Friday, September 6, 2013
Thursday, September 5, 2013
Mental health/Psychiatric Journal
Choose an article from a mental-health or psychiatric journal. The article should be published within the last five years. Please make a copy of the article, attach to your critique. Your critique should be no more than two pages, double-spaced and typed.
The critique should address the following items:
• summarize the article including the strengths and weaknesses of the article;
• highlight the key concepts addressed in the article which relate to nursing theory
• identify nursing implications;
• summarize the article including the strengths and weaknesses of the article;
• highlight the key concepts addressed in the article which relate to nursing theory
• identify nursing implications;
Economic Geography
In his TED talk Dr. Larry Brilliant mentions that smallpox was the 4th disease on the list of possible candidates for eradication. Discuss why efforts to eradicate malaria or yellow fever failed why the smallpox efforts succeeded?
Discussion 3
Consider the many public health agencies that implement programs or initiatives to address current public health problems. Choose one agency that is of interest to you and has not been chosen by another student. Once you have chosen an agency, claim it by posting a reply to this discussion topic and changing the subject line of your post to the full name of the agency (no abbreviations or acronyms, please). Incorrectly titled posts will be given a grade of zero. Also, please note that an agency that has already been posted by another student is considered taken. Be sure to carefully review the posts of your classmates because posting the same agency (even with a different name), will result in a grade of zero. Next, thoroughly research your chosen agency. Then, edit your post and provide a written response to the following items:
1) Identify the agency’s type, i.e. governmental – federal, state, or local, non-governmental – private or non-profit
2) Document the agency’s mission statement
3) Identify the agency’s geographical jurisdiction, if it has one
4) Identify the population of people that is served by the agency
5) Detail one public health program implemented by the agency
6) Discuss one way that you feel the agency could better address a specific public health problem
2) Document the agency’s mission statement
3) Identify the agency’s geographical jurisdiction, if it has one
4) Identify the population of people that is served by the agency
5) Detail one public health program implemented by the agency
6) Discuss one way that you feel the agency could better address a specific public health problem
Then, choose two responses posted by your classmates, read them, and investigate and comment on their discussions. The subject line for your comments to classmates should be left as the default title (RE: Original Post Title). Again, incorrectly titled posts and those that are late will be given a grade of zero.
Discussion 4
Health Resources and Services Administration abbreviated as HRSA is a federally run public health agency.
Their mission is “to improve health and achieve health equity through access to quality services, a skilled workforce and innovative programs. Its jurisdiction currently covers all of the United States. The agency serves those that are in poverty and do not have health insurance.
One program implented by HRSA is the HRSA of maternal and child health. This program strives to improve the physical, mental health, safety and well being of women and children. The program consists of tasks such as screening newborns for heredity diseases, giving the necessary vaccines to newborns, assessing mothers for depression, or giving dental services to children. With over 2 million pregnant women served, 4 million infants and 27 million children served with programs such as healthy start and lend many people are being aided.
I feel the agency could better address fitness. Fitness is a big key step in keeping people healthy and prolonging the health of individuals. If the agency would address fitness more, then they would prevent alot of ailments from occurring. Agree or Disagree
Their mission is “to improve health and achieve health equity through access to quality services, a skilled workforce and innovative programs. Its jurisdiction currently covers all of the United States. The agency serves those that are in poverty and do not have health insurance.
One program implented by HRSA is the HRSA of maternal and child health. This program strives to improve the physical, mental health, safety and well being of women and children. The program consists of tasks such as screening newborns for heredity diseases, giving the necessary vaccines to newborns, assessing mothers for depression, or giving dental services to children. With over 2 million pregnant women served, 4 million infants and 27 million children served with programs such as healthy start and lend many people are being aided.
