Diabetes

Question 1- Need to be 200 words

1-Discuss the health impact of sugar consumption. What are the suggested guidelines for sugar consumption? Do you feel that there should be a tax on foods that are high in sugar? Explain your answer.

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2-Discuss the difference between type 1 and type 2 diabetes

Define type 1 diabetes.

In type 1 diabetes, the body does not produce insulin. The body breaks down the carbohydrates you eat into blood glucose (also called blood sugar), which it uses for energy. Insulin is a hormone that the body needs to get glucose from the bloodstream into the cells of the body. With the help of insulin therapy and other treatments, even young children can learn to manage their condition and live long, healthy lives.

Define type 2 diabetes. Click here to receive assistance in this and other related assignments

In type 2 diabetes, your body’s cells aren’t able to respond to insulin as well as they should. In later stages of the disease your body may also not produce enough insulin.

Uncontrolled type 2 diabetes can lead to chronically high blood sugar levels, causing several symptoms and potentially leading to serious complications.

What is the difference between the two types?

“Type 1 diabetes is an autoimmune disease — the body’s immune system attacks the cells in the pancreas that make insulin,” a hormone, says Andjela Drincic, MD, associate professor of internal medicine in the division of diabetes, endocrinology, and metabolism at the University of Nebraska Medical Center in Omaha. The exact cause is not known, but it’s probably a combination of the genes a person is born with and something in the environment that triggers the genes to become active.

“The cause of type 2 diabetes is multifactorial,” says Dr. Drincic. “People inherit genes that make them susceptible to type 2, but lifestyle factors, like obesity and inactivity, are also important. In type 2 diabetes, at least in the early stages, there is enough insulin, but the body becomes resistant to it.” Risk factors for type 2 diabetes include a family history of the disease, a poor diet, a sedentary lifestyle, and obesity. African-Americans, Latin Americans, and certain Native American groups have a higher risk of type 2 diabetes than Caucasian Americans.

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3-List 4 symptoms of diabetes mellitus.

Which are the same for both type 1 and 2?

Which are different?

4- Describe the current dietary recommendations for diabetes mellitus, as presented in either the textbook or by the American Diabetes Association.

 

5- Choose two articles to read under “In Diabetes Today” at the American Diabetes Association site
Article 1: Record the name of the article and write a brief (few sentences) summary of it.

 

6- Article 2: Record the name of the article and write a brief (few sentences) summary of it.                                     Click here to receive assistance in this and other related assignments

The Edge of Information technology

This is an term paper assignment for the class called The Edge of Information technology(ITEC-200).

The attachments contain the instruction of this paper, draft you will be working on, and also an example paper.

The background of this term paper assignment is that we are a team consists of 4 members. We are trying to find how the Health Patch technology is helping a company/business. Therefore, a certain company/business should be stated in the business impact part which you will work on.

For the company/ organization you will pick, be careful about following requirements mentioned in professor?s comments from draft I attached: Click here to receive assistance in this and other related assignments

please try to find a hospital or others related to hospital as the company which used health patch to solve its problems. It is important that present clearly what kinds of problems the company is facing now, and how the problems can be solved by health patch. Keep in mind that with this Etech project , you are not studying technology in the context of the technology provider. You choose a technology ( in this case health patch ) and find out how this tech can improve biz performance of a company by solving its business problems. In addition, please mention the cost and the market price of health patch in the paper.?

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Over the last six months of 2017, there were 918 data breaches (Graham 2017). In this
context the phrase “data breach” implies that the credit card owner’s name, the credit card’s
number, the credit card’s expiration date, and the security code to identify international
transactions were stolen (Wagstaff 2013). One company that was a victim of a large data breach
was Target. This hack resulted in roughly 40 million customers’ information being stolen. To
resolve this matter, there were two major settlements of $10 million and $18.5 million (Wagstaff
2013). Token has the ability to reduce the impact of breaches.
Token is a technology that secures user credit card information in online transactions by
generating a secondary card made of dummy data that is shared with the merchant. The original
card is never shared with the merchant, so in the case of a data breach the generated information
is stolen while the accurate information remains safe.  The secondary card is only usable at a
specific retailer and can be deactivated at any time by the user. The system requires that a unique
set of secondary information be created for each merchant a user wishes to purchase from. The
original card information is also never stored by the company. As a result, it allows for online
shopping to remain simple while being much more secure than it is currently.
The implementation of Token into Target’s online checkout will allow the company to
secure its payment systems, increase consumer confidence, and grow its revenue. The massive
data breach that was incurred resulted in lost revenue, as well as consumers choosing to shop at
other retailers. This new technology prevents the theft of information shared during online
transactions by making any data stolen useless, discouraging potential attackers from hacking
and making successful hacks useless. Customers will see these security measures and feel better
about shopping at Target, knowing that their information is better protected there in comparison
to other retailers. Increased consumer confidence leads to increased revenues, as more people
will begin to shop online at the retailer. The 2013 breach shocked Target’s internal and external
affairs. During this data breach, the company’s security system was not what failed, it was the
obligation to securely handle customer information that failed. Click here to receive assistance in this and other related assignments

