1) How do you think your role as an APN will emerge following your DNP education, ie do you

1) How do you think your role as an APN will emerge following your DNP education, ie do you. 1) How do you think your role as an APN will emerge following your DNP education, ie do you.

1) How do you think your role as an APN will emerge following your DNP education, ie do you think you will have more opportunities to influence practice and practice change, and if so, how? (2 points)
2) How do you interpret the article “DNP as faculty” and what does this mean to you, ie, does it require a shift in thinking? (2 points)

3) What components of the DNP and/or the DNP essentials motivate you to advance and grow as a professional and why? (4 points)
[supanova_question]

1) How do you think your role as an APN will emerge following your DNP education, ie do you

1) How do you think your role as an APN will emerge following your DNP education, ie do you

***PLEASE RESPOND TO THE FOLLOWING 2 DISCUSSION POSTS SEPARATELY*** ***REFERENCES TO BE NO OLDER THAN 5 YEARS*** 1. Difference

***PLEASE RESPOND TO THE FOLLOWING 2 DISCUSSION POSTS SEPARATELY*** ***REFERENCES TO BE NO OLDER THAN 5 YEARS*** 1. Difference. ***PLEASE RESPOND TO THE FOLLOWING 2 DISCUSSION POSTS SEPARATELY*** ***REFERENCES TO BE NO OLDER THAN 5 YEARS*** 1. Difference.

***PLEASE RESPOND TO THE FOLLOWING 2 DISCUSSION POSTS SEPARATELY***
***REFERENCES TO BE NO OLDER THAN 5 YEARS***

1. Difference

In my opinion despite of difference between Telehealth and Telemedicine, both are new electronic technologies, that are utilizing by healthcare team to provide healthcare to people who do not have access to the clinic or doctors’ offices. Based on Harvard University Video (2015) Shah provided a fundamental definition of telehealth, “telehealth by utilizing electronic tools provide healthcare remotely”, and as an example shah addressed “remote radiologist sitting in the room that might be hundreds of miles away and discuses about the radiology film and broadly using in management of chronic disease, management of mental health, and providing daily care to patients.” Therefore, telehealth is telecommunications technologies that adopted to make simple long distance health care.

Based on Telehealth alliance of Oregon (2021) “Centers for Medicare and Medicaid Services (CMC) asserted that Telemedicine seeks to improve patients’ health by having interactive communication between the patient and physician or practitioner at the distance site. However, exploring the difference between telemedicine and telehealth is difficult and confusing, the notion of telemedicine is “to obtain advice from specialist and professional aid in specified time by utilizing electronical devices such as smartphone, computer, and email. While telehealth is useful for users to obtain information from doctor interviews, share the experience with other patients with the similar diseases, and information from social websites timely” (Gu, et al., 2021).

The benefits of using telehealth and telemedicine are providing care to rural and low-income population, reduce cost, and saving time in long distance traveling. In addition, telemedicine can reduce American health care spending by decreasing medication misuse, unnecessary emergency department visiting, and prolonged hospitalizations (Gajarwala[supanova_question]

***PLEASE RESPOND TO THE FOLLOWING 2 DISCUSSION POSTS SEPARATELY*** ***REFERENCES TO BE NO OLDER THAN 5 YEARS*** 1. Difference

***PLEASE RESPOND TO THE FOLLOWING 2 DISCUSSION POSTS SEPARATELY*** ***REFERENCES TO BE NO OLDER THAN 5 YEARS*** 1. Difference

Consider the case scenario you described in week six and assume the change process is proceeding in an effective

Consider the case scenario you described in week six and assume the change process is proceeding in an effective. Consider the case scenario you described in week six and assume the change process is proceeding in an effective.

Consider the case scenario you described in week six and assume the change process is proceeding in an effective manner. Address the following:

Provide a concise introduction for your posting.
Identify the key stakeholders who are impacted by the change at each of the micro-, meso-, and macro-levels, and discuss how you will engage those stakeholders in the change process.
Describe one supportive factor within the system which will facilitate your recommended change and an example of one barrier that may occur which would impede your recommended change.
Provide at least one leadership strategy to address or resolve the barrier; include your rationale.
Recommend one leadership strategy to sustain the change within the context of a complex system and explain your rationale.
Conclude with a succinct synopsis of key points and concise self-reflection of how this topic contributes to your growth as a future leader in the chosen specialty track.

This is the topic::::: (PLEASE SEE ATTATCHED DOCUMENT FOR AN EXAMPLE AND GUIDE)
Week 6 ::Decreased nursing staff in the department of medical specialities which has resulted in decreased patient satisfaction.[supanova_question]

Module 13: ECN500: Exchange Rate Systems and Currency Crises

Discuss the causes of the recent currency crisis in Turkey. What are the implications for the Turkish economy and the global economy? What should be the role of the Turkish Central Bank for stable currency?
Incorporate data/graphs/tables to help make your points.
Answering the instructor question reply after posting the discussion is required.
Embed course material concepts, principles, and theories, which require supporting citations along with at least one scholarly, peer-reviewed reference in supporting your answer unless the discussion calls for more. Keep in mind that these scholarly references can be found in the Saudi Digital Library by conducting an advanced search specific to scholarly references.
Use APA 7th edition and Saudi Electronic University academic writing standards.
You are required to reply to at least two peer discussion question post answers to this weekly discussion question and/or your instructor’s response to your posting. These post replies need to be substantial and constructive in nature. They should add to the content of the post and evaluate/analyze that post answer. Normal course dialogue doesn’t fulfill these two peer replies but is expected throughout the course. Answering all course questions is also required.
[supanova_question]

E-xactly how big are we talking about? Directions: Match up each statement

Consider the case scenario you described in week six and assume the change process is proceeding in an effective E-xactly how big are we talking about?

Directions: Match up each statement with its corresponding value written in scientific notation…or a calculator/spreadsheet way of writing scientific notation.

Statement

Number

Box office of the movie Avatar, in dollars

1) 4.35E2

The student population of Belmont University as of Fall 2020, in number of people

2) 8.44E3

Median selling price of a home in Franklin, Tennessee, as of July 2021, in dollars

3) 1.75E4

The average annual value of Nashville Predators captain Roman Josi’s 2021 salary, in dollars

4) 7.25E5

Number of United States House of Representatives, in number of people

5) 9.059E6

Capacity of Hollywood Bowl Amphitheater, in number of people

6) 1.1E7

The population of the United States in 2021, in number of people

7) 3.31E8

Number of sold copies of Dangerously in Love, Beyonce’s most commercially successful album, in number of records from 2003 to 2020

8) 2.802E9[supanova_question]

Failure of Democracy and the Rise of Totalitarianism Textbook: Chapter 4, 5

Failure of Democracy and the Rise of Totalitarianism

Textbook: Chapter 4, 5

Lesson

Minimum of 1 scholarly source (in addition to the textbook)

Initial Post Instructions
During the 1930s, much of the world seemed to give up on their hope for a democratic solution to their problems and instead turned to totalitarianism, both in Europe and in Asia.

Germany/Hitler

Address the following questions for your selection:

What effects did the history, politics, and economies of those areas play in their decisions to turn to totalitarianism?

What role did the Great Depression in the United States play in their plight?

In our previous weeks we have touched on the rise of fascism as a political ideology and this week we will see the ways in which the Nazi’s incorporated that doctrine to fit their political goals. Additionally, we covered how communism and imperialism continued to dominate political thinking and diplomatic maneuvers. These ideas became increasingly relevant during the 1920s and 1930s as the Great Depression set in and voters and constituents around the world became desperate for political answers. As we examine these years in global history, think about what would have appealed to the Germans about the message the Nazi’s were promoting and why such a virulent anti-semitism found a home in German politics. Why would the Japanese have supported a war against a western power like the United States? Finally, feel free to discuss other instances in history or in contemporary times where political and/or economic desperation has caused people and societies to embrace policies or doctrines that they might have otherwise rejected in other eras.[supanova_question]

Answer the question after reading the case

Answer the following questions after reading the case:
1. Why is Clarkson Lumber so short of cash despite its record of profitable operations?
2. Evaluate Mr. Clarkson’s estimates of his loan requirements. What size loan does he need and when can he repay it?
3. Is it smart to continue to expand the business even though it is putting extensive financial pressure on management?
Submit answers and any spreadsheets you create to support answers.

done
Seen
3 mins ago[supanova_question]

Anthropology Question

As a final reflection, please craft a four to five page essay (double spaced, 1-inch margins) describing the most relevant, interesting, or surprising information you learned about the “Human Odyssey.” In the final paragraph or two, please reflect on why you do or do not believe studying the past is relevant for today and into the future. I realize this might seem to be a loaded question and that I am seeking an answer. I am not! Please be honest. You will be graded on your integration of class information and the quality of your essay — not your opinion! If you use outside materials for your essay, please include a references page. If all your materials are from class, this is not necessary.
Here Are some links to the topics we had discussed in class, so you can have an idea about the topic we had discussed in class.
– Module 9: The New World: One if by Land, Two if by Sea
https://mediasite.sdsu.edu/Mediasite/Play/4615b838…
– Module 10: Colonizing the Vast Pacific
https://mediasite.sdsu.edu/Mediasite/Play/d4d7b0cb…
– Module 11: Rise of Cultural Complexity: A California Case Study
https://mediasite.sdsu.edu/Mediasite/Play/4624d829…
– Module 12: The Agricultural “Revolution”
https://sdsu.zoom.us/rec/play/_eMgOiyme6PxNokG8ts2…
– Module 13: The Near East: From Hunter Gatherers to Agriculturalists
https://mediasite.sdsu.edu/Mediasite/Play/07fa946b…
– Module 14: Consequences of Complexity
https://mediasite.sdsu.edu/Mediasite/Play/923bfe6d…
– Module 15: Colonial Encounters: The European Radiation
https://mediasite.sdsu.edu/Mediasite/Play/b9d721b9…
– Module 16: Fantastic Trash: The Realities of Living in the Material World
https://mediasite.sdsu.edu/Mediasite/Play/b10077fc…

done
Seen
6 mins ago[supanova_question]

Harper Adams University Assignment Brief (Online Submission Only) Module Name: Supply Chain

Harper Adams University

Assignment Brief (Online Submission Only)

Module Name: Supply Chain Management

Module Code: F6014

Module Tutor: Jane Eastham

Assignment Title: The evaluation of supply chain strategy

Submission Deadline:

3pm on Wednesday, 4th of August 2021

NOTE: Please ensure your student number is included at the beginning of your submission title when uploading your work. Do not include your name in the document.

Word Limit: 3,500 max.

Time Guide: 35hs

File Size Limit: 20 MB

File Type: MS Word

Module Outcomes Assessed:

1.Analyse the complexity of global supply networks, drawing on supply chain management theories, research literature and best industry practice.

2. Examine and evaluate supply chain strategies and the impact on performance with consideration of the value stream effectiveness, efficiency, as well as ethical, environmental issues, and risk factors.

3. Assess strategies for developing and managing supply chain relationships.

4. Evaluate the value stream analysis with a view to improving supply chain performance.

Task: essay

The assignment allows you to draw from research and knowledge of a supply chain of your choice. This may be a national, international or global supply chain

Using Lean theory and one other theory of your choice examine, evaluate and critique a chosen supply chain. Your essay should make recommendations for restructuring and improving the supply chain performance.

Your theoretical options may include Agile, Leagile, supply chain risk management theory, power dependency theories, supply chain management theories and theories of trust or others of your own choosing.

Presentation requirements:

The work will be judged against the extent to which it fulfils the following criteria:

Criteria

Weighting %

Research into a specific supply chain or product

25%

A critique of the current practices, based on your analysis

25%

Critical evaluation of identified supply chain theories and strategies

25%

Citations and Reference

12%

Presentation

13%

Please ensure that:

The work meets the criteria given in below.

The work is able to communicate an informed, mature and thoughtful understanding of the topics under consideration.

Calibri or Arial font size 11; All page margins = 2 cm

The work is able to demonstrate an appropriate level of background reading and research in relation to the topics under consideration.

[Note: Good work will be expected to utilise at least 20 reference sources and no more than 25% of reference sources should be websites. PDF publications carried on websites will not be classed as websites. The excessive use of websites will incur a penalty established by the judgment of the marker.]

The work gives complete, planned, synthetic and coherent responses to the assignment tasks.

The work complies with the stated word limits.

Conforms to relevant presentation guidelines as detailed in Harper Adams’ Guide to Essay Writing and Guide to Referencing available through the library intranet homepage.

Plagiarism and/or poor academic practice will incur of marks being deducted and are subject to the university disciplinary guidelines.

70 – 100%

60 – 69%

50 – 59%

40 – 49%

35 – 39%

0 – 34%

Research into a specific supply chain or product

25%

The work draws upon a range of sources of data on their chosen chain. It offers a precise, clear and autonomous interpretation of the value chain

Demonstrates thorough research skills and gathers a clear outline of issues facing the supply chain.

Demonstrates research skills and gathers sufficient data to show the many of the issues facing the supply chain.

Demonstrates some if limited research skills and gathers data to show some of the issues facing the supply chain.

Demonstrates limited or no research skills and gathers insufficient data to show the many of the issues facing within the supply chain –

A poor piece of research that shows no understanding of SC and insufficient research skills

a critique of the current practices, based on your analysis

(25%)

Clear evidence that the student has drawn upon appropriate theoretical concepts and deployed these to provide an independent synthesis of ideas

Some evidence that the student has drawn upon appropriate theoretical concepts and deployed these to provide an independent synthesis of ideas

Evidence that there has been some application of appropriate theories to assess competitive advantage

Tendency towards either description of theory or practice

Limited evidence that of application of appropriate theories to assess competitive advantage

A strong tendency towards either description of theory or practice

Student has failed to explicitly appropriate theories to assess competitive advantage

Work is highly descriptive

Student has failed to understand the nature of this section of the assignment

Critical evaluation of identified supply chain theories and strategies

(25%)

A clear thoughtful analysis and argument drawing upon readings

A thoughtful analysis and argument drawing upon readings

Some evidence of thought and analysis and argument drawing upon readings

Some evidence of thought but has failed to consider the implications of the theory on their observations

The student has made little attempt to consider theoretical perspectives

The student has made no attempt to consider theoretical perspectives

Citations and Reference (12%)

Strong evidence of rigorous and holistic reading programme – research- evidences through citations and references delivered according to HAU requirements, references made to an extensive range of sources of data including academic journal articles

Evidence of rigorous and holistic reading/ research, citations and references delivered according to HAU requirements, references made to a wide range of sources of data including academic journal article

Some evidence of some good and thoughtful research, citations and references delivered according to HAU requirements, references made to a good range of sources of data including academic journal article

Some evidence of research citations and references delivered according to HAU requirements, references made to a good range of sources of data including academic journal article

Limited evidence of research

little or no evidence of research

Presentation (13%)

Well organised and professionally presented, arguments are coherent and offer a cogent and convincing argument

A professionally presented piece of work that articulates a coherent message with a real attempt to present a structured argument

A good attempt to present a professional piece of work – the work has a tendency towards the descriptive

A descriptive piece of work – greater articulation of ideas would raise the mark

Highly descriptive

The student has failed to understand the requirements

Date of assignment launch to students: 12th July 2021

Feedback and grades will be returned by: September 2021

Assignment brief moderated by (print name):

Signed: Alastair Boot Date: 25/6/21

Assignment submission

Submission declaration: In submitting this assignment I/we acknowledge that I/we understand the definition of, and penalties for, cheating, collusion and plagiarism set out in the assessment regulations. I/we also confirm that this work has not previously been submitted for assessment for an academic award, unless otherwise indicated.

Assignment Submission Checklist …. Have you….?

Uploaded the digital copy of the assignment to The Learning Hub?

Received your e-mail receipt to confirm successful assignment upload to The Learning Hub?

Checked that the uploaded digital copy is the correct file?

Retained a digital back-up of the assignment in case of file corruption or other difficulties?

You should be aware that…

Work submitted after the deadline will be subject to a mark penalty.

Submitted work that does not use the specified file format may not be marked if the file cannot be accessed.

Failure to upload or uploading the digital copy after the deadline will result in a mark penalty.

If you do not receive a receipt within 30 minutes of uploading your work, please contact the Assignment Office (01952 815058 or assignments@harper-adams.ac.uk).

Digital files must be retained for the duration of your studies.

Penalties: Work submitted after the published deadline will be subject to a mark penalty (unless there are approved, documented, mitigating circumstances). The penalties for late or non-submission are outlined in Annex 5.01 of the Academic Quality Assurance Manual. Student work submitted UP TO 5 working days later than the published date/time will be subject to the final mark being capped at 40%. Student work submitted AFTER 3.00pm on the fifth working day will be awarded a grade of zero. After uploading your digital copy, please retain the emailed receipt(s) which you should receive confirming that your assignment has been successfully uploaded.

For group assignments, on time submission is the collective responsibility of the group. If a group assignment is submitted after the published deadline, ALL members of the group will be subject to the penalty shown above. All group members should ensure that they have a plan, agreed in advance, in the event that a nominated individual is unable to complete the submission by the stated deadline.

Wordcount: Students are expected to keep within the specified word / page limit and include a word count or page numbering as applicable. The portion of an assignment that exceeds a word / page limit will not be marked.

Assignment return

Your feedback will be returned through GradeMark. To view feedback, please return to the drop-in box on your module. Instructions on how to access feedback through GradeMark can be found under the “Student Information” tab on the front page of The Learning Hub. As well as the grade/mark, you should also receive feedback (which may be typed or spoken) on your assignment. If the written feedback provided is unclear you may request (via the Assignment Office) for the module leader/module tutor to provide clarification.

Your marked assignment should be returned by the date stated on the brief. If this will not be possible, the module leader/module tutor will advise students of the expected return date. If you do not receive your mark/feedback by this date, please ask your Course Representative, on behalf of the cohort, to e-mail latereturn@harper-adams.ac.uk to enable this matter to be investigated.

Course Representatives – If you are requested to report late feedback by your cohort, please include the following information in the e-mail: Course name, Module Title, Module Code, Assignment Title and the stated feedback/grade return date. In reporting an issue, you may, if wish to do so, request that your details are kept anonymous. However, please be aware that this will mean that the University will not be able to provide you with direct feedback/updates on the investigation process.

Harper Adams University, Academic Quality Assurance Manual Annex 5.03b

Approved: Learning, Teaching and Student Experience Committee, (Revised: September 2020) Page 2 of 6[supanova_question]

FA3 Investigation – argumentative essay Suggested structure Introduction outlines the aims, establishes

FA3 Investigation – argumentative essay

Suggested structure

Introduction outlines the aims, establishes the topic’s importance and states the point being argued

Main body consists of main ideas developed in clear paragraphs to present an informed argument eg

Identification of essential legal features of negligence in the scenario (Comprehending) eg

Relevant legislation

Elements of negligence

Identification of plaintiff and defendant

Relevant defence/s

Description of legal concepts, principles and/or processes of Queensland negligence laws that relate to the scenario (Comprehending)

Relevant defence/s

Application of legal concepts, principles and/or processes to determine the nature and scope of the negligence in the scenario (Analysing)

Interpret legal information to examine different viewpoints and their consequences (Analysing)

Use case examples to support analysis

Legal alternatives presented (Analysing)

Recommendation/s proposed and justified (Evaluating)

Case law could be referred to here to support justification

Implications of the recommendation/s discussed (Evaluating)

Conclusion to summarise the main finding from the analysis and evaluation

Additional information:

In-text citations must be used (Selecting)

Reference list must be included (Selecting)

Expression, logical development of ideas, accurate use of legal terminology, spelling, grammar and punctuation will be assessed (Creating a response)

Essay must be within the 1500-2000 word limit.[supanova_question]

FACILITY PLANNING – FLOOR PLAN PART 2 4 Running head: Facility Planning

FACILITY PLANNING – FLOOR PLAN PART 2 4

Running head: Facility Planning – Floor Plan part 2 1

Facility Planning – Floor Plan part 2

Latoya Chambers

HCS/446

Johnnie West

August 2, 2021

The provision of medical service is an essential and sensitive sector, and it requires to be regulated by the federal government and state policy. The governing institutions have legal thresholds that any institution needs to meet before it can start to run. The guidelines are designed to ensure the safety of all people who use the facility. One of the essential equipment required in a medical facility is fire extinguisher cylinders (WHO, 2021). The cylinders are necessary to contain a fire if it erupts, and they should be installed so that it would be accessible to everyone at any point in the building. Besides, we should install another close to where a large group of people is likely to congregate. Therefore, in my hospital plan, we will install two fire extinguisher cylinders on the wall of the waiting lounge and another on the wall of the nurse station. In mitigating a fire incidence, we require an exit to allow people in the facility to escape to safety when a fire erupts. We will install an emergency exit between the storage room and the adjacent exam room. Additionally, we shall fix a written instruction that contains the procedure a person follows in case a fire starts on all walls of the facility.