I feel the agency could better address fitness. Fitness is a big key step in keeping people healthy and prolonging the health of individuals. If the agency would address fitness more, then they would prevent alot of ailments from occurring. Agree or Disagree
Discussion 5
Summit County Public Health (SCPH) serves on a community/county local level in the State of Ohio, Summit County. Summit County has a population of just over 540,000 people in 412.75 square miles. 80.6% of the population are white, 14.6% are black and 2.4% Asian, 1.8% and 2.1% are two or more races. 15.4% are aged 65 and older and 51% of the population is female. These statistics are noted on http://quickfacts.census.gov/qfd/states/39/39153.html
MISSION STATEMENTThe mission of Summit County Public Health is to protect and advance the health of the entire community through its policies, programs and activities that protect the safety, health and well-being of the people in Summit County. Through its policies, programs and activities, the Health District endeavors to create a healthful environment and ensure the accessibility of health services to all.
Summit County Public Health offers a variety of programs and services including a communicable disease unit that is “responsible for the prevention and control of infectious disease in the community. Protection of public health is accomplished through active case identification, assessment, data collection, public education, and referral to community health providers.” (http://www.scphoh.org/main.html)
SCPH also offers a free quit smoking program. This program is only offered in limited areas and I think the agency should offer the program in more locations throughout Summit County, as participants may attend if they do not have to travel so far. Currently this program is only offered in two locations, both on Tuesdays at 6pm. Agree or Disagree
MISSION STATEMENTThe mission of Summit County Public Health is to protect and advance the health of the entire community through its policies, programs and activities that protect the safety, health and well-being of the people in Summit County. Through its policies, programs and activities, the Health District endeavors to create a healthful environment and ensure the accessibility of health services to all.
Summit County Public Health offers a variety of programs and services including a communicable disease unit that is “responsible for the prevention and control of infectious disease in the community. Protection of public health is accomplished through active case identification, assessment, data collection, public education, and referral to community health providers.” (http://www.scphoh.org/main.html)
SCPH also offers a free quit smoking program. This program is only offered in limited areas and I think the agency should offer the program in more locations throughout Summit County, as participants may attend if they do not have to travel so far. Currently this program is only offered in two locations, both on Tuesdays at 6pm. Agree or Disagree
Discussion 6
The committee recommends that every public health agency regularly and systemically collect, assemble, analyze and make available information on the health of the community, including statistics on health status, community health needs, and epidemiologic and other studies of health problems.
I believe that this recommendation has been met and has improved over time. Dating back to the beginning of public health, we can see that there are different records on different categories such as deaths, births, diseases, and other things. Looking at the way data used to be collected and the way we collect data now shows how we have improved on this recommendation. However, I do think that there is always room to improve. I do think that public health agencies can improve the timeliness of collecting data, but we must remember some agencies are small and underfunded. I think that the fact that they try to provide the best information to the public needs to be acknowledged and we should see the effort being made.
I think that when trying to see that this recommendation has been met we need to start at the state health department since each state has health statistics and a need to have the data easily accessed. Ohio has their own department of health and it can be found here (http://www.odh.ohio.gov/default.aspx). There is a tab at the top of the page where you can click to find more information on the data and statistics that Ohio has to offer. Once you are on this page you will see that they offer data on infectious diseases, child health, maternal health, and many more groups. When seeing the wide range of data offered, it shows that people are taking their time and researching into these things to be able to provide such detailed records. It shows that public officials are collect, assembling, and analyzing data. However, if you click to view the data on some of the subcategories you will find that the data is outdated. This is one of the ways that this recommendation can be improved.
I think that with the use of the internet collecting and providing information has been easier for public health officials. I think that if you were looking for some data on a certain subject you will most likely be able to find something you can use. I also think the internet has made collecting data much easier because they can provide citizens with online surveys to get more data instead of simply using mail in surveys or phone surveys. In this day and age almost everyone has access to the internet. Agree or Disagree
I believe that this recommendation has been met and has improved over time. Dating back to the beginning of public health, we can see that there are different records on different categories such as deaths, births, diseases, and other things. Looking at the way data used to be collected and the way we collect data now shows how we have improved on this recommendation. However, I do think that there is always room to improve. I do think that public health agencies can improve the timeliness of collecting data, but we must remember some agencies are small and underfunded. I think that the fact that they try to provide the best information to the public needs to be acknowledged and we should see the effort being made.
