#2 Discussion Post/ and student response

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This is a class discussion post that needs to be approximately 2-3 paragraphs in length. 

***Discussion Post should be followed accordingly each question asked needs to be answered.

********I will post the students response below.  With the Student response it should be 1 paragraph in length reply to the students disccusion.

********************Discussion Post*****************

 

Has the Presidency become too big?  Is there a way for Congress to reassert its power without creating a power vacuum or gridlock?

************************ Student Response***************************

 

I believe that the presidency has not grown to big. It is important to recognize the role that the media has played in this situation. This last presidential elections saw an inflated social media presence that had not been seen in the past. Because of the media presidential elections get more attention from citizens. Citizens equate increased attention to greater importance. I believe that this is very untrue. Most local and congressional elections get overlooked and do not receive much if any attention. What people fail to take into account is that the president can only serve a maximum of 8 years while Congress men and women can serve an unlimited amount of times. The impact of a president on the country can be huge but it can be swiftly overturned by the next president as evidenced by many of the Obama’s policies that Trump overturned once he was sworn in. Acts of Congress are far more difficult to reverse. That difficulty is increased because the turnover rate in congress is relatively low. I also do not believe Congress has to reassert its power. Congress can literally just wait out a president in order to push through bills a sitting president will not let pass. The real power lies in the last man standing and that will almost always be Congress. 

In an analysis of hunting by African lions, biologists filmed prey captures

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In an analysis of hunting by African lions, biologists filmed prey captures from the safety of their vehicles.  Prey captures were then divided into a sequence of events.   One of the events is the stalk, defined as the reduction of predator-prey distance for prey that has been specifically targeted.  The investigators identified two types of stalk: (a) “crouching,” — the lion is concealed and either the lion advances toward the prey or the prey advances (unaware) toward the lion, and (b) “running,” — the lion is less concealed and advances toward the prey in a rapid manner.

 

      Data on lions’ stalks of wildebeests and zebras from a simple random sample of 159 kills appear in the table below. 

 

Characteristic

Numeric value

Mean stalking time

31.6 min

Standard deviation of stalk time

16.4 min

Proportion of stalks of the crouching type

0.92

 

The same monitoring of radio-collared lions over the years suggests that the overall proportion of stalks that are the crouching type is about 0.87. Do the data above provide evidence that for this population of lions the proportion of crouching stalks of wildebeests and zebras is greater than what was originally thought? Use alpha=0.05

 

Week_10_Tea_Res

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Please read my post followed by my professor’s response and answer her question regarding UTI. Should you have any questions please dont hesitate to ask. Thanks!

Also, this has to be a minimum of one paragraph, referenced with two citations less than 5 Years old, and no plagiarism. 

Weekly Post: The human body is prone to many diseases and infections. Human beings should care for their body to avoid the acquisition of diseases and infections. For instance the urinary tract infection which mainly occur in females and affect the bladder and the urethra. The infection is majorly caused by a bacteria known as Escherichia coli. The bacteria is majorly found in the gastrointestinal tract. The treatment to the urinary tract infection is by the use of antibiotics (Foxman, 2013).

Describe the advantage and disadvantage of one drug to treat urinary tract infections.

The antibiotics that treat the urinary tract infections have many advantages and disadvantages. The advantages are that, they fight infections and preserve lives. They also cure, preserve lives and don’t affect the normal body cells. The antibiotics also have many disadvantages in that they have side effects and may make the body to function abnormally (Nicolle, 2012). 

The antibiotics also kill healthy bacteria that are useful to the body and hence make the body weak. The antibodies help and also harm the body so they are not fully safe for human consumption.

Conclusion

In treatment of infection, the drugs provided should be taken according to the doctor’s prescription to avoid any inconveniences. Misuse of this drugs may cause great damage and may lead to death. The drugs should be used correctly to enable quick recovery.

References

Foxman, B. (2013). Urinary tract infection. In Women and Health (Second Edition) (pp. 553-564).

Nicolle, L. E. (2012). Urinary tract infections. Encyclopedia of Intensive Care Medicine, 2359-2364.

Professors response:  Please give me an example of a drug you would use for UTI and why would you choose it ?