Other pieces of equipment that need to be installed are the chairs in the waiting lounge and the nurse station. It is a legal requirement that patients should be comfortable whenever they are waiting for service. Also, the chairs should be installed to ensure that the patients are served orderly, and no patient is preferred to others. We will install the seats along the length of the waiting lounge. This arrangement ensures equity in the facility. The doors installed should have hinges enabling them to open in both directions. The doors will ensure that a patient being pushed on a wheelchair or being bed-ridden moves smoothly.

Moreover, we will increase the size of the reception to accommodate a nurse who will carry out tests of significant vital signs of patients who walk in, such as body temperature and blood pressure. The tests are essential in medical practice to determine that the patient who has walked in can wait in the queue until their turn to be attended to has come. It is immoral to subject someone incapable of waiting to the queue and risk the patient succumbing. We will avail the nurse who checks for these signs with essential equipment; including a sphygmomanometer used to measure the blood’s pressure, a thermometer to test the body temperature, a BMI machine that measures the Body Mass Index (BMI), and a Cardiac Finger Pulse Rate Meter to measure the heart’s beating rate. The vitals measured is enough to make a general judgment of the severity of the patient’s illness.

The changes proposed in this stage have both cost implications and human resource requirement. The organization needs to use the money to purchase the equipment, including clinical thermometers, a sphygmomanometer, a BMI machine, a cardiac finger pulse rate meter, seats, fire extinguishers, and the required type of doors (Griffin, 2021). Moreover, it requires one more nurse to be employed to undertake the vitals test, which increases the amount of money paid to workers as salary. Additionally, a restructure of the design to avail space at the reception and allow access to the emergency exit has cost accompanied. It is easy to monitor the people working at the facility because the layout enables one to access the activities at every station from a central position. The layout thus guarantees transparency among the workers and also accountability.

The legal considerations made in the medical facility interlinks with the ethical practices one would consider implementing in a healthcare facility. The need for a fire extinguishing strategy is a legal requirement and is ethically essential. On the other hand, the need to confirm that a patient can wait for services is ethical. Legally, it is required that all patients should be treated equally. However, if the vital signs indicate that a patient would die in the queue, it would require ethical intervention to skip the line and save the patient first. In summary, the legal requirements in the planning of a medical facility streamline the service provision and align the practices of a healthcare facility with the law.

References

Griffin, Charles. “Planning, Design And Construction Of Health Care Facilities”. Jointcommissioninternational.Org, 2021, https://www.jointcommissioninternational.org/-/media/jci/jci-documents/offerings/advisory-services/industry-services-program/ebpdc15sample.pdf?db=web&hash=5A79570EBAAEDFE3A2E8D408DEF5672D&hash=5A79570EBAAEDFE3A2E8D408DEF5672D.

“Patient Safety”. Who.Int, 2021, https://www.who.int/news-room/fact-sheets/detail/patient-safety.[supanova_question]

Dr Nauman Shad HOME CONTACT BLOGS Factors Affecting Difficulty & Discrimination Indices

Dr Nauman Shad

HOME

CONTACT

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Factors Affecting Difficulty & Discrimination Indices

Posted on September 19, 2016 by Dr Nauman Shad

Factors Affecting Difficulty & Discrimination Indices

Often teachers are stunned after seeing results of an assessment as to how could students have performed so poorly in an examination.

Making fair and systematic evaluations of students’ performance can be a challenging task. Teachers, employers, and others in evaluative positions use a variety of tools to assist them in their evaluations. Tests are tools that are frequently used to facilitate the evaluation process

One-best MCQs are one of the strategies of the assessment tool that quickly assess any level of cognition. Analysis of these MCQs should be done on and off evaluate the quality of items and of the test as a whole. Such analyses can also be employed to revise and improve both items and the test.

Item/MCQ analysis is a valuable, yet relatively simple, procedure performed after the examination that provides information regarding the reliability and validity of a test item. It also tells how difficult or easy the questions were, e.g. through the difficulty index.

Difficulty Index

This is an index which expresses the proportion or percentage of students who answered the item/MCQ correctly. It is frequently called the p-value.

The larger the percentage getting an item right, the easier the item & the higher the difficulty index. This is why perhaps “difficulty index” should have been named “easiness index”.

The item/MCQ difficulty index is one of the most useful, and most frequently reported, item analyses in statistics.

Item difficulty can range from 0.0 (none of the students answered the item correctly) to 1.0 (all of the students answered the item correctly). Experts recommend that the average level of difficulty for an MCQ item should be between 30% and 70%.

Factors Causing a Low Difficulty Index (A low p-value)

Difficulty index of less than 20-25% means there is obviously something wrong. Following are a list of factors that may cause a low difficulty index (also called p-value) of a MCQ (less than 02.-0.3, i.e. less than 20-30% of students got the MCQ right):

Learning objective of MCQ is out of course/not in prescribed/recommended textbooks

Content/Learning objective was not taught in class

Question was really difficult-beyond their scope of understanding of an undergraduate student

MCQ was of a higher cognitive level

Question and or its wording is not clear enough; ambiguous question; wrongly phrased

Distracters not clear enough; may be more than one ‘most likely’ answer

Answer in examiners key is wrong or there are two correct answers; these are often picked up when even toppers get the MCQ item wrong.

Students missed the concerned lecture (physically absent), did not take relevant notes, were mentally absent in the lecture etc.

Students did not study from recommended textbooks, lecture notes etc. Students often study from short books which do not cover all learning objectives

Students in general did not come prepared for the exam

Students caliber in general is weak (e.g. Students of a private Medical College in general compared with students of a Government Medical College)

Syllabus too extensive and students were unable to cover/revise the whole prescribed course

Students overburdened with more than one tests/evaluations in one day

Carefree, casual attitude of students, especially of wealthy parents and/or those who were not even interested in the course and were forced/coerced/Requested by parents to get admission (e.g. in a medical college); also includes female medical students and/or their parents who only wish to add ‘dr.’ as part of the ‘Jahaiz’.

Leaving it too late: Many students leave it too late before starting to seriously study for the exams especially professional exams. They ‘enjoy’ all the year round and only start serious study in the last 1-2 weeks/months before final exams

Incompetent teacher: Teacher was unable to deliver the learning objectives wholly and properly:

Teaching – The Once Noble Profession

17. Inability to use unfair means; no leakage of paper etc (unofficial reasons)

These same factors may also be reasons why a SEQ (Short Essay Question) was found to have a low difficulty index with following additions:

18. Excessive strictness in paper checking

19. Wrong/negligent paper checking. Right answers inadvertently marked wrong.

This may happen when an examiner has a huge bundle of papers (is given or taken the huge responsibility for maximum monetary benefits) to check in limited given time.

Or if the examiner is incompetent (not competent enough) to check the papers

Discrimination Index

There are other item analyses besides the difficulty index. For example the discrimination index; this index of discrimination is simply the difference between the percentage of high achieving students who got an item right and the percentage of low achieving students who got the item right.

In simpler terms, ability of an item to discriminate between the top and bottom students who took the exam determines the discrimination index.

The discrimination index is obtained by subtracting the number of students in the lower group who got the item correct (worst performance) (lower 25 %) from the number of students in the upper group who got the item correct (upper 25 %). Then divide by the number of students in each group.

The possible range of the discrimination index is -1.0 to 1.0; ideally the value should be 0.2 or higher. However, if an item has discrimination below 0.0, it suggests a problem.

When an item is discriminating negatively, overall the most knowledgeable students are getting the item wrong and the least knowledgeable students are getting the item right.

Causes of low/negative discrimination index

Poor/very low caliber set/subset of students

The item was so easy that it couldn’t discriminate correctly

The item was so difficult that it couldn’t discriminate correctly

A negative discrimination index may indicate that the item is measuring something other than what the rest of the test is measuring.

It may be a sign that the item has been mis-keyed (wrong key) or double keyed (two correct answers)

Too much use of unfair means in the exam, so much so that it couldn’t discriminate easily

Some of the factors mentioned above for difficulty index (e.g. item too ambiguous, wrongly phrased, beyond scope etc) as item discrimination is greatly influenced by item difficulty

It can be seen that all of these except for point 2 & 6 are causes of items having a low difficulty index as well as a low/negative discrimination index. It is to be noted that point number 1 is often the major reason for poor item analysis in private medical colleges in Pakistan, especially where admission in medical colleges on merit has not been taken into that much consideration.

Additional Points

Item analysis data are tentative. Such data are influenced by the type and number of students being tested, instructional procedures employed, and chance errors. Difficulty indices & discrimination indices should improve/change upon repeated/frequent assessment of subject knowledge.

If repeated use of items is possible, statistics should be recorded for each administration of each item.

(This article was published in Islam Medical & Dental College’s (Sialkot, Pakistan) first college magazine, with some additions brought here)[supanova_question]

Cyber Security Question

Week 10 Assignment – Develop Short- and Long-Term DSS-Based Strategies
Scenario
Imagine you’re the CIO of a large company (for example, a financial institution, a national fast-food franchise, a mobile phone service provider, or a large Internet-based company) that is experiencing a few industry changes (for example, fiscal or regulatory changes, new competition, new market forces, or changing technologies). Executive leaders want to completely understand your customers to improve revenue growth from existing customers and acquire new customers.Executive leaders believe that by understanding your customers’ demographics, spending patterns, credit scores, financial information, and so on, you can provide better customer service, market your products more effectively, create new products, and retain your customers.Many technologies, solutions, and processes exist that you can leverage to obtain this information. Many new technologies have emerged in recent years, such as cloud computing, SaaS, mobile BI, and Big Data.Executive leaders have asked you to develop short-term and long-term strategies for implementing a set of DSS, BA, and AI solutions to meet your goal of achieving a comprehensive view of your customers.Instructions
Fictitious assumptions and details may be assumed or created for the completion of this assignment. Application cases and examples in the textbook and elsewhere may be used to support your discussions and examples.Write a 4–5 page paper in which you:Explain, with examples, how your comprehensive view of customer data can solve three of your company’s business problems.
Develop, with justification, both a short- and a long-term strategy to meet your goal of achieving a comprehensive view of customer data.
Explain, with examples, how to use three implementation technologies to achieve the goals of your short- and long-term strategies.
Support your writing with at least three credible, relevant, and appropriate sources.Cite each source on your source list at least one time within your assignment.
For help with research, writing, and citation, access the library or review applicable library guides.

Write clearly and concisely in a manner that is well-organized, grammatically correct, and free of spelling, typographical, formatting, and punctuation errors.
This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.The specific course learning outcome associated with this assignment is:Evaluate the technologies, processes, and strategies needed to gather a comprehensive view of customer data. FOLLOW THE RUBRIC BELOW
Name: w10a1
Description: Develop Short- and Long-Term
DSS-Based Strategies

Grid View

List View

Unacceptable

Needs
Improvement

Satisfactory

Competent

Exemplary

Explain,
with examples, how a comprehensive view of customer data can solve three of a
company’s business problems.

Points:
0 (0.00%)
Did not identify how a comprehensive view of
customer data can solve three of a company’s business problems.

Points:
27.3 (18.20%)
Identified, but did not explain, how a
comprehensive view of customer data can solve three of a company’s business
problems.

Points:
31.5 (21.00%)
Explained, including examples, how a
comprehensive view of customer data can solve two of a company’s business
problems.

Points:
35.7 (23.80%)
Explained how a comprehensive view of
customer data can solve three of a company’s business problems.

Points:
42 (28.00%)
Explained, with examples, how a
comprehensive view of customer data can solve three of a company’s business
problems.

Develop,
with justification, both short- and long-term strategies to meet the goal of
achieving a comprehensive view of customer data.

Points:
0 (0.00%)
Did not outline both short- and long-term
strategies to meet the goal of achieving a comprehensive view of customer
data.

Points:
28.275 (18.85%)
Outlined, but did not fully develop, both
short- and long-term strategies to meet the goal of achieving a comprehensive
view of customer data.

Points:
32.625 (21.75%)
Developed a short- or long-term strategy
(but not both) to meet the goal of achieving a comprehensive view of customer
data.

Points:
36.975 (24.65%)
Developed both short- and long-term
strategies to meet the goal of achieving a comprehensive view of customer
data.

Points:
43.5 (29.00%)
Developed, with justification, both short-
and long-term strategies to meet the goal of achieving a comprehensive view
of customer data.

Explain,
with examples, how to use three implementation technologies to achieve the
goals of the short- and long-term strategies.

Points:
0 (0.00%)
Did not identify how to use three
implementation technologies total to achieve the goals of the short- and
long-term strategies.

Points:
27.3 (18.20%)
Identified, but did not explain, how to use
three implementation technologies to achieve the goals of the short- and
long-term strategies.

Points:
31.5 (21.00%)
Explained how to use three implementation
technologies to achieve the goals of the short- or long-term strategy (but
not both).

Points:
35.7 (23.80%)
Explained how to use three implementation
technologies to achieve the goals of the short- and long-term strategies.

Points:
42 (28.00%)
Explained, with examples, how to use three
implementation technologies to achieve the goals of the short- and long-term
strategies.

Support
one’s writing with at least three credible, relevant, and appropriate
sources.

Points:
0 (0.00%)
Did not cite any sources.

Points:
4.875 (3.25%)
Cited one source, which does not support
one’s writing.

Points:
5.625 (3.75%)
Supported one’s writing with one credible,
relevant, and appropriate source.

Points:
6.375 (4.25%)
Supported one’s writing with two credible,
relevant, and appropriate sources.

Points:
7.5 (5.00%)
Supported one’s writing with at least three
credible, relevant, and appropriate sources.

Write
clearly and concisely in a manner that is well-organized, grammatically
correct, and free of spelling, typographical, formatting, and punctuation
errors.

Points:
0 (0.00%)
Wrote in a manner that is incoherent and
grammatically incorrect, with numerous spelling, typographical, and
punctuation errors.

Points:
9.75 (6.50%)
Wrote in a manner that lacks clarity and
organization, with grammatical, spelling, typographical, formatting, and
punctuation errors that inhibit readability and effective communication.

Points:
11.25 (7.50%)
Wrote in a clear manner that is
grammatically correct but with spelling, typographical, formatting, and
punctuation errors that have no practical effect on readability and effective
communication.

Points:
12.75 (8.50%)
Wrote clearly and concisely in a manner that
is well-organized; grammatically correct; and nearly free of spelling,
typographical, formatting, and punctuation errors.

Points:
15 (10.00%)
Wrote clearly and concisely in a manner that
is well-organized; grammatically correct; and free of spelling,
typographical, formatting, and punctuation errors.

Name:w10a1

done
Seen
1 min ago[supanova_question]

Law Question

1. Identify your article https://www.washingtonpost.com/nation/2019/04/06/m…
2. Connect your article to the chapter and topic from the book.
3. Provide an overview/highlight of your article. Please be sure to explain why the information you are sharing with us is important. How can we use it as industry professionals? Why does your article matter? You don’t have to answer all the three of those questions per se, they basically mean the same thing–just wanted to give you different ways to interpret the expectation for number 3. You don’t have to read the question and then answer it–you can build it into your presentation. Just be sure you include this information somewhere in your presentation.
4. The maximum time allowed for your presentation is 3 minutes. I will cut you off 10 seconds after you reach 3 minutes and I will provide you two intermittent warnings. More will be explained during our exam. Don’t worry, you will know the 3 minutes is approaching~~plus you should be practicing too! If you exceed the maximum time, you will receive a penalty. As I said, you need to practice your presentation using a timer so you know how much time you need.
5. There is no minimum time; however, you need to address the three expectation identified above.
6. You are not expected to memorize your presentation. You may use notes–PLEASE DO NOT READ THEM! I recommend you use the written component (see more below) as a script for your presentation.
7. No visual aid required–you do not need a PPT or Prezi. If you feel the class would benefit from you using a PPT, I’m okay with you preparing one, I just want to be clear, it’s not required. You will need to provide me with your PPT in addition to your write up if you use a PPT. Please email me your PPT or the Prezi link before 6:00 p.m., 12/06/21 if you plan on using either type of file during your presentation. There is no time for technology issues, so if your visual aid does not work, you will be expected to present without it.
Written submission:
You will upload a written summary of your article into the current event final exam assignment, specifying which chapter and specific topic your article discusses. Your write up will connect your article to the chapter and topic. Your write up will also discuss why the information within the article is important–just like the requirements identified in the presentation instructions above. That is why I recommend you use your write up more like a script for your presentation.
[supanova_question]

Web Analytics

1) Personna ContentUsing the persona that you created in Week #5, it’s time to create content! Write three-four paragraphs that aligns fully with the persona details.For the sake of this exercise, assume that you are selling Google merchandise on the Google Merchandise store.If you’re finding it difficult to write for the persona you created, resist the urge to create a new one. In the real world, you get visitors you get. Consider this good practice and valuable workout for your creative muscles.
2) Certification Exam ConceptsSelect one certification mentioned in the textbook. Perform some research and describe the major concepts on the certification exam. Would you be interested in earning the certification? If so, what can you do to prepare for the exam?
Please share answers in 2 different docs.
[supanova_question]

Consider the case scenario you described in week six and assume the change process is proceeding in an effective

Consider the case scenario you described in week six and assume the change process is proceeding in an effective

In this scenario, you have recently been appointed as a board member to the Hospital System. You are a

In this scenario, you have recently been appointed as a board member to the Hospital System. You are a. In this scenario, you have recently been appointed as a board member to the Hospital System. You are a.

In this scenario, you have recently been appointed as a board member to the Hospital System. You are a labor law attorney who has worked for the hospital for nearly 10 years. Now, you must help to determine whether the hospital should consider a bond to finance a major hospital renovation bond.Identify the factors you believe to be most critical to consider during this renovation bond decision.
Summarize your decision.
Identify and describe the information that was used to make the decision.
Your paper should be 1–2 pages in length and use APA formatting and citation.

Your textbook may be used as a reference. The APA format for your text is as follows:

Nowicki, M. (2015). Introduction to the financial management of healthcare organizations (6th ed.). Chicago, IL: Health Administration Press.

[supanova_question]

In this scenario, you have recently been appointed as a board member to the Hospital System. You are a

In this scenario, you have recently been appointed as a board member to the Hospital System. You are a

Just add on to the previous paper I’ve attached. “health history paper” Written instructions on the paper as well. Essay

Just add on to the previous paper I’ve attached. “health history paper” Written instructions on the paper as well. Essay. Just add on to the previous paper I’ve attached. “health history paper” Written instructions on the paper as well. Essay.

Just add on to the previous paper I’ve attached. “health history paper”
Written instructions on the paper as well.
APA Format, references in last 5 years.
Theres only 4 new headers. (2 Reason for care and (3 present illness are one paragraph each.
B: Physical examination – 1 paragraph hitting all systems
C: Needs Assessment – 1 paragraph answer all 4 questions
Add new references to reference page[supanova_question]

Describe the questions and considerations that you would include in an assessment

Describe the questions and considerations that you would include in an assessment of cardiovascular function in an older adult who has no complaints of heart problems, but who has a history of falling twice in the past month and who has not been evaluated by a primary care provider in the past year.

es at least 3 questions/considerations = Citation is substantial – 300 words with citation

50 to >25.0 pts

Satisfactory

3 substantive responses to the questions provided.

25 to >0.0 pts

Needs Improvement

2 substantive responses to the questions

0 pts

unsatisfactory

0 – 1 responses to the questions or responses were not substantive.

50 pts

This criterion is linked to a Learning OutcomeResponses to peers Responses are substantial – 150 words with citation

40 to >20.0 pts

Satisfactory

2 substantive responses to peers.

20 to >0.0 pts

Needs Improvement

1 substantive peer response

0 pts

Unsatisfactory

0 responses, or lacking substance or relevance.

40 pts

This criterion is linked to a Learning OutcomeCitation provided to support views – APA format

10 to >5.0 pts

Satisfactory

one citation provided to support views in correct APA format

5 to >0.0 pts

Needs Improvement

One citation but not in correct APA format

0 pts

Unsatisfactory

No citation provided

Note; Put your APA formatted references in a Word document and attach to your posts. Canvas messes up the correct APA formatting if you just copy and paste.[supanova_question]

Just add on to the previous paper I’ve attached. “health history paper” Written instructions on the paper as well. Essay

Just add on to the previous paper I’ve attached. “health history paper” Written instructions on the paper as well. Essay

hello writers! who wants to take my assignment. I WILL NEED THIS TOMORROW AROUND 11AM. SUNDAY. I WILL GIVE

hello writers! who wants to take my assignment. I WILL NEED THIS TOMORROW AROUND 11AM. SUNDAY. I WILL GIVE. hello writers! who wants to take my assignment. I WILL NEED THIS TOMORROW AROUND 11AM. SUNDAY. I WILL GIVE.

hello writers! who wants to take my assignment. I WILL NEED THIS TOMORROW AROUND 11AM. SUNDAY. I WILL GIVE TIP IF U FINISHED IT THAT TIME. this is just simple assignment some are just definition. i will also send the lecture files you can get some answers on my lecture that i will send and if u cannot find u can google it but attache the reference. this just question and answer. just a short answer every question and direct to the point. Please put your answer next to the question with numbers. just follow the format. THIS IS NOT A PARAGRAPH. pls check attached assignment questions and lectures:

format like this:

1. Question……………….
answer:

2. Question……….
Answer:[supanova_question]

Topic: Rethink Chinese Nationalism: China Must Have It I’m working on the

Topic: Rethink Chinese Nationalism: China Must Have It

I’m working on the topic of Chinese Nationalism because I want to know the good side of Chinese Nationalism for China (in order to help my reader understand better why China has raised nationalism recently years? This is important because….?your chance to continue to write.)

