Category: Applied Sciences homework help

Response 1
Data collection and analysis has become part of every day in health care. From collecting patient history, to medication administration, and even to determine staffing in a facility. There are
multiple benefits of data collection. One of the benefits is collection of data towards evidence-based practice (Sahu, 2021). “Big data facilitates the determination of the best practices and makes sure that
they are used in the organization” (Sahu, 2021). This benefits nurses as well in the increased education in best practice as well as the use of resources (Sahu, 2021). With every benefit there is a challenge
as well. One of the challenges of big data in nursing is the lack of proper data collection to show the contribution of daily nurse activity (Contributor, 2018). Nursing care is complex and does not follow a
linear data collection model, therefor it is imperative to develop a more detailed data collecting system that will evaluate nursing tasks like psychological care (Contributor, 2018). In addition, nurses do
not typically get feedback from their data collection and that leads to lack of understanding and involvement in developing better patient care (Contributor, 2018). One of the ways to improve this
challenge is educate nurses on the importance of involvement in data development, and analysis. Studies have shown that involving nurses in the development, testing, and implementing of systems
contributes to better understanding and participation in using that program or technology (Weckman & Janzen, 2009). 2APA reference
Respondo 2
Healthcare organizations use big data for more knowledge, more significant insights, and innovative ideas, which they use to increase efficiency and quality, “resulting in better healthcare practices and improved patient outcomes” (McGonigle & Mastrian, 2017, p 478).  One benefit of using big data is enhancing continuity in care.  A clinical scenario is a 68-year-old patient who comes to the emergency department (ER) for shortness of breath (SOB).  From the time this patient checks into the hospital until they are discharged, the vast amount of data generated from triage, laboratory testing, cardiac imaging, and other specialized tests makes for continuity in care.  Every department and person who came in contact with this patient will have access to the data and proceed with their plan of care without having to reduplicate labs and imaging studies. This ability for continuity serves as efficiency in the delivery of care while also providing the patient with a cost-saving approach. Eliminating duplication in a clinical setting can simplify and revolutionize nursing workflow within EHRs (Glassman, 2017). Healthcare organizations generating millions of data need proper transmission channels, storage, processing, assimilation, and utilization.
Generating and effectively using big data comes to benefit the organization to become more efficient in the delivery of care while increasing patient outcomes and positive experiences.  However, there are some risks and challenges associated with its use.  One risk of using big data is unplanned power outages during inclement weather conditions. The uninterrupted power supply strains the system’s resourcefulness and operability.  Another challenge for organizations using big data is downtime or system upgrades.  Downtime periods are operationally disruptive and pose risks to patients (Larsen et al., 2019). 
There are strategies that I have observed that will effectively alleviate challenges associated with big data. A backup generator has proven to be more efficient in managing unplanned power outages.  The organization can plan for downtime or system upgrades when the hospital anticipates low census like the holiday season.  The concept of backup data storage in the cloud also serves the purpose of easy accessibility, reliability, and easy retrieval should the institution’s primary system and data bank experience a crash or a compromise in the system.  My current organization just faced the challenge of a compromised system, and immediately everything had to be taken down, and we do not have cloud storage for the backup data. The leadership is now discussing the options for cloud storage.. 2APA refrences

