Day: May 10, 2022

1. You will respond to another classmate with a substantive comment in minimum 100, maximum 150 words about how their organism is detrimental/harmful to another area of microbiology, after you have read their main discussion. organism (Dunaliella Salina) 
2. Again, you should provide student original writing, paraphrasing from credible sources, cite your source for this post in text in parentheses, and provide full end ref information in APA 7th Edition format.

Style of the business report:

• Between 10-13 pages
• 10-12 point font
• Labeled section headings (including subheadings if needed) 
• Use third person pronouns and no slang. Third person pronounshe, she, it, theyrefer to someone or something being referred to apart from the speaker or the person being addressed.
• In-text citations and References page needs to be in APA format

Business Report Sections to be Included:

Cover Page

• Title of Report
• Prepared for
• Prepared by
• Date

Table of Contents

Executive Summary

A one page summary of the entire business report (this should be written last) 

Introduction and Objective

Introduce the opportunity or problem

State the objective of the report

Methodology 

Present your research (primary or secondary)

• Primary research: survey, interviews, financial performance (10K report), etc.
• Secondary research: read and review scholarly, trade, or popular articles

Analysis

Give an analysis of your research 

• Add graphics in the analysis of your research, if appropriate 
• Use an analysis technique to review your research or an aspect of your research, if appropriate (ex; SWOT Analysis, Competitive Landscape Analysis, PESTLE Analysis, MOST Analysis, etc.)

Conclusions and Recommendations

Give the conclusion of the analysis 

Offer recommendations

• Recommendations should include what needs to be done, who needs to do it, how and when

References

All references must be listed in APA format

Appendix (optional)

Add supplementary material that is not an essential part of the report itself but that may be helpful in providing a more comprehensive understanding of the topic

8)  Although there is a consensus that industries are globalizing, the notion that consumer attitudes and behaviors worldwide are likewise homogenizing remains disputed critically discuss this statement in light of paradoxes in global consumer culture.

10) In international markets the nature of the market structure that already exists may well affect the degree to which push and pull strategies are used in light of this statement analyse push and pull strategies for international marketing. 

11) Companies are often required to adapt their products due to cultural factors, usage factors and legal standards critically discuss these factors with examples.

Please respond to the following in 150 words:

  There are many forms of treatment for Post-Traumatic Stress Disorder (PTSD).  The treatment option I would deploy in a disaster situation is therapy.  According to our text there a two types of therapy options cognitive behavior and mindfulness.  Cognitive behavior is used to treat cases of self-blame and PTSD. Mindfulness is a subset of cognitive therapy.  These practices and identification of self-blame help the patients manage though processes leading to increased amounts of self-blame and shame (King, et al., 2013). Cognitive behavioral therapy is focused on helping individuals manage their own thought process, recalling negative experiences as a means of understanding the impacts those recollections have on the ways in which blame is assigned (Matthews, 2008).  Mindfulness helps the patient by coming to understand ones own thought process, patients suffering from acute anxiety are able to arrive at a place of acceptance of their thoughts leading to the ability to function in the presence of negative thoughts and tremendous amounts of self-blame.  These techniques help does affected by PTSD to heal from within without the use of outside sources like drugs.  I never felt as if drugs should be the answer but I understand the need for them.  These drugs can also become a negative aspect of a persons life.  We can develop long-term tolerance (needing more of the drugs to achieve the same effect) and withdrawal symptoms (physical effects and discomfort when substance use stops).In children they can negatively impact a childs social and emotional growth as well as their ability to learn.  

Please respond to the following in 150 words or more. 

There are several treatment options for individuals who have suffered from a disaster situation whether man-made, natural, or a hybrid of each. Different treatment options could include therapy-based options, such as, cognitive behavior therapy and mindfulness therapy. There is also a pharmacological intervention and antidepressant therapy. There are several factors that need to be taken into consideration after a disaster event with individuals who are trying to cope with the situation. Some of these factors are the nature of the disaster, the severity or frequency of the disaster, the loss or trauma manifested from the disaster, the social and environmental issues, support systems, stress reaction, coping with dramatic change, the physiological issues, along with memory impairment, and different emotional issues such as depression and increased anxiety. With each factor being identified, coping can be difficult and should have a set plan of action due to each individuals coping behaviors being different.