Paper Frame(what I want to Cover in the paper)(Four Parts)

– What is Nationalism and what is Chinese Nationalism

1.You need to analyze and investigate what are the differences between them in order to let the reader see and to understand what’s so special about Chinese nationalism and so we can go into why does China need nationalism;

2.You also can write about the pros of nationalism then to tell Chinese nationalism also has that pros.

– Analyze from Chinese history why China needs nationalism, such as qing dynasty semi-colonial society, Han Dynasty unified, Tang Dynasty and so on

-Why does China need nationalism from the perspective of disadvantages of cultural invasion

-Why does China need nationalism from the perspective of its own unique culture

Topic Proposal requirement:

You can just use I wrote at the beginning: “I’m working on the topic of Chinese Nationalism because I want to know the good side of Chinese Nationalism for China (in order to help my reader understand better why China has raised nationalism recently years? This is important because….?your chance to continue to write.)” or you can write you own style topic proposal as long as follow the all instructions from my professor’s requirement above

Annotated Bibliography Requirement :

– Complete an annotated bibliography that discusses the 5 to 10 books and articles used in your project, and how they relate to your topic. The bibliography should be 2 to 4 pages, typed and double-spaced, with a quick summary of the article and why it is useful for your research. Review the sources below and the sample annotated bibliography to help you out.

– 1) describe in one sentence what the article is about;

2) in the second sentence, describe how it relates to your topic;

3) in the third sentence, describe how you plan to use the article in your project (as evidence for your argument; or as a contrary view you plan to rebut; or as an overview that is useful in situating your research; or as a theoretical model, etc) .[supanova_question]

1 HIS100-31 August 3, 2021 Underlying and Precipitating Causes of Chinese Revolution

hello writers! who wants to take my assignment. I WILL NEED THIS TOMORROW AROUND 11AM. SUNDAY. I WILL GIVE 1

HIS100-31

August 3, 2021

Underlying and Precipitating Causes of Chinese Revolution

The combination of the growing imperialist anxieties (from both Japan and the west), impediment with the overseas Manchu Rule epitomized by the Qing court, and the need to perceive a cohesive China less hidebound in outlook fed a rising nationalism that impelled on revolutionary philosophies. The revolution was initiated by control of Chinas by other nations, prejudiced handling of peasants, and young people’s aspiration to revolutionize China. Therefore, this paper discusses the causes of the revolution in China.

Underlying Causes

Several factors cause led to the revolution in the Chinese, including the peasant unrest during the war. The peasant was unfairly treated during the civil wars. They had been granted more power; thus, when the spearheaded leader was out of power, they were subjected to harsh conditions and brutally undermined by the communes. Consequently, their cultivation lands were taken. This necessitated massive, fruitless peasant revolts that led to the Chinese revolution (Malkin, Origin of Chinese, slide 8). Additionally, ideological differences between the Chinese community party and the nationalist Kuomintang precipitated the revolution. The increase in population and the military conquest of Chinese by foreign countries precipitated the desire to develop their nationality and create a unified community with shared ideas. The Boxer rebellions were also a significant underlying cause of the Chinese revolution.

Precipitating Causes of Revolution in China

Some of the factors that caused the Chinese revolution include influence by the western, desire to modernize China, and united revolutionary society (Malkin, Origin of Chinese, Slide 3). The desire to modernize China was the leading precipitating cause of the Chinese revolution. Chinese had endured unstable political instability that had drastically affected the economy and the growth of the nation. The desire to modernize China started when the Qing dynasty, the current empire rulers, began to crumble. At this time, the western imperialist forces were looking to improve trade and impact with countries in the East. The Chinese desired a unified and revolutionary government. They desired to revolutionize the social, cultural, and economic factors contributing to a nation’s growth and a vibrant regime.

The Chinese revolution was agitated to identify the role of the peasants and transform their specific roles in the growth of the economy following the profound impact as a result of the civil wars from the foreign nations. Policies were enacted to promote the role of peasant movements in the revolution to modernize China.

Work Cited

Malkin, Origin of the Chinese Revolution, (n.d.)[supanova_question]

hello writers! who wants to take my assignment. I WILL NEED THIS TOMORROW AROUND 11AM. SUNDAY. I WILL GIVE

hello writers! who wants to take my assignment. I WILL NEED THIS TOMORROW AROUND 11AM. SUNDAY. I WILL GIVE

Locate both an LPN and RN job posting for employment outside of the state of Florida on monster.com. Review

Locate both an LPN and RN job posting for employment outside of the state of Florida on monster.com. Review. Locate both an LPN and RN job posting for employment outside of the state of Florida on monster.com. Review.

Locate both an LPN and RN job posting for employment outside of the state of Florida on monster.com. Review the scope of practice for the other state and compare and contrast the scopes of practice against the state of Florida and compare against the posting. Identify differences in scopes of practices and any discrepancies in the posting. A table format comparing and contrasting the differences and findings is acceptable.[supanova_question]

Show steps

Image transcription text
electromagnetic wave is described by

Show steps

Image transcription text
electromagnetic wave is described by the electric field function below. In what direction is the magnetic field oscillating y,t) =E sin (kx – cot) j There is no electromagnetic wave. The z-direction The x-direction The y-direction
… Show more

[supanova_question]

CNL-530 Topic 6: Sexual Development Worksheet Directions: In the table below, list

Locate both an LPN and RN job posting for employment outside of the state of Florida on monster.com. Review CNL-530 Topic 6: Sexual Development Worksheet

Directions: In the table below, list at least two aspects of sexual development that are relevant to each stage of development. An example has been provided for you. Each life stage section should be at least 50 words in length. Include a minimum of three scholarly sources in your responses and an associated APA reference note for each source at the end of the worksheet.

Life Stage

Sexual Development

Ex.

In Utero

Ultrasounds have shown evidence that male fetuses have erections (Lehmiller, 2017).

Erections have also been noted in newborns a few hours old (Lehmiller, 2017).

Infancy

1.

2.

Early Childhood

1.

2.

Preadolescence

1.

2.

Adolescence

1.

2.

Adulthood

1.

2.

References

Lehmiller, J. J. (2017). The psychology of human sexuality (2nd ed.). Wiley-Blackwell.

© 2021. Grand Canyon University. All Rights Reserved.

© 2021. Grand Canyon University. All Rights Reserved.[supanova_question]

The characteristics of a good training objective include a statement

The characteristics of a good training objective include a statement of: -what the employee is expected to do, the quality or level of acceptable performance, the conditions under which the employee is to apply what he or she learned -they include measurable performance standards -they identify the resources needed to carry out the desired performance or outcome Refer to the below mentioned training objectives. Evaluate them as per the characteristics of a well defined training objectives. If you think the objectives need to be redefined, then rewrite it. 1. In at least two computer languages, be able to write and test a program to calculate arithmetic means. 2. Discuss and illustrate principles and techniques of computer programming. 3. Develop a thorough understanding of the corporate culture of our organization, including our policies on harassment, ethnic and gender diversity, and equal access to individual counseling and promotion opportunities. 4. To be aware of the safety rules for operating the ribbon-cutting machine in three minutes. 5. Given a personal computer, a table, and a chair, enter the data into a Microsoft Excel spreadsheet.

[supanova_question]

CNL-530 Topic 6: Sexual Therapy Worksheet Directions: The table below contains multiple

CNL-530 Topic 6: Sexual Therapy Worksheet

Directions: The table below contains multiple approaches to sexual therapy. An example has been provided for you. Provide the founders, main concepts, and goal(s) of each therapy. Each orientation response should be at least 50 words in length. Include a minimum of two scholarly sources in your responses and an associated APA reference note for each source at the end of the worksheet.

Therapy

Founder

Main Concepts

Goal(s)

Example:

Brief Strategic Therapy

Shoham and Rohrbaugh

(Fauchier & Margolin, 2004, para. 11)

Identify the connection between a person’s attempt to solve a problem and the negative outcomes caused by the attempt. Once identified, steps can be taken to overcome them. The sole focus is on the problems determined and defined by the client(s), not identifying different problems that may be present (Fauchier & Margolin, 2004, para. 11-12).

Reduce the person’s attempts to solve the problem(s) that are resulting in negative outcomes and increase the tolerance of others involved (Fauchier & Margolin, 2004, para. 11-12).

Behavioral

Cognitive Behavioral

Integrated Behavioral

Emotion Focused

Family Systems

Solution Focused

References

Fauchier, A., & Margolin, G. (2004). Marital therapy. In C. D. Spielberger (Ed.), Encyclopedia of applied psychology.

© 2021. Grand Canyon University. All Rights Reserved.

© 2021. Grand Canyon University. All Rights Reserved.[supanova_question]

Center for Financial Training www.cftnow.org Commercial Lending LECTURE 7– Chapters 7 Chapter

Center for Financial Training

www.cftnow.org

Commercial Lending

LECTURE 7– Chapters 7

Chapter 7: Key Documents, Loan Agreements, and Covenants

Learning Objectives

At the conclusion of this week’s lesson, you will be able to:

Describe the loan documentation process and requirements

Explain the best practices for loan closing-preparing, conducting, and following up

Introduction

The lender needs to make sure that the loan is properly documented in order to control risk. The lender needs to have a strong knowledge of loan documentation. In this lecture we will focus on loan documents, loan agreements and covenants.

The Loan Documentation Process As mentioned earlier banks rely on having loans properly documented. Most banks have automated this process. Most systems provide a checklist of necessary loan documents for each type of loan that is required. If the loan is not paid back the bank wants the loan documents to be legally enforceable. In order to do that a bank needs:

Evidence of the authority to borrower-Banks need to obtain a corporate resolution, partnership resolution and verify a sole proprietorship to make sure that there is evidence the borrower has the ability to borrow.

Evidence of the borrower’s indebtedness- Bank’s need to have promissory note to prove the borrower has indebt themselves to the bank. Banks should also document that funds are disbursed.

Evidence of the collateral and the bank’s rights to collateral-Bank’s need to document what collateral is securing their loan. There are numerous federal and state laws governing the securing of collateral. The Uniform Commercial Code, or UCC, is a very large collection of legal rules which covers the securing of collateral.

Evidence of the loan’s term and conditions-Bank’s need to have a loan agreement. Loan agreements are a formal document that evidences a loan. It may also include negative and positive covenants, type and value of the collateral pledged, guaranties, financialreporting requirements, applicable interest rate and fees, and how the loan will be repaid and over what period

Borrower representations and warranties

All loan agreements require the borrower to recite certain facts as true and to acknowledge that the lender is relying on the truth of those recitations.

A representation is an assertion as to a fact, true on the date the representation is made, that is given to induce another party to enter into a contract or take some other action. A warranty is a promise of indemnity (www.practicallaw.com/2-382-3536) if the assertion is false. The terms “representation” and “warranty” are often used together in practice. If a representation is not true it is “inaccurate.” If a warranty is not true it is “breached.”

In financing documents (such as loan agreements) representations and warranties are given by the borrower to induce the lenders to make loans. Once the loans are made, if a representation is no longer true, the lenders have the right to enforce their remedies against the borrower. While representations and warranties have different meanings and different remedies under law, in the context of a loan agreement, the differences are irrelevant because the consequences of an inaccurate representation or breach of warranty are provided for contractually in the loan agreement.

Conditions of Lending Conditions of lending stipulate what must happen before the bank is obligated to fund the loan. A bank may approve a loan subject to receiving income verification. The bank will not close the loan until the income is documented and verified. If the income is lower the loan may not close and be funded.

Affirmative Covenants The bank may put certain restrictions on the borrower which are known as affirmative covenants. Affirmative covenants state what the borrowing business proactively must do until the load is paid in full. Here are some examples:

Maintaining a certain dollar level of working capital or net worth

Meeting certain ratio requirements

Furnishing the bank with periodic financial statements, tax returns, and other reports

Reporting to the bank any adverse conditions or events

Maintaining adequate levels of property and casualty insurance

Maintaining legal, business existence in “good standing” with the appropriate state laws

Paying all taxes and other obligations that, if unpaid, might result in a lien

Maintaining property, plant, and equipment in good repair

Negative Covenants Provision in a deed that imposes certain constraints on the buyer of a piece of land, such as density of buildings per unit of area, size, style, or pricerange of the buildings to be erected, types of businesses allowed. Also called negative pledge or restrictive covenant. For example, let’s assume Company XYZ wants to borrow $10 million from Bank ABC. The loan agreement contains negative covenants that limit Company XYZ to $0.10 per share in dividends per year and prevent it from issuing additional debt without Bank ABC’s consent.

Events of Default

A condition as specified in a loan agreement that triggers a demand of payment by a lender and the commencement of default proceedings. The most common event of default is the failure to make required payments on a timely basis. Other examples include; bankruptcy, insolvency, or death of one of the owners.

Loan Closing Most lenders send out a commitment letter that describes the general terms of the loan. Once the loan gets to the closing stage the lender and borrower has vented out the majority of issues. Loan documents need to be prepared and a closing date scheduled. A lender will usually have a loan assistant prepare the documents against a checklist that is need for the type of loan they are closing. Many times a pre-loan closing takes place with the customer by phone to resolve any last minute issues.

Loan Closing Meeting The lender will meet the borrower at the bank, business or attorney office. There is usually a lot of papers that need to be executed. Once the documents are signed the loan funds are disbursed to the borrower. The borrower is given a copy of the loan documents and relationship has started.

As you can see from this lecture banks need to make sure that the loan is properly documented in order to control risk. The lender needs to have a strong knowledge of loan documentation. There is more than just signing some loan documents in order to properly secure the banks collateral. Next lecture we will discuss loan pricing and negotiating. See you in lecture 8![supanova_question]

Image transcription text
MVCC Program Graduates 72 56 48 40

Image transcription text
MVCC Program Graduates 72 56 48 40 Number of Graduates Advertising-Photography Cybersecurity N A -Psychology 16 2010 2011 2012 2013 2014 2015 2016 2017 Year Use this time series to answer the following questions a. In which year were there the same number of graduates in both the Advertising-Photography and Cybersecurity programs? b. How many more Psychology graduates were there in 2013 than Cybersecurity graduates that year? c. In which year did each program reach its peak number of graduates? Advertising-Photography Cybersecurity Psychology
… Show more

[supanova_question]

Locate both an LPN and RN job posting for employment outside of the state of Florida on monster.com. Review

Locate both an LPN and RN job posting for employment outside of the state of Florida on monster.com. Review

learning resources: Watch VOPP: Brief Motivational Interviewing: https://kumc.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b52f41fa-939f-4331-a98c-ac3001428219 Here is the link to the youtube video in the presentation.

learning resources: Watch VOPP: Brief Motivational Interviewing: https://kumc.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b52f41fa-939f-4331-a98c-ac3001428219 Here is the link to the youtube video in the presentation.. learning resources: Watch VOPP: Brief Motivational Interviewing: https://kumc.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b52f41fa-939f-4331-a98c-ac3001428219 Here is the link to the youtube video in the presentation..

learning resources:
Watch VOPP: Brief Motivational Interviewing: https://kumc.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b52f41fa-939f-4331-a98c-ac3001428219
Here is the link to the youtube video in the presentation. https://www.youtube.com/watch?v=URiKA7CKtfc
Perinatal Services BC. (n.d). Introduction to brief motivational interviewing. http://www.perinatalservicesbc.ca/Documents/Resources/HealthPromotion/Weight/MotivationalInterviewing.pdf
Souders, B. (2021, January 21). 17 motivational interviewing questions and skills. PositivePsychology.com.
https://positivepsychology.com/motivational-interviewing/

You are a nurse in the emergency department at the local hospital. One of your patients today is a 17 year old female named Ali who came in with a forehead laceration. The laceration occurred when the patient hit her head on the steering wheel as her car rear-ended the vehicle in front of her. The patient states “I was texting my friend that I was running late. When I looked up, the vehicle in front of me had stopped and I barely had time to hit the brakes on my car.”
The driver from the vehicle Ali hit is also in the emergency department due to neck and back pain following being rear-ended. You are concerned about Ali’s safety and the safety of other drivers in regard to her texting while driving. When you ask Ali about how she feels about texting and driving after the accident, she states, “I didn’t ever think something like this would happen to me. I wonder if the other driver is alright. Last I saw, he was being taken somewhere in the ambulance.”
What stage of change do you think Ali is in?
What will you say to Ali to help her think about moving to the next stage of change?
What professional communication techniques can you use in your conversation with Ali?
Write out at least three different statements you would use in your conversation with Ali? (Hint: think about open-ended questions and active listening)
Be sure to use and properly cite at least one supporting source in your responses to these questions. You may write out the answers, create a Panopto, VOPP, or PowerPoint presentation.
[supanova_question]

The Two Case Studies are attached as well that you will need

The Two Case Studies are attached as well that you will need to write this assignment.

THINK: Pick TWO case studies of revolution and compare and contrast their ORIGINS or causes. For example, you may compare the origins or causes of the Mexican and Russian Revolutions. Be sure to compare and contrast both underlying and precipitating causes. You will also need to think of both similarities and differences. I suggest making a list of similarities and a list of differences as part of your preparation. You should identify multiple points of comparison and these should include underlying and precipitating causes and similarities and differences.

WRITE: Write a short essay that compares and contrasts the origins of at least TWO of the revolutions studied in this course. Be sure to include a thesis and introduction, body and conclusion. The minimum structural length of the essay is three paragraphs. The minimum word count is 500 words. (A strong essay will most likely be more than the minimum word count.) The essay should be double spaced. It must also include examples as well as citations. Points will be deducted if you are missing examples and citations, or if the essay is not double spaced. You must use the sources assigned for the course, rather than outside sources you find on the internet.[supanova_question]

The two responses that are required for this assignment are also attached!

learning resources: Watch VOPP: Brief Motivational Interviewing: https://kumc.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b52f41fa-939f-4331-a98c-ac3001428219 Here is the link to the youtube video in the presentation. The two responses that are required for this assignment are also attached! Thanks!

THINK: Pick two different case studies of revolution and compare their OUTCOMES or results. You MAY NOT use the same case studies that you used for the first essay. Thus, if you compared the origins of the Mexican and Russian Revolutions you may not use either one of these case studies when discussing the outcomes. Just like with the first essay, you should make a list of similarities and differences before writing the essay. Some possible themes to compare include political changes, agrarian reform, industrial policy, state repression, women’s rights etc. You will also need to discuss both similarities and differences as you did in the first essay. I suggest making a list of similarities and a list of differences as part of your preparation. You must have multiple points of comparison that you incorporate into the argumentative thesis.

WRITE: Write a second short essay that compares and contrasts the OUTCOMES of at least two of the revolutions studied in this course. Remember: you must choose two different revolutions than you used for the first essay. Be sure to include a thesis and introduction, body and conclusion. The minimum structural length of the essay is three paragraphs. The minimum word count is once again 500 words. The essay should be double spaced. It must also include examples as well as citations. Points will be deducted if you are missing examples and citations, or if the essay is not double spaced. You must use the sources assigned for the course, rather than outside sources you find on the internet. Please see the rubric in the assignment folder.[supanova_question]

ADVERTISEMENT ANALYSIS #2 – COMPARISON ANALYSIS For this assignment, choose a product

ADVERTISEMENT ANALYSIS #2 – COMPARISON ANALYSIS

For this assignment, choose a product category that is being promoted (such as cosmetics, coffee, hotel, cars, computer etc.- in addition to a physical product, a product in marketing terms can also a service, organization, idea or a person!)

Select two advertisements or commercials (you can also compare entire promotional campaigns –e.g. Dove’s Real Beauty is an example of a promotional campaign) promoting your chosen product. These two advertisements should be by different companies/brands (e.g. Starbucks vs. Coffee Bean, Apple vs. Microsoft).

Task: Write a brief paper (max. 1000 words) comparing the two advertisements. The following questions can be used as guidelines for what to focus on your paper. You don’t need to follow them in the order given in your paper.

