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[Solved] Climate Compare Ancient

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[Solved] Climate Compare Ancient

 

In at least 300 words, please answer the following question:

Focusing on three of the course themes (government, religion, social class, gender, and geography/climate), compare ancient Egypt and ancient Mesopotamia to explain whether it was more advantageous to live in ancient Egypt or ancient Mesopotamia.

Suggestion for formulating a clear answer: Instead of describing Mesopotamia and Egypt separately, you should compare Mesopotamia and Egypt in terms of your three selected course themes to explain whether it was more advantageous to live in ancient Egypt or ancient Mesopotamia. For example, if you decide to focus on geography/climate, government, and social class, you should first compare the geography/climate of the two regions, explaining why geography/climate made living in one of them more advantageous than the other one, and then you should do the same for government and social class. Then based on whether the geography/climate, government, and social class was more advantageous in one than the other, come to your general conclusion about whether it was more advantageous to live in ancient Egypt or ancient Mesopotamia.

[Solved] Many Terrorist Incidents Occurred

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[Solved] Many Terrorist Incidents Occurred

Do we really know how many terrorists are there in the world today?  In the United States?  How many terrorist incidents occurred last year? How do we know all the events qualified as terrorism fit the statutory framework?

As you have seen in this week’s readings, it may actually be very difficult to answer these questions.  As a result, it’s also difficult to answer a simple question like ‘Are we winning or losing the war on terror?’

For this week’s discussion, please begin by visiting the START terrorist incidents database, found here:  https://start.umd.edu/Links to an external site.

Read about the databaseLinks to an external site.

Now read about some of the METHODOLOGICAL ISSUES which researchers have faced in defining and measuring terrorismLinks to an external site.:

Spend some time exploring the database.  Choose a country and look at some trends in that country regarding terrorist incidents over time.

Then respond to the following questions. But as you do, consider Josef Pieper’s “countless superficial information bits” in the absence of knowing the core of the matter while also pondering Brigadier S.K. Malik’s statement that the object of terror is the destruction of faith:

  1. What organizations support or assist START in the development of the data set it puts out on terrorism?
  2.  Why is it so difficult to define and label terrorism and terrorist activities?  Compare and contrast the issues raised by Englund and Stohl to the issues raised in the terrorism database.  Are the major obstacles to defining and measuring terrorism purely political, purely methodological or some combination of the two?  How are the methodological and political obstacles intertwined?
  3. What controversies have arisen in trying to label and measure terrorism?  What specific problems did you identify in your exploration of the START database for your particular country?
  4.  Why does this debate about DEFINING terrorism matter to policymakers and what are some ways which academics have tried to resolve it?

[Solved] Primary Psychosocial Concerns

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[Solved] Primary Psychosocial Concerns

Compare hypotension, hypertension, and hypotensive shock in the following areas: clinical manifestations, risk factors, differentials, diagnosis, and management/treatment recommendations. Next answer these questions:

What are the transmission and pathophysiology of the conditions?

What are the primary medical concerns for patients with these conditions?

What might be the primary psychosocial concerns for patients with these conditions?

What are the implications of these conditions for critical care and advanced practice nurses?

300-400 words. APA format. 

[Solved] Early Detection Significantly Influences

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[Solved] Early Detection Significantly Influences

  Replies two peers with 200 words each one 

1.Sensitivity and specificity are measures of the accuracy of a screening test that we use to identify the presence or absence of a particular condition in an individual.

Sensitivity measures the proportion of true positives that are correctly identified by a screening test. In other words, it tells us the percentage of people who have the condition and are correctly identified by the screening test as having it.

Specificity measures the proportion of true negatives that are correctly identified by a screening test. That is, it tells us the percentage of people who do not suffer from the condition and who the screening test correctly identifies as not suffering.

Both sensitivity and specificity are important in determining the accuracy of a screening test, as they inform us about how effective the test is in correctly identifying both positive and negative cases. Ideally, we want a screening test that has high sensitivity and specificity, so that we can accurately identify the presence or absence of the condition being tested.

There are several factors that can affect sensitivity and specificity:

The threshold or cutoff value used to define a positive screening result. The lower the threshold, the more sensitivity increases but specificity decreases, while a higher threshold increases specificity but decreases sensitivity.

Also important is the prevalence of the condition in the population tested. In a population with high prevalence, the positive predictive value of the test may be higher, while in a population with low prevalence, false positive results may be more common.

Characteristics of the population being tested, such as age, sex, and comorbidities, which may influence the accuracy of the test.

It is important to note that sensitivity and specificity are not absolute measures of a test’s accuracy, but rather represent a balance between correctly identifying true positives and true negatives. Therefore, the decision to use a particular screening test should be based on a thorough evaluation of its performance characteristics and its suitability for the population being screened.

Considering the aforementioned aspects of sensitivity and specificity, we will be able to accurately address research studies, achieving better results.