Thanks,

Need a reference with doi or retrieval URL FOR THE BELOW WORK

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Me    3 posts   Re: Topic 6 DQ 1  From a financial perspective, hand hygiene is the most cost effective evidence based measure in healthcare systems. Moreover, a lack of investment in hand washing results in increased healthcare costs, decreased productivity or loss of life. According to McLaws (2015), hand hygiene has a relation with job attendance, thereby affecting staff performance. The costs of operating healthcare facilities remain a cardinal aspect that greatly depends on hand washing.According to infection prevention and control specialists, hand hygiene is recognized as the single most crucial intervention deployed to reduce the spread of infections both in the clinical setting and the community. Based on the fact that hands are the most viable modes of transmission and contact between people as well as innate objects, it is important to use water and soap or any alcohol based hand wash. Hand hygiene is paramount to patient safety and quality of healthcare outcomes. Based on the assessment of McLaws (2015), there is a relationship between hand hygiene and healthcare associated infections. The hands of healthcare workers are the most common avenue for the transmission of pathogens from patient to patient. In this light, healthcare workers can dictate the quality of healthcare outcomes when attending to patients.The compliance of hand hygiene has been critical in addressing infections. Bacteria alone accounts for ninety percent of infections while ten percent comprises of fungi and bacteria. Infection control on open wounds and cuts should be considered. Against this backdrop, frequent hand wash audits should be conducted in healthcare organizations to improve compliance. Healthcare organizations should invest in hand wash products and make them accessible to doctors, nurses and visitors alike.      References  McLaws, M. L. (2015). The relationship between hand hygiene and health care-associated infection: it’s complicated. Infection and drug resistance, 8 (7).

1. In general – if price of an item dramatically increases, does demand normally

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1.  In general – if price of an item dramatically increases, does demand normally – A) Increase  B) Decrease  C) Stay the Same

 

2.  In general – if price of an item dramatically decreases, does demand normally – A) Increase  B) Decrease  C) Stay the Same

 

3.  In general – if the supply of an item dramatically increases, does price normally – A) Increase  B) Decrease  C) Stay the Same

4.  In general – if the supply of an item dramatically decreases, does price normally – A) Increase  B) Decrease  C) Stay the Same

 

5.  In general – if the demand of an item dramatically increases, does price normally – A) Increase  B) Decrease  C) Stay the Same

 

6.  In general – if the demand of an item dramatically decreases, does price normally – A) Increase  B) Decrease  C) Stay the Same


7.  In general – if interest rates increase, does the demand for loans by consumers and businesses normally – A) Increase           B) Decrease  C) Stay the Same

8. In general – if interest rates decrease, does the demand for loans by consumers and business normally – A) Increase               B) Decrease  C) Stay the Same

 

