need to research information regarding blood pressure including:
What is measured (obviously blood pressure but for the paper you need to be specific)?
What are some of the major factors that affect blood pressure? Do these factors “normally” affect blood pressure consistently or do they only occur when there is a problem?
Does it appear that abnormal blood pressure can alter or affect the way blood cells normally look or function?
Papers will need to be typed with standard 1” margins. Double spaced.
Approximately 3-4 pages long but content is more important than length.
You must make sure to cite all references (APA format).
Write 3-5 pages about what constitutes a high-quality early childhood program or policy by evaluating a current policy or policy initiative.
The preschool years (ages 3-5) are an exciting time of growth and change. Perhaps the greatest areas of change are within the cognitive and language domains. The average 24-month-old has a vocabulary of 250 words and can put two words together in a simple sentence. A four-year-old can speak in multi-word sentences; use prepositions, adjectives, and pronouns; and will, of course, ask millions of questions.
Preschoolers are also growing in terms of their ability to form friendships, play with others, and take those initial, crucial steps toward independence. Rather than simply playing next to another child, like a two-year-old, a four-year-old can create a game with his peers, pretend that a box is a house, and role-play some of the situations that play out in his daily life, like going to the grocery store or to the bank. Play is a critical component of learning for children in this age group, as it helps them make meaning from their worlds and extends their innate curiosity to learn.
Many families begin to consider early childhood education environments for their preschoolers. The research on the benefits of these programs is significant. Children who attend high quality learning programs tend to be able to resolve conflicts well, are self-regulated, and learn to trust other adults in the school setting. Low quality settings, however, may have the opposite effects on preschoolers’ growth and development.
Note: Because the assessments in this course move progressively through periods of child development, you are encouraged to complete them in sequential order, 1-5.
Early childhood education (birth-age eight) is at the top of the national agenda, yet many children do not have access to the educational settings that they need. For this assessment, write 3-5 pages about what constitutes a high-quality early childhood program or policy by evaluating the success of an existing initiative.
Address the following:
Describe the characteristics of high-quality early childhood programs.
Discuss and give examples of at least three benefits of early childhood education. Use scholarly research findings to support your position.
Apply psychological theories to a policy or policy initiative relating to early childhood education, such as No Child Left Behind (NCLB), Individuals with Disabilities Education Act (IDEA), Early Intervention, Head Start, Every Student Succeeds Act (ESSA) or another program of your choosing. Include details about how the program is implemented and what population it aims to serve.
Explain how early childhood education and policy affect the physical, social, and cognitive aspects of child development. Use scholarly research findings to support your position.
You are urged to use the Capella Writing Center to help you develop clear and effective writing. Through the Writing Center, you will be able to receive feedback on your writing, use writing resources, discover new writing strategies, and explore different ways to draft, revise, edit, and proofread your own work.
If you wish, you may use the APA Paper Template [DOCX] to complete your assessment.
Written communication: Ensure that your writing is free of errors that detract from the overall message.
APA formatting: Format your paper according to APA style.
Length: Write 3-5 typed and double-spaced pages.
Font and font size: Times New Roman, 12 point.
Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Describe physical, social, and cognitive aspects of child development.
Describe the characteristics and benefits of high-quality early childhood programs.
Explain how early childhood education and policy affect the physical, social, and cognitive domains of child development.
Competency 2: Apply psychological theories to topics in child development.
Apply psychological theories to a policy or policy initiative as it relates to early childhood education.
Competency 3: Apply scholarly research findings to topics in child development.
Apply scholarly research findings to topics in childhood education.
Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in the field of psychology.
Write coherently to support a central idea with correct grammar, usage, and mechanics as expected of a psychology professional.
Use APA format and style.
For this assignment, you will conduct an article review of the article listed below. This review should be three (3) pages double-spaced, 12-point font. The title page and the reference page(s) do not count towards the three (3) pages double-spaced, 12-point font. The review should contain:
- State the main idea or thesis of the article.
- Summarize the most important information, facts, and ideas presented in the article.
- Your critique of the article.
- Anything interesting or surprising.
- Include what you would do next to further the results from this study or remaining questions that were not covered within the article.
- You must use APA format to cite the article that is supplied.
