What constitutional issues and amendments were involved in these cases? What effect, if any, did that decision have on the first two cases? Do you agree or disagree with the courts decision in the Ramos case and why?
October 20, 2021/in Uncategorized /by Sam
Johnson vs Louisiana (1972) and Apodaca vs Oregon (1972)
Describe the US Supreme Court cases of: Johnson vs Louisiana (1972) and Apodaca vs Oregon (1972)
What constitutional issues and amendments were involved in these cases?
In 2020 the US Supreme Court decided the case of Ramos vs Louisiana.
Describe that case, and the constitutional issues that were decided.
What effect, if any, did that decision have on the first two cases?
Do you agree or disagree with the courts decision in the Ramos case and why?
How can you tell the process is done? How can you tell the process is successful? Address display of finished product and audience reaction (optional). Address future use of process and/or process results.
October 20, 2021/in Uncategorized /by Sam
Process Analysis of Creating a Website
Submit an outline for your Art/Design Process Analysis presentation, using the template below as a guide. For each bullet point, include a sentence or note to signal what content will go where (your own words, paraphrase, summary, image, etc.).
Alert
Art/Design Process Analysis Outline Template
Introduction (1 paragraph)
-Hook/invitation to the reader
-Topic overview
-General description of process
-Brief history of process (optional)
-Thesis statement or working thesis statement: state it here!
Body (3-5 paragraphs)
-History of process (optional/if not included in introduction)
-Tools and materials
-Definitions for specialized vocabulary
-Setup and space
-Process steps (usually one paragraph per step)
-Introduction to step
-Description of how to do step
-Inclusion of description
-Inclusion of specific example
-Analysis of step
-Transition to next step
-Conclusion
How can you tell the process is done?
How can you tell the process is successful?
Address display of finished product and audience reaction (optional).
Address future use of process and/or process results.
What is the relationship between female levels of education and fertility rate?
October 19, 2021/in Uncategorized /by Sam
Relationship between female levels of education and fertility rate
This is a statistics research paper. This research should investigate to what extend does female levels of education affect the fertility rate. The investigation would be done by describing univariate variables and by looking for a relationship for the bivariate variables.
Explain each of the six steps used to conduct an RCA, as defined by IHI. Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome.
October 18, 2021/in Uncategorized /by Sam
Root cause analysis (RCA)
Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event, such as the one described in the scenario attached below. Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident.
SCENARIO
It is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency department (ED) of a sixty-bed rural hospital. He has been brought to the hospital by his son and neighbor. At this time, Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog.
Mr. B was admitted to the triage room where his vital signs were B/P 120/80, HR-88 (regular), T-98.6, and R-32, and his weight was recorded at 175 pounds. Mr. B. states that he has no known allergies and no previous falls. He states, “My hip area and leg hurt really bad. I have never had anything like this before.” Patient rates pain at 10 out of 10 on the numerical verbal pain scale. He appears to be in moderate distress. His (L) leg appears shortened with swelling (edema in the calf), ecchymosis, and limited range of motion (ROM). Mr. B’s leg is stabilized and then is further evaluated and discharged from triage to the emergency department (ED) patient room. He is admitted by Nurse J. Nurse J finds that Mr. B has a history of impaired glucose tolerance and prostate cancer. At Mr. B’s last visit with his primary care physician, laboratory data revealed elevated cholesterol and lipids. Mr. B’s current medications are atorvastatin and oxycodone for chronic back pain. After Mr. B’s assessment is completed, Nurse J informs Dr. T, the ED physician, of admission findings, and Dr. T proceeds to examine Mr. B.
Staffing on this day consists of two nurses (one RN and one LPN), one secretary, and one emergency department physician. Respiratory therapy is in-house and available as needed. At the time of Mr. B’s arrival, the ED staff is caring for two other patients. One patient is a 43-year-old female complaining of a throbbing headache. The patient rates current pain at 4 out of 10 on numerical verbal pain scale. The patient states that she has a history of migraines. She received treatment, remains stable, and discharge is pending. The second patient is an eight-year-old boy being evaluated for possible appendicitis. Laboratory results are pending for this patient. Both of these patients were examined, evaluated, and cared for by Dr. T and are awaiting further treatment or orders.
