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[Solved] Workplace Wellness Program

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[Solved] Workplace Wellness Program

 

What are some examples of physical activity that you incorporate regularly?  How do these examples relate to the seven spheres of physical activity as outlined in the course materials?

What is your opinion about mandatory physical activity in schools and for adults in a workplace wellness program? Was physical activity mandatory for you as a child? If so, how did it shape you as a person? If not, do you believe not being required to engage in physical activity had an impact on your physical activity today?

[Solved] Metformin 500Mg Bidjanuvia 100Mg

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[Solved] Metformin 500Mg Bidjanuvia 100Mg

ASSIGNMENT

Respond to at least two of your colleagues in one of the following ways:

  • If your colleagues’ posts influenced your understanding of these concepts, be sure to share how and why. Include additional insights you gained.
  • If you think your colleagues might have misunderstood these concepts, offer your alternative perspective and be sure to provide an explanation for them. Include resources to support your perspective.

*** the colleagues post to the case study is provided in an attachment. A response to their post is to be addressed based on their answer to the case study

Case: An elderly widow who just lost her spouse. 

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

  • Metformin 500mg BID
  • Januvia 100mg daily
  • Losartan 100mg daily
  • HCTZ 25mg daily
  • Sertraline 100mg daily

 Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86 

Post a response to each of the following:

  • List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
  • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
  • Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
  • List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
  • List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
  • For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?
  • Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.

*** the colleagues post to the case study is provided in an attachment. A response to their post is to be addressed based on their answer to the case study

[Solved] Phase 1 – Background

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[Solved] Phase 1 – Background

Phase 1 – Background, Business Justification, and Project Introduction

The opening phase to your project provides information about the organization you have selected, including details about the current status and existing issue(s) you plan to address in your project. This serves as the foundation for why the project is needed and business justification in seeking executive approval for the project. You will present your recommendation for work to be done to provide a technical solution addressing the problem(s) identified. Write your full paper in a formal tone in a manner that presents it to the business leadership for their approval. This chapter should be at least 5-7 pages in length and will include at least 3 citations and references.

[Solved] Hpv Colposcopy Within

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[Solved] Hpv Colposcopy Within

Purpose of Assignment
  • Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.
  • Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.
  • Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.
  • Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.
Competency

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:
  • (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years
  • (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use
  • Abusive partner with first pregnancy, states she has a new partner x 4 years
  • Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions

Write a two to three-page analysis of this scenario that answers the following questions:

  1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
  2. Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
  3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
  4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:

  • A correct answer with thorough development of the topic
  • Gives clinical examples
  • Include evidence from scholarly sources
  • Appropriate use of medical terminology
Format
  • Standard American English (correct grammar, punctuation, etc.)
  • Logical, original and insightful
  • Professional organization, style, and mechanics in APA format
  • Submit document through Grammarly to correct errors before submission
Resources

[Solved] Http Www

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[Solved] Http Www

Discussion: Managerial Epidemiology vs. Clinical Epidemiology

According to the World Health Organization (2018), epidemiology is the examination of the distribution and determinants of health and disease conditions in defined populations. Managerial, descriptive, and analytic epidemiology are distinct branches of epidemiology. For this discussion, compare and contrast the similarities and dissimilarities among these branches. In addition, identify which of the branches applies more to the role of a healthcare manager/administrator. Provide rationale and support for your response.

World Health Organization. (2018). Epidemiology. Retrieved from http://www.who.int/topics/epidemiology/en/

Minimum of 200 words 

[Solved] Submit 1 Document Per

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[Solved] Submit 1 Document Per

 

APA format

1) Minimum 8 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

You must strictly comply with the number of paragraphs requested per page.  

The number of words in each paragraph should be similar

         Part 1: minimum 2 pages (Due 7 hours)

         Part 2: minimum 2 pages (Due 7 hours)

         Part 3: minimum 2 pages (Due 24 hours)

         Part 4: minimum 2 pages (Due 24 hours)

Submit 1 document per part

2)¨******APA norms

        The number of words in each paragraph should be similar

        Must be written in the 3 person

         All paragraphs must be narrative and cited in the text- each paragraph

         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 

         Bulleted responses are not accepted

         Don’t write in the first person 

         Do not use subtitles or titles      

         Don’t copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed 

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

 Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Parts 1 and 2  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 

The number of words in each paragraph should be similar

Part 1:  Writing and Rhetoric 

In 2015 and 2016, a group of researchers at Stanford University performed a study  using over 7,000 middle school, high school, and college students, to understand whether or not students were “information literate”–that is, whether or not they understood how to interpret information they found on the web. The results were surprising!