- Additional articles that you use concepts from should also be included.
Mompart, F., Kamgoué, A., Lahbib-Mansais, Y. et al. The 3D nuclear conformation of the major histocompatibility complex changes upon cell activation both in porcine and human macrophages (Links to an external site.). BMC Mol and Cell Biol 22, 45 (2021).
Post a comparison of at least two APRN board of nursing regulations in your state/region
Discussion: Professional Nursing and State-Level Regulations
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
Consider how key regulations may impact nursing practice.
Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..
By Day 3 of Week 5
Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.
What are the topics that came up over and over again in Pt 1 and Pt 2. Create at least five themes you discovered in your academic research that relates to your population/area of interest. Synthesize and explain each theme using at least 200 words for each. This information will be used in the literature review portion of your Capstone Project.
Here’s how I would like this assignment submitted:
choose 5 different themes. Summarize each theme based on the resources you looked at from Lessons 2 and 3. It should look like this:
Theme 1 (for example: Poverty, Systemic Racism, Lack of Education, Loneliness, Resilience, etc.):
200 word summary
200 word summary
200 word summary
200 word summary
200 word summary
Create a “Resources” page and list all the resources used in the themes above.
Discussion Board 3
Heart failure (HF) is a common pathology that affects over 6 million adults. The lifetime risk of HF is 1:9 for males and 1:6 for females, and increases greatly in individuals who have experienced prior myocardial infarction (MI). Thus, treatment and prevention of HF are a major priority for most health care professionals, yet poor prevention and care are the most cited reasons for adverse clinical outcomes.
In 2014, the FDA approved the drug Entresto for the management and treatment of HF, finding that it significantly reduced the risk of death from HF-related conditions by 16-20% and was particularly effective at reducing the risk of death for HF patients with reduced left ventricular ejection fraction (LVEF). Entresto is actually a combination of two drugs: sacubitril, which inhibits the enzyme neprilysin, and valsartan, which is an angiotensin II receptor antagonist.
How do these drugs work together to reduce the risk of further heart failure and preserve function? In your response, briefly describe the two signaling pathways that are affected by the drug, how they are affected, and what the body’s overall response to the drug intervention is. How does this benefit patients with HF?
In addition to your own original post, you should respond to at least two other students’ posts, and to any replies to your original post as well. Replies should be substantive, not just a “me too” or “well done” type of comment. Please note that in your response, plagiarism is not allowed. Please do NOT simply cut and paste information from books, journals, websites, or other sources. In addition, direct quotation of sources, regardless of whether or not the source is cited, is not allowed. Please summarize the material and what you have learned in your own words.
Topic 1 The Scientific Method
Before responding to this discussion, please read the Scientific Method Tutorial and if needed review optional readings.
Describe an example of how you use the scientific method in your daily life. Which observation(s) lead you to use the scientific method? State a good hypothesis, how you are testing the hypothesis (the experiment), results, and conclusion. What are the control and treatment groups in your experiment? What are the dependent and independent variables in your experiment? Name at least one controlled variable.
Your main response should be a minimum of 150 words (more is OK). You must also post a minimum of one significant reply to a classmate’s post that contributes to their learning. The reply should be a minimum of 100 words.
In your replies please provide suggestions for how the other students’ scientific method examples can be improved. Examples: How can the hypothesis be edited to make it more specific (better)? Is a proper control group included? Are the independent, dependent, and controlled variables correctly identified? How can the experimental design be improved? Also consider sharing any useful videos, tutorials or websites that helped you better understand the scientific method.
Communication in PH
Epidemiological Literature Review/Research (100 pts.)
For this assignment, you must develop a report on the assigned public health topic. You will be required to research the current and relevant data and statistics about the topic and identify any existing public health problem or issue that could be addressed through a PH Advocacy Campaign.
Ask yourself what you would like to improve, or address related to this topic. Hint: your review of the literature, may reveal some pressing issues or concerns.
The review will be a 2 page narrative. Reference and citations (in-paper) should be formatted in APA style.
You are encouraged to review published journal articles to identify components of a proper literature review/introduction for your public health advocacy campaign. This EPI Review serves as an introduction to the health problem that you will address.
Video — Literature Review topic is Vaping or the use of Electronic Nicotine Delivery Systems.