I think that when trying to see that this recommendation has been met we need to start at the state health department since each state has health statistics and a need to have the data easily accessed. Ohio has their own department of health and it can be found here (http://www.odh.ohio.gov/default.aspx). There is a tab at the top of the page where you can click to find more information on the data and statistics that Ohio has to offer. Once you are on this page you will see that they offer data on infectious diseases, child health, maternal health, and many more groups. When seeing the wide range of data offered, it shows that people are taking their time and researching into these things to be able to provide such detailed records. It shows that public officials are collect, assembling, and analyzing data. However, if you click to view the data on some of the subcategories you will find that the data is outdated. This is one of the ways that this recommendation can be improved.
I think that with the use of the internet collecting and providing information has been easier for public health officials. I think that if you were looking for some data on a certain subject you will most likely be able to find something you can use. I also think the internet has made collecting data much easier because they can provide citizens with online surveys to get more data instead of simply using mail in surveys or phone surveys. In this day and age almost everyone has access to the internet. Agree or Disagree
Discussion 7
The committee recommends that those engaged in knowledge development and policy planning in public health and in mental health, respectively, devote a specific effort to strengthen linkages with the other field, particularly in order to identify strategies to integrate these functions at the service delivery level (p.12).
In my opinion this is not completely met. I feel that it is improving however; there is still a long way to go in terms of being met. Since the 1988 Institute of Medicine reportFuture of Public Health that these recommendations came from there has been tremendous transformation from then to now. Much more needs to be done. As of 2009 as stated on the SAMHSA website in Transforming Mental Health in America: The Federal Action Agenda First Steps “Transformation of the mental health system will not be easy, nor will it happen overnight. Such wholesale change requires an unparalleled commitment on the part of the Federal government, State governments, communities, public- and private-sector providers, insurers, researchers, consumers, and family members to work together toward a single vision: the day when all adults with serious mental illnesses and all children with serious emotional disturbances live, work, learn, and participate fully in their communities.” Strengthening linkages with the other field consists of being able to do the research to further develop the scientific knowledge base that is needed to further identify strategies that integrate functions at the service delivery level. Research is underfunded. Policy development relies on the scientific knowledge base in making decisions pertaining to public health which leads to development of public health policy. In Principles of Public Health Practice it is stated that “a very small percentage of resources is allocated for health related research spent in the domain of public health” (p. 52). Another important aspect to consider is that public health is underfunded as well as stated in our text “resources do not match the need” (p. 54). Therefore it is hard to say this is completely met especially since there are still so many people that are in need of mental health services “slipping through cracks” on a regular basis. Agree or Disagree
In my opinion this is not completely met. I feel that it is improving however; there is still a long way to go in terms of being met. Since the 1988 Institute of Medicine reportFuture of Public Health that these recommendations came from there has been tremendous transformation from then to now. Much more needs to be done. As of 2009 as stated on the SAMHSA website in Transforming Mental Health in America: The Federal Action Agenda First Steps “Transformation of the mental health system will not be easy, nor will it happen overnight. Such wholesale change requires an unparalleled commitment on the part of the Federal government, State governments, communities, public- and private-sector providers, insurers, researchers, consumers, and family members to work together toward a single vision: the day when all adults with serious mental illnesses and all children with serious emotional disturbances live, work, learn, and participate fully in their communities.” Strengthening linkages with the other field consists of being able to do the research to further develop the scientific knowledge base that is needed to further identify strategies that integrate functions at the service delivery level. Research is underfunded. Policy development relies on the scientific knowledge base in making decisions pertaining to public health which leads to development of public health policy. In Principles of Public Health Practice it is stated that “a very small percentage of resources is allocated for health related research spent in the domain of public health” (p. 52). Another important aspect to consider is that public health is underfunded as well as stated in our text “resources do not match the need” (p. 54). Therefore it is hard to say this is completely met especially since there are still so many people that are in need of mental health services “slipping through cracks” on a regular basis. Agree or Disagree
patient care in the United States
Discussion 1
Discuss the obstacles to patient care in the United States and ONE strategy to overcome an obstacle.
Discussion 2
Define disease screening. What is the purpose of screening? Why is it important? Discuss one screening procedure (name the disease being screened for, as well as, what are the successes and the limitations/weaknesses of this procedure?