Music

FORMATTING REQUIREMENTS • 3-4 pages, not including works cited or title pages • Double spaced, Times New Roman, 12-point font, 1-inch margins • Works cited page with at least 2 citations (your choice of style manual, but be consistent) • Parenthetical citations if necessary (use any time you are using exact quotes)

OVERVIEW For this writing assignment, you have two options: 1) You may choose a composer or artist and discuss his or her life and contributions to music history, or 2) You may choose a genre of music and discuss the history and style of the genre and notable artists within the genre. Click here to get assistance in this and other relating assignments

PICKING A PAPER TOPIC If you decide to choose a non-classical artist for your paper, it needs to be an artist that has had a somewhat substantial impact on the music industry, meaning the artist must have been around for long enough for him or her to have had an impact (this includes living artists, and even artists who are still active). For instance, if you wanted to pick a rapper, it would be best to pick someone like Tupac or the Wu-Tang Clan, and not someone like Future or Cardi B. As a general rule, only pick artists who have been active for at least 15 years.

Also, if you decide to do your paper on a genre or style of music, you must pick a genre that is narrow enough so that there isn’t too much information to cover, but broad enough so that you have enough to talk about. For instance, don’t just pick “jazz,” as that is much too broad, but instead, you can narrow it down to “bebop.”

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WHEN YOU PICK A PAPER TOPIC Whenever you choose the topic of your paper, submit your topic to the Blackboard Link (by the October 30th deadline) stating the topic of your paper. It is possible that I may decide that your chosen topic is too narrow, too broad, or not substantial enough for the project, in which case I will inform you of your options. NOTE: I will only contact you about your paper topic if I think that it should be revised.

PAPER OUTLINE

If you are writing a paper on a COMPOSER/ARTIST: • Part 1 (1 page) o For classical composers: An overview of the stylistic concerns of musicians within the composer’s style period (e.g. Baroque, Classical, Romantic, or 20th Century) and how the chosen composer’s works represent the style period. o For non-classical artists: An overview of the political, social, or musical context of the time period in which the artist was active, and how that context relates to your chosen artist (in other words, put the artist in the context of the time).
• Part 2 (1-2 pages) – An abridged biography of the composer’s life, which can include (but is not limited to): o How the composer was employed and any important positions held (mostly for Classical composers) o Important musical, personal, or historical events that either affected the composer’s musical career or our perception of the composer o Important works o Influences on the composer’s style o Critical reception of the composer during his or her life o Any other information you deem important to cover • Part 3 (1 page) – A discussion of the styles, genres of music, or other composers in which the composer had (or continues to have) the most influence.

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If you are writing a paper on a GENRE: • Part 1 (1 page) – An overview of the development of the genre (i.e. how did the genre start). As an example, Grunge music didn’t just happen, it started as a musical movement mainly in the Seattle area of Washington and was an outgrowth of 80’s punk rock. This should also include a discussion of the musical features that define the genre. • Part 2 (1-2 pages) – A discussion of the history of the genre, which can include (but is not limited to): o Influential artists that are associated with the genre o Important stylistic or historic milestones that helped define the genre o Any political, social, or musical movement in which the genre is associated o The general reception of or reaction to the genre (good or bad) o Any other information you deem important to cover • Part 3 (1 page) – A discussion of current artists of the genre and where the genre seems to by stylistically heading (some of this can be opinion).
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SUBMITTING A PAPER When you have completed the paper, please upload the finished product as either a PDF (preferred) or a Word Document to the Blackboard link. Please do not upload a file other than PDF or Word. If you are writing your paper in a program other than Word, there is always a way to convert a text document into a PDF.