Response 1 
Obesity is one of the significant causes of type 2 diabetes, and also it appears to be related to aging, sedentary lifestyle, and genetic influence. Type 2 diabetes develops when the receptor cells have become less sensitive to the insulin—this insulin resistance results in less sugar being removed from the blood because the beta-cells cannot secrete sufficient insulin to keep up with demand (Le Gresley et al., 2021). On the other hand, type 1 diabetes is primarily due to the autoimmune-mediated destruction of the pancreatic beta-cell leading to insulin deficiency (Mishra & Ndisang, 2014). Juvenile diabetes is also called type 1 diabetes or insulin-dependent diabetes. It is most commonly diagnosed in children, teens, and young adults, but it can develop at any age. Diet and lifestyle habits do not cause type 1 diabetes (Centers for Disease Control and Prevention, 2021). Type 1 diabetes means using insulin. Because the body no longer makes this hormone. One has to take insulin several times during the day, including with meals. However, type 2 diabetes and gestational diabetes can be managed by healthy eating and exercise first. If the blood sugar is not well controlled, they may also need to use oral medications and insulin injection treatment (National Institutes of Health, 2016).Gestational diabetes (GD) is a serious pregnancy complication and type of diabetes that occurs during pregnancy. In most circumstances, this hyperglycemia is the consequence of impaired glucose tolerance. Risk factors for GD include overweight and obesity, advanced maternal age, and family history of any form of diabetes. In addition, GD includes an increased risk of maternal cardiovascular disease, type 2 diabetes and macrosomia, and birth complications in the infant (Plows et al., 2018).Oral Medication of Type 2 DiabetesMost medications for type 2 diabetes are oral drugs. One good example of oral medication is a biguanide, and the most common is Metformin. Metformin helps control the amount of sugar in the blood by decreasing intestinal glucose absorption and how much glucose is made in the liver. Metformin comes as a liquid, a tablet, and an extended-release (long-acting) form. The diabetic pills are taken by mouth and should be every day around the same time (National Library of Medicine, 2020).Usual Adult Dose for Oral MetforminStart on a low dose of PO Metformin 500 mg twice a day or 850 mg once a day. Then, gradually increase in 500-850 mg does not more often than once every 1–2 weeks. The maintenance dose will be 2000 mg/day in divided doses, and the maximum dose is 2550 mg/day. The extended-release tablet usually takes 500-100 mg daily with the evening meal. An increase in 500 mg increments weekly as tolerated and with a maximum dose of 2000 mg/day. Swallow metformin extended-release tablets whole, not split, chew, or crush (Drug.com, 2020).Dietary ConsiderationsThe primary purpose in the management of diabetes is to achieve as near normal regulation of blood glucose (postprandial and fasting) as possible. The total amount of carbohydrates consumed have the most substantial influence on the glycemic response (American Diabetes Association, 2019). Carbohydrate intake should emphasize nutrient-dense carbohydrate sources high in fiber, including vegetables, fruits, legumes, whole grains, and dairy products. Less refined grains, red/processed meats, and sugar-sweetened beverages Short-term and Long Term Complications of Type 2 DiabetesShort-term complications of type 2 diabetes are hypoglycemia (very low blood glucose) and are one of the most common short-term effects. Hyperglycemia (high blood sugar) are consuming more carbohydrates or sugar than your body can handle can sometimes cause hyperglycemia. Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is very high blood glucose and can lead to coma and death. More short-term complications include increased thirst and urination, blurred vision, fatigue, and headache (Inspira Health, 2019).Diabetic individuals have a mortality rate twice that of the general healthy individuals. Long-term complications include damage to large (macrovascular) and small (microvascular) blood vessels. In addition, many affected populations are at high risk of developing diabetes-related complications such as myocardial infarction (MI), stroke, retinopathy, nephropathy, arterial diseases, and neuropathy, leading to amputation (Laursen et al., 2017).Type 2 diabetes medication therapy sometimes stops working after months or years with an unknown cause. However, a single medication may be effective before, especially if someone developed diabetes just recently. On the other hand, one may need combination oral therapy when having diabetes for a long time and take more than 20 units of insulin each day (American Diabetes Association, n.d.). For example, a biguanide and a sulfonylurea may be taken together. Although multiple oral diabetic medications are costly and the risk of side effects increases, combination therapy can improve blood sugar, and taking only a single pill does not have the desired effects. Furthermore, in cases of severe infection or need surgery, insulin injections are taken with pills to control glucose levels (American Diabetes Association, n.d.)3APA ref
