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prostate cancer

Frank Mills is a 94-year-old widower who has been in your practice for many years. He is a retired army colonel, businessman, and college teacher with many awards and mementos on his walls in his continuing care retirement home. He requires daily support from the aides and nursing staff. He has cerebrovascular disease (CVD), hyperlipidemia, prostate cancer, glaucoma, and recurring deep venous thrombophlebitis (DVT). His diffuse degenerative lumbar arthritis with spinal stenosis has progressed and contributed to chronic back ache, leg weakness, gait instability with several recent falls, and bladder atony requiring an indwelling bladder catheter. His CVD is diffuse, with a history of transient ischemic attacks, scattered small deep lacunar infarcts, and white matter disease on magnetic resonance imaging. The CVD contributes to his gait slowness and instability. He receives bicalutamide (Casodex) and leuprolide (Lupron) treatments from an oncologist, and his prostate-specific antigen (PSA) has been low. He has not had a recurrence of his DVT or new transient ischemic attacks in the last couple years while on warfarin. His international normalized ratio is kept at around 2.0 and he has not suffered significant bleeds. For years his hyperlipidemia has been controlled with atorvastatin. His sight is declining significantly in spite of frequent ophthalmology consultations and adjustments of his glaucoma management. His mild chronic memory deficit has been more evident in recent months.

The nursing director notifies you that Mr. Mills is not eating as well as usual, and has lost about 5 lbs in 60 days. The fitness center director reports that he is not the usual enthusiastic exercise participant he had previously been.

1. Would you consider Mr. Mills to be frail, and if so, why?
2. List significant possible contributors to Mr. Mills’s functional and physiologic decline.
3. List key components of your multilevel plan of action to address this decline.

Mr. Mills requires careful broad-focused attention to his growing weakness, weight loss, and functional decline. His bladder catheter places him at risk for an occult bladder infection, which must be investigated. The status of his prostate cancer must be reviewed. Untoward effects of his medications on his appetite and well-being should be considered. The effectiveness of pain management, particularly the low back pain, must be reviewed. His ability to feed himself and swallow safely should be explored. His mood, never before a problem in his active life full of high achievements, should be assessed. With his declining gait and mental status, the possibility that a fall has led to an occult subdural bleed, particularly with his warfarin treatment, should be entertained. These issues are all addressed over the course of the following month, as is a thorough review of possible emerging new issues, but no new problems are unearthed. However, a mental status exam shows a significant decline from the previous year’s score, consistent with his growing need for the supportive services.

1. You are to meet with Mr. Mills and his daughter to summarize the findings of your investigation. What will be the major themes you will address?
2. What suggested care plan changes will you bring up?
3. What other team members do you need to collaborate with for the best outcomes for Mr. Mills?