STATEMENT ON PLAGIARISM Every paper uploaded to Blackboard is automatically checked for plagiarism, and any instance of plagiarism will not be tolerated. If you are found to have plagiarized all or parts of your paper, it will result in the paper being graded as a “0” and could also result in additional consequences. For further information, please refer to the “Academic Integrity Code” section of the syllabus.

GRADING You will be graded on the content of your paper, your ability to concisely discuss said content, and the quality/clarity of the writing. Click here to get assistance in this and other relating assignments

Voices of Texas

I’m attending CTC, this is for my class Texas Government 2306. These are the instructions for the essay.

Submissions that are more comprehensive and detailed will earn a higher point total.  You need several substantial paragraphs (minimum 500 words for each lesson writing assignment).  This exercise is to show that you have read the material and that you have thought about the issues. click here to receive assistance in this order

You should use New Courier or Times New Roman, 12 point font, double-spacing, and one inch margins on all four sides of the paper. click here to receive assistance in this order

All writing assignments will be analyzed using SafeAssign.  Essays that contain plagiarized material will receive a significant reduction in points or a zero.   Students may receive a failing grade in the course for submitting plagiarized material.  Do not cut and paste information from an online source or copy information directly from the chapter without using quotations and citing the information you used. The assignment is to be formatted according to the Modern Language Association (MLA) style which includes a works cited page but does NOT include a title page.click here to receive assistance in this order

 

Read Chapter 12, including “You Decide: Voices of Texas: Abortion Policy in Texas,” and write an essay answering the following questions: click here to receive assistance in this order

  • How does Texas compare to other states with regards to providing services for poor citizens?
  • What is the age and race/ethnicity breakdown of the uninsured in Texas?
  • What programs are used to provide coverage to the uninsured? How are those programs funded?
  • What steps has Texas taken to influence abortion rates in the state?
  • Does Texas’ sonogram law violate free speech for the physician?  For the patient?
  • Should the state pass laws mandating what information physicians share with their patients?

Religion and Theology

PERSPECTIVES ON CHRISTIANITY (1000C)

RESEARCH TOPICS

 

Write a 4 page reflection paper on any of the following topics:


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  1. Religion and Ecology: the moral dimensions of ecological problems (Brennan,87)

 

  1.  The Primacy of Justice” in the Morality-centered Religion of Israel.

 

  1. The life of the early Christian Community (Acts 2:42) as a model for transforming contemporary Christian Communities. A critical Study. [read also the ‘Characteristics of the early Church Brennan Hill, 209-212]

 

  1. The Metaphor of the Church as the Body of Christ (I Cor. 12: 12-31): A crucial image for the theological understanding of the Nature and Mission of the Church.

 

  1. Jesus’ attitude towards women-a lesson for contemporary “male dominated” societies. [Jesus and women, Brennan Hill, page 123-125].

 

  1. Jesus teaching about the Kingdom of God or rein of God is foundational for understanding the mission of the Church [Brennan Hill, 189-192]

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  1. Select a research topic of your interest and show its relevance for contemporary Christian living. (For example: human trafficking as a modern form of slave trade; others topics could be built around themes such as: modern means of social interaction (networking) and bullying, modern forms of atheism, religion and technology). The topic must be treated in light of the teaching of Jesus of Nazareth/religious texts of another major religion (Hinduism, Islam, Judaism).  Our text book could be a good starting point for identifying a relevant topic. (Topics chosen by the student are subject to approval by the professor).

 

FORMAT OF THE THESIS STATEMENT 

After some reading and brainstorming on the topic (one or two resources):

  1. 1. Submit a short write-up or a thesis of what you hope to write about.

The write-up should comprise of the following:

  • the aim or purpose of  your reflection paper
  • a statement of the problem you want to address;
  • An explanation of how a better understanding of some selected Christian/religious values can help in addressing the problem stated.
  • A list of 2 books/ resources that inspired the choice and formulation of your thesis. The following bibliographical details of your resources MUST entered: name of the author, title and sub-title, Date and place of publication (MLA). Click here to receive assistance in this assignment

 

An example of a thesis statement:

Topic: The metaphor of the body of Christ and transformation of Communities

“One of the problems affecting communities of the contemporary society is individualism. This study demonstrates how a clear understanding of and reflection on the biblical metaphor of “the body of Christ” can help promote unity among contemporary Christian communities. Eventually the thesis statement will be integrated in the introduction. If need be, I will give further clarifying inputs on this point.