DQ31 RESPONSE

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Monica Bullock    1 posts   Re: Topic 3 DQ 1  Paz-Pacheco, E., Sandoval, M. A., Ardena, G. J. R., Paterno, E., Juban, N., Lantion-Ang, F. L., … Bongon, J. (2017). Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting. Primary Health Care Research & Development (Cambridge University Press / UK), 18(1), 35–49. https://doi- org.lopes.idm.oclc.org/10.1017/S1463423616000335  This study was done to assess the effectiveness of diabetes self-management in rural agricultural towns. It gives a great out line of how the programs were implemented and great statistics. This fits with the population that I deal with at my practicum sight. The down side is that the study was conducted in the Philippines. Not that the information is not valid it just makes it less relatable. On that not I think I would need more information for evidence based practice changes, something relatable to the US. For my capstone project I think it provides great ideas to solve the problem.  Carlos Vasconcelos, António Almeida, Maria Cabral, Elisabete Ramos, & Romeu Mendes. (2019). The Impact of a Community-Based Food Education Program on Nutrition- Related Knowledge in Middle-Aged and Older Patients with Type 2 Diabetes: Results of a Pilot Randomized Controlled Trial. International Journal of Environmental Research and Public Health, (13), 2403. https://doi-org.lopes.idm.oclc.org/10.3390/ijerph16132403  This study focused on food based interventions. Educating the community on food and how it will affect the body. Randomly people were assigned a workout program and diet program then tested the knowledge of food nutrients through a questionnaire before and after to produce results. I think this is a good study to use because it shows how food is a major role in life style changes and the effects on A1C. The down side is the study data is confusion to read and it does only focus on a specific demographic, but it does apply to the question I want to answer. This would be relatable and with the support of another study would be great for evidence based change.  Prezio, E. A., Pagán, J. A., Shuval, K., & Culica, D. (2014). The Community Diabetes Education (CoDE) Program: Cost-Effectiveness and Health Outcomes. American Journal of Preventive Medicine, 47(6), 771–779. https://doi- org.lopes.idm.oclc.org/10.1016/j.amepre.2014.08.016  The study looks at how effective community based teaching programs are with minority and low income groups. Once education was initiated the participants A1 C was tracked for a year to observe for any improvements. Cost was also evaluated vs benefits. I think this is a good one study to use since in recent years I have seen these type of programs pop up in the community. The study focuses on Mexican American who are uninsured, a large part of my community population. I think this would provide enough for evidence based practice changes since it is relatable to my community.  Bielamowicz, M. K., Pope, P., & Rice, C. A. (2013). Sustaining a Creative Community-Based Diabetes Education Program: Motivating Texans With Type 2 Diabetes to Do Well With Diabetes Control. Diabetes Educator, 39(1), 119–127. https://doi- org.lopes.idm.oclc.org/10.1177/0145721712470605  This is an interesting one that take place in Texas and uses cooking as the way to have patients take action in the their own self-care. Using a free healthy cooking class offered to anyone that signed up participants were interviewed at the beginning to see what they viewed as healthy life style changes and cooking. A1Cwere also measured and glucoses levels. At the end of the classes the same things were measured to show improvement and more interest in self-care. This is a unique way to have patients take responsibility for their care through the food they prepare. The down side is the person has to have an interest in cooking and food. On its own I think this would have a strong argument for evidence based changes, but would be stronger with added support from a different study.  Aguiar, E. J., Morgan, P. J., Collins, C. E., Plotnikoff, R. C., Young, M. D., & Callister, R. (2016). Efficacy of the Type 2 Diabetes Prevention Using LifeStyle Education Program RCT. American Journal of Preventive Medicine, 50(3), 353–364. https://doiorg.lopes.idm.oclc.org/10.1016/j.amepre.2015.08.020  This study looks at the PULSE program which contains education on weight loss through life style modifications. It followed high risk men for one year to see if there was improvements in A1C and glucose with the implementation. The program is gender tailored and individually tailored. Weakens would be it only focusses on men, but still could provide good information on life style changes and the effects.

FOR TERRY ROBERTS

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Collaborative Leadership

For this discussion, assume you have been assigned to form a committee to develop a policy for patient falls on the medical-surgical unit where you work. As the team leader in charge of this project, you should:

  • Identify the other health care members that you will select to be part of the committee.
  • Provide a rationale for your choice of at least two of the members you invited to the committee.
  • Describe two concepts and skills you will consider as part of your team leader role.
    • What types of strategies will you include to facilitate cost-effective changes related to patient falls?
    • Specifically, how will accountability for care delivery and nursing delegation be impacted by this policy?
  • Provide a well-supported rationale as part of your explanation.

Your initial posting should be at least 150 words, and you must make reference to the work of another writer (either as a quotation, paraphrase, or summary) to provide support for your ideas. The source can be the course text, another relevant book, any assigned readings, or an article you find on your own.

 

A person deposits a certain amount of money in a continuously compounded savings account which

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  1. A person deposits a certain amount of money in a continuously compounded savings account which gives an annual rate of 3.24%. If 15 years later the account shows $4552.24, what was the original amount deposited? Round your answer to the nearest whole dollar.

  2. A person deposits $3550 in a continuously compounded savings account which gives an annual rate of 3.24%. How much money will be in the account in 16 years? Round your answer to the nearest cent.

  3. The population of a species introduced in a new territory is described by the logistic function below. What will the population be in 26 years? Round your answer to the nearest whole number value.

450/1+9e^-0.192t

  1. A sample of 450 grams of radioactive material decays at a continuous rate of 3.2% per year. Find the amount of radioactive material left in the sample after 17 years. Round your answer to the nearest whole gram.

  2. A total of 58 koala bears lived in a preserve in 1999. If their population follows an exponential function with continuous growth of 12.3% per year, estimate the number of koala bears that will be in the preserve in the year 2020. Round your answer to the nearest whole number value.

  3. A piece of ham is removed from a 380 degree Farenheit oven and placed on a cooling rack in the kitchen which is at a constant ambient temperature of 62 degrees Farenheit. Assume that the cooling of the ham follows Newton’s law of cooling, with a characteristic parameter k of 0.114 (per minute). Estimate the ham’s temperature half an hour after it was removed from the oven. Round your answer to one decimal point.

  4. The value of a company’s stock is given by the function below, where “t” is the number of years since the year 2000. Estimate the stock’s value in the year 2009. Round your answer to the nearest whole number value.