Kolb’s Model Summary Paper

The summary paper is an opportunity for the student to demonstrate how new knowledge has been learned throughout the course. This is not the normal type of summary paper, nor is it a rehash of what was covered in discussions or an outline of the readings. You are to write a summary paper of no less than seven (7) pages single-spaced and not exceeding twelve (12) single-spaced pages. Be sure to use 1 inch margins and Times New Roman or Arial font. The paper should follow Kolb’s Model of Experiential Learning. You must demonstrate that you have grasped the key concepts covered in the course and that you are able to use them and communicate them in a functional way. Due to the nature of the paper, the beginning stages of researching and writing should be postponed until at least Week 3 of the course since the paper requires an integration of all content covered in the course. A partial sample of completed Kolb’s Model papers will be provided in Moodle. The summary paper is due on the final examination date assigned by the institution on the examination schedule.
Kolb’s Model of Experiential Learning involves a four-step process:
The first step begins with the student’s concrete experience. Concrete experience (CE) includes things like reading, consulting with others, personal research or talking with other students after the course.
The second step, Reflective Observation (RO) happens as the individual “steps back” from the experience, observes it, thinks about it and reflects. Reflection may involve noticing similarities or differences, patterns or results of certain actions.
Step three, based upon the individual’s observations and reflections, the individual makes a generalization or formulates a principle, Abstract Concepts (AC) about what was observed.
Afterward the individual applies this principle or generalization Active Experimentation (AE), step four, to see if it holds true. This process leads to new concrete experience and the process begins all over again. The individual makes new observations and reflections; based on them, formulates or refines the principle and again applies this new knowledge.
Format for Writing the Summary Paper
The outline that follows illustrates the structure to be used in writing the summary paper. The paper must be computer typewritten and follow proper report writing format utilizing APA style.
I. II.
Title Page Introduction
Body of Summary Paper
A. 1st situation – Transition Paragraph
1. Concrete Experience (CE)
2. Reflective Observation (RO) 3. Abstract Concepts (AC)
4. Active Experimentation (AE)
B. 2nd situation – Transition Paragraph 1. Concrete Experience (CE)
2. Reflective Observation (RO)
3. Abstract Concepts (AC)
4. Active Experimentation (AE)
5
III. IV .
C. 3rd situation – Transition Paragraph 1. Concrete Experience (CE)
2. Reflective Observation (RO)
3. Abstract Concepts (AC)
4. Active Experimentation (AE) Conclusion of Summary Paper References
Be sure to bold each heading. To help you in writing your summary paper, it may be helpful for you to ask yourself questions in each category of the model. Some of these questions include, but are not limited to the following examples:
Concrete Experience
1. What did I do in this course? When? For how long? Why?
2. How many other students were involved? What did I do to make the ideas clear? 3. What techniques, methods, processes or procedures did I use? Why?
4. What were my goals and objectives? How did they influence my approach?
5. What resources did I use or have available?
Reflective Observation
1. What were my thought processes? What were the considerations, decisions, justifications, and rationale? What relationships have I noticed?
2. What did I notice? Trends? Patterns? Differences? Similarities?
3. What was important, significant, different, and unique?
4. What worked and what did not work? 5. What can I say in retrospect?
Abstract Concepts
1. What ideas, insights have I had? Can I look at my learning experience form a broad perspective and make generalizations from it?
2. What hypotheses, rules, laws, theories, principles have I formed to explain why this is, why this happens, why this works, or does not work, why this is the same or different, why this trend pattern or relationship exists
3. Is this explanation or theory appropriate for more than one situation?
4. Would this also be true or relevant for the other persons in other situations? How can this be applied?
Active Experimentation
1. Would my knowledge be useful in other situations? How?
2. Based on this knowledge, what have I done, or what would I do?
3. Can I make predictions based on my knowledge?
4. Have I tested my ideas, concepts, or those of others that I have learned? If not, can I guess what would happen? Why?
5. How does my knowledge relevant or significant? Late papers will not be accepted except where prior permission was given by the professor due to extenuating circumstances.

Indigenous Religions

Write and submit a 1 page response to the following:
Describe the Lakota people’s notion of Wakan Tanka.

1.)How does this notion compare to your own understanding of God or gods?

2.) News Report on a Native American Casino in Minnesota

 

Then, answer the following question to check your understanding:

Do you think that the use this tribe is making of its casino revenue is prudent? Why or why not?

Evaluation & Analysis of Research Format

This assignment is a critical evaluation of research conducted by others; it is not an opinion piece. You will need to synthesize what you have learned so far this semester (study designs, interpretation of relative risk, odds ratios, data tables, etc), information learned from other classes in your course of study (history, geography, psychology, sociology), and apply critical analysis to a journal article. At a minimum, I would recommend 10 hours of effort to receive an adequate grade. A’s for this assignment range from four to eight pages of Word document on average (depending on how succinct your writing is) before being pasted into the assessment. Be detailed, be thorough; if you paste directly from the article, you will receive a 0 for the question. This single assignment is worth 100 points and translates to 12.5% of your final grade. Both assignments combined therefore are worth 25% of your final grade and are weighted in the gradebook accordingly.