2. Building evidence-based practice requires difficult assessment of diagnostic tests and measures. Sensitivity and specificity are vital parameters in identifying the validity of this important study. Sensitivity measures the ability of a test to properly identify individuals with a specific condition, while specificity gauges the ability to correctly identify individuals without the condition. Understanding these metrics is a fundamental advance study for healthcare and research settings for accurate disease identification and treatment planning. Sensitivity, also known as the true positive rate, measures the proportion of actual positives correctly identified by the test. High sensitivity ensures that individuals with the condition are unlikely to be missed, reducing the chances of false negatives. For instance, in cancer screening, a highly sensitive test detects can even detect early-stage of the cancers, leading to timely interventions and improved outcomes and like this be able to act. Sensitivity is crucial when early detection significantly influences patient prognosis, allowing for prompt medical intervention. On the other hand, specificity, or by other definition the true negative rate, reflects the proportion of individuals without the condition who are correctly identified by the test. High specificity minimizes false positives, confirming that healthy individuals are not unnecessarily subjected to further, potentially invasive, testing or treatments. For example, in HIV testing, high specificity is vital to prevent unnecessary emotional distress and healthcare costs resulting from false-positive results. Specificity is particularly important when a positive test result can lead to significant consequences, such as starting potent treatments or imposing lifestyle changes. There is often a difference between sensitivity and specificity. Increasing sensitivity may decrease specificity and vice versa, leading to a balance dilemma. Reaching to an optimal equilibrium is essential; too much focus on sensitivity might lead to overdiagnosis and overtreatment, while too much specificity might result in missed diagnoses. Applying the right balance will help individuals and it will and varies based on the medical condition, available treatments, and potential consequences of false results. 

     In summary, sensitivity and specificity are fundamental components in the screening aspects, tests playing a crucial role in evidence-based practice. Understanding and optimizing these parameters are imperative for clinicians and researchers, ensuring that diagnostic tests are trustworthy, leading to improved patient outcomes. By appreciating the balance between sensitivity and specificity, healthcare professionals can make informed choices, enhancing the quality of care and advancing evidence-based medicine.

[Solved] Current Cultural Climate Would

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[Solved] Current Cultural Climate Would

Introduction

The implementation and success of a strategic plan depends on the support of key stakeholders. This in turn depends on your ability to communicate clearly and persuasively with decision makers and to sell your vision of the future. You must also be able to lead the initiative and sustain strategic direction. This assessment provides you with an opportunity to showcase your strategic thinking and exercise the communication skills necessary to move your strategic plan forward toward implementation.

Note: In this assessment, you will develop a presentation to stakeholders for the strategic plan you developed in Assessment 2.

Preparation

Your strategic plan has been reviewed, and you have been asked to present your plan—including operational recommendations and strategic control mechanisms—at a strategic visioning session with key stakeholders (senior leaders if your plan is organization-wide, community leaders if your plan is for a community health project, or the nurse manager of a specific department or team). This session is the next step in moving your plan toward implementation.

Your deliverable for this assessment is a slide deck of 10-20 slides to supplement your presentation and facilitate discussion of your plan. You may use Microsoft PowerPoint or any other suitable presentation software. Please use the notes section of each slide to develop your talking points and reference your sources, as appropriate.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Reflect on the current cultural climate in your care setting.

  • What aspects of the current cultural climate would aid in achieving one or more specific goals contained in your strategic plan?
  • What aspects of the current cultural climate would present a challenge in achieving one or more specific goals contained in your strategic plan?
  • What leadership theories, models, or strategies could help you turn this challenge into an opportunity?

Effectively communicating with internal and external stakeholders and constituencies can help in achieving strategic initiatives.

  • How would you communicate the essential aspects of the strategic plan you developed in Assessment 2 to stakeholders or groups, both internal and external to your care setting?

 

Presentation

  • Summarize your plan for achieving 2-3 main goals. Include corresponding metrics, targets, and initiatives to help achieve the desired quality or safety improvements in the care setting.

Note: It may be useful to think about what you hoped to achieve in addressing your care setting’s positive core or specific area of concern in Assessment 1. For example:

  • Progress toward achieving the Triple Aim.
  • Better patient safety outcomes.
  • Lower readmission rates.
  • Higher volume of patients and care.
  • Increased financial gain.
  • Minimizing staff burnout.
  • Improved relationship and trust with the community or a specific population.

In addition, remember to consult the literature, research studies, and resources from professional and governmental organizations when developing metrics, targets, and initiatives.