After evaluation of Mr. B, Dr. T writes the order for Nurse J to administer diazepam 5 mg IVP to Mr. B. The medication diazepam is administered IVP at 4:05 p.m. After five minutes, the diazepam appears to have had no effect on Mr. B, and Dr. T instructs Nurse J to administer hydromorphone 2 mg IVP. The medication hydromorphone is administered IVP at 4:15 p.m. After five minutes, Dr. T is still not satisfied with the level of sedation Mr. B has achieved and instructs Nurse J to administer another 2 mg of hydromorphone IVP and an additional 5 mg of diazepam IVP. The physician’s goal is for the patient to achieve skeletal muscle relaxation from the diazepam, which will aid in the manual manipulation, relocation, and alignment of Mr. B’s hip. The hydromorphone IVP was administered to achieve pain control and sedation. After reviewing the patient’s medical history, Dr. T notes that the patient’s weight and current regular use of oxycodone appear to be making it more difficult to sedate Mr. B.
Finally, at 4:25 p.m., the patient appears to be sedated, and the successful reduction of his (L) hip takes place. The patient appears to have tolerated the procedure and remains sedated. He is not currently on any supplemental oxygen. The procedure concludes at 4:30 p.m.,and Mr. B is resting without indications of discomfort and distress. At this time, the ED receives an emergency dispatch call alerting the emergency department that the emergency rescue unit paramedics are enroute with a 75-year-old patient in acute respiratory distress. Nurse J places Mr. B on an automatic blood pressure machine programmed to monitor his B/P every five minutes and a pulse oximeter. At this time, Nurse J leaves Mr. B’s room. The nurse allows Mr. B’s son to sit with him as he is being monitored via the blood pressure monitor. At 4:35 p.m., Mr. B’s B/P is 110/62 and his O2 saturation is 92%. He remains without supplemental oxygen and his ECG and respirations are not monitored.
Nurse J and the LPN on duty have received the emergency transport patient. They are also in the process of discharging the other two patients. Meanwhile, the ED lobby has become congested with new incoming patients. At this time, Mr. B’s O2 saturation alarm is heard and shows “low O2 saturation” (currently showing a saturation of 85%). The LPN enters Mr. B’s room briefly, resets the alarm, and repeats the B/P reading.
Nurse J is now fully engaged with the emergency care of the respiratory distress patient, which includes assessments, evaluation, and the ordering of respiratory treatments, CXR, labs, etc.
At 4:43 p.m., Mr. B’s son comes out of the room and informs the nurse that the “monitor is alarming.” When Nurse J enters the room, the blood pressure machine shows Mr. B’s B/P reading is 58/30 and the O2 saturation is 79%. The patient is not breathing and no palpable pulse can be detected.
A STAT CODE is called and the son is escorted to the waiting room. The code team arrives and begins resuscitative efforts. When connected to the cardiac monitor, Mr. B is found to be in ventricular fibrillation. CPR begins immediately by the RN, and Mr. B is intubated. He is defibrillated and reversal agents, IV fluids, and vasopressors are administered. After 30 minutes of interventions, the ECG returns to a normal sinus rhythm with a pulse and a B/P of 110/70. The patient is not breathing on his own and is fully dependent on the ventilator. The patient’s pupils are fixed and dilated. He has no spontaneous movements and does not respond to noxious stimuli. Air transport is called, and upon the family’s wishes, the patient is transferred to a tertiary facility for advanced care.
Seven days later, the receiving hospital informed the rural hospital that EEG’s had determined brain death in Mr. B. The family had requested life-support be removed, and Mr. B subsequently died.