I suggest you do this assignment in a word processing document beforehand. If you highlight your selected text and press and hold the CTRL button and then the C button, it will copy. You then place the cursor in the answer box in BB. Press and hold the CTRL button and then the V button and it will copy your selected text into the answer box. Save as you go.

This article critique assessment will be completed in Blackboard. It will consist of individual questions (how you see online test questions) composed of short answer and essay blocks. The following questions are provided so that you may prepare in advance. These are the exact questions you will be asked to answer:

Reference for the Article (2 points)
1. Short answer, (APA format, 5th edition or newer; it is understood you will not be able to italicize)

Section: How did the researchers collect their data? (60 points total)
2. What was/were the objective(s) of the study? (4 points)
— paragraph; be specific and thorough

3. Why was the study conducted? (6 points) – one to two paragraphs; be specific and thorough
Why/how is this study different? What did the researchers do that is new? Why?

4. What was the primary exposure(s) of interest? (4 points)
– short answer, < 160 characters

5. What were the primary outcome(s) of interest? (4 points)
– short answer, < 160 characters

6. What type of study is this? What is the definition of this kind of study? (4 points)
– short answer and a definition; be specific.

7. Describe the source of this study population. (4 points) –paragraph; be specific and thorough
Where/how did the researchers find the study participants?

8. Describe the selection process for this study population. (6 points) – one to two paragraphs
How did researchers obtain their final study/sample population? What was the process?

9. Describe the sample size for this study. (2 points) – numerical value

10. Describe and define the types of selection bias both present and potentially present in this study. (10 points) – several bulleted paragraphs; use your text and the YES Observational Studies and Bias lab exercise to discuss the five specific types of selection bias.
Be thorough and specific and discuss the five types of selection bias possible, even if the researchers did not address them. This is where you will apply critical analysis to bias.

11. Describe and define the types of information bias present and potentially present in this study. (10 points) – several bulleted paragraphs; Use your text and the YES Observational Studies and Bias lab exercise to discuss the four specific types of information bias.
— Be thorough, specific, and discuss the four types of selection bias possible, even if the researchers did not address them. This is where you will apply critical analysis to bias.

12. List/describe confounding variables researchers controlled for in the study. What did the researchers fail to control for? (6 points) – several paragraphs or one long well-structured essay
If you do not understand confounding, go research it. What did the researchers control for? What did they fail to control for that are of concern in relation to their conclusions (think outside the box here, think about the population under study: country, culture, socio-economic status, etc.)?

Section: Analysis of Data (5 points total)
13. During the statistical analysis, what measures of association were used? (5 points)
–short answer, < 160 characters
What statistical measures did the researchers use? Be specific and thorough

Section: Interpretation of Data (33 points)
14. Give the major results, both text and from tables. (5 points) – bullet points or paragraphs
You must show evidence that you have critically evaluated the researchers’ results
Do not cut and paste or you will receive a zero for this question

15. How was the interpretation affected by selection bias, information bias, and confounding?
(10 points) – three paragraphs
You identified the types of bias in this article earlier. How did these biases influence the researchers’ interpretation of the results and the conclusions? How did uncontrolled confounders alter the study results and conclusions?

16. How could the interpretation of study results be affected by misclassification? (5 points)
— one to two paragraphs
What is misclassification? How does it occur? How could misclassification occur in this study and how does that affect or potentially affect the study conclusions?

17. What were the limitations of the study? Were adequately addressed? Why or why not?
(4 points) – one to two paragraphs
What did the researchers report as limitations to their study? What did they compare their study to?

18. Are the conclusions justified by the findings? Why or why not? (4 points)
— one to two paragraphs

19. Does this study have external validity? Who can the study be generalized to? (5 points) –one to two paragraphs; be specific and thorough

Obesity rates in the US

Obesity rates in the US have reached epidemic proportions

This assignment requires a comprehensive application of the elements of critical reasoning that we are studying in this course. The main objective is for you to follow the systematic critical reasoning process to thoroughly document all relevant information in analyzing and making an argument.