 

METHOD/STYLE OF WRITING THE FINAL PAPER

Although this project is essentially a reflection paper its content will be presented in the general format of MLA (Modern Language Association): To access information on how to write your paper using the MLA scroll down the course menu to identify the recommended website in the link entitled “Resources.”

 

Here are a few hints on the format of the final paper:

  1. 4 pages (typed) including resources bibliography
  2. Font: 12 (Times New Roman)
  3. Double space (Justification only on Left Margin
  4. Students full name + professor’s full name+ course name and code (number):Top left
  5. Student’s last name: (top left) followed by page number
  6. Bibliography (at least 4 sources)
  7. Acknowledge sources in the corpus of your work (parenthetical format as suggested in the MLA style of writing research papers
  8. Avoid plagiarism

The deadline for submitting tasks related to your research paper is clearly stipulated in the Class schedule in the syllabus. Click here to receive assistance in this assignment

Photosynthesis

Photosynthesis provides the energy for the fixation of carbon dioxide by photosynthetic organisms. CO2 is combined into sugars, which other organisms can consume. In this lab investigation, photosynthetic pigments will be isolated and separated from leaves of a green plant using paper chromatography. An additional experiment is conducted that looks at the effect that various conditions have on the production of oxygen as an indicator of photosynthesis.

• Determine the number of pigments in a sample using paper chromatography.

• Formulate hypotheses predicting the effect of varying light conditions and dissolved carbon dioxide concentration on the rate of oxygen production as a proxy for the rate of photosynthesis.

• Collect and graph data. Use the data to explain the need for light and carbon dioxide on the light-dependent reaction of photosynthesis.

Background All living things need a source of outside energy. Click here to get assistance in this order Animals get their energy from the food they eat. Plants obtain this energy from sunlight and convert the energy into a usable form by a process called photosynthesis. Chloroplasts and Photosynthesis Plants, along with algae, cyanobacteria, and a few other organisms, perform photosynthesis using light energy to power a chemical reaction that yields energy, which can be stored as food. In plants, most photosynthesis occurs in the leaves, although some other parts of plants are also able to perform photosynthesis. Within the leaves, the mesophyll cells contain large numbers of chloroplasts. A cross section of a typical plant leaf (Figure 1.) reveals top, tight layers of palisade mesophyll cells. Click here to get assistance in this order Below this is a lot of loosely arranged spongy mesophyll cells that allow for intercellular spaces. These spaces are continuous, with small openings in the lower leaf surface called stomata (plural for “stoma”). The stomata allow gases such as carbon dioxide and oxygen to enter and exit the leaf. They also regulate the water content of the plant by evaporation by opening and closing. Carbon dioxide, which is needed for the second part of the photosynthesis cycle, is found in the atmosphere and enters the leaf through the stomata, then diffuses into the mesophyll. Light-Dependent Reactions of Photosynthesis In order to convert sunlight to chemical energy, plants contain a series of pigments to absorb sunlight. The most common of these are chlorophyll a and b and a group of pigments called carotenoids. These pigments are located clustered together and anchored by proteins in the antenna complex. In plants, this complex is located in the thylakoid membrane inside the plant’s chloroplasts. Each pigment has a distinct..Click here to get assistance in this order

  1. Describe the experimental controls used in the Leaf Disk Assay experiment(s).
  2. Describe the variable(s) used in the Leaf Disk Assay experiment(s).
  3. Compare the test groups of the Leaf Disk Assay. Which treatment (syringe) had the most floating leaf disks after 35 minutes?
  4. Were there any treatments (syringes) without floating disks?
  5. How do floating disks correspond to the rate of photosynthesis?
  6. According to your data, does light intensity affect the rate of photosynthesis? Explain.
  7. How did the baking soda solution affect photosynthetic rates?

Promoting an organizational culture that embraces the use of EBP

An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.

To prepare: Click here to receive assistance in this assignment

  • Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP.
  • Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?
  • Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.
  • Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?
  • Reflect on how nurses can disseminate findings from evidence-based practice research.

Post an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies. (My organization is a local hospital). Describe how you could disseminate the findings. Propose a strategy for strengthening the culture of EBP within the organization. Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources.