Discussion 3
A woman was referred to a surgeon’s office for evaluation of a breast lump and a suspicious mammogram. (a) How should the surgeon approach this problem? (b) How successful has mammography been in reducing breast cancer mortality rate in the United States? (c) What is the difference between benign and malignant neoplasms? Give examples of each
Discussion 4
What are congenital heart diseases? Choose ONE and discuss the structural defect, signs, and symptoms.
Discussion 5
A patient presents to a physician’s office with tendency to bleed. During history-taking, the physician elicited a family history of anemia. He ordered laboratory tests to determine the cause of the bleeding disorder. What is the nature of the lab tests, that is, what do the tests measure and how do they help the doctor make a diagnosis?
Discussion 6
Do restrictive lung diseases or obstructive lung diseases cause greater disability? Choose one and explain why you think so. Describe what could be done via screening and/or treatment to decrease disability.
Discussion 7
Review Table 14-1 on page 196 of the textbook. Choose a manifestation or common cause that you think could have the greatest impact on an individual’s quality of life and explain why.
Discussion 8
The CDC is leveraging research funding for the detection of the female genital tract malignancies shown in Table 17-3 on page 271 of the textbook. Choose which malignancy should receive top funding priority and explain why.
Discussion 9
Describe a method of prevention for hypertensive retinopathy or diabetic retinopathy. Label this prevention method as primordial, primary, secondary, or tertiary prevention and describe why.
Discussion 10
Read the U.S. Preventive Services Task Force Recommendation Statement for breast cancer screening at the link above. Decide if you agree or disagree with this recommendation and explain why.
Discussion 11
Arthritis is diagnosed three times more in women than in men. A 2012 report identified at least three genes found on the X chromosome that are linked to arthritis. Discuss this gender paradox and why women are more likely to get arthritis
Discussion 12
Mental illness is often stigmatized rather than simply recognized as a medical condition. While there is a spectrum of patient symptoms that leads to misunderstanding of mental illness as disease, physical and physiological changes are well known for most causes of mental illness. Discuss one (education) strategy by which mental illness can be better understood by the general population to remove its stigma and to promote better understanding of the disease and the people with mental illness
Discussion 13
Vaccination is the most cost effective method of reducing the impact of infectious disease. Yet there is still a significant group of people who don’t vaccinate themselves and their children. Discuss a strategy to help people understand how vaccines prevent infectious diseases and keep other treatment costs down.
Discussion 14
Being prepared for emergencies is a solid way to limit their severity. How are you prepared for emergencies in your home, dorm, or car?
Discussion 15
Calorie restriction is one way to control obesity, exercise is another. Discuss a fun, life skills method to assist elementary school-age children to maintain healthy weight and activity levels.
Discussion 16
How does water, earth, atmosphere and plants and animals affect us in our everyday life?
Discussion 17
Discuss the obstacles to patient care in the United States and ONE strategy to overcome an obstacle.
Discussion 2
Define disease screening. What is the purpose of screening? Why is it important? Discuss one screening procedure (name the disease being screened for, as well as, what are the successes and the limitations/weaknesses of this procedure?
Discussion 3
A woman was referred to a surgeon’s office for evaluation of a breast lump and a suspicious mammogram. (a) How should the surgeon approach this problem? (b) How successful has mammography been in reducing breast cancer mortality rate in the United States? (c) What is the difference between benign and malignant neoplasms? Give examples of each
Discussion 4
What are congenital heart diseases? Choose ONE and discuss the structural defect, signs, and symptoms.
Discussion 5
A patient presents to a physician’s office with tendency to bleed. During history-taking, the physician elicited a family history of anemia. He ordered laboratory tests to determine the cause of the bleeding disorder. What is the nature of the lab tests, that is, what do the tests measure and how do they help the doctor make a diagnosis?
Discussion 6
Do restrictive lung diseases or obstructive lung diseases cause greater disability? Choose one and explain why you think so. Describe what could be done via screening and/or treatment to decrease disability.
Discussion 7
Review Table 14-1 on page 196 of the textbook. Choose a manifestation or common cause that you think could have the greatest impact on an individual’s quality of life and explain why.