Additional information: The hospital where Mr. B. was originally seen and treated had a moderate sedation/analgesia (“conscious sedation”) policy that requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void). All practitioners who perform moderate sedation must first successfully complete the hospital’s moderate sedation training module. The training module includes drug selection as well as acceptable dose ranges. Additional (backup) staff was available on the day of the incident. Nurse J had completed the moderate sedation module. Nurse J had current ACLS certification and was an experienced critical care nurse. Nurse J’s prior annual clinical evaluations by the manager demonstrated that the nurse was “meeting requirements.” Nurse J did not have a history of negligent patient care. Sufficient equipment was available and in working order in the ED on this day.
A. Explain the general purpose of conducting a root cause analysis (RCA).
1. Explain each of the six steps used to conduct an RCA, as defined by IHI.
2. Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome.
B. Propose a process improvement plan that would decrease the likelihood of a reoccurrence of the scenario outcome.
1. Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan.
C. Explain the general purpose of the failure mode and effects analysis (FMEA) process.
1. Describe the steps of the FMEA process as defined by IHI.
2. Complete the attached FMEA table by appropriately applying the scales of severity, occurrence, and detection to the process improvement plan proposed in part B.
Note: You are not expected to carry out the full FMEA.
D. Explain how you would test the interventions from the process improvement plan from part B to improve care.
E. Explain how a professional nurse can competently demonstrate leadership in each of the following areas:
• promoting quality care
• improving patient outcomes
• influencing quality improvement activities
1. Discuss how the involvement of the professional nurse in the RCA and FMEA processes demonstrates leadership qualities.
F. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
G. Demonstrate professional communication in the content and presentation of your submission.
Write a 2 page analysis addressing the advantages and risks of student loans, ways to minimize student loans, and specific issues for the students in the video.
October 18, 2021/in Uncategorized /by Sam
The student loan crisis
This is your next HW assignment. Use the link in BB Course Materials to watch a short video on student loan debt.
Then, write a 2 page analysis. You might want to address the advantages and risks of student loans, ways to minimize student loans, and specific issues for the students in the video.
Voices of Debt – The Student Loan Crisis: Don’t Major in Debt
Describe the role of regional UN bodies in relation to these two countries (like ECA, ECOWAS, ESCAP, ECLAC, etc.) Describe the role of non-UN regional bodies in relation to these two countries (like the African Union, the OECD, ASEAN, the Arab League, etc)
October 16, 2021/in Uncategorized /by Sam
Comparative Public Admin
Assignment Eight is the final memo. You launched this task in Assignment Six. Now, write a 8 page memo on how two countries -one handling the pandemic well and one handling the pandemic poorly—are confronting this huge challenge. Use the ideas and resources from Assignment Six. Incorporate !earnings from the three textbooks and any other relevant resources. Remember to use APA format for in-text citations and to add a reference list at the end of the memo. It would make sense to have approximately one page on each of these topics. Follow this outline:
1. Introduction
2. Country one: data on COVID; perspective on COVID; strategies; which institutions are involved; performance and impact; explanatory factors
3. Country two: data on COVID; perspective on COVID; strategies; which institutions are involved; performance and impact; explanatory factors
4. Describe the role of global institutions like the UN and WHO in relation to these two countries (research this)
5. Describe the role of regional UN bodies in relation to these two countries (like ECA, ECOWAS, ESCAP, ECLAC, etc.)
6. Describe the role of non-UN regional bodies in relation to these two countries (like the African Union, the OECD, ASEAN, the Arab League, etc)
7. Discuss the experiences of these two countries in light of the concepts of failed states, fragile states, robust states and agile states.
8. Conclude about the future of countries dealing with the COVID pandemic (use a SWOT chart or forced field analysis).
Grading Rubric 20 points
Where, when, how, and why does beer start (how was it discovered)? How does beer develop in the ancient world, and how and why does it flourish and spread to northern Europe? How does brewing develop in the Middle Ages, and who are the major brewers?