Please address everything that is listed in red while doing this discussion. I have attached 2 articles from my learning resources that must be cited and referenced. I will need you to find one more article (within the past 5 years) to add on as well. My organization is a hospital, so please choose something related to a hospital

 

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Munten, G., van den Bogaard, J., Cox, K., Garretsen, H., & Bongers, I. (2010). Implementation of evidence-based practice in nursing using action research: a review. Worldviews On Evidence-Based Nursing7(3), 135–157. https://doi-org.ezp.waldenulibrary.org/10.1111/j.1741-6787.2009.00168.x

Barnsteiner, J. H., Reeder, V. C., Palma, W. H., Preston, A. M., & Walton, M. K. (2010). Promoting evidence-based practice and translational research. Nursing Administration Quarterly, (3), 217. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgea&AN=edsgcl.237414654&site=eds-live&scope=site

counseling theories

Students must write a research paper based on 2 identified counseling theories of their choice. This paper must encompass a comprehensive literature review of the chosen theories and be written in a way that compares and contrasts such theories in six key components. The paper must not be longer than 10 content pages (excludes title page, abstract, and reference list) and follow APA style. It should include a review of the literature published in professional journals or books targeting a professional audience (at least 10 recent references dated 2000 or later; excluding ERIC citations and encyclopedia entries). Note that you must not rely on information targeting a lay audience such as self-help books, news articles, or websites/blogs maintained by clinicians

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Psychotherapy theories provide a framework for therapists and counselors to interpret a client’s behavior, thoughts, and feelings and help them navigate a client’s journey from diagnosis to post-treatment. Theoretical approaches are an understandably integral part of the therapeutic process. But with so many different methods out there, how do you know which counseling approach works best for you? Whether you’re a student learning about counseling theories or a client looking for the right therapist, the following detailed descriptions will give you a deeper understanding of each counseling method. Click here to receive assistance in this assignment

Counseling theories and counseling therapies are the building blocks of the profession. Probably every counselor has had at least one course in theories of counseling, and the names of the leading theorists, such as Sigmund Freud, Albert Ellis, Carl Rogers, and others, are both legendary and familiar. This article will address what constitutes a theory of counseling, why counseling theories and therapies are so important, and how these theories have evolved.

stimates are that more than 350 counseling theories and therapies have been advanced. Although most of these have received little attention or validation, a core group of about 10 major theories, and fewer than 50 secondary approaches or modifications of the major theories, dominate the counseling profession. Most of these theories are characterized by the following important ingredients: Click here to receive assistance in this assignment

  • A concept of how people develop throughout the life span. Typically, this involves a sequence of stages and describes important factors that are likely to influence development.
  • Criteria for mental health, with characteristics of unhealthy or disordered emotional functioning either explicitly or implicitly stated. This information is important in helping people set realistic treatment goals and in assessing progress.
  • Information on how to promote healthy development and help people reduce symptoms and enhance their coping skills and satisfaction with their lives.
  • A description of the role of the effective counselor and the desired relationship between client and counselor. Nearly all theories of counseling currently recognize the powerful impact of the therapeutic alliance and offer clinicians ways to collaborate effectively with their clients. A safe and healing environment and a caring, skilled, and trustworthy counselor are essential to successful treatment.
  • Strategies and interventions that counselors can use to help people achieve their counseling goals. Examples include reflections of feeling, modification of cognitive distortions, and systematic desensitization.
  • Information on treatment parameters such as duration and frequency of sessions; whether to use individual, group, or family treatment; and benefits of medication and other adjunct services.
  • Delineation of those people who are most likely to benefit from this treatment approach. This is most likely to be presented in terms of symptoms and disorders that are amenable to treatment via this approach, but might also discuss such factors as gender, age, cultural background, and other factors. Click here to receive assistance in this assignment

Cell Types and Viruses Lab work

Treatment Solution in dialysis tubing Solution in cup Initial volume (Vi) (mL) Final volume (Vf) (mL) Change in volume (Vf-Vi) (mL) Percent change in volume (Vf-Vi)/Vi (mL) Hypotonic, isotonic or hypertonic?
A 20% sucrose 20% sucrose
B 40% sucrose 20% sucrose
C 20% sucrose 40% sucrose

Cell Types and Viruses

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1. Collect the pencil, colored pencils, and paper, then open the Cell/Virus Components Tracing Guide.

2. Clear enough space to be able to draw. Designing a Prokaryote 1. Select a cell shape (1–3) on the Cell/Virus Components Tracing Guide, and draw it on the paper. This shape represents the prokaryote’s cell membrane.
2. Most prokaryotes have cell walls. Draw a thick line around the cell membrane to represent the cell wall.