Discussion 8
The CDC is leveraging research funding for the detection of the female genital tract malignancies shown in Table 17-3 on page 271 of the textbook. Choose which malignancy should receive top funding priority and explain why.
Discussion 9
Describe a method of prevention for hypertensive retinopathy or diabetic retinopathy. Label this prevention method as primordial, primary, secondary, or tertiary prevention and describe why.
Discussion 10
Read the U.S. Preventive Services Task Force Recommendation Statement for breast cancer screening at the link above. Decide if you agree or disagree with this recommendation and explain why.
Discussion 11
Arthritis is diagnosed three times more in women than in men. A 2012 report identified at least three genes found on the X chromosome that are linked to arthritis. Discuss this gender paradox and why women are more likely to get arthritis
Discussion 12
Mental illness is often stigmatized rather than simply recognized as a medical condition. While there is a spectrum of patient symptoms that leads to misunderstanding of mental illness as disease, physical and physiological changes are well known for most causes of mental illness. Discuss one (education) strategy by which mental illness can be better understood by the general population to remove its stigma and to promote better understanding of the disease and the people with mental illness
Discussion 13
Vaccination is the most cost effective method of reducing the impact of infectious disease. Yet there is still a significant group of people who don’t vaccinate themselves and their children. Discuss a strategy to help people understand how vaccines prevent infectious diseases and keep other treatment costs down.
Discussion 14
Being prepared for emergencies is a solid way to limit their severity. How are you prepared for emergencies in your home, dorm, or car?
Discussion 15
Calorie restriction is one way to control obesity, exercise is another. Discuss a fun, life skills method to assist elementary school-age children to maintain healthy weight and activity levels.
Discussion 16
How does water, earth, atmosphere and plants and animals affect us in our everyday life?
Discussion 17
http://www.cdc.gov/tuskegee/timeline.htm
Review the timeline of the Tuskegee Syphilis Study on the CDC website. This incident is also covered in your text.
• In the context of this study, we see that patients’ right to informed consent is critical. How can we make sure patients understand risks and benefits? In your opinion, is it ever permissible to override a patient’s wishes to save his or her life? Explain and support your answer.
Discussion18
If the Earth were not inclined (tilted at 23.5 degrees) on its axis, would there still be latitudinal temperature variations? Would there be seasons?
Discussion19
We are learning about Earth-Sun relations and with that we are learning about the summer solstice. There are a lot of activities to celebrate the “midnight sun”. Look through this week’s notes to understand about the midnight sun, then I want you to you research the midnight sun. Your post for this week should be about an activity, festival, performance, or a gathering that takes place at a town where the people celebrate just not the summer solstice, but the midnight sun.
If the Earth were not inclined (tilted at 23.5 degrees) on its axis, would there still be latitudinal temperature variations? Would there be seasons?
Discussion19
We are learning about Earth-Sun relations and with that we are learning about the summer solstice. There are a lot of activities to celebrate the “midnight sun”. Look through this week’s notes to understand about the midnight sun, then I want you to you research the midnight sun. Your post for this week should be about an activity, festival, performance, or a gathering that takes place at a town where the people celebrate just not the summer solstice, but the midnight sun.
Purpose of risk management in a project management context
Consideration:
• Word Counts : 4500
• Please note that, you are expected to use relevant peer-reviewed literature to demonstrate your appreciation of current theory, and refer to real world case studies to compare theory with practice.
• You are expected to deliver informed insights into contemporary project management and usable recommendations for practitioners.
• Please ensure that you use a sufficient number of academic sources to demonstrate your appreciation of this topic, and real world examples to illustrate particular points.
•
• Word Counts : 4500
• Please note that, you are expected to use relevant peer-reviewed literature to demonstrate your appreciation of current theory, and refer to real world case studies to compare theory with practice.
• You are expected to deliver informed insights into contemporary project management and usable recommendations for practitioners.
• Please ensure that you use a sufficient number of academic sources to demonstrate your appreciation of this topic, and real world examples to illustrate particular points.
•
Assignment Question
A) Critically evaluate the purpose of risk management in a project management Context ?