October 16, 2021/in Uncategorized /by Sam
Brewing Science Questions
All the below answers need to be as clear, precise, detailed, complete sentences, and correct grammar and punctuation used. Please read each question carefully through and answer all parts of each question.
1st Question
Evolution of beer and the science and technology of brewing.
Discuss as detailed as possible, how beer moves through 10,000 BC to the Renaissance, then beer in the UK and on the Continent, and then beer to the 1900ish.
Answer the below questions one by one, not in a paragraph form:
Where, when, how, and why does beer start (how was it discovered)? How does beer develop in the ancient world, and how and why does it flourish and spread to northern Europe? How does brewing develop in the Middle Ages, and who are the major brewers? How do various factors combine to give rise to the styles and other factors that emerge from the Middle Ages and Renaissance (topics needing to be discussed in your answer are: Trappist, legal regulations, lager vs. ale, altbier and Kolsch, English pale, and brown ales. As we move from the Renaissance into the Industrial Revolution, what are the major technological innovations in brewing, and what beer styles emerge and evolve in response?
2nd Question
Brewing
Answer the below questions one by one, not in a paragraph form:
What contributions do hops make to beer, and what compounds are responsible for those? What is a base malt? How does kilning of base malts change over time? What qualities do those changes make in the base malt’s that can be produced? What are some base malts and what flavors do they give you? How are crystal malts produced? What qualities do they give in beer? What qualities do roasted malts and roasted grains and unmalted grains give a beer? What are the various kinds of yeast: explain and elaborate not just on lager vs. ale, but also stylistically (beers with big fruity flavors like Belgian Ale Yeast and English Ale Yeast- explain what all of these yeast are in detail)? What temperatures are appropriate for yeasts, and what flavor profiles do we get as a result? Why do we need to cool the wort quickly from about 140 degrees Fahrenheit to yeast pitching temperatures? Why are infections not more common?
In class my professor mentions in this section (Kiln malt, crystal malt, barley malt, wheat malt, roasted malt).Professor also mentions flavorable base malts being : barley and wheat
3rd Question
Brewing safety
Explain and elaborate in detail the main components to brewing beer safely in an Industrial facility (mention the key points according to the Brewer’s Association Safety Guidelines).
4th Question
Alcohol Safety
Answer the below questions one by one, not in a paragraph form:
What kind of drug is alcohol? By what pathways does alcohol enter the body (list them and give their percentages)? What are its physiological and psychological effects, and how are they related to blood alcohol level (BAC)? What is the legal BAC limit for driving? What gross physiological consequences arise as BAC rises? How can the rate of alcohol uptake be altered? How is alcohol processed in one’s body?
What has been done thus far in the field? What are the findings? E.g. what is the obesity prevalence, esp. among Hispanic children? What are the factors that contribute to obesity among this population?
October 15, 2021/in Uncategorized /by Sam
How does racism/discrimination affect Black women during pregnancy/postpartum?
The literature review provides the scholarly background for your specific research topic. This means NO Wikipedia or casual online information! Read the sources thoroughly and have a sound understanding of the big picture in which your topic is situated. Some of the things the professor wants answered in this review is:
Generally speaking, literature review should answer the following questions:
1. What has been done thus far in the field? What are the findings? E.g. what is the obesity prevalence, esp. among Hispanic children? What are the factors that contribute to obesity among this population? Etc.
2. What are the gaps in research in this topic? Is there any unexplored area or population? Are there any new trends or shifts of research?
3. What are the most often used methodologies and approaches, e.g. quantitative, or qualitative? What are the advantages, disadvantages and limitations of the methods used? Length: 1500-2000 words.
Identify what leadership indicators are lacking. Identify what reasonable expectations were broken.
October 15, 2021/in Uncategorized /by Sam
Command Climate Theory
1. Students should type this essay to be turned in to a faculty advisor. Each paper should be between four and five pages, not including a title page. Students should type in size 12, Times New Roman font, and the paper should be double spaced. Margins of the paper should be 1” on all sides, and page numbers should start on the page immediately after the title page. Students will use the Chicago Manual of Style format.