Describe the product being advertised. In what stage of the PLC (product life cycle) is this product in the marketplace? In what ways does this impact how advertisers generally promote this product?

What is the purpose /objective of each advertisement? In what ways do the advertisements/commercials you have chosen reflect the different strategies/positions of the two companies/brands in the marketplace?

Who are the advertisements targeted to? Are the advertisements targeting the same or a different target segment?

Which advertisement is more effective according to the AIDA model? (ATTENTION – INTEREST – DESIRE – ACTION)? Which advertisement, in your opinion, is more effective in reaching and resonating with its target audience?

What is the “big idea” behind each advertisement? In case of a TV commercial, what is the technique used (drama, parody, slice-of-life etc.…)?

In what ways does each commercial connect emotionally with its target consumer?

Which advertisement/commercial is better at capturing current marketplace trends?

Upon further research on promotional campaigns in this product category, do you notice similarities how products in this particular category are usually promoted? In what ways could advertisers “cut through the clutter” when promoting their products in this category?

You can also discuss additional thoughts and observations! Please make sure to include a picture (or provide a link) of your advertisement in your paper! You can either answer the questions directly or format your analysis like an essay. The (approximate) word limit is 1,000 words.[supanova_question]

PSY 215 Abnormal Psychology Diagnostic Exercise Case Vignette: Geoffrey “Porky” Schumacher Geoffrey

PSY 215 Abnormal Psychology Diagnostic Exercise

Case Vignette: Geoffrey “Porky” Schumacher

Geoffrey Schumacher referred to, as Porky is a male born on January 15, 1988 to Rowan and Vivian Schumacher. The family is of Irish decent and they live in Connecticut. From a very young age, Porky had disciplinary problems in school and a possible learning disability. After extensive testing and meeting with school counselors, he was deemed to be suffering from Attention-Deficit Hyperactivity Disorder.

It was very obvious that Porky had a strong family history of multiple psychiatric disorders. His father was diagnosed with depression in the late 90’s. He was on medication and would see a therapist regularly. In addition, his father had antisocial personality disorder and panic disorder without agoraphobia. His father was involved in organized crime, which caused strains on his parents’ relationship. Due to these marital issues between his parents, Porky would often act out during their period of separation and possible divorce. As Porky got older, his father insisted on him becoming more responsible and not a failure in life. As a way to make Porky more productive, his father got him a job at a construction site. Porky started the job and was doing well. He met a Canadian girl named Olivia at the construction site and they started dating.

The two became really close, and Porky eventually proposed to Olivia. After some reconsideration, she decided that Porky was not right for her and broke up with him. This is when he became depressed. Porky continued to work at the construction site for some time, but the site of Olivia talking to other men became too much for him, so he eventually quit. Just as things seemed like they would never improve, Porky met some childhood friends whose fathers were also in the gang with his father.

He started hanging out with them and seemed to be improving. He improved to the point that he even began to take some college courses. However, these new friends turned out to be a bad influence. They were running some illegal gambling on campus and would use violence to collect money. Porky did not seem to be affected by this, but when they badly beat up an Jewish student, this sent Porky spiraling down once again.

After the breakup with Olivia, Porky started sleeping all the time and would not come out of his room. He had a decreased appetite and anhedonia. He seemed to lack energy for quite some time. There were no suicidal ideations initially. After the Jewish student incident, he again confined himself to his room and developed similar symptoms to what he was displaying after his break up with Olivia. It progressed to the point that he attempted to kill himself by tying a plastic bag around his face, wrapping a cinder block around his leg, and jumping in the pool while his parents were out of the house. Luckily, his father came home and saved him prior to there being any significant damage.[supanova_question]

Case Study – First American Bank Read the Case Study located on

Case Study – First American Bank

Read the Case Study located on pg. 269 of the text and answer the following:

Questions

1. How do the service characteristics of intangibility, perishability, inseparability, and variability fit into this discussion of marketing a bank?

Intangibility fits perfectly into the discussion of marketing by a bank through dealing with the services. Inside a bank you have the Loan department that can be considered highly intangible. This can be further detailed by office itself with the desks, printers, books, etc. Per our chapter studies items like this are services with the actual outcome of the service is not seen until the service is performed. Perishability can be equated with marketing of a bank by comparing the products of which are being marketed to the consumers. You have the different checking, savings, and credit cards being offered. In my perception you can also add in the bank location itself. If the volume of consumers is strictly doing online banking and only need ATM’s for other services. That can place the actually bank location in jeopardy and could close due to the overhead cost exceeding. Inseparability can fit into this discussion by the minimization of the customer to employee interaction. More now than before automation has become a major leading factor with banking today. You can see the difference within certain generations. The older generation still wants the personal interaction with bank tellers. The younger generation is more acceptable with using online resources and minimized personal interactions. They will use the ATM as their primary choice before thinking to go into a bank for assistance. Variability fits into this discussion by the characteristics of services and standardization of processes and services provided by the bank. Many banks may have the same products offered for consumers, but it falls on how each bank handles each individual interaction performed. Not every transaction so to say will be the same. The concept may be the same, but the process could vary from customer to customer based on their individual needs or wants.

2. Using all of the information presented in this case, what theme would you suggest for marketing of the First American Bank to the under-30 consumer? Why?

Based off the information I would suggest them to market more online resources. As stated in the chapter reading. The younger generation has decreased the need of having to personally go into a bank for assistance. One thing that can be marketed is faster services by doing self-serve such as depositing checks, bill pay, and transfer of funds all online. Another item the chapter reading discussed about the under 30 consumers is Trust. They can build trust simply by marketing via emails, commercials, and the marketing on ATMs.

3. Can you target new customers and use the same set of ads to encourage current customers to stay with the bank? Why or why not?

I would not use the same set of ads for future customers that you have for the existing customers. The reason behind this is because the current ads cater to what your current consumer is needing. That same ad may not relate to the current customer. Whether is age, gender, and/ or race you have to keep the marketing materials fresh and updated to reach and connect with different consumers. It is possible use the same set of ads for current customers as new customers. In the case, Lascu and Clow (2018) stated, ”For those satisfied, the primary reasons for leaving were because of perceived better prices or a better value package from a competitor” (Lascu & Clow, 2018, p. 271). Focusing an ad campaign on this topic would also draw new people to the bank.

4. If trust is an important value to bank customers, how can that message be conveyed to customers who bank primarily using the ATM, drive-up, or online banking?

As for any business they should want to reclaim any customers that they are losing. Retention is a major part of any business unit. One thing they can complete is a survey to research client’s reason for leaving or reasons that could possible retain them. From that point a business should be able to address the issues and see what they can do to minimize clients leaving. This could be as simple as updated technology, personal interaction with employees, user friendly website or processes, etc. I believe it would be beneficial to poll he customers that are being lost to competitors and see the reasons they are choosing to bank through someone else, this can offer some answers as far as what needs to be addressed. Once the issues are identified, the marketers can then adjust their recruiting strategies to highlight their services and customer service representatives can make adjustments to how they interact with clients. To address the concept of trust in an ATM and drive up setting, the bank can make a point to interacting with the customers while they’re waiting in line for the drive thru and while they wait for the ATM. They can also build trust through the consistent use of technology with payment receipts, fraudulent charge inquiries and increased online security for mobile banking users (Build Trust, n.d.)

Reference:

Chow, K. E., & Lascu, D.-N. (2018). Marketing Essentials 6e. Saint Paul: Textbook Media Press.

Build Trust In Your Bank Through Technology. (n.d.).\ https://arca.com/resources/blog/build-trust-in-your-bank-through-technology[supanova_question]

You are working in a family medicine clinic with Dr. Hill. She

You are working in a family medicine clinic with Dr. Hill. She asks you to see Mr. Fitzgerald, a 68-year-old male who has been her patient for several years.

Dr. Hill tells you, “I spoke with Mr. Fitzgerald’s daughter at church yesterday. She is a nurse and is very concerned about her father’s skin condition, along with his other medical problems. He was not particularly interested in coming to see me, but his daughter encouraged him to do so.”

She continues, “Before we go in and see Mr. Fitzgerald together, let’s briefly talk about the way to describe skin conditions. The terminology used to describe primary and secondary skin lesions is the basic language of dermatology, the means by which you can accurately describe the lesion to a colleague.”

You examine the lesion on Mr. Fitzgerald’s arm.

You and Dr. Hill enter the exam room. After introducing you to Mr. Fitzgerald, Dr. Hill receives permission from him to let you interview him and then steps out.

You sit down across from Mr. Fitzgerald and ask a few questions:

“Well, I have had this red spot on my left arm for a while and it is slightly itchy and my daughter urged me to come and see Dr. Hill.”

You look at Mr. Fitzgerald’s left forearm to see the lesion he shows you.

Right away you note that the lesion is erythematous. Remembering what Dr. Hill just taught you about dermatology terminology, you run your finger over the lesion. Since the skin over the lesion does not feel raised to you, you decide you would call it either a macule (if it is smaller than one centimeter), or a patch (if it is larger than one centimeter). You estimate it is larger than one centimeter, and determine it is a “patch.”

“How long have you had this spot?”

“I am not really sure, but it has been there a few years, maybe three or four years, and it seems to be growing a little bit recently.”

“Have you hurt your arm at all where the spot is?”

“No.”

You continue taking Mr. Fitzgerald’s history.

You decide to gather information about the rest of his history.

Past medical history: Seizure disorder diagnosed about 20 years ago. Takes carbamazepine.

Surgical history: Splenectomy done about 15 years ago because he fell from a ladder and injured his spleen.

Family history: He reports no family history of skin cancers.

Social history: He is divorced and lives by himself, but is thinking about dating someone. He states that he does not smoke and stopped drinking alcohol about 10 years ago. He says that he used to be a heavy drinker. He retired from work as a bricklayer for more than 30 years. He used to bike about 50 to 60 miles a week until his hip bothered him too much. He babysits for his daughter’s kids on the weekend, and he walks once daily.

Review of systems: Decreased stream and dribbling of urine for the past four to five months, but reports no chest pain, shortness of breath, or headaches. Slight right hip pain.

You thank Mr. Fitzgerald for the opportunity to interview him and inform him that you will step out of the room to discuss your findings with Dr. Hill. In the meantime, you instruct Mr. Fitzgerald to change into a gown.

You step out of the exam room and fill Dr. Hill in on what you have discovered so far, including that Mr. Fitzgerald has a 35 x 25 mm oval erythematous patch on his left forearm.

Dr. Hill suggests, “Before we go back to see Mr. Fitzgerald together, let’s talk a little bit more about what else to look for on a skin exam.”

You and Dr. Hill enter the room and perform the physical exam:

Vital signs:

Temperature is 36.8 °C (98.2 °F)

Pulse is 64 beats/minute

Respiratory rate is 18 breaths/minute

Blood pressure is 124/76 mmHg

Head, eyes, ears, nose, and throat (HEENT): Unremarkable.

Cardiovascular: Regular heart rhythm without a murmur.

Respiratory: Lungs clear to auscultation and percussion.

Abdominal: Well-healed linear scar on his left upper quadrant.

Skin: Entire skin examined from head to toe, including his scalp, soles, and palms. Left forearm oval erythematous patch measures 35 X 25 mm.

Dr. Hill instructs Mr. Fitzgerald to get dressed while you both step out of the room, promising to return in a moment.

You discuss Mr. Fitzgerald’s diagnosis with Dr. Hill.

As you reflect on your differential diagnoses, you tell Dr. Hill that even though you are leaning toward the diagnosis of skin cancer (either squamous cell carcinoma, basal cell carcinoma, or melanoma), you have not completely ruled out the possibility that this is either eczema or a fungal skin infection.

“Okay,” Dr. Hill summarizes, “so do you think we should treat his skin lesion with an antifungal cream or a corticosteroid cream?”

After you think about this for a moment, you reply, “I’m not really sure. I don’t think we can decide how to treat the lesion until we know the diagnosis.”

You tell Dr. Hill that you think the best option for Mr. Fitzgerald is a punch biopsy. She smiles at you and replies, “Excellent. That was a bit of a trick question. In some cases, if there’s not a good diagnostic procedure, or if there is not huge risks associated with a condition, it is appropriate to treat empirically. But, in this situation, we have a good diagnostic test and the risks associated with skin cancer are too great to treat empirically or observe. I agree with you that a punch biopsy is the most suitable course of action for Mr. Fitzgerald at this point in time. Of course, we’ll have to obtain his consent first.”

She picks up a sheet of paper and shows you the consent form (PDF).

Mr. Fitzgerald is reluctant to do the procedure.

You and Dr. Hill return to the room to speak with Mr. Fitzgerald. Dr. Hill says, “The skin lesion on your left forearm seems to be a patch of long duration. As you were exposed to the sun during your working years and even now through biking, there is a possibility that this lesion could be either a condition that leads to skin cancer or an early stage of skin cancer. We would like to take a small piece of tissue out of the lesion and take a look at it under a microscope. Then we can tell you exactly what the diagnosis is. We call this procedure a biopsy. There are different ways of doing biopsies, but the best way for your case is to use a cylindrical punch to take the tissue out under local anesthesia.”

Mr. Fitzgerald says, “What if I don’t want to do the procedure?”

“Well, if that is the case,” Dr. Hill answers, “we would not know the exact diagnosis and do not know how to treat your skin condition. And if it is truly a skin cancer, it could get worse and may proceed to an advanced stage, which is difficult to treat.”

“Well then I guess it is better for me to do it,” sighs Mr. Fitzgerald.

“I agree.” Dr. Hill tells him. “Here is the form for you to sign. The risk with this procedure is that obviously you will have a scar after the procedure. There is also a small chance of bleeding and infection, even though we do our best to prevent these things. Do you have any questions?”

Mr. Fitzgerald does not have further questions and signs his name on the form. Dr. Hill also signs her name on the form and asks the medical assistant to sign their name as a witness. Then, Mr. Fitzgerald is escorted to the procedure room and the area of skin lesion is cleansed with povidone solution.

Dr. Hill performs a punch biopsy on the skin lesion.

You and Dr. Hill enter the procedure room. She washes her hands and wears a disposable sterile gown and gloves with the help of a medical assistant. You watch as she verifies that the area is disinfected with povidone solution and infiltrates the area of biopsy with 1% lidocaine solution using a 25 gauge needle.

After properly draping the area, she uses a 3 mm disposable punch and performs the punch biopsy at the periphery of the lesion. After taking out a small portion of the lesion and putting it in a formalin jar, Dr. Hill places a Steri-Strip to approximate the edge of the skin of the biopsy site.

She then applies compressive dressing and tells Mr. Fitzgerald to keep the wound dry for the next three days, and after that, to air dry the area. She mentions that the Steri-Strip may fall off after a few days. She instructs Mr. Fitzgerald that if he sees that the wound is red about six to seven days after the procedure, or sees pus coming out, he should contact Dr. Hill without delay. She finally mentions how to manage possible bleeding.

The specimen is being sent to the pathology lab and Dr. Hill asks Mr. Fitzgerald to come back to the office in about seven to ten days for follow-up.

A week has passed, and you see that Mr. Fitzgerald is on the schedule for his follow-up appointment.

You look up Mr. Fitzgerald’s electronic medical record (EMR) and find:

Pathology report of the punch biopsy: Squamous-cell carcinoma in-situ (Bowen disease).

You do some research on the office computer to figure out what the treatment options are. You discover that one factor to consider when determining which treatment to prescribe is the risk of recurrence and metastasis.

Treatment options are presented to Mr. Fitzgerald.

After you have discussed treatment options with Dr. Hill and agree that wide excision is the best treatment for Mr. Fitzgerald, you and Dr. Hill go together to see him.

You find him seated in the exam room next to a young woman whom he introduces as his daughter Sarah, who is a nurse.

Dr. Hill begins, “We’ve received the results from your biopsy and you have what is called cutaneous squamous cell carcinoma in situ.”

“Just what we were afraid of, cancer,” sighs Sarah.

“I know that sounds scary, but these skin cancers are usually treatable. In fact, you have a particularly slow-growing form of squamous cell carcinoma called Bowen Disease. This has a very good prognosis. How are you feeling Mr. Fitzgerald?” Dr. Hill asks, looking him in the eyes.

Mr. Fitzgerald says, “I thought that something was wrong and that was why I did not want to come to see you, but am I going to be okay?”

Dr. Hill puts her hand on his arm and continues. “As I said, it is very likely treatable without any harm. There are a few treatment options for this. I recommend what we call a wide excision. This can be done right here in the office under local anesthesia. We simply cut out the spot and a margin of normal tissue around it. I send in the margin of normal tissue for histological testing to make sure that we’ve gotten all the cancer. This procedure has a 95% cure rate.”

“I can also refer you to a surgeon who can take the spot off via Mohs micrographic surgery. The surgeon can confirm complete excision by immediately reviewing pathology, and then removing more tissue if necessary. I don’t think this is necessary in your case since I can see the edges of the spot on your forearm very clearly, so I should be able to get all of the cancer on the first attempt. Furthermore, this is on your arm, not near any important structures like your eyes or nose; so we can make sure to remove enough area to get the cancer, and we won’t need to worry about plastic surgery.”

“Are there options other than surgery?” Mr. Fitzgerald wants to know.

“Because this lesion could spread if untreated, surgical removal is the best approach. This allows me or the surgeon to confirm that the surgical margins are free of disease. But if you feel you really don’t want surgery, we can offer you alternative treatments that destroy cells such as topical 5-florouracil (5-FU), or cryotherapy.”

“Sounds like I’d better have the surgery done that you said you can do here,” Mr. Fitzgerald decides.

After obtaining the consent form, the excision of the lesion is done successfully by Dr. Hill and the specimen is sent to pathology. After the procedure, Dr. Hill gives Mr. Fitzgerald detailed postoperative wound care instructions and asks him to return for follow-up in ten days.

Ten days later, Mr. Fitzgerald returns for follow-up. After examining his skin, Dr. Hill says, “There is no drainage from the wound and the margins are well-approximated. The wound is well-healed.” She then takes out stitches and continues, “Make sure that you wear a wide-brimmed hat when you go out in the sun and do not expose yourself to the sun unnecessarily. Do you have any questions?”

“Doctor, my daughter, Sarah, is very worried about me, and she’s asking me to get some information about what to look for on my skin.”

Dr. Hill advises Mr. Fitzgerald on what to look for.

Mr. Fitzgerald thanks you both for the information regarding the care of his skin. Then he says, “Doctor, I have another question about something totally different. I have to get up during the night several times, maybe two or three times, to go to the bathroom. It takes a long time to start urination. Do I have a prostate condition?”

Dr. Hill asks you what could be your differential diagnoses in this case.

You say, “Considering the age and symptoms, BPH may be one of my top differential diagnoses, but I also think that we need to rule out acute or chronic prostatitis, and prostate cancer could be a very remote possibility.”

Dr. Hills says, “You are right in your differential diagnoses.”

Dr. Hill says to Mr. Fitzgerald, “It is quite likely that you may have a condition called benign prostatic hyperplasia. Why don’t you make an appointment with me in a week or two so that we can look into this more? In the meantime, I’d like you to have a few tests done so we can have the information we need on hand the next time you come in. Also, please complete this questionnaire which will help us to better understand your condition.”

As Dr. Hill speaks with Mr. Fitzgerald, you think about how to assess Mr. Fitzgerald’s condition.

The next week, Mr. Fitzgerald returns to the office for evaluation of his prostate problem. You look up the laboratory results.

PSA: 1.6 ng/ml.

Urinalysis: normal

You also review the results of his AUA BPH Symptom Index questionnaire.

You and Dr. Hill visit Mr. Fitzgerald together. With his permission, Dr. Hill performs a digital rectal exam and tells you, “Mr. Fitzgerald’s prostate is slightly enlarged, but I could not appreciate any nodule from each lobe of the prostate. He does not have any prostate tenderness either.”

Dr. Hill explains age-related prostate symptoms.

You and Dr. Hill step out of the room to allow Mr. Fitzgerald to change back into his clothes.

When you return, Dr. Hill begins, “Mr. Fitzgerald, as we suspected, you have what is called ‘benign prostatic hyperplasia’ or BPH. This refers to the increase in size of the prostate that often occurs in middle-aged and older adult males. As you see in this picture, this enlargement of the prostate can compress the urethral canal to cause partial obstruction of the urethra, which interferes with the normal flow of urine; causing the urinary symptoms you have described.”

Mr. Fitzgerald wants to know,

“Does this mean I’m going to have prostate cancer?”

“No. BPH is not considered a condition that leads to cancer. On your rectal exam, I found your prostate symmetrically firm and enlarged, which indicates BPH. If your prostate had felt harder or irregular on its surface or not-symmetric I would be concerned that you could have prostate cancer. We can follow your BPH in six months with a repeat PSA.”

You explain to Mr. Fitzgerald what he can do to improve his symptoms.