In this project, you will demonstrate your mastery of the following competency:
Evaluate creative and innovative organizational structures
Recommend alternative innovations to solve an internal or market need
Implement creative and innovative processes within an organization
You work as a middle manager for one of the top U.S. producers of luxury and mass-market automobiles and trucks.
The chief technology officer (CTO) of the company from the course scenario has been watching new technology developments that the company could integrate into its vehicles to enhance the usefulness of and access to the data acquired by the many digital sensors that have been integrated into vehicle subsystems over the past 20â€“30 years. The technology trend of particular interest is the internet of things (IoT)â€”the interconnection of embedded devices, such as sensors and computers, over the internet. By taking advantage of this trend, the CTO believes the company can seize an opportunity to provide better service and predictive maintenance to its customers, improving customer satisfaction and adding additional revenue streams.
Based on briefings by the CTO, senior management has decided to implement IoT in its product line. Your CTO has asked you to lead a cross-functional team to take this initiative forward. Your first task is to make a recommendation for how the company should approach this business problem. Do you recommend using incremental or discontinuous (that is, slow or fast) innovation? Specifically:
Should the company…
Design a completely new product line, based on the new technology (discontinuous innovation)
Add new technology features into one model and then incrementally into the broader product line (incremental innovation)
The recommendation you and your team make is an important first step in pursuing this new technology.
In Milestone One, you and your team defined what that innovation looked like: would it be disruptive (new product line) or incremental (new features in one existing product)?
In Milestone Two, you developed a strategy plan and a high-level business model. Youâ€™ve shared these with various stakeholders, and they are in agreement with your assessment of how best to get to market with this IoT innovation, which will allow the company to be competitive.
Now, the CTO has asked you to come up with a proposed organizational structure that will support the innovation implementation. In this way, you will be assisting in making the innovation sustainable for the company from the course scenario. Companies that are innovative must make sure they have structured the organization in a way that supports innovation, and a key component of innovation is keeping track of what their customers want in terms of products and services.
Complete each of the three parts of this project. Use your slides from Milestone One, your document from Milestone Two, and feedback on Milestone One and Milestone Two to complete the first two parts of your presentation. You can use the resources in the Supporting Materials section (below) for any other information you will need to complete your project.
Part One: Innovation Approach
In this section, share your revised slides from Milestone One and make your recommendation for the innovation approach you think the company should pursue. Ensure this section includes the following information:
Explain potential risks and benefits for options A and B.
Overview (1 slide): Present the business problem and options A and B.
Option A (1â€“2 slides): Explain at least two potential risks and benefits for option A.
Option B (1â€“2 slides): Explain at least two potential risks and benefits for option B.
Compare your competitionâ€™s products and services.
Competitors: (3â€“4 slides): Evaluate the competitorsâ€™ current products and services.
What are your competitors’ current products and services?
Are your competitors expanding in the current market? Explain how this impacts their market strength.
Analyze your companyâ€™s capability to pursue the innovation.
Complete a partial gap analysis (2 slides):
Does the company own the technology, or does it need to be purchased?
How is the technology currently being used in todayâ€™s products and services?
What type of technology is available to purchase?
Recommend the innovation approach your company should pursue.
Innovation Approach (2 slides): Explain which innovation approach you are recommending and why.
Consider the different stakeholders (research and development [R&D], marketing, finance) while communicating your recommendations.
Include a descriiption of the incremental or discontinuous product that you are recommending for R&D.
Include the sales forecasts for marketing.
Include a financial snapshot for finance.
Part Two: Strategic Plan
In this section, share your revised paper from Milestone Two, which provides an overview of your competitorsâ€™ position in the marketplace, the available and future marketplace, and a plan for how to address a change in business conditions. Ensure this section includes the following information.
Analyze the competitorsâ€™ relative strengths in the marketplace. Use Power BI to create charts on the growth rates.
What is the growth rate of each competitor?
How much of the market does each competitor now own? Do you see a trend of gaining or losing market share?
Determine each competitorâ€™s market strength by looking at the financials for each competitor.
Explain how your companyâ€™s market share compares to your competitorsâ€™. Use Power BI to create charts on your and your competitorsâ€™ market share.