2. After reading the scenario and reviewing the survey results provided, you will be required to write an essay that is in the essay template provided. This essay must follow the template. At a minimum, this paper should include the following:
a) Introduction paragraph – to include a thesis statement that will summarize the main points of the paper. Thesis must be in BOLD.
b) Outcomes the document aims to achieve
c) A background discussion that is rooted in the four indicators of leadership (Morale, Proficiency,Discipline, Esprit de Corps
i) Identify what leadership indicators are lacking
ii) Identify what reasonable expectations were broken
d) Four Recommendations (which must include a subject, objective, action plan, goals, and a basis for the goals)
i) Survey Item Number & Description (#s 15, 16, 22 & 23)
ii) Action plan recommended
iii) HOW the recommendation will be implemented
iv) Goal(s): What could be the end result if the Commander implements recommendation?
If you were facing an especially complex legal dispute one involving many facets and several different types of law would you consent to allowing a U.S. magistrate judge to decide the case? Why or why not? If you had to decide whether to allow a U.S. magistrate judge to hear your case, what information might you ask your attorney to provide concerning that individual?
October 15, 2021/in Uncategorized /by Sam
38 U N I T O N E The Foundations
Should You Consent to Have Your Business Case Decided by a U.S. Magistrate Judge?You have a strong case in a contract dispute with one of your business’s suppliers. The supplier is located in another state. Your attorney did everything necessary to obtain your “day in court.” The court in question is a federal district court. But you have just found out that your case may not be heard for several years—or even longer. Your attorney tells you that the case can be heard in just a few months if you consent to place it in the hands of a U.S. magistrate judge.a Should you consent?
A Short History of U.S. Magistrate Judges
Congress authorized the creation of a new federal judicial officer, the U.S. magistrate, in 1968 to help reduce delays in the U.S. district courts.b These junior federal officers were to conduct a wide range of judicial proceedings as set out by statute and as assigned by the district judges under whom they served. In 1979, Congress gave U.S. magistrates consent jurisdiction, which authorized them to conduct all civil trials as long as the parties consent.c Currently, magistrate judges dispose of over one million civil and criminal district court matters, which include motions and hearings.
The Selection and Quality of Magistrate Judges
As mentioned, federal district judges are nominated by the president, confirmed by the Senate, and appointed for life. In contrast, U.S. magistrate judges are selected by federal district court judges based on the recommendations of a merit screening committee. They serve an eight-year term (which can be renewed). By statute, magistrate judges must be
chosen through a merit selection process. Applicants are interviewed by a screening committee of lawyers and others from the district in which the position will be filled.d Political party affiliation plays no part in the process.
A variety of experienced attorneys, administrative law judges, state court judges, and others apply for magistrate judge positions. A typical opening receives about a hundred applicants. The merit selection panel selects the five most qualified, who are then voted on by federal district court judges.Because the selection process for a magistrate judge
is not the same as for a district judge, some critics have expressed concerns about the quality of magistrate judges. Some groups, such as People for the American Way, are not in favor of allowing magistrate judges
the power to decide cases. These critics believe that
because of their limited terms, they are not completely
immune from outside pressure.
Business Questions
1. If you were facing an especially complex legal dispute one involving many facets and several different types of law would you consent to allowing a U.S. magistrate judge to decide the case? Why or why not?
2. If you had to decide whether to allow a U.S. magistrate judge to hear your case, what information might you ask your attorney to provide concerning that individual?
The post What constitutional issues and amendments were involved in these cases? What effect, if any, did that decision have on the first two cases? Do you agree or disagree with the courts decision in the Ramos case and why? October 20, 2021/in Uncategorized /by Sam Johnson vs Louisiana (1972) and Apodaca vs Oregon (1972) Describe the US Supreme Court cases of: Johnson vs Louisiana (1972) and Apodaca vs Oregon (1972) What constitutional issues and amendments were involved in these cases? first appeared on Your Answers.