Mr. Fitzgerald indicates that he doesn’t have any other questions. He thanks you and Dr. Hill for your time and prepares to leave.

As he was leaving Mr. Fitzgerald says, “Oh, I almost forgot to mention this, but I have one unrelated question. I’ve been having some trouble with my feet lately. Can we address that now as well?”

“Sure!” Dr. Hill smiles and agrees to hear about Mr. Fitzgerald’s concern, although you know she has patients waiting to be seen.

“It is a relatively minor matter,” he claims, “but I have been noticing this burning sensation for the last week after I stepped in a mud puddle as I changed my bike route. I rode the bike continually in a damp right shoe and sock as I did not bring spare socks with me. Do you want to take a look at them?”

Dr. Hill nods and proceeds to examine Mr. Fitzgerald’s feet. After removing his shoes and socks, the patient points to his toes, drawing your attention to the redness present in the interdigital spaces. “Do you have any fever, swelling, or other problems associated with this?” you inquire.

“No, just the burning and this redness,” the patient says.

Dr. Hill steps aside to allow you to inspect Mr. Fitzgerald’s feet. You check between each toe looking for broken skin and find dry, red skin with occasional cracks in each web space. There is also redness proximal to the toes on the dorsum of the foot with the same dry appearance. You feel no warmth and Mr. Fitzgerald reports no pain to palpation. You further inspect finding no swelling and noting equal pulses in each of the feet.

Dr. Hill asks you,

“What condition may be causing Mr. Fitzgerald’s dry, cracking, erythematous skin between toes?”

You respond that you think Mr. Fitgerald may have tinea pedis. Dr. Hill congratulates you on your diagnostic accuracy. She explains to you and Mr. Fitzgerald that he has “a classic case of tinea pedis-or in lay terms ‘athlete’s foot.”

Tinea Pedis

This is a ubiquitous dermatophyte infection and the most common of the superficial fungal infections.

Local friction and warmth between the toes, in combination with the patient’s wearing and frequency of changing of socks and shoes as well as wearing of wet shoes for a prolonged period of time, and the accumulation of moisture in his feet, particularly between the toes represent common contributory factors.

Other factors could be diabetes, immune compromising states such as chronic steroid therapy, and chemotherapy. HIV/AIDS can also lead to tinea pedis and onychomycosis.

The diagnosis is often made clinically but can also be aided with microscopy, where scrapings from the affected area are examined under microscopy, after treatment with potassium hydroxide.

You suggest a one-week course of terbinafine 1% cream. Dr. Hill concurs and provides Mr. Fitzgerald with a prescription and instructions.?

Mr. Fitzgerald thanks you and Dr. Hill for your help and heads out the door.[supanova_question]

You are working with Dr. Nayar at an inner-city office adjacent to

You are working with Dr. Nayar at an inner-city office adjacent to a small hospital. He has asked you to see Andrew, a 17-year-old male with right scrotal pain, who was brought in by his mother.

Dr. Nayar tells you, “Andrew is the third child of Ms. Deborah Hailey, a single mother who works as a home attendant and is also a patient of mine. Before you go in the room, let’s look at the chart to review his history. I have known him since his birth and have been seeing him regularly for health care maintenance. His last visit was more than a year ago for a sports preparticipation physical. He has been a good student, but had behavioral issues during his early teenage years. His mother really struggled with this as Andrew is quite different from her other two children. I provided some counseling to the family to help them adjust to and manage Andrew’s issues.”

You take a look at the problem list in Andrew’s medical chart.

Problem list:

Viral gastroenteritis at age 1 year

Upper respiratory infection at age 5 years

Appendectomy at age 12 years

Behavior problems at age 14 years

When you have finished looking at the chart, you and Dr. Nayar discuss some issues that might come up during an interview with family members present.

You find Andrew in distress on the exam table.

You enter the exam room and find Andrew lying down in an uncomfortable position on the exam table. His mother, Ms. Hailey, is sitting next to her son visibly worried and anxious.

You introduce yourself and explain, “I understand you are not feeling well. Would it be okay if I get some information about how you’re feeling? First, I would like to talk with you and your mom; then I would like to talk to you by yourself for a bit.”

You ask,

“Can you tell me more about your pain?”

Andrew is having a hard time talking, but he states, “I have really bad pain in the right side of my groin. I was all right in the morning. It started suddenly about four hours ago while I was playing football. The pain started in my groin and at first, it was off and on, but now it’s moved to the right side of my scrotum and it’s been sharp and constant for the last couple of hours.” He adds,” I don’t think I did anything unusual in the football practice.”

You note that Andrew has already told you the location, quality, character, onset, and duration of his pain. You still have a few more questions to ask:

“Do you have other concerns, like nausea, sweating, chills, vomiting, or fever?”

“I feel very nauseated but I don’t have any fever or vomiting.”

You interview Andrew and complete the history.

You have a few more questions:

“How bad is the pain? On a scale from 1-10, with 1 being the slightest pain and 10 being the worst pain you have ever felt?”

Andrew grunts, “It is the worst pain I have ever had. I would give a score of 10.”

“Does anything make it worse? What happens if you . . .?”

Andrew getting annoyed with these multiple questions and interrupts “It is already worse.”

You reply, “I am very sorry for bothering you with all these questions. I need this information to find out what is going on with you.

“Has anything made it better?”

“Nothing is relieving the pain.”

Ms. Hailey interjects, “He had similar pain few months ago and it was relieved without any treatment.” She looks worried, “I hope he didn’t hurt himself while playing.”

You complete the history. Andrew denies any increased urinary frequency, dysuria, urethral discharge, abdominal pain, or vomiting.

Ms. Hailey wants to know, “Could you tell me what is going on with Andrew?”

You respond, “Well, I have to ask Andrew a few more questions and then examine him before I could tell you anything. Can you please excuse us for now and I will call you back as soon as we are done.”

After obtaining information about his pain you want to inquire about his sexual history.

You ask Andrew if he is in a sexual relationship.

Before Mrs. Hailey leaves the room, you reassure Andrew by saying, “What you and I talk about is confidential, which means that I am not going to tell your mother anything we talk about unless I am worried that you are hurting yourself, hurting someone else, or someone is hurting you.”

Mrs. Hailey leaves the room, and you begin your conversation:

“You must be in eleventh grade. How is school going?”

Andrew responds, “My schoolwork is going pretty well. I am getting As and Bs. Next month I am going to take the SAT.”

“Do you have a romantic or sexual relationship with anyone?”

Andrew reports that he has been sexually active with a single female partner for the past year and uses condoms sometimes for protection.

“Have you ever been pressured to do something sexually that you didn’t want to do?”

Andrew denies being subjected to any kind of pressure.

On further questioning, he denies past history of sexually transmitted diseases, urological/surgical procedures (aside from the appendectomy), or congenital anomalies.

You ask him about his diet and he tells you that he maintains a healthy diet and feels satisfied with his current weight and shape. He adds, “I have never experimented with dietary supplements or steroids, although I know of some kids on the football team that have tried them.”

During the conversation, Andrew notes, “Several of my friends have begun to smoke cigarettes, but I don’t like the taste of them.”

You then excuse yourself while Andrew undresses for the physical exam. You ask him if he would like to have his mother in the room while he is being examined.

While waiting for Andrew to undress, you quickly go to Dr. Nayar to update him on the case so far.

After you have discussed the differential diagnosis, Dr. Nayar tells you, “Before we go back in to see Andrew, let’s review the basics of the scrotal exam. This exam will help us narrow the differential.”

You and Dr. Nayar begin the physical exam.

You knock on the door to ensure Andrew is ready, then enter the room to perform the physical examination. Andrew’s mother is seated in the corner because he has requested her presence.

Dr. Nayar greets Andrew and his mother, and expresses concern about Andrew’s pain, then proceeds to perform a physical exam with you.

Physical Exam

Vital signs:

Temperature: 98.7 Fahrenheit

Heart rate: 90 beats/minute

Respiratory rate: 14 breaths/minute

Blood pressure: 130/82 mmHg

Weight: 145 lbs

Height: 5′ 9″

Body Mass Index: 21 kg/m2

Pain score: 10/10

General: Well-built male in moderate to severe discomfort.

Head, eyes, ears, nose and throat (HEENT): No conjunctival icterus or pallor.

Cardiac: Regular, Normal S1 and S2. No pleural rubs, murmurs, or gallops.

Lungs: Clear to auscultation bilaterally.

Abdomen: No distension. Active bowel sounds; No abdominal bruits. There is no guarding or rebound tenderness. No rigidity. No palpable masses or hepatosplenomegaly.

Back: No costovertebral angle or spine tenderness.

Extremities: Femoral and pedal pulses are strong and equal.

Genitourinary: Inspection of his genitals reveals a swollen and erythematous right scrotum. His right testicle is exquisitely tender, swollen and has no palpable masses. Elevation of the testis results in no reduction in pain (negative Prehn sign). The left scrotum and the testicle are normal. Epididymis and other scrotal contents were within normal limits. The scrotum does not transilluminate. Cremasteric reflex is present on the left side but absent on the right. There is no penile discharge, inguinal lymphadenopathy, or hernias.

Rectal: Nontender. Stool medium brown, heme negative. Prostate gland normal size, smooth and nontender.

After completing the examination, you and Dr. Nayar excuse yourselves from the room in order to give Andrew a chance to put his clothes back on.

Dr. Nayar asks you to summarize the case.

Dr. Nayar asks you to consider the differential diagnosis of unilateral scrotal pain in this patient.

Trauma, testicular torsion, epididymitis, and torsion of the testicular appendages are the four most likely diagnoses at this point.

Dr. Nayar tells Andrew and his mother about his condition.

You and Dr. Nayar return together to the exam room.

He sits down in a chair and explains, “Andrew has a condition called testicular torsion.”

Ms. Hailey asks,

“What do you mean by testicular torsion?”

Dr. Nayar takes a paper and pen and draws a diagram of a normal testicle and its blood supply and explains, “Here is a picture of the blood supply to the testicle. In testicular torsion, a testicle gets twisted and the blood supply to the stalk is blocked.”

“How did Andrew get this?”

“The cause of testicular torsion usually is not clear.”

Andrew interjects,

“How can you tell that I have testicular torsion?”

“You have severe pain in your scrotum. Your right testicle is swollen and is higher in the scrotum than the other testicle. Infection, cancer, or an injury also can cause pain in the scrotum. However based on your history and physical findings we strongly suspect testicular torsion,” Dr. Nayar answers.

Dr. Nayar continues, “I know this is a lot to process, but it can be treated. You will need immediate surgery to untwist the testicle. I will call the urologist who will be performing the surgery and they will make sure the testicle does not twist again. They also will make sure the other testicle doesn’t twist.”

Dr. Nayar hurriedly says, “Now if you don’t have any further questions I need to send you to the emergency room for further testing and to prepare Andrew for surgery.”

He reassures them that he will come to the emergency room to follow up on the tests and to further explain the management plan.

You accompany Andrew to the emergency department. The attending, Dr. D’Souza, quickly places him in one of the adolescent rooms and begins to evaluate him. Intravenous access is established. She sends blood and urine samples for further testing, and pages the urologist.

By now, Andrew’s pain has become much more intense and he asks for pain medication. Dr. D’Souza gives him 2 milligrams of intravenous morphine, which provides some relief. You wait patiently for the results to come back, while at the same time, you are trying to reassure Ms. Hailey.

The urologist, Dr. Greenburg, arrives quickly, examines Andrew, and confirms the diagnosis of testicular torsion based on a history and physical findings. He then discusses the results of the tests and a management plan with Andrew and Ms. Hailey.

“Andrew, your complete blood count (CBC) is normal. Your urine analysis is also normal. However, we ordered urine tests for infection that will not be back for a couple of days. At this point, we do not suspect an infection as a cause for your symptoms.” Dr. Greenberg explains the risks and benefits of surgical intervention and general anesthesia, obtains informed consent from Ms. Hailey and prepares for immediate surgical exploration.

You also give Mrs. Hailey patient information on testicular torsion to help her to understand better about the condition.

After Dr. Greenburg has finished his preparations, while he awaits the anesthesiologist, he reviews the procedure with you.

Andrew has returned for his follow-up visit. You review his inpatient records including the operative and post operative course using his electronic medical record (EMR).

EMR review reveals that Andrew had surgical exploration of the scrotum through the midline scrotal raphe. The ipsilateral scrotal compartment was entered and the testes was untwisted. The testes was found to be viable (Signs of a viable testes after detorsion include, a return of color, return of Doppler flow, and arterial bleeding after incision of tunica albuginea). To prevent subsequent torsion, the gonads were fixed to the scrotal wall with nonabsorbable sutures. The contra lateral testes was explored and anchored through the same incision. The post-operative period was uneventful. Andrew was discharged from the hospital 48 hours after the surgery. He also had a follow-up visit with Dr. Greenburg a week later.

You and Dr. Nayar visit with Ms. Hailey and Andrew. You discover that Andrew is doing well[supanova_question]

Travis Kalanick was the founding CEO of the ride-sharing giant Uber. Under

Travis Kalanick was the founding CEO of the ride-sharing giant Uber. Under his leadership, Uber has become a globally successful firm with a valuation of over $60 billion. Kalanick is in his early forties, but Uber is the third firm that he started. Earlier in his career, he founded the file-sharing company Scour which ended up going bankrupt due to lawsuits. He had more success with another file-sharing company called Red Swoosh, which he later sold for $19 million.

In spite of all of his accomplishments and success, he has always been a controversial CEO. Recently he was caught on video berating an Uber driver, a video that went viral. He has also faced allegations of fostering a toxic corporate culture. After facing a continuing wave of negative publicity, Kalanick had to step aside as CEO but remains as a powerful member of Uber’s Board of Directors. He is also still one of their major shareholders, so even though another CEO will be managing the day-to-day, affairs he is likely to remain as a major leader within Uber.

For this paper, you should first thoroughly review the background readings and make sure you are clear on the distinction between charismatic, transformational, and transactional leadership. Then do some research on Travis Kalanick’s leadership style. There is no shortage of articles about Travis Kalanick and Uber. But harder to find are articles on what kind of leader he is and how he leads his employees. Here are a few articles to get you started, but if you can find articles that are more recent or have more information about his leadership style, feel free to use them in your paper instead:

Chafkin, M. (2015). Travis Kalanick, the fall and spectacular rise of the man behind Uber. Retrieved from http://www.scmp.com/magazines/post-magazine/article/1860723/travis-kalanick-fall-and-spectacular-rise-man-behind-uber

Somerville, H. (2017). Uber CEO’s iron grip poses challenge in COO search. Retrieved from https://www.reuters.com/article/us-uber-governance/uber-ceos-iron-grip-poses-challenge-in-coo-search-idUSKBN17F1CO?il=0[supanova_question]

Making sure to use each of the 7 components listed in the

Making sure to use each of the 7 components listed in the Powerpoint provided, brief the State v. Ramer case. This case must be submitted on Canvas by no later than August 4th, at 11:59pm. To receive credit for your assignment, it must be submitted by this time.  You can also find this case online at:  https://caselaw.findlaw.com/wa-supreme-court/1039973.html (Links to an external site.)

There is no page length required for this assignment. However, make sure that you thoroughly address each of the components.

Your brief MUST be in your own words — not using a summary found online (like oyez or Wikipedia). I realize you will have to use the case a great deal to word your brief, and that is okay, as long as it is also in your own words.

Using material from the case itself is NOT plagiarism (for this assignment only), but it is important to show that you are comprehending the material. This is done so by interpreting what you have read, and putting it into your own words. (I.e., paraphrasing!)

Finally, the case you are briefing is, legally speaking, very technical. You will probably want to look up words like “Habeas Corpus,” etc., to understand exactly what the Court is saying. I have provided a link above to Black’s Law Dictionary for you to be able to easily access any definitions to legal terms.

PreviousNext[supanova_question]

FORMAT FOR WRITTEN CASE ANALYSIS Required Sections Guidelines I. Executive Summary One

FORMAT FOR WRITTEN CASE ANALYSIS

Required Sections

Guidelines

I. Executive Summary

One to two paragraphs in length

On cover page of the report

Briefly identify the major problems facing the manager/key person

Summarize the recommended plan of action and include a brief justification of the recommended plan

II. Statement of the Problem

State the problems facing the manager/key person

Identify and link the symptoms and root causes of the problems

Differentiate short term from long term problems

Conclude with the decision facing the manager/key person

III. Causes of the Problem

Provide a detailed analysis of the problems identified in the Statement of the Problem

In the analysis, apply theories and models from the text and/or readings

Support conclusions and /or assumptions with specific references to the case and/or the readings

IV. Decision Criteria and Alternative Solutions

Identify criteria against which you evaluate alternative solutions (i.e. time for implementation, tangible costs, acceptability to management)

Include two or three possible alternative solutions

Evaluate the pros and cons of each alternative against the criteria listed

Suggest additional pros/cons if appropriate

V. Recommended Solution, Implementation and Justification

Identify who, what, when, and how in your recommended plan of action

Solution and implementation should address the problems and causes identified in the previous section

The recommended plan should include a contingency plan(s) to back up the ‘ideal’ course of action

Using models and theories, identify why you chose the recommended plan of action – why it’s the best and why it would work

VI. External Sourcing

External sources (in addition to your textbook) should be referenced to back up your recommendations or to identify issues. This information would be ideally sourced in current journals, magazines and newspapers and should reflect current management thought or practice with respect to the issues identified.

VII. Spelling Grammar and Presentation

Your case analysis should :

Include the 5 sections listed in the outline

Be double spaced and the pages should be numbered

Have 1inch margins – top bottom left and right

Use 12 point font size

Be free of spelling errors

Use an established referencing system

Present the executive summary on the first page of the assignment along with your name (s), student number(s), course section and due date[supanova_question]

Case Study Personal Information Name: Mr. Christopher Franklin Age: 60 years old

Case Study

Personal Information

Name: Mr. Christopher Franklin

Age: 60 years old

Gender: Male

Description

Mr. Franklin is a 60-year-old patient with a history of a thrombotic cerebrovascular accident two years ago. After the stroke he started with seizure attacks. He has been suffering from hypertension for the last ten years and ulcerative colitis since last year. He currently takes lisinopril, hydrochlorothiazide, aspirin, carbamazepine, and a low dose of prednisone.

Mr. Franklin has been suffering from epigastric pain, sensation of fullness, and occasional nausea for the last six months. This time, he was brought to the ER because, while he was talking to his son, he had a dizzy spell and fell to the floor. He is conscious and is complaining of severe epigastric pain. He began with mild abdominal pain two days after he started taking a new cycle of prednisone for his colitis, around seven days ago. The pain increases when he eats or drinks something. He is also complaining of suffering from pyrosis, malaise, and dizziness, and he has noticed that his feces are dark.

The patient was a heavy alcohol drinker until he had the stroke. He is a cigarette smoker since he was 20 years old. His mother suffered from Alzheimer’s disease and died of colon cancer, and his father died of cirrhosis of the liver.

On physical examination we found:

Remarkable Signs on Physical Exam by Regions

Abdomen: Pain on palpation on epigastric region

SOMA: Right hemiplegia and hyperreflexia

Remarkable Signs on Physical Exam by Systems

Integumentary system: Pallor, diaphoresis, coldness

Cardiovascular system: Tachycardia. Blood pressure 70/50 mmHg. Radial pulse 110.

Digestive system: Tenderness of epigastric region. Rectal exam showed melena.

Neurologic system: The patient is conscious and well oriented to time, place, and person. Right hemiplegia and hyperreflexia.

Lab Tests

Complete blood count (CBC)

Metabolic panel

Lipid panel

Abdominal CT scan

Esophagogastroduodenoscopy

Main Diagnosis

Upper digestive bleeding due to drug-induced gastritis

Hypovolemic shock

Acute anemia

Other Diagnoses

Stabilized thrombotic cerebrovascular accident

Epilepsy

Essential hypertension

Ulcerative colitis

Supporting Material

Mr. Franklin’s diagnoses of multiple digestive disorders has severely and acutely impacted his quality of life. If you’ve ever had a stomach ache, or even just mild bloating, you can appreciate how important a healthy digestive system is to your health and happiness. Similarly, living with neurological disorders can be confounding and scary to patients. In this module, you will explore disorders related to these two systems and take a deeper look at Mr. Franklin’s conditions.

Instructions

In at least 750 words, or 3 double-spaced pages, prepare a case report that addresses the following:

Based on the case study provided, respond to the following questions:

Identify and differentiate the symptoms from the signs in this patient.

Did you find any remarkable detail in the personal and social history of our patient that can help to make the diagnosis?

What results do you expect to find in the tests ordered?

What are some future complications the patient is at risk of developing?

What organs are included in the upper digestive system? Mention and explain at least three other conditions of the upper digestive system that may be a cause of digestive bleeding.