Response 2
The American Diabetes Association (ADA) guides clinical care for each classification of diabetes. ­­ADA practice recommendations cover general treatment goals, pharmacologic interventions, and guidelines. The recommendations for type 1 diabetes, type 2 diabetes, and gestational diabetes differ because of variable underlying pathophysiology (American Diabetes Association [ADA], 2017). The following paper briefly compares diabetes and offers a detailed description of gestational diabetes.   
Type 1 diabetes is characterized by the destruction of pancreatic beta cells, resulting in absolute insulin deficiency. The destruction of pancreatic beta cells is primarily the result of an autoimmune disorder. This subtype is Type 1A diabetes. Patients with absolute insulin deficiency with no evidence of autoimmunity and no other cause of beta-cell destruction are Type 1B diabetics or idiopathic diabetics (Balasubramanyam, 2021). Type 1 diabetes is formerly known as juvenile diabetes because it is primarily diagnosed in childhood and adolescence; however, it can develop at any age. Insulin is the pharmacotherapy for Type 1 diabetes (CDC, 2021). The only FDA-approved adjunct therapy for Type 1 is pramlintide, an amylin analog (ADA, 2017).Type 2 diabetes is characterized by variable insulin resistance and deficiency. Type 2 diabetes is the most prevalent type and results from multifactorial genetic and environmental influences. The most significant environmental risk factors for Type 2 are obesity and decreased physical activity (Robertson & Udler, 2021). Treatment options include metformin, SGLT-2 inhibitors, GLP-1 RAs, DPP-4 inhibitors, thiazolidinediones, sulfonylureas, and insulin (ADA, 2017).Gestational diabetes results from insufficient insulin secretory capacity: the placenta secretes anti-insulin hormones, and the growing mother and fetus demand more energy (Balasubramanyam, 2021). Gestational pharmacotherapy is initiated when 30% of blood glucose levels are above the target range in a week. Pharmacologic options for pregnant patients are insulin, metformin, and glyburide (Durnwald, 2021).Short-term effects of gestational diabetes include lifestyle changes because they can effectively achieve glycemic targets. These measures include nutritional therapy, weight management, glucose monitoring, and physical activity. Meal plans for gestational diabetes include three meals and two to four snacks per day. Meal plans are continuously adjusted based on glucose reading, weight gain, and appetite. The patient will work with a registered dietitian to calculate precise goals. If lifestyle changes are ineffective, insulin is preferred because glyburide and metformin cross the placental barrier. Goals of therapy are fasting glucose < 95, one-hour post-prandial < 140, and two hour post-prandial < 120. Total insulin dosage ranges from 0.7 to 2 units/kg, and titrations are based on frequent monitoring, which should be conducted at least four times per day: fasting, post-prandial, before lunch, and before dinner (Durnwald, 2021).An insulin regimen requires frequent adjustments, and the patient should keep a glucose log. The following is a general approach to insulin management for patients diagnosed with gestational diabetes at 24 – 28 weeks (following glucose tolerance testing). An injection of 10-20 units of intermediate-acting basal insulin and 6 - 10 units of rapid-acting insulin are prescribed subcutaneously, immediately before breakfast. The exact dose would be determined by the individual results and their degree above the target. If post-prandial readings remain high, rapid-acting insulin is increased. If only the post-dinner glucose reading remains elevated, rapid-acting insulin 6 – 10 units subcutaneously will also be given immediately before dinner. If only the post-lunch glucose reading remains elevated, a dose of rapid-acting insulin 6 – 10 units subcutaneously is also given immediately before lunch. Intermediate-acting basal insulin is added in the evening if fasting glucose levels are elevated after post-prandial control is achieved. This dose is 0.2 units/kg subcutaneously given at dinner or bedtime (Durnwald, 2021).Lispro and Aspart are rapid-acting insulins considered safe during pregnancy. These agents have minimal transfer across the placenta and have no evidence of teratogenesis. Based on available data, NPH is the recommended intermediate insulin. Patients are educated on drawing up insulin with a syringe, pinching subcutaneous tissue, injecting at a 90-degree angle, and holding the needle in place for five seconds after injection. Patients will be educated that needles will be used once and thrown away. Patients will rotate injection sites to minimize tissue irritation and be taught that insulin is best absorbed in abdominal tissue. Hyperglycemia commonly occurs with illness, and sick day rules will also be taught (Wexler, 2021). Most patients with gestational diabetes are normoglycemic after birth, although the long-term risk for developing diabetes increases, and patients should be screened 4 to 12 weeks postpartum (Durnwald, 2021). 3APA ref