The most popular and or appropriate choice for individuals struggling from PTSD, post-traumatic stress disorder, are the different treatment options noted above, cognitive behavior therapy, mindfulness therapy, pharmacological intervention, and antidepressant therapy. Cognitive behavior therapy is the most commonly used out of each of the treatment options for PTSD. Cognitive behavior therapy is used to help individuals stop identifying negative thinking and or self-blame. Cognitive therapys main goal is to redirect and or manage negative thoughts by recalling the experience and understanding where the associated blame is going. This type of therapy allows patients to feel self-aware and allows them to feel more in control of their thoughts. Mindfulness therapy is similar to cognitive behavioral therapy. Relaxation techniques are used in order to slow down or calm an individuals mind. When a patient relaxes and reduces their anxiety, they are able to dig deeper into their mind in order to draw out different thought patterns. By doing this, the patient begins to diminish their anxiety and push out negative thoughts or self-doubt or self-blame like cognitive therapy. Pharmacological intervention is not only beneficial for those suffering with PTSD, but it can help in the early onset of PTSD after a disaster event. Different drugs are used with pharmacological intervention that block the glutamatergic activity and the glucocorticoid receptor prior to trauma. Most therapies that involve drugs are dependent on the individual being treated and their emotional response. Antidepressant therapy was most widely used to treat patients with PSTD, however, treatment throughout the years with this therapy has been inconsistent. Although antidepressant therapy gives an immediate relief to its patients, there are long term effects such as sleep issues, issues with cognitive behavior, balance issues, and reduced awareness to include own mortality, (American Public University). With these issues and the unpredictability of this type of therapy, PTSD should be treated with cognitive behavioral therapy first in order to start treatment in a more beneficial manner.  

– Using the course materials as a guide, identify the treatment option(s) you would deploy in a specific disaster situation, explaining your rationale for the selection(s)

– In addition, discuss the population(s) the treatment will be used with and why this is the most appropriate choice for the population(s) identified.

350 words or more APA format 

 

This week’s authors, Byman and Hoffman,  claim that despite a rapid increase of non-state actors, terrorist networks, or individuals, states continue using terrorism as a tool to achieve their goals.  Your task is to respond to the following question: 

How do passive sponsors of terrorism differ from state sponsors? Which groups should concern the U.S. policy-makers?

 

MIGUEL POST

In psychiatry and mental health, nurses and prescribers work tirelessly with patients and present them with the best alternatives to manage their conditions. These plans of care are designed with the patient’s best interest in mind; according to Melnyk and Fineout-Overholt (2018), patient-centered care is an approach that increases patient engagement in their healthcare and leads to a better perception of healthcare outcomes. Since the facility I work for treats patients with acute psychiatric disorders that require emergency stabilization, the practitioner and the nurses could sometimes take the initial treatment measures without the patient’s consent.

For this week’s discussion, the issue that comes to my mind is the involuntary treatment of patients with episodes of psychosis in the psychiatric ward. Sometimes a patient refuses acute psychiatric treatment, but the multidisciplinary team determines that the patient will benefit from being medicated and has obtained a legal proxy to accept treatment for the patient. We can still honor the patient’s values by listening to the patient express their feelings and concerns about the medication therapy; sometimes, the patient may have had a bad experience with side effects. They can inform you what has worked for them and what has not. Preserving the patient’s preference plays a significant role in future compliance and overall outcomes; according to Hoffman et al. (2014), including the patient’s values and preferences in implementing EBP in their treatment plan is crucial for its success.

Patients can sometimes be unable to make informed choices about their care and will need a healthcare surrogate (Sisti, 2017). Determining a patient’s ability to consent to treatment is a skill only psychiatrists are legally entitled to in my facility. Still, nurses can advocate for the patients by communicating and identifying those alternatives that were effective for them in the past.