1.Briefly define the claim and its counter argument.
2. Who are some of the people and sources making the claim?
3. What are the interested parties for this claim?
4. What types of information has been transmitted about this claim?
5. Does the claim conflict with your personal observations and background information?
6. What rhetoric and fallacies are used with respect to this claim?
7. Are there any scientific findings about this claim?
8. What are the best ways to assess the probabilities of this claim?
9. What are your conclusions about your claim?

Evaluation of Epidemiological Problem

This paper should clearly and comprehensively identify the disease or population health problem chosen. The problem must be an issue in your geographic area and a concern for the population you will serve upon graduation with your degree. The paper should be organized into the following sections:
1. Introduction with a clear presentation of the problem as well as significance and a scholarly overview of the paper.
2. Background of the disease including definition, description, signs and symptoms, and current incidence and/or prevalence statistics current state, local, and national statistics pertaining to the disease. (Include a table of incidence or prevalence rates by your geographic county, state, and national statistics.)
3. A review of current surveillance methods and any mandated reporting or methods for reporting the disease for providers.
4. Conduct descriptive epidemiology analysis of the disease including who is more frequently affected and characteristics of the population that might help in creating a prevention plan. Include costs (both financial and social) associated with the disease or problem.
5. Review how the disease is diagnosed, current national standards for screening or prevention, and pick one screening test and review its sensitivity, specificity, positive predictive value, cost and any current national guidelines for conducting which patients to conduct this test on.
6. Provide a brief plan of how you will address this epidemiological disease in your practice once you are finished with school. Provide three actions you will take along with how you will measure outcomes of your actions.
7. Conclude in a clear manner with a brief overview of key points of the entire disease,
PREPARING THE PAPER
• Page length: 7-10 pages, excluding title/cover page
• APA format 6th edition
• Include references when necessary.
• Include at least one table to present information somewhere in the paper.

Plan review

You have been asked to write a short, factual and punchy review of a recent large scale Canadian urban plan or urban project (i.e. now to the past 5 years) that is currently in the public domain and under public discussion or debate. The plan or project that you are reviewing would be earmarked or directed for a specific part or geographic area of a Canadian city. For example, the City of Vancouver’s recent NE False Creek Plan (2018) is an example of a major plan for an area of Vancouver. Other examples are listed on the back of this sheet, however, please feel free to look around at Canadian city government websites or for discussions about plans/projects in the news. Your critical review must liberally make direct references to the plan and can also reference related studies, maps, surveys, discussions in the media or scientific/scholarly journals (i.e. include these as citations relevant to your focus on the main plan, project or proposal). This is not just a summary, but a review.
D e t a i l s: For this assignment, you are asked to work independently in choosing, writing and critically analyzing your urban plan/project. You are writing a critical review of the plan/project, contained in the following five sections:
1) Title Page — Your review title; your name, (Use a 12-point font, 1.5 spacing on the title page and throughout the plan review). Your title and section headings should all be bold (A. Summary; B. Review; C. Conclusion). Include a ‘List of References’ as your final section and use APA formatting.
2) Summary — A brief description of the urban plan/project in your words with the use of citations that reference quotes or points from the actual plan (and if you like also from news stories). Be sure to include some properly cited maps or diagrams or figures. You should be able to answer the question: What, in brief, is this plan about and over what timeframe will it be implemented? What is the plan’s vision and what are some of its goals, objectives or strategic aims? (400-500 words).
3) SEE +/- Review — Review the key socio-economic and environmental strengths and weaknesses in the urban plan — particularly from your perspective as a geography researcher. Did you gather some new insights or surprises when reviewing the plan? Why and how? How in your view does the plan succeed in addressing key needs in the city and particularly the neighbourhood? What publics has the plan formulation involved? What socio-economic and environmental issues will the plan address? How will the plan be implemented? What is innovative in the plan and what might be problematic, particularly in the long run? Do not just list strengths, but also consider weaknesses or gaps in the plan/project’s framing or financing. What matters were not clear to you as a reader. Refer to and cite objectives, figures, maps or visual illustrations in the plan/project (500-800 words).
4) Conclusion — A synthesis of your overall review of the plan/project. You can quickly reiterate in one or two sentences the purpose of the plan; and reiterate some key findings from your review; and provide an overall assessment for readers. What was the plan framers’ purpose in devising the plan/project once again? And importantly: What can the reader conclude from your critical assessment of the strengths and weaknesses of the plan or project? (300-500 words).
5) List of References — Identify and properly reference the author, title, date of the plan and also any news stories or published articles (about the plan/city in question). Please use APA formatting.