What specific sign on the physical exam is characteristic of upper digestive system bleeding?

What organs are included in the lower digestive system? What are some causes of lower digestive system hemorrhages, and how do you differentiate them from upper digestive system hemorrhages?

According to the patient’s previous medical history, it is possible that he has cirrhosis of the liver? Why? Can cirrhosis of the liver be a cause of upper digestive bleeding? What is the prognosis? Explain.

Are there any specific risk factors of diseases of the gallbladder or pancreas? If so, why, and what is the prognosis?

Please use references and intext citation[supanova_question]

Class Activity CASE STUDY – Changes at Honey Grove High Case Narrative

Class Activity

CASE STUDY – Changes at Honey Grove High

Case Narrative

Background

Founded in 1860, the city of Honey Grove has prided itself on maintaining its rural appeal despite the fact that its population is rapidly growing on an everyday basis. While the majority of its residents are of working-class origin, there are a handful of individuals—mostly teachers and young professionals who have received a college education, and have subsequently returned to their “hometown” for employment purposes. Indeed, Honey Grove is a hometown in the truest sense of the word. In fact, the annual Barn-Warming Festivities, Christmas Pageant, and Easter Ham Suppers, are just a few of the activities that define the essence of the Honey Grove community.

The vast majority of students in the Honey Grove School District attend one of three public schools (one elementary, one middle, one high school). The district covers approximately 225 square miles and serves three different counties (Hickory, Oak, and Sassafras). In most cases, children in the district have attended—or will attend—the same schools their parents, and perhaps grandparents, attended when they were young. In fact, the connection to the schools is so strong, that generations of alumni attend the Honey Grove homecoming festivities every year. Approximately four years ago, the Honey Grove Chamber of Commerce managed to attract Farmlake Industries—one of the leading poultry processing and distribution operations in the US—to establish a processing plant near the city of Honey Grove. Although local residents were hesitant to accept this proposal, the mayor and the city council insisted it was a good idea to have a nationally-recognized company in their midst. After all, Farmlake would create immediate job openings that would translate into higher buying power and boost the entire economy of the city.

However, when Farmlake opened its doors, local residents found there were few lucrative job openings at the plant. Instead, the majority of the “new” jobs were concentrated in the lower ranks, paying slightly above minimum wage for labor that was less than appealing. Faced with a shortage of employees, Farmlake began to aggressively recruit Latina/o1 workers from a Farmlake plant in a neighboring state, offering them a moving bonus to relocate to the newly opened plant. Many Latinas/os immediately accepted Farmlake’s offer. These initial recruits, seeing there were plenty of job openings in the area, encouraged other relatives, friends, and extended kin to relocate as well. This created a sudden influx of Latina/o workers that impacted the Honey Grove community in many ways.

The impacts included the obvious linguistic and cultural differences of this population. Because the new residents spoke very little English, and because their cultural background was unfamiliar to local residents, many Honey Grove natives perceived the new arrivals as “outsiders” who were taking over their community. Unfortunately, the living conditions under which many Latinas/os lived, e.g., travel trailers, dilapidated homes, and overcrowded living arrangement, only served to heighten and reinforce stereotypes of a Latina/o underclass. Moreover, schools were impacted by this demographic shift, as increasing numbers of Latina/o children began to enroll at Honey Grove public schools.

General Description of Honey Grove: Four Communities

The City of Honey Grove, while largely homogenous on the surface, was really comprised of four distinct communities: (a) the larger “community” of Honey Grove, (b) the Honey Grove Public School community, (c) the American Indian2 community, and (d) the emerging Latina/o community. While the stakeholders of these communities overlap, the voices become distinct to each community and yield a portrait of a rich and complex landscape within which the school system and its personnel operate.

The Honey Grove Community

Because of its central location, low cost of living, exceptional schools, low crime rate, and convenient access to the State Fairgrounds, the City of Honey Grove has consistently been ranked as “one of the best places to raise a child” by a popular civic organization in the state. Despite the steady increase in population in recent years, Honey Grove manages to maintain its Rural appeal and its characteristic charm. This is primarily due to the fact that Honey Grove is Organized around three distinct “neighborhoods,” each with a particular flavor that enhances the Overall feeling of a close-knit community. In fact, much of the families in the city have lived there for generations. The spirit and lifeblood of Honey Grove are defined by these families and characterized by their participation in events such as the annual High School Invocation, the FFA-sponsored Barn-Warming Dance, and the annual “Little Miss Honey Grove” Beauty Competition.

The 2000 United States Census data indicate that the population of Honey Grove is 1,246. However, Census data suggests the distribution of the population has dramatically diversified in the last few years, with Latinas/os growing at much faster rate. The distribution of the population, by ethnicity, is as follows: Caucasian (87%), African-American (0.8%), American Indian (6%), and Latina/o (6%). These changes have certainly influenced the overall “flavor” of the Honey Grove community, as it struggles with the difficulty of this transition.

Honey Grove Public Schools

Honey Grove Public Schools holds a prominent place in the community. In fact, the main street through the center of Honey Grove—officially named Broad Street—is often called “School Street” by many, and the superintendent has commented that “the community is always at the heart of its school.” The water tower that dominates the landscape proudly displays the high school name and mascot for all to see. The school system has a rich tradition, particularly in the area of athletics. There is a fervent sense of support for the athletic teams, and much of the social life of the community revolves around school functions, especially athletic events. The school district athletic banquet at the end of the school year is a major event for both the school district and the community. Letters are given to students for athletic achievements, and they wear them with much pride.

The traditions associated with Honey Grove Public Schools lie within several areas, most notably, athletic events, participation in the Coalition of Christian Athletes, and the overriding sense of stability that has been part of the school and the broader community. The superintendent spoke of these traditions in a recent School Board meeting at which improvements in the high school field house were being discussed:

We have invested in, and have, a great tradition in athletics and sports—and I believe for all the right reasons. It’s community driven and the community expects it. The community knows and understands the leadership qualities that can come out of asking youngsters to work hard, under discipline, to face adversity, to reach a little deeper, to expect a little more of themselves. So, all these things that we profess about athletic programs have manifested themselves over the years here in Honey Grove, and therefore, we have invested in a nice track and lights for the football field—items which might appear frivolous if we look at why we didn’t have computers and other niceties. But, given the value system and what the community is shooting for, it makes logical sense.

A corollary to the sense of tradition within Honey Grove Public Schools is the stability that has, until recently, undergirded the school community. Many of the personnel of the school system, including administrators, teachers, and support personnel, are graduates of the system. Five of seven administrators (including the superintendent), 25% of the teachers and 40% of support personnel graduated from Honey Grove High. Moreover, members of the school board have been even more stable than school personnel. Over half of them are graduates of the system, and several of the same individuals have held office for many years. Even when a change in board membership occurs, it appears that the same stakeholder groups, interests, and values are still being represented.

The tradition and stability of the school district are often related to the sense of pride expressed by members of the school board and the broader community. As one board member noted, “There is always community pride among people who are close together. They not only work together but also play together.” Parents also recognize the tradition of the schools and have been appreciative of the stability the district has enjoyed. Parents consistently speak of the importance of rigorous training in the basics, a sentiment echoed by school board members and in public pronouncements of administrators and teachers. Another source of pride is the district’s dropout rate that is lower than the state’s average of 20%. Additionally, it has been a common belief that teachers and school administrators are above reproach, serving as role models for the students and the rest of the community.

The High School, a two-story building built in 1922, houses the senior high students in grades 9-12. A middle school (grades 6-8) was built in the late 1980s and is located at the edge of Honey Grove. An elementary school, Lamb Elementary (K-5), is on the campus of the High School where the district offices are also located. Lamb Elementary was named after the first superintendent of the district—an Army training officer during World War I who went on to earn his doctorate at a normal school before coming to Honey Grove to head the newly formed school district. As stated above, the district serves three different counties. To cover the six daily bus routes that serve the students, Honey Grove maintains a fleet of 9 buses.

In 1997 there were 381 students enrolled in Honey Grove Public Schools. As of 2000, the enrollment jumped to 602 students. Of these, 85% are Caucasian, 6% are American Indian, and 9% are Latina/o. School district staff are comprised of seven administrators (a superintendent, a director of special education and five principals), 38 teachers, and 22 support staff. In recent years, however, the district has had to hire several additional teachers—many who are unfamiliar with the traditions of Honey Grove Public Schools.

The American Indian Community

This community is rarely mentioned in school board meetings or by school personnel in their discussions of school problems and issues. In addition, given the small percentage of students who are American Indian, when distributed across the four schools, these students often times find themselves as the lone representatives of their community in many individual classes. Leaders of the American Indian community consistently note that they feel disenfranchised from school decisions, highlighting that the dropout rate among their children is higher than for other students, and that the culture of American Indians is poorly understood by school personnel and rarely dealt with in the curriculum. Moreover, they contend that when American Indian issues are addressed in schools, they are often misinterpreted through majority perspectives.

The Latina/o Community

The Latina/o community has experienced tremendous growth the past three years as members of this community have been attracted to employment offered by Farmlake Industries. The growth in the size of this community is posing a challenge for the schools, since many parents and children in the Latina/o community cannot speak English. In addition, about 50% of the community is highly transient, leaving for better employment in another locale after spending less than a year in Honey Grove. From the Latina/o community’s point of view, the school is not dealing well with either the language issue or in being sensitive to community norms and values. In addition, leaders of the Latina/o community are concerned that the schools themselves are one of the reasons their members are so transient. They believe those who leave are not only looking for better employment, but also better schools and communities for their children.

A Threat to Stability and Tradition

Honey Grove had been steeped in tradition that had been relatively stable for many years. But increasingly, change has begun to intrude. First, was the growth in the Latina/o community, which is posing challenges to the school district and its personnel. Second, the growth in neighboring Oakville (located in Oak County) has resulted in district student population growth owing to the presence of Douglas State University, which is located there. This growth in student population not only has put strains on Honey Grove School’s facilities, but also has required the hiring of additional teaching staff.

Moreover, drug and gang problems are being increasingly noticed; the community and school personnel attribute these problems to the influx of students from Oak County. The make-up of the teaching staff is also rapidly changing. Just a few years ago, only 25% of the teaching staff came from neighboring Oakville. Now, that percentage has risen to 55%. The Oakville teachers, like the Oakville students, are “different” according to Honey Grove residents. They believe the newcomers don’t understand the values and traditions of the community and have little knowledge of how the school system traditionally operates. Finally, due to growth in the Oak County, a new school board member has recently been elected—a member who, for the first time in residents’ recent memories, represents constituent groups and interests different from those represented in the past.

Problems at Honey Grove High School

Many of the tensions related to change have begun to manifest themselves at Honey Grove High School and have particularly troubled its principal, Walter Reid. This is Walter’s first year as the principal of Honey Grove—having only two years of administrative experience under his belt. Before his current role, Walter was an assistant principal at a high school at a neighboring school district. Before becoming an administrator, Walter was an English teacher for seven years. He completed his undergraduate, graduate, and specialist degrees at Douglas State University, and recently celebrated his 33rd birthday.

Walter relocated to Honey Grove when the previous principal, Mr. Anderson, took an early retirement due to a heart complication. Stepping into Anderson’s shoes, however, was quite a task for Walter. Not only was Anderson the principal of the school for 23 years, but he was also cherished by everyone in the community for his leadership and vision. Moreover, Mr. Anderson not only hired the “winningest” coach in Honey Grove history, but he was also a key figure in the Honey Grove Spirit Campaign which helped renovate the football bleachers, provide separate weight training facilities for the football team, and repaint the high school mascot on the water tower. Indeed, Mr. Anderson was a local legend, and there were very few people in the community who had negative things to say about him.

Walter knew he had some big shoes to fill. Not only did he have to overcome the aura and legendary status of Mr. Anderson, but also had to make others understand and accept his unique style of leadership, which was more participatory and collaborative than the style of his predecessor. Another barrier he had to overcome was his relative youth and inexperience. He knew it would be difficult, particularly for the senior faculty, to take directives from a young administrator.

To help him secure a foundation in implementing his vision for the high school, Walter searched for faculty members whose values and beliefs were supportive of change, reform, and diversity. Many of these new hires were recent college graduates from Douglas State University. Although there was some resistance, primarily from the superintendent and board, in hiring these individuals, Walter believed they possessed the spirit of change and positive energy that could bring the community together in times of transition. “This is what the community needs right now” he told the superintendent. “We need people who are change agents, people with a vision, people who have a positive outlook about teaching, people who genuinely believe all children can succeed and welcome the challenge of teaching all learners.”

Veteran teachers not only resented these new hires, but also felt they were receiving preferential treatment because of their “liberal” beliefs. The new hires were not seen as equals, but were often referred to as “kids” or “still wet behind the ears.” In response, the new hires felt the veteran teachers ere too “old fashioned,” too “set in their ways,” and were not doing anything proactive to become full members of the school community. These contrasting belief systems served as the foundation for many tensions between the faculty.

Evidence of this tension came in several forms. Fred Barnhardt, head of the Science Department (which was still composed entirely of veteran faculty) had approached Walter on numerous occasions raising concerns about the school’s movement away from its traditional foundations. “Look Walter,” Fred stated, “I’ve got a lot of respect for you. I don’t like most of your cockamamie ideas, but I respect you as a person. And I feel I need to be honest with you. As the head of this department, and as a representative of this faculty, I think I have a duty to tell you that some of us aren’t happy with the direction in which you’re taking us.” Walter was a bit disturbed by this comment, but realized there was, indeed, increasing talk among the veteran teachers about “how it used to be” when Dr. Lamb and Mr. Anderson were still in charge. The tensions had also been manifested by Jane Mead, a newly hired teacher. She was a recent graduate of Douglas State’s English Education program. When hired, she decided to maintain her apartment in Oakville and commute daily to Honey Grove in a car pool of other Oakville residents who commuted to Honey Grove to teach. According to Ms. Mead, her efforts to “fit in” with the rest of the teachers had been difficult. In her rides to and from Honey Grove, commuting teachers would tell her one thing. When she was at the school, resident teachers would tell her another. It was if she were caught between the two groups. When she did anything that was contrary to either group, leaders of the particular group would remind her that what she had done was not consistent with the way things were done. She was confused and frustrated and had come to Walter for advice.

When Walter called a faculty meeting to address some of these tensions, veteran teachers sat where they always had—next to the coffeepot—and were less than cordial to new teachers when they got up to fill their cups. As Walter expected, neither group was willing to admit the tensions between the groups, nor were they willing to discuss them to any significant extent. It was as though no one wanted to discuss the source of these tensions, despite the fact that they were clearly affecting the overall climate of the school.

Instead of forcing teachers to talk about this issue, Walter began to discuss new business. An issue was raised by an outspoken social studies teacher (a new hire) about the school’s explicit emphasis on sports at the expense of academics. He suggested that the school should not only pay more attention to scholarship, but also recognize outstanding student scholars in the same way it recognizes outstanding student athletes. Another new teacher suggested the school should consider replacing the trophy cases at the front of the school with honor role lists and pictures of the school’s valedictorian and salutatorian. This proposal was well received by the newcomers, but angered the veteran teachers. Fred Barnhardt quipped, “I’m tired of all these touchy-feely, suggestions I’ve been hearing lately. Those trophy cases are our pride, our traditions, our life—something you all obviously don’t know anything about. I have a better suggestion: why don’t we just keep the trophy cases where they are and send you all back to Oakville where you came from.” The veteran teachers broke out in laughter while the newer teachers became visibly upset. As the meeting progressed, teachers began shouting and rudely interrupting each other as they expressed their opinions about the trophy cases. They were clearly passionate about this issue and Walter could not control the tone of the meeting. Rather than try to settle those differences on the spot, Walter suggested that teachers put their opinions in writing and submit them to him by lunch the following day. At 8:35 the next morning, Walter received an urgent phone call from the superintendent and the school board president.

The Urgent Phone Call

The purpose of the phone call was twofold. On the one hand, the superintendent and the school board president wanted to remind Walter that very influential people in the community (including the bank president and the local state representative) were former football players, and would not look favorably on the decision to relocate the trophy cases. “Look Walter,” said the school board president bluntly, “this isn’t about academics versus sports. It’s about what the community wants. It’s what the community expects. I know you’re still new to Honey Grove, so let me give you a piece of advice: things can get real sticky around here if you’re not careful. Remember, you’re still on a provisional contract. I wouldn’t upset the apple cart, if I were you.”

The superintendent reiterated the point: “One of the reasons we hired you, Walter, was because we knew you had a good head on your shoulders and would make the right decisions. I know you had all these dreams about doing things differently when you became principal. Heck, I had ‘em too when I started out. But you need to remember: there’s fantasy, and then there’s reality. I think it’s time you start getting in touch with reality, son.”

After discussing this first issue, the superintendent quickly moved to the second issue: “The second thing we wanted to talk to you about, was what you were doing about the growing drug and gang problem in the school.” “It’s getting way out of hand!” interrupted the school board president. Walter assured them that he would get a committee together as soon as possible and look into the issue. “Great,” said the superintendent. “I’m sure Sally Thompson and Bob Bailey would be glad to serve on the committee as well.”

Although Walter did not plan to put these individuals on the committee, he felt his hands were tied politically. The following day, Walter decided to appoint a committee to recommend how to deal with this growing problem. The committee was comprised of veteran and new teachers, the PTA president, and the two recommended individuals from the community. After examining mounds of data and reports on the subject, and after extensive review and discussion, the committee recommended the establishment of an in-school suspension program. Although Walter did not believe suspension was the answer to the problem, he accepted the committee’s recommendation and announced that it would be put into effect immediately. Announcements of the new policy were made at the next school board meeting, and flyers describing the policy were sent to all students and their parents.

The Suspension Program

Within two months, the suspension program was bulging at the seams. Parents complained that teachers were using the policy to get rid of students they did not want in their classes. Leaders of the American Indian and Latina/o communities believed the policy was resulting in discrimination, as American Indian and Latina/o students were over-represented in the program. In addition, a disproportionate number of special education students (especially those with behavior disorders) seemed to find their way into the program as well. To make matters worse, a local reporter from Oakville printed the following lead story in the Oakville Daily Banner: In-School Suspension at Honey Grove High School: A solution or part of the problem? Parents of students at Honey Grove High School in Honey Grove are up in arms over the continued use of an in-school suspension program instituted by Dr. Walter Reid, principal. While the argument for keeping the students in school appears sound, the program may be a smoke screen for discrimination. Officials in the Honey Grove district office said they are looking into the problem and did not want to comment at this time. Dr. Reid was unavailable for comment…

QUESTIONS:

Using examples from this case, describe the relationship between organizational culture and organizational climate?

What strategies are used by veteran teachers to ensure the maintenance of present culture? How are new teachers impacting the culture and climate of the school?

What would you do if you were in Mr. Reid’s shoes? How would you manage the culture of the school to ensure the creation best possible learning environment for students?

Do educational leaders shape, or are they shaped by, their organization’s culture?[supanova_question]

learning resources: Watch VOPP: Brief Motivational Interviewing: https://kumc.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b52f41fa-939f-4331-a98c-ac3001428219 Here is the link to the youtube video in the presentation.

learning resources: Watch VOPP: Brief Motivational Interviewing: https://kumc.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=b52f41fa-939f-4331-a98c-ac3001428219 Here is the link to the youtube video in the presentation.

peer response (Read their response and reply using one reference)

peer response (Read their response and reply using one reference). peer response (Read their response and reply using one reference).

****Reply to these 2 post using 1 reference. Make sure information adds to discussion and is of substance******

Discussion Reply 1
1. Psychotherapy is a process that is complex and rich, but not a quick fix or an easy answer; however, over time can provide insight, reduce symptoms, and improve a child and adolescent’s functioning and quality of life (American Academy of Child [supanova_question]

In this case scenario, the expectancy violation under consideration is a negative

In this case scenario, the expectancy violation under consideration is a negative violation. A negative expectancy violation refers to a type of violation where the subject experiences a negative reaction to the violation (). In this case, I had the expectation that my friend will help me move. But then she forgot and instead spent her day with her boyfriend. As a result, she violated my expectations and in the process made me experience frustration which is a negative experience.

The conflict resolution strategy being used in this case is avoiding. Avoiding conflict resolution strategy entails dismissing the existence of the problem in the hope that the problem will dissipate (). My friend avoids acknowledging that there is a problem because she never kept her promise and avoids talking about it. Instead, she offers to help me with moving the following day. I on the other hand do not state directly that I am angry and instead use the word ‘kinda’ which shows that I am avoiding having a candid talk about why I may be angry. I shrug the problem off by expressing my failure to acknowledge my anger towards my friend.

