Case Studies 1 : Urinary Obstruction.

ASSIGNMENT

The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. 

Studies  / Results.                                 
1- Routine laboratory studies  :  Within normal limits (WNL)

2- Intravenous pyelogram (IVP):   Mild indentation of the interior aspect of the bladder, 

indicating an enlarged prostate 

3- Uroflowmetry with total voided flow of 225 mL : 8 mL/sec (normal: >12 mL/sec) 

4- Cystometry:  Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O) and  Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O)

5- Electromyography of the pelvic sphincter muscle:  Normal resting bladder with a positive tonus limb. 

6- Cystoscopy:  Benign prostatic hypertrophy (BPH)


7- Prostatic acid phosphatase :  0.5 units/L (normal: 0.11-0.60 units/L) 

(PAP)
Prostate specific antigen (PSA): 1.0 ng/mL (normal: <4 ng/mL)

Prostate ultrasound :  Diffusely enlarged prostate; no localized tumor 

Diagnostic Analysis 

Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems. 

Critical Thinking Questions 

  1. Does BPH predispose this patient to cancer?
     
  2. Why are patients with BPH at increased risk for urinary tract infections?
     
  3. What would you expect the patient’s PSA level to be after surgery?
     
  4. What is the recommended screening guidelines and treatment for BPH?
     
  5. What are some alternative treatments / natural homeopathic options for treatment?
     

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Role of Leadership/Management Strategies

Scenario

You are the Vice President of Human Resources at a local hospital. There has been a lot of turmoil in recent years due to leadership changes and downsizing accompanied by layoffs. The downsizing and layoffs were the result of an increase in uncompensated care due to a lack of health insurance. The layoffs have caused a decrease in morale and many department leads have also noticed a decrease in employee performance. The Board of Directors, the hospital’s CEO, and the entire executive team are in agreement that there is a need for major changes within the institution. You have been tasked with presenting a plan of action at the next board meeting.

Instructions

Deliverable 1

  • Write an executive summary that describes the impact of leadership on employee performance and satisfaction, as well as communication challenges that leaders face, and challenges associated with trying to increase employee motivation, teamwork, and collaboration.
  • Examine the literature relating to motivation, teamwork, collaboration, and conflict management.
  • a. Discuss the role of leadership/management strategies that will help others respond to workplace challenges.
  • b. Discuss the critical leadership skills needed to implement change.
  • c. Recommend human resources strategies and practices that hospital department leaders could use to achieve optimal performance from employees.

Deliverable 2

  • Create a voiceover PowerPoint presentation that summarizes the major challenges that leaders have in keeping employees motivated.
  • a. Based on prior readings, identify one theoretical framework that you will use to guide your presentation.
  • b. Include a minimum of three challenges that leaders have in keeping employees motivated.
  • c. Include a minimum of one recommendation for each challenge identified in section 3b.

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New Themes In Marketing

ASSIGNMENT

After reviewing below youtube video(Link is below) choose one of the Major New Themes in Marketing outlined by Professor Kotler and discuss it in detail.  Provide a current day example and how this will withstand environmental impacts of the seven Major Wicked Problems Facing Humankind as presented by Professor Kotler

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Major Developments in Buddhism,

Assignment

What were the major developments in Buddhism, and how did they affect the arts? Describe the changes to Buddhism in the established sects and key features of the newly emerging Pure Land, Zen, and Nichiren sects.

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Utilitarianism to resolving

QUESTION

How can Alan use Utilitarianism to resolve the dispute between Bob and Coot?  Your answer should determine
who will be affected by Alan’s decisionhow  they will be affectedhow Alan can resolve the issue to produce the greatest balance of happiness over unhappiness for everyone affected by his decisionYour answer should be about 300 to 400 words.  No “big words” answer should be simple and original.

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Communicating Virtually

ASSIGNMENT

Write a minimum 800-words (without the cover page) reflective journal entry on this assigned article in Microsoft Word using the advice provided by Elizabeth Powell in her article “Writing to Reflect: Mindful Leadership in the Face of Change”  

Note:

** make sure to fully discuss and reflect on key points **

Uses the following document ( Can You Hear Me: How to Connect to People in a Digital Word Part 1, Harvard Business School Publishing, 2018 )attach to develop this reflective journal

Read Part 1 of the following  from the coursepack: Morgan, Nick, Can You Hear Me: How to Connect to People in a Digital Word, Harvard Business School Publishing

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The Interrelationship Between The Theory, Research, And EBP.

QUESTION

 Identify and discuss the research questions, sampling and sampling size, research designs, hypothesis, data collection methods, and research findings from each study.

·       Identify the goals, health outcomes, and implementation strategies in the healthcare setting (EBP) based on the articles.

·       Discuss the credibility of the sources and the research/researchers findings.