Domestic violence

Costs of Victimization Analysis
Based on the information that you learned from articles on the crime and the victim, and information you have learned from your textbook and other professional and scholarly sources, you will be analyzing the personal and social consequences of the crime.

Using the crime, the victim, and the job role that you presented in Unit 1 Discussion 2, write a 5–7 page paper that addresses the following:

Describe how a professional comes into contact and interacts with a specific type of victim.

Apply theories to explain the role of the victim in the crime.
Analyze the personal consequences of the crime on the victim and family.
Describe possible social consequences of the crime. Your description should be based on what you have learned so far and identified as the personal consequences of a crime.
You should think about how those personal consequences of a crime may impact society.

Describe two or more social policies that impact the victim in the case.
For this assignment, you will be introducing the policies that you find relevant to the victim by naming and describing the policies.

Policies that impact victims may be found in the following areas:

Healthcare policies.
Social response policies, such as access to shelters or other alternative housing, community advocacy programs, and so forth.
Educational policies.
Public assistance policies, such as those that impact access to victims’ compensation.
Law enforcement policies.
Workplace or employment policies, such as those that define and allow access to employee assistance programs, or those that respond to workplace violence, and so forth.

Additional Requirements
Written communication: Writing should be free of errors that detract from the overall message.

APA formatting: Your paper should be formatted according to current APA style and formatting.
Length: Your paper should be 5–7 typed, double-spaced pages in addition to the title and references pages.
References: Your paper should include a minimum of two scholarly sources,
and three professional sources, such as textbooks and professional Web sites.
Font: Times New Roman, 12 point.
Turnitin: You are required to submit your paper to Turnitin prior to submitting it for grading.
It is best to first submit your paper to a Draft link in Turnitin and to review your results and make any needed changes. Then your paper is ready to submit to the final link designated for the assignment in Turnitin and to your instructor for grading.

Resources: https://wtop.com/national/2018/04/atlanta-attorney-found-guilty-of-murder-in-wifes-shooting/

Costs of Victimization Analysis Scoring Guide.

APA Style and Format.

International Business Law

– 7000 word requirement

-topic can be anything related to “International Business Law”. This includes things like international transactions/investments, international trade, aerospace law, international regulations etc..

– this is for a law course or a masters equivalent level paper

-while there is no minimum citation requirement, anything less than 30 independent source may be inadequate for a high quality paper

-the paper should have a clear argumentative thesis

-McGill legal citation is preferred, but not required if unfamiliar to writer

Management

Imagine you are the HR manager at a company, and a female employee came to you upset because she felt a male coworker was creating a hostile work environment by repeatedly asking her out on dates even after she said “no”. What would you do?

Write a one (1) page paper in which you:

Formulate the conversation you would have with the employee, based the concepts found in Chapter 2 in your textbook.
Summarize the conversation you would have with the employee’s male co-worker, based on the concepts found in Chapter 2 of your textbook.
Format your assignment according to the following formatting requirements:
Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
Include a cover page containing the title of the assignment, your name, your professor’s name, the course title, and the date. The cover page is not included in the required page length.