  • Explain how you will communicate your plan to those stakeholders and constituencies who are essential to implementing your plan and sustaining strategic direction.
    • Identify the key individuals or groups with whom you must communicate.
    • Identify the cultural or ethical factors, if any, that are relevant to the design of your communication plan, including how key individuals or groups typically prefer to be contacted.
  • Describe the actions you will take to align your care setting’s structure, systems, shared values, management style, staff, and skills with your strategic goals.
    • Describe the changes that are needed to achieve your goals.
    • Describe the goals and processes for on-boarding relevant individuals or groups.
  • Explain how you will evaluate the success of your strategic plan.
    • Define successful implementation.
    • Describe the successful outcomes for this project.
    • Explain how you will compare outcomes to current performance benchmarks.
    • Explain how you will collect data to evaluate whether you have achieved specific goals and outcomes.
    • Identify your priorities, assuming you cannot accomplish everything.
  • Explain how relevant cultural, ethical, and regulatory considerations influenced the design of your strategic plan and strategies for its implementation.
  • Explain your role, as a nurse leader, in successfully implementing your proposed plan and sustaining strategic direction.
    • Explain how leadership and health care theories support your role.
  • Explain why your leadership qualities and skills will enable you to successfully implement your plan and sustain strategic direction.
    • Explain why you should be the one to lead this initiative.
    • Explain how you have demonstrated some or all of these qualities in past work.

[Solved] Least 2 Academically Significant

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[Solved] Least 2 Academically Significant

Self-Care Project

Step #1: Do a bit of research on stress triggers and coping mechanisms specific to healthcare workers. Find at least 2 academically significant sources and write 2-3 paragraphs about your findings.

Step #2: Self reflect on your own stress triggers and the coping mechanisms you use. Rate them on effectiveness. Do they work for the short-term vs. long-term, are they healthy, do they make your healthcare team stronger? You can take this in any direction, just truly self-reflect, and see where it leads you. Write 2-3 paragraphs discussing your process.

Step #3: Each week you will take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departs at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc. Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity.

Step #4: At week #3 submit your work to date, as a rough draft.

Step #5: Write a conclusion that discusses this process and demonstrates your self-reflection on stress triggers and coping mechanisms. Have you learned new mechanisms, did you meet people you would not have met otherwise, did you discover any trends in terms of age, gender, or job, are there things you can do to combat stress for yourself or your team? 

[Solved] Normal Sinus Rhythm

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[Solved] Normal Sinus Rhythm

Case Study #2

DKA 

Mrs. S is a 28-year-old patient, with a 12-year history of type I diabetes mellitus. Her husband states that she has had a “bad cold” for several days. Yesterday she stayed in bed and slept all day. She was “too ill” to check her blood sugar, and since she was not really eating, she did not take her insulin. This morning, she was not able to stand up and vomited twice. A Gram stain of Mrs. S’s blood contains gram-positive cocci in clusters. Her admission vital signs are: BP = 90/60; HR = 118 bpm (sinus tachycardia); RR = 32/min; T = 102.3° F; O2 sat via pulse oximetry = 96%. Her serum glucose is 398 mg/dl, and she is positive for serum ketones. She is admitted with a diagnosis of DKA.

Her baseline ABGs on 2 L of oxygen are: pH = 7.25; PCO2 = 28; HCO3 = 14; PaO2 = 92; O2 sat = 96%. Her respirations are deep, rapid, and labored. She has bronchial breath sounds in the right axillary area. There is bilateral chest expansion and no evidence of cyanosis.

A regular insulin bolus is given, and a regular insulin drip is initiated. Mrs. S’s IV fluids are infusing at 800 ml/hr. Her vital signs after 2 hours in the unit are: BP = 120/70; HR = 78 bpm (normal sinus rhythm); RR = 22/min; O2 sat = 100%. Her serum glucose is 250 mg/dl and serum potassium is 4.0 mEq/L. She is more alert and is feeling hungry.

  1. What is insulin’s function in the body? What is the most significant basic defect in the development of DKA?
  2. What is the cause of Ms. S experiencing DKA?  Describe the pathophysiologic rationale for your answer.
  3. List the classic signs and symptoms of DKA. Which signs and symptoms did Ms. S experience? What are the pathophysiologic causes of these signs and symptoms?
  4. What is an anion gap? Why is the anion gap important to follow in the treatment of DKA?
  5. What acid base disturbance is Ms. S experiencing? What compensatory mechanisms are in effect at this time?
  6. What is the primary nursing diagnosis for Ms. S.? What are the goals for treatment (both independent and collaborative)? What interventions are imperative to initiate immediately? What interventions are important within the next 12-24 hours?
  7. What are potential lab abnormalities for a patient in DKA?
  8. What nursing considerations are important in planning Ms. S’s discharge?
  9. Discuss the American Association of Critical Care Nurses (AACN) Synergy Model and how this concept would be important in this patient’s care.

[Solved] Personal Coping Mechanisms

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[Solved] Personal Coping Mechanisms

Each week you will take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departs at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc. Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity.

[Solved] Get Started

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[Solved] Get Started

KWL (what do you Know, what do you Want to know, what do you want to Learn) :

As we get started in this class take a minute to tell me: What do you already know about statistics, what did you learn about statistics, and what do you want to learn more about in statistics?

[Solved] Expectations Regarding Proper Citations

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[Solved] Expectations Regarding Proper Citations

 

After studying Module 2: Lecture Materials & Resources, submit the following:

  • Starting with the precursor substance tyrosine or tryptophan, identify and briefly describe each chemical step required to create each neurotransmitter. 

Submission Instructions:

  • The typewritten description is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
  • Complete and submit the assignment by 11:59 PM ET on Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.