Is your company gaining or losing market share?
What is your companyâ€™s growth potential in the industry?
How do your companyâ€™s financials look compared to your competitorsâ€™?
Identify future potential total available market (TAM) and growth for chosen product/service and technology.
What is the TAM for cars and light trucks?
What is the TAM for IoT-connected cars and light trucks?
What is the projected compound annual growth rate (CAGR) for cars and light trucks?
What is the CAGR for IoT-connected cars and light trucks?
Identify ways to adjust if business conditions change.
What can you do if your customers are slow to respond (buy) the innovation?
What can you do if one competitor is overtaking all the others, including you?
Describe the steps your company needs to take from concept outline to launch.
What is the size of development that will be required?
Will you require additional capital and personnel?
How would you approach determining the timeline from the beginning of development until initial product launch?
Part Three: Organizational Structure and Culture Report
Based on your analysis of the organizationâ€™s structure and culture, share recommendations for changing its structure and culture to be more conducive to innovation.
Describe the current organizational structureâ€™s impact on innovation.
How does your companyâ€™s organizational structure support innovation?
How effective is the current structure in addressing changes in market demand?
Recommend changes to the current organizational structure.
How does the new structure support innovation?
How will your recommended changes make the enterprise more responsive to market demand?
Explain how organizational changes support a culture of innovation.
In what ways does the current culture work against innovation?
How does the new structure support a culture of innovation?
What to Submit
To complete this project, you must submit the following three items:
I. Innovation Approach Presentation
Submit a 10- to 13-slide PowerPoint presentation with detailed speaker notes that highlight the important points you want to emphasize to senior management on your recommendation for an innovation approach. Use the feedback you received on Milestone One to revise your original presentation. If you include references, they should be cited according to APA style. Consult the Shapiro Library APA Style Guide for more information on citations.
II. Strategic Plan Report
Submit a Word document of 5â€“8 pages, devoting 1 page to each critical element described above in Part 2 along with an introduction and a short executive summary. Use the feedback you received on Milestone Two to revise your original report. Sources should be cited according to APA style. Consult the Shapiro Library APA Style Guide for more information on citations.
III. Organizational Structure and Culture Report
Submit a 5- to 8-page Word document using 12-point Times New Roman font, double spacing, and one-inch margins. Sources should be cited according to APA style. Consult the Shapiro Library APA Style Guide for more information on citations.
Student response 2
A brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.
Diabetes mellitus (DM) is a metabolic disease process resulting in hyperglycemia. This increase in blood glucose levels is caused by a defect in insulin secretion, insulin action, or both. Type 1 diabetes, also known as juvenile diabetes, is distinguished by beta-cell destruction, which leads to insulin deficiency and supplemental insulin dependency. The most common cause is autoimmune cellular-mediated destruction of pancreatic beta-cells. Type 2 diabetes is the most common type of diabetes and is characterized by a gradual and progressive loss of pancreatic beta-cell function caused by genetic defects. Type 2 diabetes is not commonly insulin-dependent, but it may necessitate some insulin supplementation. Gestational diabetes mellitus is a type of glucose intolerance that develops or is discovered during pregnancy. It is caused by a combination of insulin resistance and insufficient insulin secretion in response to elevated blood glucose levels (McCance, 2018). An oral glucose tolerance test, performed as part of routine antenatal care, is used to diagnose it.
PO diabetes medications will be discontinued routinely in inpatient hospital settings, and patients will be transitioned to pre-prandial and nightly blood glucose checks. Finally, clinicians strive for tight glycemic control with no hypoglycemic episodes. This is accomplished by administering insulin subcutaneously. Insulin for medical use is produced using recombinant DNA technology and is either identical to or modified to be human insulin. Analogs have the same effects and pharmacologic action as human insulin but with different onset, peak, and duration times (Rosenthal & Burchum, 2018).
Insulin is delivered subcutaneously in the form of a prepared substance in a vial or pen device. The prescribed dose will be administered by the patient who has received suitable instruction or by a healthcare professional while a patient. The skin at the injection site is cleaned with an alcohol swab and allowed to dry naturally without being blown or fanning. A 45° or 90° angle is chosen when inserting the needle into the cleaned skin location. Then, insulin is injected into the skin and left there for five seconds by pushing the plunger of the syringe or the pen button.