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Alzheimer’s Disease-English Composition

ASSIGNMENT

The Topic is Alzheimer’s Disease. This week you will be working on the rough draft of your paper. A rough draft is a copy of your paper that you will continue to shape, edit and strengthen for the final draft. Your rough draft must consist of writing an introduction, supporting body paragraphs and a conclusion. At this point, you should already provide me with an almost final version of your paper.

I suggest you take the outline you have already done and use it to guide your writing for the rough draft. While following your outline is important, putting every little detail and piece of supporting information into your paper in the rough draft is not always necessary, but do what works for you. Your notes and outline together serve as guides for what you intend to include and where you intend to include it. Remember the rough draft is not the final paper, but a glimpse of what is to come.

The following are some tips provided from the writing research center, for writing your rough draft:

Writing the introduction of your rough draft
With your outline in sight, start writing the introduction of your rough draft. The ultimate goal of a strong introduction is to get the attention and interest of your readers. In addition, your introduction should do the following:

• Include some background information on your topic
• Make the perspective and point of view clear
• Contain your thesis statement
• Provide a roadmap of how your paper is organized (broadly defined)
• Focus on the main points you make within the body of your paper

Writing the body paragraphs of your rough draft
The body paragraphs of your rough draft are the backbone of your paper; they hold the supporting information that backs up your thesis. Keep the suggestions below in mind as you write each paragraph:

• Start each paragraph with a clear topic sentence that defines what the paragraph is about
• Write smooth transitions between paragraphs using transitional words and phrases
• Avoid writing paragraphs that are too short because they show a lack of development
• Stay in the active voice to keep your paper clear and effective
• Maintain your point of view or perspective to keep the paper focused
• Avoid summarizing information you have already written about –save it for the conclusion
• Support your perspective and interpretations with data in the form of indirect and direct quotations
• Replace your keywords with synonyms periodically to avoid repetitive language
• Cite all sourced material
• Make sure the sentences of each paragraph flow to form a cohesive point

Writing the conclusion of your rough draft
The conclusion of your rough draft is where you tie everything together. Some of the information is similar to that found in the introduction, but it should not be a word-for-word copy. In the conclusion, more emphasis is placed on the results of your research or on broader implications on the subject as a whole. To write the conclusion, follow the below steps:
• Re-read your introduction while paying particular attention to the development of it and supporting body paragraphs
• Set the introduction aside
• Summarize the argument made in your introduction
• Conclude your argument(s)

Ultimately, your conclusion is your last chance to help readers truly understand what your paper is about, so it needs to show the order and importance of your main points and show how you logically conclude the paper.

Remember as you write your rough draft that it is okay to omit the more detailed information to focus on the flow and transition of each paragraph. The details obtained through your research are easily added after the first draft is complete. In fact, through the process of finalizing your paper, you are likely to edit, proofread, make corrections and change things up quite a bit.

Once the basics of your paper are in place, though, applying those finishing touches to strengthen your paper is much easier. With a rough draft completed, you should take a day or two away from the paper to provide clarity and a fresh perspective when you come back to finalizing it.

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Achievement Gap & Behavior Problems In Middle Childhood

ASSIGNMENT

1. Reviewin the Week 4 Learning Resources module. Summarize what Sir Ken Robinson says is limiting public education in the US. Then, review  and review what the top educational systems in the world are doing. What practices could the United States adopt in order to improve its standing in the world?

Note: As an alternative route to access the articles: you can also see the learning resource week 4 mentioned above directly in the week 4 content>learning resources, item no. 4: Sir Ken Robinson TED interview 2018, and Learning Resource 5 also under the week 4 learning resources, item 3. Finland’s Revolutionary Educational System. 

2. Scholarly articles can be challenging to read. They contain high level language and scientific terminology. They include sections on statistics and include complicated graphs and tables that may not make any sense to you. To get some practice in wading through a scholarly article, select  and provide a response to the following items:

Note: you can also access the abovementioned articles directly under Content week 4>Learning Resources>items 6 and 7(Integrating Father Involvement by Pleck & Exposure to Marital Conflict by Hosokawa & Katsura)

a) Which article did you select?

b) Provide a brief summary of what the article is about and include the main finding(s) of the article. Your summary should not be more than 1-3 paragraphs in length. The goal is to see whether you understood the gist of the article. I’m not concerned that your summary is detailed. I just want to see if you understood the main takeaways. (And, it’s okay if you didn’t, but give it your best shot!)

c) Identify anything that you found confusing or difficult to understand. 

d) Read the comments of your classmates during the week to see if you can help them to answer any questions or points of confusion. 

For this discussion, you do not need to include in-text citations since it is already clear what references you will be using. 

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The Concept of Revolutionary Terrorism

QUESTION

Choose one of the case studies in classic, revolutionary terrorism we examined this week (the ANC in South Africa, the Baader-Meinhof Gang in Germany, or the Tamil Tigers in Sri Lanka). How does this real-world example comport with (or diverge from) the theoretical framework outlined by Hutchinson in The Concept of Revolutionary Terrorism?

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