Hoffman, T., Montori, V., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision-making. Journal of the American Medical Association, 312(13), 1295-1296. doi:10.1001/jama.2014.10186

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Sisti, D. A. (2017). Nonvoluntary Psychiatric Treatment Is Distinct From Involuntary Psychiatric Treatment. JAMA, 318(11), 9991000. https://doi.org/10.1001/jama.2017.10318

 TERESA POST

Patient Preferences and Decision Making

It is the obligation to offer quality medical services to patients. One way to ensure quality health service is practicing patient-centered care (Russo et al., 2019). Traditionally, physicians and other healthcare providers entirely made decisions regarding patients’ health. Currently, the implementation of evidence-based practice has encouraged healthcare providers to involve patients in the decision-making process (Melnyk & Fineout-Overholt, 2018). If at all, the patient should make an informed choice, and healthcare workers are obliged to respect patients’ preferences.

 During my rotations, I came across a 23-year-old female patient struggling with weight control. On physical examination, the patient had a calculated body mass index of 27. She had elevated cholesterol on the lipid profile test. According to the Ottawa Hospital Research Institute’s Decision aids, the patient was informed of three available treatment options, including weight loss and observing diet control, pharmacological drugs for obesity, and surgery. The patient was advised that the best option was weight loss and diet control while doing a serial lipid test to assess her lipid levels. The patient chose to use a diet plan and do regular exercises. She added that she would prefer bicycle riding and swimming routinely. Fortunately, when the patient returned for the next visit, she had lost about 3kg. Dealing with obesity is a patient’s responsibility, and they should be involved in the decision-making process on how to control their weight (Jackson et al., 2020). Involving the patient in the decision-making was essential because she took it as her responsibility to reduce her weight.

I chose obesity decision aid, which offers three options for treating obesity, including weight loss and diet control, use of medications, and bariatric surgery. The decision aid provides options from which the patient can choose their preference, as illustrated in my experience during my rotations. As a future registered nurse, I would use the decision aid while giving health education to obese patients or individuals struggling with weight control. Additionally, I would use the decision aid to help me maintain a healthy weight by exercising regularly and eating a healthy diet to prevent being overweight. 

References

Jackson Leach, R., Powis, J., Baur, L. A., Caterson, I. D., Dietz, W., Logue, J., & Lobstein, T. (2020). Clinical care for obesity: A preliminary survey of sixtyeight countries. Clinical obesity, 10(2), e12357.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Russo, S., Jongerius, C., Faccio, F., Pizzoli, S. F., Pinto, C. A., Veldwijk, J., & Pravettoni, G. (2019). Understanding patients’ preferences: a systematic review of psychological instruments used in patients’ preference and decision studies. Value in Health, 22(4), 491-501.

 

Parts  2 and 3 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

Parts  4 and 5 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

APA format

1) Minimum 6 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

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

           Part 1: minimum  1 page

           Part 2: minimum 1 page

           Part 3: minimum 1 page

           Part 4: minimum 1 page

           Part 5: minimum  1 page

           Part 6: minimum  1 page

  Submit 1 document per part

2)******APA norms

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

         Bulleted responses are not accepted

         Don’t write in the first person 

         Don’t copy and paste the questions.

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

Submit 1 document per part

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

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

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

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

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

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

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

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Nursing role and scope

 

1. What would be the response of historical nursing leaders if they could see what the profession of nursing looks like today?

a. Florence Nightingale

b. Lillian Wald

c. Mary Breckenridge

Parts  2 and 3 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

Part 2: Nursing role and scope (Write in the first person)

  

1. What are your beliefs about the major concepts in:

a.Nursing- person

b. Environment

c. Health

d. Nursing

Part 3: Nursing role and scope (Write in the first person)

  

1. What are your beliefs about the major concepts in:

a.Nursing- person

b. Environment

c. Health

d. Nursing

Parts 4 and 5  have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

Part 4: Nursing role and scope 

   

1. Discuss the strong link between critical thinking and clinical judgment

2. Give an example in nursing

Part 5: Nursing role and scope 

   

1. Discuss the strong link between critical thinking and clinical judgment

2. Give an example in nursing

Part 6: Pathophysiology

 

The five elements of the nursing process are all incorporated into the patients plan of care and revised as the patients health status changes.