The type of insulin prescribed can vary based on the patient’s needs. One example regimen combines long-acting insulin with mealtime insulin with quick onset. This will influence the patients’ day-to-day lives since they must monitor their glucose levels before meals and receive multiple daily injections. Long-acting insulin, such as insulin glargine or Lantus, is administered in a predetermined dose once a day. It has no peak, an onset of 1-1.5 hours, and a duration of 20-24 hours. Rapid-acting insulins, such as Humalog or NovoLog, have an onset of 15 to 30 minutes or 10 to 20 minutes, a peak of 30 to 90 minutes or 40 to 50 minutes, and a duration of 3 to 5 hours. Pre-meal blood glucose levels determine the dosage. In addition, patients can determine prandial insulin dosages using carb counting or a sliding scale.
Billington et al., 2007, studies have shown a long-term improvement in A1C levels for people who utilize a sliding scale as opposed to measuring carbohydrates. Counting carbs necessitates certain dietary considerations to match the number of carbs in each meal with the serving size. The blood glucose level at the time of the meal is treated using a sliding scale, and the rapid-acting agent should be provided up to 15 minutes before the meal or immediately after eating.
Insulin is not always the first-line medication for at-home diabetes management, but it is a standard and widely used option. Patients will be encouraged to make changes to their diet and exercise routines at first. Later, they can be started on a PO biguanide, metformin, followed by sulfonylurea. Whatever the treatment method, it is critical for the clinician to speak with the patient and coordinate a plan that will work with the patient’s lifestyle and overall health needs. Insulin is not always the first-line medication for at-home diabetes management and is a widely used option.
Billington, E., Fraser, T., Tawashy, A., & Tildesley, H. D. (2007). Carbohydrate counting vs. sliding scale for insulin dosage estimation. Canadian Journal of Diabetes, 31(2), 117-124.
McCance, S.H. K. (2018). Pathophysiology. [VitalSource Bookshelf]. Retrieved from https://bookshelf.vitalsource.com/#/books/9780323583473/
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.000
I enjoyed reading your post and was really interested in your discussion regarding sliding scale insulin and carbohydrate counting. Adherence to medication regimens, diet plans and activity recommendations have been long standing issues identified in the diabtic patient population. It has been further identified that patients with increased risk for comorbidities, poor prognosis, increased stress, and depression are more likely to struggle with long term compliance (Katsaridis et al., 2020). I have been reading about the efficacy of sliding scale insulin orders for the inpatient population. The sliding scale based on glucose reading alone is a reactive approach that is based on the previous insulin given rather than the anticipated or expected insulin needed. For example, if a patient has a blood glucose level prior to eating, they may not receive insulin based on the sliding scale. After that patient eats they may be at increased risk of hyperglycemia for several hours until the next blood glucose reading (Abuelsoud & Khalaf, 2020). This may be one reason for the move towards carbohydrate counting as a method for glucose control, in addition to basal insulin regimens ( Abuelsoud & Khalaf, 2020). The technique in which insulin is administered is also very important. In addition to the angle of the injection, the length of the needle is also important. Literature has been recognizing and recommending shorter needles to ensure subcutaneous injection rather than mistakingly entering the muscle (Hirsch & Strauss, 2019). The development of lipohypertrophy can also occur with needle reuse and improper injection site rotation (Hirsch & Strauss, 2019). Ongoing education and support for this patient population is so important to help minimize disease related complications and increase dietary and medication adherence.
Abuelsoud, N., Khalaf, H. (2020). Studying the efficacy of insulin sliding scale: clinical pharmacy
approach. The Journal of Pharmaceutical Science 33(3). 947-952.
Hirsch, L., & Strauss, K. (2019. The injection technique factor: what you don’t know or teach can
make a difference. Clinical Diabetes Journal. https://doi.org/10.2337/cd18-0076.
Katsaridid, S. et al. (2020. Low reported adherence to the 2019 American Diabetes Association Nutrition recommendations among patients with type 2 diabetes mellitus, indicating a need for improved nutrition
education and diet care. Nutrients. DOI:10.3390/nu12113516.