2020). Key Small Business Statistics. Government of Canada. Retrieved from https://www.ic.gc.ca/eic/site/061.nsf/eng/h_03126.html#how-SME

Systems Development Life Cycle HI300M1-01

 

HI300-1: Describe the phases and activities in the systems development life cycle.

Imagine that you are the HIT Director for a healthcare facility and you are tasked with leading the facility in converting their office to electronic health records. For this Assignment, you will design and construct a Microsoft PowerPoint® presentation that highlights the planning and implementation process when converting to electronic health records. You will present this PowerPoint to other stakeholders in the HIT Department. Please include the following topics in your presentation:

  • Name and describe two examples of EHRs used in healthcare facilities and discuss the pros and cons of each.
  • What technologies would the facility need to implement electronic health records?
  • Describe how the facility should implement EHRs using the phases of the system development life cycle as a guide.

Your presentation must have at least 15–20 slides. Please use the notes section to clarify anything that might be confusing and anything that needs elaboration such as definitions.

Requirements:

This Assignment should follow the conventions of Standard English (correct grammar, punctuation, etc.). Your writing should be well ordered, logical, and unified, as well as original and insightful. The resources used (including your text) should be properly cited. Your work should display superior content, organization, style, and mechanics.

Minimum Submission Requirements

  • This Assessment should be a Microsoft PowerPoint presentation (approximately 15-20 slides), and include title and reference slides.
  • Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.
  • Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics.
  • Your submission should provide a clearly established and sustained viewpoint and purpose.
  • Your writing should be well ordered, logical and unified, as well as original and insightful.
  • A separate slide at the end of your submission should contain a list of references, in APA format. Use your textbook, the Library, and the internet for research.
  • Be sure to cite both in-text and reference list citations where appropriate and reference all sources. Your sources and content should follow proper APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.
  • Your submission should:
    • include a title slide;
    • be appropriately spaced;
    • use a neutral-style font (such as Ariel, Times New Roman, etc.);
    • include correct citations;
    • be written in Standard English with no spelling or punctuation errors; and
    • include correct references on the reference slide.

If work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned without being scored.

Plagiarism

Plagiarism is an act of academic dishonesty. It violates the University Honor Code, and the offense is subject to disciplinary action. You are expected to be the sole author of your work. Use of another person’s work or ideas must be accompanied by specific citations and references. Whether the action is intentional or not, it still constitutes plagiarism.

Assignment is in the screenshots.

 

Please submit a one page reflection here if asked to an alternative assessment to pass this unit

Provide a Kolb reflection on what you learnt in HIT 381 using the template below based on the diagram

Template. 

Fill out each section in relation to your main learning in this unit. You will not receive marks for consideration of team issues. This can be about your learning style, learning to test user experience, or how you designed and improved your design.

Concrete experience:

You consciously and physically experienced an aspect of learning in HIT381, which made you realise that you need to reflect systematically in order to learn something new or improve on your existing skill and practice. Note the context, the specific situation and just describe what you saw, how you felt and what you thought.

Reflective observation:

Now reflect on what happened and write this up. The questions you need to ask yourself are: what worked? what failed? why did the situation arise? why did others and I behave the way we did?

Abstract conceptualisation:

Now write about what could I have done better or differently? how can I improve? Initially, you try to find different ways for dealing with the situations and think up strategies for when you experience a similar situation again. Also, this is the stage where you should consult colleagues and literature in order to get a better understanding and further ideas. Yuo can refer to the readings covered in the unit

Active experimentation:

Now how will you practice the newly acquired theoretical knowledge. How will you implement your own reflections and thoughts about improvements as well as the theories back into your practice and try out the new strategies.

Note for future: Some of this will work, others won’t, so this is then automatically the basis for the new cycle. As the experiences within the active experimentation stage become the new “concrete experiences” for your future work.

Complementary and Alternative Health DQ 1 week 3 student reply Maydenis molinet

 The following post is from another student to which i have to reply adding some extra info

APA 

less than 10 % similarity

The natural nature of essential oils has boosted their popularity in many parts of the world. Most of the essential oils contain the hydrophobic components that are vital in treating various health conditions such as skin-related diseases. Other examples of essential oils such as Peppermint have been proved to have the ability to cure digestive challenges (Manion & Widder, 2017). The mechanism through which the essential oils work depends on their nature and the intentions of the users. For instance, the essential oils inhaled into the lungs work differently from those applied to the skin.

Besides, it is critical to note that most essential oils fall under the alternative forms of medication. Hence, the characteristic makes it challenging for healthcare providers to develop a conclusive procedure detailing the functionality of different classes of essential oils (Lu et al., 2020). The essential oils inhaled into the lungs travel into the brain cells (Manion & Widder, 2017). As a result, the essential oils in the brain trigger the amygdala, an emotional center of the brain, to produce a calming effect, thus reducing axiety, stress, or any other mental or emotional condition yield restlessness in the body. 

The uptake of some essential oils also boosts the immune system, thus improving the ability of the body to detect the foreign pathogen. Moreover, the essential oils that are applied directly to the skin make it possible to fight infection on the skin’s surface, thus suppress various skin illnesses such as rash, herpes, and others (Nieto, 2017). Finally, the natural oils work by triggering the brain to produce a stimulus that helps to interpret the immune response required to bring the body’s health condition back to normal. The use of essential oil is widespread among the nutritionist in the United States and other parts of the world.

References

Lu, X., Weng, H., Li, C., He, J., Zhang, X., & Ma, Z. (2020). Efficacy of essential oil from Mosla Chinensis Maxim. Cv. Jiangxiangru and its three main components against insect pests. Industrial Crops and Products, 147, 112237.

Manion, C. R., & Widder, R. M. (2017). Essentials of essential oils. American Journal of Health-System Pharmacy, 74(9), e153-e162.

Nieto, G. (2017). Biological activities of three essential oils of the Lamiaceae family. Medicines, 4(3), 63.

Weekoseveno Responda

Response to the following with APA references

 The state that I live in, New Hampshire, has had a long history of struggles with opioids and other drugs of abuse. When looking at the country as a whole, the year 2018 marked the first decrease in deaths secondary to opioids by 4.1% (NIH, 2021). In New Hampshire, the rates have remained steady since about 2015 (CDC, 2020). Approximately 33% of overdose deaths in New Hampshire are attributed to opioid overdoses.  In New Hampshire, the primary drug that is attributed to the incidence of overdose is Fentanyl (Meier et al., 2020). Fentanyl is dangerous because it takes a very small amount to induce and overdose, and often it is laced into other substances which leads to an unknowing overdose from the user of the substance. Opioids are obtained through either legal means and are misused by those who they are prescribed to, or by people who are able to obtain them through illegal means. Opioid abuse is also the result of, or the causative factor of many other negative disease processes such as chronic pain, self-harm, suicide, homelessness, hepatitis C and HIV (DHHS, 2016). There are several resources available to people in New Hampshire who are struggling with opioid use or addiction. The New Hampshire Department of Health and Human Resources has two tools to help find services available in the state. The first is a locator of Treatments Centers. The second is resource that serves as an informative resource for people looking to obtain Narcan kits (DHHS, 2016). Dartmouth-Hitchcock Hospital in Lebanon, NH has access points to several available statewide resources (Dartmouth-Hitchcock, 2021). Because Dartmouth-Hitchcock is on the New Hampshire Vermont border, they spearhead efforts in both states to find resources related to drug and alcohol treatment options.