According to picture 1

1. Is the “We Know You’ve Got a Story” banner an article or an advertisement? (One paragraph)

a. How do you know? 

2. Is the “Should California Stop Growing Almonds” block an article or an advertisement?  (One paragraph)

a. How do you know? 

3. Is the “Real Reasons Women Don’t Go Into Tech” block an article or an advertisement?  (One paragraph)

a. How do you know? 

According to picture 2

4. Does this post provide strong evidence about the conditions near the Fukushima Daiichi Power Plant? Explain (One paragraph)

According to picture 3

5. Why might this tweet be a useful source for your research? (One paragraph)

a. Why might it not be useful? Explain your reasoning.

6. What do you learn during this activity? (One paragraph)

Part 2:  Writing and Rhetoric 

In 2015 and 2016, a group of researchers at Stanford University performed a study  using over 7,000 middle school, high school, and college students, to understand whether or not students were “information literate”–that is, whether or not they understood how to interpret information they found on the web. The results were surprising!

According to picture 1

1. Is the “We Know You’ve Got a Story” banner an article or an advertisement?  (One paragraph)

a. How do you know? 

2. Is the “Should California Stop Growing Almonds” block an article or an advertisement? (One paragraph) 

a. How do you know? 

3. Is the “Real Reasons Women Don’t Go Into Tech” block an article or an advertisement?  (One paragraph)

a. How do you know? 

According to picture 2

4. Does this post provide strong evidence about the conditions near the Fukushima Daiichi Power Plant? Explain  (One paragraph)

According to picture 3

5. Why might this tweet be a useful source for your research?  (One paragraph)

a. Why might it not be useful? Explain your reasoning.

6. What do you learn during this activity? (One paragraph)

Parts 3 and 4  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 

Part 4: Advanced primary family care

SUBJECTIVE:

Samuel, a 48 – year – old male, presents to the office with mild – to – moderate chest pressure with radiation to his back. Samuel reports that he was awakened from sleep at 7:00 a.m. with chest pressure, initially described as soreness across his anterior chest and through to his back. He rates his pain + 6/10. He felt as though, if he could just belch, he would feel better. His wife drove him to the office to be here when it opened at 9:00 a.m. She tried to convince Samuel to go to the emergency room; but he emphatically refused, insisting on going to the office first. Upon arrival at the office, you take Samuel back to an examination room and instruct the receptionist to call 911. 

Past medical/surgical history: Diabetes mellitus type 2. 

Family history: He has a family history of premature coronary artery disease. His father died of acute myocardial infarction ( AMI ) at age 45. One brother died of AMI at age 49. Social history: He has smoked for 25 years but has reduced his smoking to 1 pack per day since his brother’s death two years ago. He has put on 25 pounds in the past two years and is generally sedentary. 

Medications: Samuel was diagnosed with type 2 diabetes last year. He has been fairly well controlled with diet and Metformin, 500 mg daily. His last hemoglobin A1C was 7.4 two months ago. 

Allergies: Latex. 

OBJECTIVE

General: He is anxious and showing signs of chest pain as you enter the office room. He is slightly diaphoretic. He took an oral aspirin on the way to the office. 

Vital s signs: BP: 192/96; P: 102; R: 22; T: 97.8. His SpO2 is 90%. 

ECG: His stat ECG shows ST segment depression and T wave inversion in leads II and III. 

Cardiovascular: His heart tones are muffled with an S3 gallop. His hands and feet are cool to touch. Radial pulses are 2 +. Pedal and posterior tibial pulses are 1 +. He has neck vein distention of 5 cm with the head of the bed at 90 degrees. He has no carotid bruits, heaves, or thrusts. His PMI is at the 5th ICS, left mid-clavicular line. 

Respiratory: He has harsh rhonchi in the upper lobes bilaterally and a nonproductive cough.

1. Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis? Explain (One paragraph)

2. What is the most likely differential diagnosis and why? (One paragraph)

3. Explain the treatment plan (One paragraph)

a. What referrals are needed? Explain 

4. Does the patient’s family history impact how you treat this patient? (One paragraph)

5. What are the primary health education issues? Explain (One paragraph)

6. Are there any standardized guidelines you should use to assess/treat this case? Explain (One paragraph)

Part 3: Advanced primary family care

SUBJECTIVE:

Samuel, a 48 – year – old male, presents to the office with mild – to – moderate chest pressure with radiation to his back. Samuel reports that he was awakened from sleep at 7:00 a.m. with chest pressure, initially described as soreness across his anterior chest and through to his back. He rates his pain + 6/10. He felt as though, if he could just belch, he would feel better. His wife drove him to the office to be here when it opened at 9:00 a.m. She tried to convince Samuel to go to the emergency room; but he emphatically refused, insisting on going to the office first. Upon arrival at the office, you take Samuel back to an examination room and instruct the receptionist to call 911. 

Past medical/surgical history: Diabetes mellitus type 2. 

Family history: He has a family history of premature coronary artery disease. His father died of acute myocardial infarction ( AMI ) at age 45. One brother died of AMI at age 49. Social history: He has smoked for 25 years but has reduced his smoking to 1 pack per day since his brother’s death two years ago. He has put on 25 pounds in the past two years and is generally sedentary. 

Medications: Samuel was diagnosed with type 2 diabetes last year. He has been fairly well controlled with diet and Metformin, 500 mg daily. His last hemoglobin A1C was 7.4 two months ago. 

Allergies: Latex. 

OBJECTIVE

General: He is anxious and showing signs of chest pain as you enter the office room. He is slightly diaphoretic. He took an oral aspirin on the way to the office. 

Vital s signs: BP: 192/96; P: 102; R: 22; T: 97.8. His SpO2 is 90%. 

ECG: His stat ECG shows ST segment depression and T wave inversion in leads II and III. 

Cardiovascular: His heart tones are muffled with an S3 gallop. His hands and feet are cool to touch. Radial pulses are 2 +. Pedal and posterior tibial pulses are 1 +. He has neck vein distention of 5 cm with the head of the bed at 90 degrees. He has no carotid bruits, heaves, or thrusts. His PMI is at the 5th ICS, left mid-clavicular line. 

Respiratory: He has harsh rhonchi in the upper lobes bilaterally and a nonproductive cough.

1. Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis? Explain (One paragraph)

2. What is the most likely differential diagnosis and why? (One paragraph)

3. Explain the treatment plan (One paragraph)

a. What referrals are needed? Explain

4. Does the patient’s family history impact how you treat this patient? (One paragraph)

5. What are the primary health education issues? Explain (One paragraph)

6. Are there any standardized guidelines you should use to assess/treat this case? Explain (One paragraph)

[Solved] Psychological Studies Better Represent

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[Solved] Psychological Studies Better Represent

Watch Limits of Scientific Psychology (16 min. 12 sec.) [or read the Video Transcript]

Read Chapter 1, p. 5 (I have uploaded it)

Read Chapter 4, p. 127 (I have uploaded it)

Respond to all the questions in 175+ words (total for all 3 items).

  1. What could researchers do differently to make sure that psychological studies better represent you and the entire population? Answer according to Video: Limits of Scientific Psychology
  2. What do you consider to be the key traits and characteristics of your personality? (Ch. 1, p. 5) 
  3. Would Jung describe your attitude as more introverted or extraverted? Explain. (Ch. 4, p. 127) *How you answer this question will reveal if you actually read the designated textbook section.

[Solved] Health Improvement Initiatives Include

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[Solved] Health Improvement Initiatives Include

MSN CLASS- PLEASE READ ENTIRE ASSESSMENT, EXAMPLE TEMPLATE ATTACHED.

Create a 5-7 slide PowerPoint presentation about an evidence-based population health improvement plan.

Introduction

Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.

Professional Context

Master’s-level nurses need to be able to think beyond the bedside. It is important to research, synthesize, and apply evidence that will result in improved health outcomes for the communities and populations that are part of your care setting. Improving outcomes at a community or population level, even incrementally, can create noticeably significant, aggregate health improvements for patients across all of a care setting.

Scenario

Your organization has created an initiative to improve one of the pervasive and chronic health concerns in the community. Some examples of possibilities for health improvement initiatives include type 2 diabetes, HIV, obesity, and communicable diseases. You will need to do your own research to gather and evaluate the relevant data for your chosen issue.

Once you have created a presentation for the initiative, you have been asked to present to a group of community stakeholders. The purpose of your presentation is to inform and enlist support for the initiative from your audience.

Instructions

The optional Evidence-Based Population Health Improvement Plan Presentation Template [PPTX] is provided to help you prepare your slides. If you choose to work without the template, consider referring to Creating a Presentation: A Guide to Writing and Speaking and Guidelines for Effective PowerPoint Presentations [PPTX].