The conflict management strategy that we should have use instead is collaborating. In this case, the parties involved do not only look to satisfy themselves, they also look to satisfy the other party by reaching a compromise.[supanova_question]

order to master an academic field, you must carefully read and engage with the most important books in that field. The book review is a common academic exercise, and virtually every major newspaper, magazine, and academic journal has a book review section. A good book review fairly and accurately explains the argument the book’s author has made, highlighting key themes, including the book’s strengths or weaknesses, its central assumptions, or its most important contributions to the scholarly conversation.

peer response (Read their response and reply using one reference) INSTRUCTIONS Assess the state of virtue in modern society as described in Alastair MacIntyre’s After Virtue: A Study in Moral Theory. Discuss the prospects of reforming modern political, economic, and cultural institutions in light of his arguments. • Length of assignment: 3 pages (not including the title page and bibliography) • Format of assignment: Current Turabian format. • Number of citations: 5 scholarly sources supporting and/or illustrating your position. • Scriptural excerpts with citations are required. • Must include a title page and bibliography. • 12-pt, Times New Roman font, double-spaced, with default margins. Note: Your assignment will be checked for originality via the Turnitin plagiarism tool.[supanova_question]

peer response (Read their response and reply using one reference)

peer response (Read their response and reply using one reference)

Write the paper from the view of an outside person. The scenario is the elderly adult lives by himself

Write the paper from the view of an outside person. The scenario is the elderly adult lives by himself. Write the paper from the view of an outside person. The scenario is the elderly adult lives by himself.

Write the paper from the view of an outside person. The scenario is the elderly adult lives by himself in a small town in Texas. Kids live far away and no one is looking out for the elderly adult. The elderly adult has a dog that takes care of. On the attached form is a table of the several resources that is available for the elderly adult.
From the point of view of an older adult, use the information you gathered in the table to evaluate
a neighborhood in terms of how adequately it will meet the present and anticipated future needs of the elderly adult. Avoid telling a story of yourself and your dog and that
you are happy the sidewalk is flat. Avoid personal information about your family. Avoid material
on older adults that does not apply to the community
Write a paper on this using APA format. Use seventh edition APA.[supanova_question]

To: From: Date: Subject: Addressed issues The objective of this memo is

To:

From:

Date:

Subject: Addressed issues

The objective of this memo is to highlight some of the changes that I have made from my analysis. Some of the issues addressed are brevity and hierarchy. I have tried to make the syllabus as brief as possible. Only the main points about the course have been included in the syllabus for students to note. Also, the issue of hierarchy has been solved by putting the priority issues first. For instance, all contact information has been moved to the first page, including the professor’s phone number and email. Another issue addressed is coming up with clear aims and objectives for the course. The course aim has been separated from the broad course description (CITL, n.d.).

Also, I have solved the issue of course topics. The new syllabus logically outlines all course topics. In addition, I have added policies that were missing from the initial syllabus. Since the syllabus is like a contract, it is good to have clear policies to govern the contract. In addition, the grading issue has been solved by coming up with a clear grading policy. Also, the new attendance policy outlined in the new syllabus will be used to govern how students will undertake their classes. It is very disappointing for a professor to come to lecture and find half of the class empty. Therefore, attendance policy is very crucial in any given syllabus. Furthermore, the issue of exam cheating has been addressed under the policy section. Lastly, the new syllabus has specified the required citation method. Since any form of cheating is not allowed in school. Students are required to cite any work used from outside sources. Therefore, it is important to specify the citation policy to be followed in any given course (CITL, n.d.).

Reference

The Center For Innovation in Teaching & Learning (CITL). (n.d.). Creating a Syllabus. Retrieved from https://citl.illinois.edu/citl-101/teaching-learning/resources/teaching- strategies/creating-a-syllabus[supanova_question]

Chapter 8 Lab Assignment – Arrays Array of Payroll Objects Design a

Write the paper from the view of an outside person. The scenario is the elderly adult lives by himself Chapter 8 Lab Assignment – Arrays

Array of Payroll Objects

Design a PayRoll class that has data members for an employee’s hourly pay rate and number of hours worked. The class should have member functions to set the hourly pay rate and number of hours worked and to calculate gross pay.

The main program should create an array of seven PayRoll objects. It should contain two loops. The first loop should read the number of hours each employee worked and their hourly pay rate from a file and call class set functions to store this information in the appropriate objects.

The second loop should call a class function, once for each object, to return the employee’s gross pay, and display it as follows. Attached to this assignment is a payroll.dat file that can be used for testing your program.

Sample Output:

You should have 1 .cpp file to turn in.[supanova_question]

8-10 pages on Environmental Physics. Topics include: Chose 1 topic.. TOPICS Energy Sources: Nonrenewable Energy Sources: Renewables, Climate Physics, Climate Change, Agriculture: Can the World Feed Itself?, Population: How Many of us can the World Sustain?, There’s Got to Be Another Way: Low-Energy Societies What will 2030 look like? How about 2040? 2050? 2100? Please include five sources and do the essay in MLA format. This essay is vague so feel free to write whatever.

Final Essay 8-10 pages on Environmental Physics. Topics include: Chose 1 topic.. TOPICS Energy Sources: Nonrenewable Energy Sources: Renewables, Climate Physics, Climate Change, Agriculture: Can the World Feed Itself?, Population: How Many of us can the World Sustain?, There’s Got to Be Another Way: Low-Energy Societies What will 2030 look like? How about 2040? 2050? 2100? Please include five sources and do the essay in MLA format. This essay is vague so feel free to write whatever.[supanova_question]

College of Administration and Finance Sciences Form No 4- Internship Report Cover

College of Administration and Finance Sciences

Form No 4- Internship Report Cover Page

Student`s name:

Student`s ID #:

Training Organization:

Trainee Department:

Field Instructor Name:

Field Instructor Signature:

Course Title:

CRN:

Internship Start Date:

Internship End Date:

Academic Year/Semester:

For Instructor’s Use only

Instructor’s Name:

Total Training Hours /280

Students’ Grade: Marks Obtained /30

Level of Marks: High/Middle/Low

Academic Report Guideline(Co-op)

(please do not include this text in the final report, just follow its guidelines and use the cover page above)

The report should be submitted within two weeks after you finish your Co-op training Program.

In addition, the report should be approximately 3000 – 4000, single –spaced and consider taking the following format

General instructions for writing the final report:

The report must be written in English language.

The word limit is 3000-4000.

If the report word count is not within the required word limit, marks will be deducted.

The font size is 12, Times New Roman, justified, 1.5 space.

Main headings use font size of 16 and bold.

Add page numbers in the middle bottom of the page.

Plagiarism or copying from other sources will result in ZERO marks.

This report must be submitted on Blackboard (WORD format only) via the allocated folder.

Your work should be clearly and completely presented; marks may be reduced for poor presentation. This includes filling your information on the cover page.

Assignment will be evaluated through BB Safe Assign tool. Late submission will result in ZERO marks being awarded.

First Page

The first page should display the student’s full name, internship start and finish dates, working hours per week, company/institution name, and the cover page.

The field instructor should sign on the first page.

A Brief Executive Summary of the Internship

A one-page summary of the company/institution and a short account of the major activities carried out during the internship period.

Acknowledgment

To allow the student to express her/his thankful and gratitude to individuals (such as: field instructor, academic supervisor, colleagues…etc.) who help them in carrying out and completing her/his training journey. This part will aid the students to learn basic elements of academic writing. To express their appreciation in a concise and professional manner.

Table of Contents

Contents of the report with page numbers, list of tables, and list of figures.

Introduction

A brief of the report. The Aim of the report.

Chapter 1: Description of the company

This section should answer the following questions:

What is the full title of the company/institution?

Give a brief history of the company, full mailing address and relevant weblinks

What is the type of ownership of the company/institution?

State the main shareholders and their shares.

What is the sector that the company/institution operates in?

Specify the products and services produced and offered to its customers/clients.

Who are regarded as the customers/clients of your internship company (consider the end users, retailers, other manufacturers, employees,etc.)?

Provide an organization chart of the company, along with information on the number of employees. Provide a list of functions performed by different departments/divisions in the internship organization. Provide an overview off the production system or service procedure (what are the resources, inputs, outcomes, andconstraints?)

Provide a process chart of a major product and/or service.

The following questions can be classified as your major fit (Finance, Accounting, Ecommerce and Management).

What kind accounting/finance/IT//quality/marketing standards and principles are used in the organization?

Discuss telecommunication technologies (Database, Instant Messenger, Networking, Ecommerce tools) used in the company.

Describe the quality planning and control activities in the internship organization.

Describe the quality control activities throughout the life cycle of the product/service groups

What kind of financial analysis and decision-making methods are used by corporate treasurers and financial managers in the internship organization?

What types of marketing, selling, and human resources analysis are performed (cost system, evaluation of consumers, needs, product strategy, distribution strategy, promotional strategy)?

Chapter 2: Internship activities

This is the main body of your report. During the internship period, the focus of the training may on the following types of analysis and questions. You do not have to answer all the questions in the list: Describe your working conditions and functions, such as: Who is your supervisor (include his/her name and his/her position); other team members or co-workers and what their functions are to complement yours.

Provide a detailed description about the department(s) that the trainee did her/his training with them. Adding all sub-divisions for this department(s) if it is available. Student can add to this description a supported chart.

Detailed descriptions about all tasks and activities that the trainee did them during her/his training period.

Gained skills and how they added value to your work

Other tasks that are not related to the trainee’s major that done by her/him at the company should be included in this chapter as well.

What types of incentives did you get as a trainee to be more proactive and productive?

Describe what kind of working documents and analysis you did there and what experiences you have gained throughout yourtraining. Provide examples of your work.

A comparison between theory (things you have learned in the classroom) and practice (things you did or observed at the company) must be made and highlighted. In this section the student can add a supported table includes which academic course (s) (course title and code) helped to perform training tasks. For example, two columns; the first one shows the course name and second column shows the tasks performed and related to this course.

Show some work samples that you have encountered/conducted at the company through graphs, pictures, data, drawings, or design calculations and include them in your report.

Lessons learnt (what the overall benefits gained from the training program)

Chapter 3: Recommendations

Advantageous that helped the student in completing the training program.

Disadvantageous and challenges that faced the student and how he/she did overcome them.

Recommendations to improve training program in the college.

Recommendation for the training company. Conclusion Sum up and summary of the training experience. Reference If it is needed Appendix (option) This will help the instructor to have a background about the trainee and his/her previous experiences. Also, it helps the students in writing their CVs for future job application especially for fresh graduates who do not have previous practical experiences.

Basic information (name, city, contact details…etc.).

Job objectives.

Academic qualifications.

Practical experiences.

Skills this will help the instructor to have a background about the trainee and his/her previous experiences[supanova_question]

Film Analysis; Hair Love (2019) The American animated short film, Hair Love,

Film Analysis; Hair Love (2019)

The American animated short film, Hair Love, was directed by Matthew A. Cherry, Bruce W. Smith, and Everett Downing in 2019. Matthew A. Cherry wrote the story and Karen Rupert Toliver, Monica Young, David Steward II, Carl Reed, and Stacey Newton produced it. “Hair Love” was edited by Nick Mantz, Bryce Randle, and Illya Owens and Sony Pictures Animation is the film’s production company. The film was released on August 14, 2019, with a running time of 7 minutes. In 2019, this film won the 92nd Academy Award for Best Animated Short Film. The most notable social-cultural importance of this film is that it promotes family love, especially among men of color. It has a sentimental feeling of happiness and love. I watched this film on October 28, 2021.

“Hair Love” tells a touching story about a loving African American father (Stephen) who learns to style his daughter’s (Zuri) natural hair when her mother (Issa Rae) is undergoing cancer treatment at the hospital. The story chronicles a young girl who wants a new hairstyle. Using an instructional video directed by her mother and posted in an online vlog, seven-year-old Zuri attempts to style her natural hair on her own. When she fails, Stephen also makes many attempts until he manages to style her daughter’s hair. The film cuts to a final scene that takes place in a hospital room where we learn that the mother is undergoing cancer treatment. The daughter and father see the mother in a wheelchair and notice that she is completely bald hair because of chemotherapy for cancer. Stephen, Zuri, and Issa Rae hug each other and return home together. The final closing film sequence unfolds as a series of family photos that appear in montage and reval that, over time, Issa Rae’s hair begins to grow back.

Examples of formal elements of film used in Hair Love are cinematography, sound effects, and editing. The film has images of animated African Americans. Background sound effects and music throughout the film depict its producers’ vast knowledge in film production. Film editing was also done to create a straightforward plot.

Works Cited

Stokes, J. “Hair Love” won an Oscar. Is that it?.” https://k3mblog.wordpress.com/2020/03/13/hair-love-won-an-oscar-is-that-it/

Matthew, A.C. Hair Love. YouTube. Sony Pictures Animation. December 5, 2019.

https://youtu.be/kNw8V_Fkw28

Matthew, A.C. Hair Love. IMDb. Sony Pictures Animation. December 5, 2019.

https://www.imdb.com/title/tt7129636/[supanova_question]

Introduction & Learning Objectives We have mostly finished learning about Housekeeping and

Introduction
& Learning Objectives

We have mostly finished learning about Housekeeping and Engineering operations, though we will certainly learn more about Housekeeping in Controlling Costs and more about Engineering in Safety and Security.  In this module we’re going to learn more detail about sustainability, moving beyond just talking about the 3Ps.  The 3Ps (or EES) are the basis of our conversation around sustainability but now we need to get even more specific about what they mean in our two departmental settings and in the facility widely.  

Learning Objectives

On successfully completing this module, you will be able to

understand the importance of sustainability with respect to energy, water use, construction and purchasing

define LEED and explain ways in which LEED certification can help a hotel

explore new ways for a hotel to be sustainable

Activity Preview

This module’s activities include

writing your second quiz, based on Module Two – Engineering, 5%

start to participate in your second marked Discussion Board, 10%

continue to research for your group project, having decided what hotel company and which area of sustainability focus you will work with

for your group research project, decide whether you will write a report or do a presentation

What difference can one straw, one action, make?

Watch Video 

Beyond The Straw: Sustainability in Hospitality | Tom Egerton | TEDxWanChai 

Duration: 10:34 
User: n/a – Added: 7/24/18 

While the above item is talking about a straw and the requirements to get ingredients for a drink, and we are not studying F&B in this course, it is something easy to think about.  We’ve all had a cocktail, or maybe a Frappucino or some other drink that has multiple ingredients.  

If you watch this video, and think about all the materials and ingredients and items that we purchase to run a hotel, to operate a Housekeeping department, to operate an Engineering department, you can see the potential for how much facility management is responsible for in the supply chain. 

All of your purchasing decisions contribute to costs for the hotel, which may or may not contribute to pollution in the environment and may or may not benefit the social community if the purchasing is not locally focused.  The supply chain for every hotel, every business, can have a huge impact on global sustainability.  Making decisions that don’t increase waste (we’ll come back to this point later), making decisions that improve the atmosphere (or at minimum, don’t degrade it), making decisions that don’t deplete finite natural resources, making decisions that support all peoples in their drive to make a living – these are just some of the ways that Housekeeping and Engineering decision making on purchases can have an impact. 

Sustainability is obviously much more complex than the example I’ve cited above.  Of course it relates to purchasing decisions, but it also relates to so much more.  And hotels have had to think in comprehensive ways to figure out how they can manage to be more sustainable all the time. 

“Hotel environmental programs come in many shades of green, but most sprout the same way.  Someone gets an idea and plants it with the “why don’t we…?”  At Canadian Pacific Hotels (now Fairmont Raffles Hotels International (FRHI)), that question came from Ann Layton, vice president of Public Affairs and Communications. “I care about the enviornment in my private life. I recycle at home.  Why shouldn’t a hotel?  We have the same issues.  Why not try to take the things people do at home and do them here?”  

“Shades of Green” by Lou Cook in Lodging, October 1999 

I was still fairly newly into my career in the hotel industry when CP Hotels became the leader in “being green” but as the years have passed, they, now as FRHI, have evolved along with many other companies to expand their view from being green and thinking about the environment predominately, to being sustainable and working to integrate all three of the Ps (planet, profit, people) into their corporate mandates. 

Why do companies care about being sustainable in this day and age?  It was always good enough to just be profitable before, why do I now need to worry about the planet and people?  There are a number of motivations for a company or hotel to be sustainable.

 Economic Considerations

controlling costs leads to higher profits  

If I am wasting the earth’s resources, those resources could be more expensive

if I don’t train my staff correctly or pay them equitably, they could hurt themselves and not be able to work or choose to leave me and go to the competition 

if using LED lights reduces my energy costs in the long run, that leads to higher profits

Regulatory Issues

required recycling in some municipalities/provinces/countries

restrictions on water use in an arid environment or where fresh water is at a premium

emissions standards that regulate CO2 emissions

as of Oct. 7/2020, the Canadian federal government has announced their plan to ban single use plastics by 2021.  This will impact hotels and some of the ways that they currently serve guests but will have to now adjust (what are some examples that you can think of?)

Market Factors

if the competition is doing it, and it’s working, you almost have to follow along

development of ecotourism travel segment has attracted attention to buisnesses that are focused on improving the environment and their impact on the world around them

CERES (Coalition for Environmentally Responsible Economies) has brought more attention to these ideas – back in 2001 there was a Green Hotel Initiative that started this process

Social Responsibility

many hotel companies currently include a statement of corporate social responsibility on their website

what is the benefit of doing this?  

Can you NOT do it, if everyone else is making that type of statement?

As we start to work our way through sustainability, linking it to various aspects of operating a facility like our hotels you’ll see how the different aspects sometimes link most closely to Engineering, sometimes more directly to Housekeeping and often to both in equal measure. 

The final video in this section introduces you to three standards that are current from a sustainable construction perspective.  These are: 

LEED

WELL

Living Building Challenge

But in introducing each of these standards, the video demonstrates some of the ways that you can work to have a sustainable facility.  Which of these ideas might work in your hotel?  Which of these ideas interest you to go and do more research about them?  If you haven’t already started thinking about your research project, this short video from PCL Construction should get you started.

Watch Video 

The Future of Sustainable Construction | Building Insights 

Duration: 1:31 
User: n/a – Added: 3/12/19 

 

What is LEED?

A major factor in facility management with regards to being sustainable is the actual facility, our hotel building.  How is it constructed, where is it built, how does its presence impact the people and environment around it.  In the last module we talked about the various costs involved in running a hotel – costs to develop the building, costs to operate the hotel after opening and finally, costs to renovate it as it ages.  In this section we’re going to talk predominately about to how to impact your facility’s sustainability from the initial construction phase.  Then we’ll look at ways to make an impact during the operation.  We’ll also look at how a hotel that isn’t being newly built, like the Hotel Vancouver from the last module, can still make changes in their operating phase and during renovations, to become more sustainable.

The below video is a brief introduction to what we are talking about when we refer to sustainable construction.  It’ll get you to start thinking about the elements of construction that you need to be familiar with, especially as they will impact your hotel operation in the future.

Watch Video 

What is sustainable Construction? 

Duration: 3:21 
User: n/a – Added: 5/25/16 

OK great, now you know a little bit more about the language involved in sustainable construction.  But today you really can’t talk about sustainable construction without talking about LEED.  LEED stands for Leadership in Energy and Environmental Design and was first developed by the U.S. Green Building Council (or USGBC) and launched in 1998.  Since that time there have been changes and alterations to the LEED program and we are now looking at LEED V4.1.  I expect in your lifetimes, there will be more iterations and changes to this program as technology changes and new ways of building sustainably become real.  There may even be new standards that are developed  – in fact we will talk about some other ways to think about building standards but LEED is the one we’ll focus on for now.

Watch Video 

LEED: Better buildings are our legacy 

Duration: 2:20 
User: n/a – Added: 11/4/15 

The areas that LEED focuses on are constantly being updated and changed, as the needs of building operators change.  See the linked article below to see a discussion around indoor air quality.  In today’s environment, with concerns about COVID-19 being an air-borne disease, the importance of a properly operating air handling system has never been more critical.  The focus on something like in-door air quality if even more prevalent in the WELL certification (see end of page).

https://www.usgbc.org/articles/leed-and-indoor-air-quality-existing-buildings

Next, here’s a little introduction of LEED v4, the latest version of LEED, and how LEED approaches the idea of a sustainable building.  And keep in mind…..just as soon as you read this, this version might get updated and (it already is v4.1) become v4.1.1 or v5.  As we learn more, we can do more.

Watch Video 

Introducing LEED v4 

Duration: 1:35 
User: n/a – Added: 11/20/13 

 So if you had heard of LEED before, you may even know of a few LEED buildings in Toronto.  Do you know of any LEED hotels? It’s not easy to find a complete listing.  See the link below that Marriott has included on their website.  Would it make sense for Toronto Tourism to include this type of information?  Why do you think hotels aren’t advertising this more readily?  Even check out the relatively slim promotion on the USGBC site in the second link below.