Must cover the below:
a. Introduction to Project Concept
b. Project management Concept and methodology
c. Risk management
d. Risk management in project management
Must cover the below:
a. Introduction to Project Concept
b. Project management Concept and methodology
c. Risk management
d. Risk management in project management
B) Critically discuss the different mechanisms, techniques, models and frameworks a project manager may adopt to undertake risk management in a project management context?
Must cover the below from risk perspective:
Techniques used in the below to Identify, analyze, deal, mitigate and lower the risk :
a. Corporate Strategy: Projects must be aligned with the corporate strategy.
Must : use the attached (Article_3___How_to_make_a_team_work.pdf)
How to use PQM approach to align project with corporate strategy
b. Organization structure : How organization structure play a crucial role in driving a successful project . argue which organization structure should be adapted ( functional, matrix, or projectized)
Must : use the attached (Article_1___Project_organisation.pdf)
How to choose the best type of organization structure based on the nature of the projects where the projects’ risks are minimal.
c. Leadership : Part of the project manager role and responsibility is to be a good leader to run and execute the project and to overcome the project’s challenges.
(leadership should be transformational not transactional / evidence and What power and traits the PM should has)
Must : use the attached (Article_2___The_project_manager.pdf)
What are the main project manager traits as leader to manage to deal with Risks and drive the project successfully
Must cover the below from risk perspective:
Techniques used in the below to Identify, analyze, deal, mitigate and lower the risk :
a. Corporate Strategy: Projects must be aligned with the corporate strategy.
Must : use the attached (Article_3___How_to_make_a_team_work.pdf)
How to use PQM approach to align project with corporate strategy
b. Organization structure : How organization structure play a crucial role in driving a successful project . argue which organization structure should be adapted ( functional, matrix, or projectized)
Must : use the attached (Article_1___Project_organisation.pdf)
How to choose the best type of organization structure based on the nature of the projects where the projects’ risks are minimal.
c. Leadership : Part of the project manager role and responsibility is to be a good leader to run and execute the project and to overcome the project’s challenges.
(leadership should be transformational not transactional / evidence and What power and traits the PM should has)
Must : use the attached (Article_2___The_project_manager.pdf)
What are the main project manager traits as leader to manage to deal with Risks and drive the project successfully
d. financial management : How financial management tools and calculations can help in identifying the project’s ROI against the project risk , argue NVP and IRR are the right tools to be used considering the payment mechanism and payment timing.
Must: use the attached (Article “The Options Approach to capital Investment”)
NPV Say you pay the money at stage 0 while you are paying it over a period of time in the real life.
e. Design process: How the project should be carried out, and the process should follow to deliver what has been promised.
Must: use the attached Article “Why Good Projects Fail Anyway”
Must: use the attached (Article “The Options Approach to capital Investment”)
NPV Say you pay the money at stage 0 while you are paying it over a period of time in the real life.
e. Design process: How the project should be carried out, and the process should follow to deliver what has been promised.
Must: use the attached Article “Why Good Projects Fail Anyway”
Computer System Integration
Kudler Fine Foods is a client of the accounting firm where you work. Kudler’s management is interested in effectively integrating technology into its business operations. They have asked you to prepare a brief detailing how computer systems might be more effectively integrated to meet their business needs and improve their accounting operations.
Resource: Kudler Fine Foods Virtual Organization found by using the Virtual Business Portal
Prepare a brief of no more than 1,400 words in which you address the following:
Identify Kudler’s key business and accounting information needs.
Analyze the strengths and weaknesses of Kudler’s current computer system and technology use, including hardware and software.
Explain what opportunities Kudler has in terms of technology and provide suggestions for improving Kudler’s ability to maximize these opportunities.
Evaluate the threats that Kudler may encounter given their current systems and offer your suggestions, in terms of using technology.
Analyze the strengths and weaknesses of Kudler’s current computer system and technology use, including hardware and software.
Explain what opportunities Kudler has in terms of technology and provide suggestions for improving Kudler’s ability to maximize these opportunities.
Evaluate the threats that Kudler may encounter given their current systems and offer your suggestions, in terms of using technology.
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