A patient is admitted with chest pain following a visit with her family health care provider. 

1. Using the OLD CART method of gathering pertinent data, discuss the type of questions you will be asking this patient in relation to her chest pain.

a. O

b. L

c. D

d. C

e. A

f. R

g. T

2. Describe the phases of the nursepatient interview.

3. Discuss the five components of the nursing process as it relates to the above patient. 

Please answer original forum with a minimum of 250 words and respond to both students separately with a minimum of 100 words each 

page 1 Original Forum with references 

page 2 Kasimov response with references 

page 3 Christina respond with references 

Original Forum

As world trade continues to increase due to supply and demand, how will ports accommodate this increase in cargo? What are the issues facing ports as they promote themselves and increase cargo? What are some specific solutions that address these issues and problems both in short-term and long-term operations?

In addressing these questions, choose a port as an example in your discussion.  

Student respinse

Kasimov

More than half of the worlds population lives in Southeast Asia. Also, the region is one of the largest producers of goods and services. A good amount of those products are transported through the Strait of Malacca. Cargo flow through the Straight accounts for twenty five per cent of all cargo transported on global waters. The city state of Singapore is lucky enough to be located on the pathways of this busy trade route. According to Sinay (2021) Port of Singapore is known as a top maritime capital and amongst the Top 10 Smart Ports Around the World. The port is connected to more than 600 ports in 123 countries and employs about 200,000 workers. It also transships half of the worlds supply of crude oil. Finally, it is known as the busiest transshipment port in the world (Sinay 2021). I dont think we can find any port in the world busier than the port of Singapore. The government of the city state, investors, and the port management are doing great job managing the flow of cargo through their terminals. 835th Transportation Battalion of Surface Deployment and Distribution Command (SDDC) has a detachment in Singapore. As an SDDC Battalion Mobility officer, I witnessed the amount of work being done at the Singapore ports first hand. It is simply mind-blowing. 

Singapore is not only doing great with the cargo management but also making it much bigger by building the Tuas mega-port. Ship Technology (2020) states that Tuas mega-port expansion is projected to be completed by 2040 Consolidating container handling at the site, it will improve efficiency and vessel turnaround times, enabling the port to handle 65m TEU annually, compared with 45m at its four existing box terminals. Is attracts 130,000 vessel calls on average a year. (Ship Technology 2020)

To accommodate an increase in cargo volume Tuas terminal will include the next-generation vessel traffic management system able to predict possible congestion and assist vessel route planning. Remote controlled vessel pilotage, sense-making system will be employed to avoid congestion and improve the efficiency of port operations with multi-million TEU flow annually. 

Respectfully,

Said.    

References:

Sinay (2021). Top 10 smart ports around the world. Retrieved from https://sinay.ai/en/top-10-smart-ports-around-the-world/

Ship Technology (2020) Destination Singapore: behind the rise of the world’s top sipping centre. Retrieved from https://www.ship-technology.com/analysis/why-is-singapore-port-so-successful/

Christian

Good day all,

Ports have a variety of ways they can accommodate for the increased cargo, but they do have limitations. One limitation that comes to mind is space, a port can only go so far before they have to start stacking cargo on top of one another, like most do already. Another issue that some ports are facing is they they are not within the easiest route to get to. For instance, the Savannah Port (in the state of Georgia) is one of the ports on the East Coast that can take cargo ships from the West Coast, but because it would mean the ships moving and utilizing more fuel than they anticipated, and they also are not used to the routes to get there, it would be easier for the cargo ships to wait their turn to be unloaded. Some ways for the ports to fix these problems is to purchase more land, purchase higher cranes, and start having incentives that are worth the extra fuel prices to move from one side of the country to the other. What these incentives could be, I am not sure as I have never worked in a port, but can only assume something like fifty percent off the unloading fee would be beneficial, but I am not sur if it would be beneficial enough to move a boat from one side of the United States to the other. We could also look at opening up the smaller ports to help with the large cargo ships, but we would be limited on space and only certain vessels would be able to cross there. Maybe we could even start opening up passenger ports to product ports. 

-Christian