LEED Hotels & BuildingsMarriott International LEED Hotels & BuildingsMarriott International

Hotels worldwide are going green with LEED | U.S. Green Building CouncilHotels worldwide are going green with LEED

So how does LEED certification work?  Certification for LEED involves meeting a number of standards.  Each standard you meet, either in constructing your building, or in how you operate it, gains you points.  The more points you gain, the higher your LEED accreditation.    So let’s watch another short video from LEED to see how LEED certification can be achieved.   In the below video, you only need to watch the first 1min40sec,  The classifications have changed since this video was produced in 2010 but it does a good job explaining the major categories and the resulting certifications levels possible, which is why I still get you to watch it.

Watch Video 

Intro To LEED Certification – GreenEDU.co 

Duration: 3:54 
User: n/a – Added: 6/14/10 

In one of our live sessions together we will look at the LEED website and talk about some specific ways that LEED awards points to businesses that are trying to be certified.  Some examples of how LEED points can be accrued include: 

having a parking spot with plug(s) for an electric vehicle

using motion sensors to reduce lighting load in certain hotel areas

ensuring that water use is tracked through sub-metering

installing a grey water recycling system (i.e. water from sinks or showers (no long potable, but not contaminated could be collected to use in landscape watering)

building your hotel near to public transportation

building with recycled and/or locally produced building materials

I mentioned the USGBC earlier since they created LEED.  There is also a Canada Green Building Council (CaGBC ) which administers LEED in Canada.  I know there is also a specific LEED standard for India and other countries may also have their own slightly altered version of the LEED program.

https://www.cagbc.org/leedv4

The below link, though not very easy to work with, can give you an idea of the number of certified buildings in Toronto, though it’s hard to find a hospitality business, unless you already know it’s designated.

https://www.cagbctoronto.org/initiatives/green-building-map

 In the previous module page, one of the videos referred to WELL, a standardization system that focuses on the impact of buildings on human health and wellness.  While we don’t have time to go into this system in depth, here’s a link in case you’re curious to learn more.  This may be an area that you would like to focus on for your group research project.  This link might get you started. 

https://www.wellcertified.com/certification/v2/

 

Waste Management

We started this module talking about straws and all of the elements that need to be purchased in order to create a cocktail.  And then we thought about how everything in a hotel that has to be purchased, could be analyzed in the same way.

I want to return to Housekeeping for a moment.  Something you’ll find in every hotel, regardless of classification, is soap and shampoo.  I originally wrote that last sentence as “a bar of soap and a bottle of shampoo” but you’ll realize as we work through this example, that is not necessarily true anymore.  Soap and shampoo are guest room amenities.  They are freebies for the guest, and the expectation from the hotel side is that the guest will use them in the room and/or take them home as souvenirs.  This is why you typically see branding on these items, so that when you’re washing your hands at home, you remember your stay.  For instance, recently I was showering at my local pool and using a mini bottle of shampoo from a stay at a hotel in Dublin.  It made me think of that stay while I lathered up.  A guest often only stays in a hotel room for one night.  They unwrap the bar of soap to wash their hands before dinner.  They open the bottle of shampoo to wash their (short) hair the morning they check out.  That means there is soap left that is now potentially garbage and a bottle of shampoo that is mostly unused but neither item is appropriate to leave in the room for the next guest.

So what do you do?  Hotels started by recycling these products.  I think you likely heard about this initiative in your first semester class around the global hotel industry, but in case you didn’t or you forgot, here is what many hotels are now doing with their leftover bars of soap.  This short video from the Associated Press details what Clean the World is doing.  Long before Clean the World existed, when I worked at the Sheraton Centre Hotel in Toronto, we collected our leftover bars of soap and when we had a barrel full a local Mennonite group picked it up and did similar things with the soap.  They often delivered soap to prisoners in countries where there was little or no access to those kinds of supplies.

Watch Video 

Recycling Used Bars of Soap to Save Lives 

Duration: 1:38 
User: n/a – Added: 4/10/15 

 But while that reduces garbage (protects the planet and consequently could reduce waste hauling costs) and helps people in difficult circumstances (protects people), to be truly sustainable, we should also be looking at how to do even more.  Can we buy our soap and shampoo differently in a way that still meets the 3Ps of sustainability.  What are hotels doing now that might meet those requirements? Has COVID made any of these potential changes more challenging?  

So while this is just about one tiny bar of soap and one tiny bottle of shampoo, it hopefully makes you think about having to consider ALL of your purchasing decisions in this light.  How can I purchase in a way that minimizes waste?  How can I reduce packaging?  When I first started working at the Sheraton, our VIP soap amenities were much larger than the regular soap, so therefore even less likely to be completely used by one guest in one stay.  They were shrink wrapped in plastic and then placed in a box.  While the box was likely recyclable, the plastic wasn’t and we still had a huge bar of soap left over.  What are hotels doing today that is different and how could it reduce waste?

Waste in a hotel, like in any business, requires that you pay to have your waste hauled.  You and I pay too, we pay through our municipal taxes, so it doesn’t always feel so immediate.  Plus, you could put out one container that is full of very heavy stuff or really light stuff and it wouldn’t make a difference to your taxes.  A business pays for every pound that they throw out, so there is a definite incentive to reduce the amount of waste generated.  What suggestions would you have around reducing waste, in Housekeeping?  In Engineering? 

When you think about waste and the importance of reducing it, there are a number of ways to minimize waste: 

Reduce

we talked about ways to reduce guest amenity waste by reducing packaging size and type of material; how else could you reduce packaging waste?  Think about things that you buy personally?

Housekeeping cleaning chemicals typically are bulk purchased and diluted on site

Hotels have been moving to bulk dispensers for guestroom soaps, shampoos and body lotions

Hotels are not putting plastic water bottles in rooms as much; some hotels provide filtered water in glass bottles

return dry cleaning in reusable cloth bags instead of plastic

don’t provide a daily newspaper or a paper room service menu, provide digital access on the in-room screen

Reuse

while it’s a F&B example, beer kegs are a perfect example of a container that is returned for a deposit, cleaned and then reused.

many supplies are delivered on wooden pallets which are then returned and reused

many engineering motors and machines use filters; reusable filters can be removed, washed and replaced

what other supplies could be delivered in reusable containers?

stained sheets can be sewn into pillowcases; old towels can be made into cleaning rags 

Recycling

waste is turned into a revenue stream

someone buys and transports away – your cardboard, glass, metal, etc.

you reduce the costs of your waste haulage plus you are paid money for the material

engage your guest in this process by place a recycle bin in the room next to garbage

purchase products that are made from recycled materials (e.g. toilet paper)

Waste Transformation

pulping, like a garburator in the home, can mix water with food waste to grind up the food minutely, press out the water, reduces waste volume by 75-80 percent

burning of garbage but only if there is a way to manage the emissions; see the link below about an incineration plant built in Copenhagen and some of the challenges they have had

heat recovery – we’ll talk more about this in the energy section coming up.

The below link is about the Amager Bakke incineration plant that was built in Copenhagen.  While it was meant to be a model of sustainabilty, the article indicates the many challenges that have arisen.  This article is for interest only – but it may be useful if you’re thinking about waste for your group project. 

https://zerowasteeurope.eu/2019/11/copenhagen-incineration-plant/

Energy: What is it, How to Manage it

Energy is one of those words that we hear all the time and likely have a pretty good idea of what it means.  But when you are in a hotel, what specifically are we referring to when we talk about “energy”?

Two definitions for the word energy from Oxford Languages are:

the strength and vitality required for sustained physical or mental activity. 

power derived from the utilization of physical or chemical resources, especially to provide light and heat or to work machines

You’re likely familiar with the first definition – as in, oh I’ve got so much energy on the weekend, I’m excited to do fun things. The second definition is likely a little less personal, more business oriented.  Energy is power – and power can be derived from many different resources.

Energy could be derived from gas, coal, oil, electricity, water, steam…..did you know all those?  Can you think of other forms of energy?  

While every department in a hotel plays a role in consuming energy, and therefore is responsible for managing that consumption, the engineering department typically looks after the equipment that brings the energy into the building.  Engineering maintains the infrastructure – the electrical panels, the water pipes, the sewer system (which is a necssary part of using water as energy), the motors or engines that require gas or oil to operate.  

Engineering also likely maintains all the end users of these forms of energy.  For example, a stove in the kitchen uses gas to cook with.  While the kitchen staff needs to keep the burners clean for optimal working, there will be preventive maintenance that the engineering staff will have to conduct to make sure the stove works efficiently and properly.  The ironer in the laundry uses steam to iron and dry the sheets and tablecloths.  Engineering is responsible for ensuring the equipment works properly and there isn’t steam leakage, leakage that could be dangerous to the employees but also wasteful if it’s not getting used in the ironer as it’s intended and needed.

Good management of all energy requires:

Keeping records of energy usage and energy costs

in the example above about a steam leak in the laundry, you might not know this unless you were keeping records and saw that from month to month, with similar occupancy, your steam consumption had gone up, steam that you’re paying for

submetering refers to having a meter (like a gas or water meter) in each specific opearting area of a hotel so that if there are issues, we can more quickly address where the issue is.  See a water meter (Green Tech Media) below as an example

 

Purchasing equipment that is rated as being energy effiicient

have you heard of Energy Star? Take a look on the internet to see what this means to you when you buy equipment that is Energy Star rated

Properly maintaining equipment

if the kitchen stove has burner holes that are clogged or not properly aligned, it may take more gas to reach the required temperature for cooking to happen, costing more

Using proper operating methods and records

an engine or motor that has a filter needs to have that filter regularly changed or washed otherwise it won’t operate properly (preventive maintenance, btw) and could burn out prematurely. If you have a furnace in your home, it will have a filter that is why you need to change the filter regularly

This video provides a couple of examples of a hotel, working with an energy company, to try and minimize some of their energy use.  Listen carefully – do you understand what heat transfer is about and how that saves energy?  Is there another setting where you might be able to utilize heat transfer to your advantage.  This video also talks about light bulbs – what do you know about energy efficient light bulbs?

Watch Video 

How can a hotel save energy and money? 

Duration: 2:55 
User: n/a – Added: 5/6/14 

https://www.youtube.com/watch?v=0RAglEIlTLI 

So opportunities for energy conservation and cost savings include:

improving efficiency

a fluorescent bulb can produce more lumens (a measure of illumination and thus more “light”) than a traditional incandescent bulb, and require less energy to do so

LED bulbs are now widely being installed as even more efficient

reducing operating hours

having motion sensors that turn lights on when someone enters a meeting room and will then turn them off when it senses no motion

using programmable thermostats that reduce the heating or AC levels during the day, when a guest might be out of the room

reducing the load being supplied

low-flow shower heads and dual flush toilets reduce the amount of amount of water required to do the job

installing tinted windows to reduce the build up of heat from the sun (though in a northern climate, we might want that heat in the winter – how would you address that?)

installing double-paned windows to keep your ac/heat inside; keep the outside temperature outside

recovering and reusing waste energy

this is what the hotel in the last video did by using excess heat and humidity from their pool area to pre-heat city water

using the least costly energy source

this is what a smart manager does in any area – find the best price for the product or service you need

Where you buy your energy from also counts, and not just when you think about cost.  Are you purchasing your energy from a company that is working to be sustainable themselves?  Have you heard of Bullfrog Power?  Bulb?  If not, check them out.  I’ve only included a video for Bullfrog because it’s our local option in Canada.  I have been a Bullfrog customer for more than 10 years for my electricity but only recently, as a result of writing this module did I realize that I  still needed to sign up for their gas option.  Which I have now done.  Essentially, I pay a premium for the electricity and gas I consume and that money goes to Bullfrog to maintain and build sustainable power networks, like wind and solar and some water.

Watch Video 

Bullfrog Power For Your Business – How It Works 

Duration: 2:01 
User: n/a – Added: 9/28/18 

Vhttps://www.youtube.com/watch?v=RTZ42cxrD84 

https://www.bullfrogpower.com/ 

https://bulb.co.uk/

 

Energy: What is it, How to Manage it

Energy is one of those words that we hear all the time and likely have a pretty good idea of what it means.  But when you are in a hotel, what specifically are we referring to when we talk about “energy”?

Two definitions for the word energy from Oxford Languages are:

the strength and vitality required for sustained physical or mental activity. 

power derived from the utilization of physical or chemical resources, especially to provide light and heat or to work machines

You’re likely familiar with the first definition – as in, oh I’ve got so much energy on the weekend, I’m excited to do fun things. The second definition is likely a little less personal, more business oriented.  Energy is power – and power can be derived from many different resources.

Energy could be derived from gas, coal, oil, electricity, water, steam…..did you know all those?  Can you think of other forms of energy?  

While every department in a hotel plays a role in consuming energy, and therefore is responsible for managing that consumption, the engineering department typically looks after the equipment that brings the energy into the building.  Engineering maintains the infrastructure – the electrical panels, the water pipes, the sewer system (which is a necssary part of using water as energy), the motors or engines that require gas or oil to operate.  

Engineering also likely maintains all the end users of these forms of energy.  For example, a stove in the kitchen uses gas to cook with.  While the kitchen staff needs to keep the burners clean for optimal working, there will be preventive maintenance that the engineering staff will have to conduct to make sure the stove works efficiently and properly.  The ironer in the laundry uses steam to iron and dry the sheets and tablecloths.  Engineering is responsible for ensuring the equipment works properly and there isn’t steam leakage, leakage that could be dangerous to the employees but also wasteful if it’s not getting used in the ironer as it’s intended and needed.

Good management of all energy requires:

Keeping records of energy usage and energy costs

in the example above about a steam leak in the laundry, you might not know this unless you were keeping records and saw that from month to month, with similar occupancy, your steam consumption had gone up, steam that you’re paying for

submetering refers to having a meter (like a gas or water meter) in each specific opearting area of a hotel so that if there are issues, we can more quickly address where the issue is.  See a water meter (Green Tech Media) below as an example

 

Purchasing equipment that is rated as being energy effiicient

have you heard of Energy Star? Take a look on the internet to see what this means to you when you buy equipment that is Energy Star rated

Properly maintaining equipment

if the kitchen stove has burner holes that are clogged or not properly aligned, it may take more gas to reach the required temperature for cooking to happen, costing more

Using proper operating methods and records

an engine or motor that has a filter needs to have that filter regularly changed or washed otherwise it won’t operate properly (preventive maintenance, btw) and could burn out prematurely. If you have a furnace in your home, it will have a filter that is why you need to change the filter regularly

This video provides a couple of examples of a hotel, working with an energy company, to try and minimize some of their energy use.  Listen carefully – do you understand what heat transfer is about and how that saves energy?  Is there another setting where you might be able to utilize heat transfer to your advantage.  This video also talks about light bulbs – what do you know about energy efficient light bulbs?

Watch Video 

How can a hotel save energy and money? 

Duration: 2:55 
User: n/a – Added: 5/6/14 

https://www.youtube.com/watch?v=0RAglEIlTLI 

So opportunities for energy conservation and cost savings include:

improving efficiency

a fluorescent bulb can produce more lumens (a measure of illumination and thus more “light”) than a traditional incandescent bulb, and require less energy to do so

LED bulbs are now widely being installed as even more efficient

reducing operating hours

having motion sensors that turn lights on when someone enters a meeting room and will then turn them off when it senses no motion

using programmable thermostats that reduce the heating or AC levels during the day, when a guest might be out of the room

reducing the load being supplied

low-flow shower heads and dual flush toilets reduce the amount of amount of water required to do the job

installing tinted windows to reduce the build up of heat from the sun (though in a northern climate, we might want that heat in the winter – how would you address that?)

installing double-paned windows to keep your ac/heat inside; keep the outside temperature outside

recovering and reusing waste energy

this is what the hotel in the last video did by using excess heat and humidity from their pool area to pre-heat city water

using the least costly energy source

this is what a smart manager does in any area – find the best price for the product or service you need

Where you buy your energy from also counts, and not just when you think about cost.  Are you purchasing your energy from a company that is working to be sustainable themselves?  Have you heard of Bullfrog Power?  Bulb?  If not, check them out.  I’ve only included a video for Bullfrog because it’s our local option in Canada.  I have been a Bullfrog customer for more than 10 years for my electricity but only recently, as a result of writing this module did I realize that I  still needed to sign up for their gas option.  Which I have now done.  Essentially, I pay a premium for the electricity and gas I consume and that money goes to Bullfrog to maintain and build sustainable power networks, like wind and solar and some water.

Watch Video 

Bullfrog Power For Your Business – How It Works 

Duration: 2:01 
User: n/a – Added: 9/28/18 

Vhttps://www.youtube.com/watch?v=RTZ42cxrD84 

https://www.bullfrogpower.com/ 

https://bulb.co.uk/

 

Resources

Have you come across a really great resource that you think everyone should know about?  Send me an email or post it in our class Discussion Board and I’ll be happy to add it here.  But remember, it’s a resource for sustainability, and better yet if it relates to Housekeeping and/or Engineering.

Agenda 21

Agenda 21 is a non-binding action plan of the United Nations with regard to sustainable development. It is a product of the Earth Summit held in Rio de Janeiro, Brazil, in 1992.  It has formed in a major way how the world thinks about sustainability.

https://sustainabledevelopment.un.org/outcomedocuments/agenda21

CERES

CERES initially had a green hotel initiative but now has moved to deal with bigger picture sectors.  Some of the sectors they work with now include food and agriculture, water infrastructure and electric power.  They definitely still work towards sustainability in areas that are important to the hotel industry.

https://www.ceres.org/

Energy Innovators Initiative, Hospitality Sector: Saving Energy Dollars in Hotels, Motels and Restaurants

The below document is from 2003 so please be aware that many of the ideas presented here will be “givens” in today’s world.  But if you’re trying to find a resource to see where the industry has come from in order to see where it might currently be, you might also find some ideas if you see something suggested that you are finding is still not currently happening in a hotel.

https://www.nrcan.gc.ca/sites/www.nrcan.gc.ca/files/oee/files/pdf/publications/m144-10-2003e.pdf

Green Key Global

Green Key was first initiated by the Hotel Association of Canada and was first used to certify mostly Canadian hotels.  It is now more global, as the name would indicate.

https://www.greenkeyglobal.com/

Green Leaf Foundation

http://www.greenleafthai.org/en/green_found/

Hotel Engineers and Facility Managers of Toronto

HEAT Toronto

BREEAM

BREEAM (Building Research Establishment Environmental Assessment Method) is a sustainability assessment method that is used to masterplan projects, infrastructure and buildings.  Used more widely around the world than in North America.

BREEAM: the world’s leading sustainability assessment method for masterplanning projects, infrastructure and buildings – BREEAMBREEAM

One Planet Network

https://www.oneplanetnetwork.org/sustainability-new-normal-vision-future-tourism#

Summary

Hopefully you have started to hear things that make you think back to housekeeping or engineering – hopefully  the language is starting to overlap and you’re realizing that both departments are very connected with each other and very connected in a hotel’s efforts to be sustainable.  Drawing these connections is very important as you are continuing to work on your research project.

Reminders

By the end of this module, you should have completed the following:

started research for your group research project and have decided if you’re doing a written report or a presentation

completed your second discussion board

start to prepare for your third quiz which will be all short answer questions this time and based on this module

See you online![supanova_question]

Linguistics Question

1. Essay structure, grammar, and style: Introduction, body, conclusion. Grammar and style should be formal and coherent.
2. Thesis statement: Inclusion of a thesis statement which connects your personal language experiences to at least one topic we have discussed in class.
3. Well-integrated references: Well-integrated reference to at least two sources, at least one of which must be a scholarly article (including, but not limited to, required class readings).
4. Correct incorporation of course concepts: Course concepts are correctly applied (e.g., language shift, diglossia, linguistic discrimination,
overt/covert prestige, etc.)
5. Synthesis: Synthesize the information gathered: avoid lists that hit each point above. Instead, tie these elements into a larger cohesive narrative that draws connections between course concepts, and information from your experience and your academic (and other) references.
[supanova_question]

Newtons Method

Please answer all questions and all parts of question. And show work for each. Hand write or type, whatever is easier. The first image has all the questions and the last image image has all other directions. PLEASE follow the directions on the second image, this is a very important project. Other than answering all the questions, please give a brief introduction to explain what the report is about. Illustrations: Solve each problem in the list above clearly and completely. Explain anD
outline solution in clear logical steps. Using a graph will be very helpful. Make sure at thE
end of your solution you highlight the significance and context of the answer. What does
it mean and how is it to be interpreted? Your solutions and calculations should be part of
the main part of the report. Do modified newton and conclusion.
thank you so much for ur time, all directions are on the second image, if u could follow all of those directions, that would be GREAT
[supanova_question]

Write the paper from the view of an outside person. The scenario is the elderly adult lives by himself

Write the paper from the view of an outside person. The scenario is the elderly adult lives by himself