Mass media can be used to sell political messages that focus on ideas and ideologies. But, the goal of a free press is to be the watchdog for the abuse of power and to counter that propaganda. When the government (or State) uses the mass media to further their own agenda, it is called propaganda. When a news organization undercovers corruption in the government, they are fulfilling their Constitutionally protected First Amendment function.
However, not all propaganda is inherently bad. Consider the Mothers Against Drunk Driving (MADD) advertisements encouraging responsible behavior, for example.
In this Discussion, you will discuss the benefits and dangers of propaganda, provide an example of it, and discuss the many examples gathered with your classmates. 
To prepare for this Discussion:
Read the Communication Program Discussion Guidelines.
Read “What is Propaganda?” in this week’s Learning Resources.
Review the source “50 Powerful Examples of Visual Propaganda and the Meanings Behind Them” in this week’s Learning Resources.
Find a current example of propaganda.
By Day 4
Post a response that addresses the following questions:
What are the benefits and dangers of propaganda?
Attach your example of propaganda.  Explain why you consider this to be propaganda. 
Do you consider this beneficial or harmful? Explain why or why not.

Presentation of ” Multi-Perspective Research “kindly check the attached file. you have to do a presentation ” POWERPOINT” of this file and you have to add animations/photos/charts/graphics 
THE DUE DATE IS WITHIN ” 12 HOURS ” 
NOW IT’S 6:15 PM IT’S DUE 5:00 AM ” 

write  a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples. 3 APA refrences

One of Marcus Welby Hospital ‘s (MWH) competitors established a successful IPA-model HMO two years ago. Fearing loss of patients, MWH is forming the Marcus Welby Managed Care Network (the Network). The objective is to sign up a number of physicians, mainly in primary care but also in common specialties, and then to market this network to these two sources: () large employers who provide health insurance to their workers on a self-insured basis; and 2) large regional or national insurance companies (such as Blue Cross) who then offer the network to their customers.
The Network is approaching each physician group individually and asking them to sign up nonexclusively, leaving them free to sign up with other networks or HMOs. The contract excerpts on pages 493 and following contain some common sticking points in these negotiations. Read each pairing of contract options and determine what is at stake. Then, assume the position of lawyer/negotiator for either (a) the Network or (b) a physician group who wants to sign up but is concerned about the details.
• Write in your paper what you would say in a meeting with a representative from the other side and
• Describe how you would hammer out a deal, either adopting one version or the other, or making any changes you want.
• You must therefore be able to write clearly about what the concerns of the other side would be.
• Cite when appropriate.

Physics, Mathematics, English+Grammar, Computer Science, General knowledge Assignment work, Thesis, project 

Organize your paper in three sections: NAEYC Code of Ethical Conduct and Statement of Commitment, Supplement for Early Childhood Program Administrators, and NAEYC Advancing Equity in Early Childhood Education
2. The paper must be written in APA format, double-spaced, 12-pt font, and 3-7 pages in length not including the title and reference page.
3. Properly cite evidence from the text to support your perspectives/point of view.
Advocacy topic: is increased access to high-quality early childhood education for all children regardless of their background
Just need to be tweaked a little and put into APA FORMAT  work already started 

 
Discussion-1: Quality of a Good Administrator
Healthcare administration roles include:
Hospital administration
Medical practice administration
Nursing Administration
Healthcare financial management
Healthcare information management
 To be an effective healthcare administrator in the above-listed work settings you must develop or
possess the following key competencies:
Communication and relationship management skills- ability to communicate clearly and concisely with internal and external customers.
Leadership skills- ability to inspire individual and organizational excellence to create and attain a shared vision
Professionalism- Ability to align personal and organizational conduct with ethical and professional standards and commitment to lifelong learning and improvement
Knowledge of the healthcare system- knowledge of the environment that healthcare Managers’ and providers’ function
Business skills and knowledge- ability to apply business principles including system thinking to the healthcare environment.
Now, focus on the first three competencies (communication, leadership, and professionalism)
A: For each individual competence
Please share with the class how you would describe/ assess your skill level for each
competence. Explain exactly what your style is and how/what you actually do in each of
the 3 highlighted areas and
i What do you feel are still your shortcomings and need to improve (list those areas)
ii How will you go about improving such a competence (explain each) [e.g.in
communication if you say, “my problem is I yell a lot”; to improve this I will seek
counseling, take communication training, etc.)
B: Consider your current workplace:
iii. Provide an analysis of how well your manager/supervisor/administrator is performing on each of the three first listed competencies above? (List the competence and explain what
exactly your boss does or doesn’t do)
Requirements
Answer each component of the question in its own separate paragraph. Use similar numbering by listing the question first followed by a detailed answer 
Make your initial post to the discussion question by 11:59 pm on Sunday February 02, 2025.  Do not post a reply on the same day as your original post.
Reply to two of your classmates’ posts as well.
Your replies need to be substantive and add value to your classmates’ posts. Do not reply with “I agree” without explaining why you agree or disagree.
If you have a reference list for information obtained from any source apart from your personal experience. Remember, if you include a reference, you need to have a citation in your work that corresponds to the reference. See pg. 257 in the APA manual.
For example, if you name any workplace (e.g. St Elizabeth Hospital or Chick-fil-A, etc.) the reference should be: 
Chick-fil-A (n.d.). Chick-fil-A corporate office. Online available. Retrieved February 3, 2021, from: https://www.chick-fil-a.com/about/history. 
CHRISTUS Health (n.d.). CHRISTUS Southeast Texas St. Elizabeth. Online available. Retrieved on February 3, 2021, from: https://www.christushealth.org/southeast-texas/st-elizabeth

The planning and evaluation processes consist of various steps that make them successful. Which step is most important? Please provide a rationale for your answer giving examples.
Your journal entry must be at least 250 words in length. Not including references and title page.