The suggested headings for your presentation are:

  • Community Data Evaluation.
  • Meeting Community Needs.
  • Measuring Outcomes.
  • Communication Plan.
  • Evidence.

In your presentation, you will:

  • Evaluate the environmental and epidemiological data about your community so that you can determine a population health issue within a chosen community.
    • Identify the relevant data. This can be communicated in a table or chart.
    • Describe the major population health issue suggested by the data within your community.
    • Explain how environmental factors affect the health of community residents.
    • Identify the level of evidence, validity, and reliability for each source.
  • Develop an ethical health improvement plan with outcome criteria that addresses the population health issue that you identified in your evaluation.
    • Consider the environmental realities and challenges existing in the community.
    • Include interventions that will meet community needs.
    • Address potential barriers or misunderstandings related to various cultures prevalent in the community.
    • Propose criteria that can be used to evaluate the achievement of the plan’s outcomes for your population health improvement.
      • Explain why your proposed criteria are appropriate and useful measures of success.
  • Explain how you plan to apply strategies for communicating with community stakeholders and community members in an ethical, culturally sensitive, and inclusive way about the development and administering of your population health improvement plan.
    • Identify the community stakeholders that are relevant to your Evidence-Based Population Health Improvement Plan.
    • Develop a clear communication strategy that is mindful of the cultural and ethical expectations of colleagues and community members regarding data privacy.
    • Ensure that your strategy enables you to make complex medical terms and concepts understandable to members of the community regardless of disabilities, language, or level of education.
  • Explain the value and relevance of the resources you used as the basis for your population health improvement plan.
    • Explain why the evidence is valuable and relevant to the community health concern you are addressing.
    • Explain why each piece of evidence is appropriate and informs the goal of improving the health of the community.
  • Communicate the Evidence-Based Population Health Improvement Plan in a professional, effective manner that encourages the community stakeholders to implement and sustain change.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.

Submission Requirements

  • Length of submission: 5–7 slides. Balance text with visuals. Avoid text-heavy slides. Use speaker’s notes for additional content.
  • Font and font size: Appropriate size and weight for a presentation, generally 24–28 points for headings; no smaller than 18 points for bullet-point text. Use a suitable professional typeface, such as Times or Arial, throughout the presentation.
  • Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.
  • APA formatting: Resources and citations are formatted according to current APA style.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 2: Apply evidence-based practice to design interventions to improve population health.
    • Evaluate the environmental and epidemiological data about a community to determine a population health issue.
    • Develop an ethical health improvement plan with outcome criteria that addresses the population health issue identified in the evaluation.
    • Explain the value and relevance of the resources used as the basis of a population health improvement plan.
    • Explain a plan to apply strategies for communicating with community stakeholders and community members in an ethical, culturally sensitive, and inclusive way about the development and implementation of the population health improvement plan.
    • Communicate the Evidence-Based Population Health Improvement Plan in a professional, effective manner that engages the community stakeholders to implement and sustain change.
    • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

[Solved] Patient Case Study

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[Solved] Patient Case Study

 

 1- to 2-page  that addresses the following:

  • Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
  • Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
  • What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
  • Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

[Solved] May Visit Following Resources

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[Solved] May Visit Following Resources

 

Question #1. Use the Internet or the IGlobal Resource System/Library to research articles scientific testing of a recent scientific claim.  You may visit following resources

https://www.oakton.edu/user/4/billtong/eas100/scientificmethod.htmLinks to an external site.

https://undsci.berkeley.edu/article/0_0_0/howscienceworks_06Links to an external site.

http://teacher.pas.rochester.edu/phy_labs/appendixe/appendixe.htmlLinks to an external site.

And, write the scientific testing procedure to provide convincing evidence for the observed case. You will be writing the steps for scientific testing of a hypothesis.

Question #2: Watch the video titled “Launchpad: Methane on Mars” (5 min 40 sec). Be prepared to discuss. Video

Source: NASA e-Clip (2009, October 21). Launchpad: Methane on Mars [Video file]. Retrieved from

https://nasaeclips.arc.nasa.gov/video/launchpad/launchpad-methane-on-mars .

Describe the challenges in collecting data and making observations in the methane study on Mars. Explain how NASA researchers are working to overcome these challenges.

You should submit your solution (MS Word document) before the deadline. Name the document like : LastNameWeek1.doc