3. Draw a magnified view of a small section of the cell membrane and cell wall (example, 35). Make a tiny box around this section, and draw lines connecting this box to a larger box. The larger box is called an inset, and it is a magnified view of the contents of the smaller box.

4. Choose from among the following options: a basic cell membrane (38), or a cell membrane with isoprene units (39). If the prokaryote has a basic cell membrane, draw either the gram-positive (36) or gram-negative (37) image in the inset box. These insets include representations of both the cell wall and cell membrane.

  1. Explain what the change in volume of the dialysis tube indicated. Describe what happened when the volume increased and when the volume decreased.

Photo 1

 

Insert the photo or scan of your prokaryotic cell drawing from Activity 3. The following should be indicated in this photo:

  • cell membrane type
  • circular DNA
  • ribosomes
  • flagellum (if applicable)

 

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Photo 2

 

Insert the photo or scan of your eukaryotic cell drawing from Activity 3. The following should be indicated in this photo:

  • double-stranded DNA inside a nuclear membrane
  • ribosomes
  • mitochondria
  • endoplasmic reticulum
  • lysosomes
  • Golgi apparatus
  • vesicles
  • optional internal organelles
  • means of locomotion if applicable

 

 

Photo 3

 

Insert the photo or scan of your virus drawing from Activity 3. The following should be indicated in this photo:

  • capsid shape
  • DNA or RNA, if it is single stranded or double stranded, and the replication direction

 

 

  1. Based on your drawings, which have the most complex structure: eukaryotes, prokaryotes, or viruses? Which have the simplest structure? Click here to get assistance in this order

Health care reform and technology

health care reform and technology

With so much attention focused on health care reform, it is important that nurses be given the opportunity to use high-quality technology tools. These tools can increase access to vital medical information, promote effective communication among health care professionals, and improve the patient experience. By actively seeking out and adopting these tools, nurses can greatly enhance the quality and safety of care that they provide.

 

This Discussion focuses on identifying quality technology tools that increase the ability of nurses to provide safe, effective care. Click here to receive assistance in this assignment

To prepare:

  • Review the various technology tools described in this week’s Learning Resources.
  • Identify a recently adopted information, education, or communication technology tool in your specialty area. Reflect on how it is used and how its use impacts the quality of care.
  • Consider how your identified technology tool might impact nursing practice if it were more widely used. What are some barriers preventing increased usage? How could wider implementation be facilitated?

AMERICA spends more per capita on health care, approximately $2.5 trillion, than any other nation in the world.1 Despite this sizeable investment, “care that is important is not delivered, and care that is delivered is not important,” according to the Institute of Medicine (IOM).1 The rising prominence of value-based care can be no surprise against this backdrop of high costs and less than-optimal clinical outcomes. For too long, nursing has settled for incremental change, choosing to reinvent the wheel. Why else would we continue to study the cost and frequency of pressure ulcers when, for decades, the research has shown that prevention, not management, is the key to avoiding nonreimbursed and extended lengths of stay? Rather than see value-based care initiatives as another pressure to bear, nursing should view this far-reaching effort as an opportunity to abandon incremental change in favor of full scale transformation. In addition, this call for sweeping change can be an ideal time to take aggressive steps to shorten the 17-year lag between the time when clinical research breakthroughs appear in the literature and when they make their way into practice. In its research on value-based care,the IOM sets out 3 key dimensions to consider in nursing’s efforts to improve clinical outcomes: Click here to receive assistance in this assignment

1. Accelerating progress toward the long term vision of the learning health care system in which every aspect of care enables the natural delivery of best care practices, the real-time generation and application of new evidence, and continuous improvement in the value achieved.

2. Expanding the capacity for timely and accurate evidence of comparative effectiveness of medical care options as a guide to care that is most appropriate under the circumstances.

3. Improving public understanding of the nature of evidence, the dynamic character of evidence development, and the importance of insisting on medical care that reflects the best evidence.

Post a description of a current or new information, education, or communication technology tool that is being used in your specialty area and assess its impact on the quality of care. Highlight the effect that increased use of this technology would have on nursing practice and discuss the barriers that are slowing or hindering its adoption. Summarize how adoption of the technology tool could be facilitated. Click here to receive assistance in this assignment