V(t)=e^0.582t

  1. A bacteria culture grows at a continuous rate of 2.3% per minute. How many bacteria will there be after 35 minutes, starting with a sample of 2,500,000 bacteria? Round your answer to the nearest whole number value.

 

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1. Which statement is typically NOT true about the alternative hypothesis?

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1.    Which statement is typically NOT true about the alternative hypothesis?

 

a)    It presumes innocence

b)    It is a belief about the population

c)    It is denoted with H sub a.

d)    It focuses on the suspicion of an event.

 

2. Soda Tak claims that Diet Tak has 40mg of sodium per can. You work for a consumer organization that tests such claims. You take a random sample of 60 cans and find that the mean amount of sodium in the sample is 42.4mg. The population standard deviation is 7.2mg. You suspect that there are more than 40mg of sodium per can. Find the z-score.

 

a)    0.2

b)    2.582

c)    2.727

d)    5.143

 

3. Which statemnet below is NOT true about Error Types?

 

a)    A Type I error is when a false null hypothesis is rejected

b)    A Type II error is when a false null hypothesis fails to be rejected

c)    A Type I error is denoted by the Greek letter Alpha

d)    A Type II error is denoted by the Greek letter Beta

 

4. Find the 99% confidence interval for the population mean when the population standard deviation is 4. The sample mean is 6. We assume that the population has a normal distribution Ten items are taken in the sample.

 

a)    3.52 to 8.48

b)    2.74 to 9.26

c)    3.56 to 8.44

d)    4.14 to 7.86

 

5. You test calories for a food item. The brand name has a mean of 158.706 and a sample standard deviation = 25.236, when seventeen are tested. The generic item has a mean of 122.471 and a sample standard deviation = 26.483, when seventeen are tested. Which is a confidence interval of 95%?

 

a)    17.79 to 54.67

b)    18.161 to 54.309

c)    17.01 to 55.46

d)    18.23 to 54.24

 

 

6. There is a new treatment for smokers to stop smoking. In an experiment, 80% of 300 smokers quit after 10 days of the treatment. What is the reasonable age for the success rate p of our new treatment? Which is the 95% confidence interval?

 

a)    0.755 to 0.845

b)    0.8096 to 0.8904

c)    0.8048 to 0.8952

d)    0.749 to 0.851

 

7. Which is the size of the sample needed in order to obtain a margin of error of 3.2% in a 95% Cl for p? That is, we want a proportion plus or minus 3.2%

 

a)    600

b)    702

c)    784

d)    938

 

8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a)    (1.5179, 999,3)

b)    (0.4882, 999,4)

c)    0.6287, 999,4)

d)    (0.4882, 999,3)

 

 

 

9.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Find the expected frequency for cell ( space) #3 of the contingency table.

 

a)    38.19

b)    42.75

c)    44.77

d)    46.17

Week_7 Answer

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Below is my initial post. Please read teacher’s comment right below the line and answer her question and support your answer with two journals as instructed.

Generic Name:  docusate sodium       Trade Name: Colace   

Therapeutic class: laxatives                                Pharmacologic class stool softeners 

Actions: Reduces surface tension of the oil-water interface of the stool. 

Therapeutic effects: Advances fuse of water into stool, bringing about milder fecal mass, may likewise advance electrolyte and water emission into the colon

Dose Prescribed: 

Onset/Peak/Duration: PO    Onset: 24-48 hr. Peak: unknown Duration: unknown

NmL Dose: 50-500 mg once daily

Indications:  Prevention of constipation

Reason Client is prescribed: 

Common Side Effects: Mild cramps

Drug-Drug/Food Interactions or compatibility problems: Touchiness, Stomach agony, sickness, or regurgitating, particularly when related with fever or different indications of an intense belly. Nursing Considerations: Over the top or delayed utilize may prompt reliance. Long haul treatment may cause electrolyte awkwardness and reliance.

References

Engel, H O. (2013). A treatment for constipation.

Docusate sodium. (January 01, 2015). Nursing Times, 101, 13, 29. 

Hillier, K. (January 01, 2014). Docusate Sodium. 

_______________________________________________________________________________________

This patient tried and failed Miralax medication for IBS-Constipation. Docusate sodium is too weak of a medication for this patient. 

Have you considered Linaclotide 145 mcg po daily ?

Please research LInaclotide and look for 2 articles. 

Thanks.