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THE CHANGING FAMILY MEAL EXPERIENCE​

THE CHANGING FAMILY MEAL EXPERIENCE​

Value of Sociology

​The society has several biases and assumptions around the family trend. There is an assumption that single parent families (especially mothers and their children) are more likely to lead a life of poverty in comparison to other family set-ups regardless of whether the single parent is fully employed or not. One personal bias that I have observed is how people assume that single parents who spend most of their time working tend to focus more on themselves while forgetting their children (Banschick, 2013). For instance, they are assumed to wear better clothes than their children and not care about how their children experience.

​On the other hand, use of sociological theories and perspectives such as conflict theory (which focuses on how conflicts are likely to occur as a result of power, status, and resources are unevenly distributed between groups) can mitigate biases. Through this theory, it is evident that creating time for dinner helps in establishing positive growth in children regardless of their family set-up. For example, families that take dinner together throughout the week are likely to bond better than those that take two days a week. Lastly, the theories help in creating a balance between work life and family ensuring that the two do not conflict.

Evidence-Based Response

​Parents have addressed the negative impact of the family meal experience trend by ensuring that they provide maximum time for dinner meals. This enables the family to share on the days’ experiences and lessons. If not dinner, members have ensured that they at least share one meal a day. Thus, they can bond in different avenues and help in noticing areas that need improvement.

​ From my research, establishing a work-life balance is crucial in ensuring that the family gets full attention. Creating a work-life balance ensures that people perform best in their jobs yet participating fully in family affairs. A research by CASA indicates that families that spend time together enables children to perform better in schools and parents to work while not worrying about the issues their children may be going through (Banschick, 2013). Consequently, parents can monitor their children’s growth

managerial accounting case study

Prepare a narrated PowerPoint presentation or PowerPoint with VoiceThread along with the team’s supporting calculations in Excel to address the following:

  • Discuss what product your company will manufacture. Explain why you selected this product.
  • Determine the selling price for your product and estimate your sales in units for 3 years.
  • List at least 8 costs that your company will incur. You must include multiple variable costs, fixed costs, and mixed costs. Please explain why you classified each cost in the manner that you did.
  • For each of the costs that you listed above, please estimate the cost. Please keep in mind that variable costs are incurred per unit and fixed costs in total. Mixed costs have a variable and fixed cost component.
  • Calculate how many units of your product you will have to sell to break-even for the next 3 years.
  • Calculate the margin of safety in units for each of the 3 years based on your projections above.
  • In year 1, you are happy to break-even but as a group discuss what target profit you would like to make for Year 2 and 3? Based on your target profit, calculate how many units you would need to sell.

Realistically, do you feel manufacturing this product makes sense or is it too risky? You must justify your decision

pathophysiology

 

  1. A brief description of the pathophysiology of the immune disorders you selected. (2 Disorders listed above)
  2. Explain how the maladaptive and physiological responses of the two disorders differ.
  3. Explain how the factor you selected might impact the pathophysiology of each disorder.
  4. Explain any measures you might take to help reduce any negative side effects.
  5. Finally, explain how the factor you selected might impact the pathophysiology of each disorder.

internal and external environments of the organization

Analyze the internal and external environments of the organization (Netflix) along the following terms:

Section I:

  • Write a company history, including a mission statement if available.

Section II:

  • Thoroughly explain at least two major strengths and two major weaknesses of the organization. For each strength, discuss why it can be considered a distinctive competence for the organization. For each weakness, discuss what the organization could do to minimize it. You should have a minimum of a full paragraph for the discussion of each strength and weakness.
  • For each strength and weakness, ensure you use relevant business theories, concepts, and practices that are aligned to support the statements and findings. Note that bullet points are not acceptable.

Section III:

  • Thoroughly research and analyze two opportunities and two threats that this organization is facing. Each of these opportunities and threats must come from a force or forces occurring within a dimension of the general environment within the organization’s external environment (keep in mind an opportunity or threat can stem from more than one dimension within the general environment). Be sure to include in your discussion the relevant dimension of the general environment from which each of these forces is derived.
  • Include in your analysis an explanation of how each of the opportunities and threats will likely impact the company and why. Include other companies or industries which may also be affected. Include a TOWS analysis and be ready to make recommendations and suggestions as though you were the manager. A TOWS analysis involves the same basic process of listing the strengths, weaknesses, opportunities and threats, but with a TOWS analysis, threats and opportunities are examined first and weaknesses and strengths are examined last. After creating a list of threats, opportunities, weaknesses and strengths, managers examine ways the company can take advantage of opportunities and minimize threats by exploiting strengths and overcoming weaknesses. You should have a minimum of a full paragraph for the discussion of each opportunity and threat.
  • For each opportunity and threat, ensure you use relevant business theories, concepts, and practices that are aligned to support the statements and findings. Note that bullet points are not acceptable.

Section IV:

  • Summarize your SWOT analysis by discussing how the organization can capitalize on the opportunities presented in the analysis along with ways it can limit or neutralize identified threats before they happen. Some questions that you will want to consider when summarizing your SWOT are:
  • Opportunities:
    • What opportunities exist in your market or the environment that you can benefit from?
    • Is the perception of your business positive?
    • Has there been recent market growth or other changes in the market that create an opportunity?
    • Is the opportunity ongoing, or is there just a window for it? In other words, how critical is your timing?
  • Threats:
    • Who are your existing or potential competitors?
    • What factors beyond your control could place your business at risk?
    • Are there challenges created by an unfavorable trend or development that may lead to deteriorating revenues or profits?
    • What situations might threaten your marketing efforts?
    • Has there been a significant change in supplier prices or the availability of raw materials?
    • Have there been shifts in consumer behavior, the economy, or government regulations that could reduce your sales?
    • Has a new product or technology been introduced that makes your products, equipment, or services obsolete?
  • Discuss how the organization can capitalize on the opportunities that are occurring from the dimensions from within the general environment. How can the organization neutralize the threats that are occurring from the dimensions from within the general environment?
  • Ensure you use relevant business theories, concepts, and practices that are aligned to support the statements and findings. Note that bullets points are not acceptable.

Midsummer Night’s Dream

Note: In the Reading Assignment sections of the rest of the course lessons, you will find questions about the readings. These questions are provided to help focus your attention while reading Shakespeare’s plays and to help you develop ideas for the writing assignments. You do not need to submit your answers to the reading questions, since they are not graded.

As you read A Midsummer Night’s Dream, think about the following questions:

  1. What is the “ancient privilege of Athens” that Egeus begs for?
  2. What options does Theseus offer to Hermia if she refuses to marry Demetrius?
  3. Why does Helena tell Demetrius about Hermia and Lysander’s plan to elope?
  4. Describe Hermia’s dream when she’s in the woods; what happens after she awakes?
  5. Notice when Lysander describes his love as rational; are his actions motivated by reason?
  6. How does Oberon describe the creation of the love potion? How might we interpret the significance of this narrative in relation to the rest of the play?
  7. Look for allusions to other mythological characters, such as Philomela. Why do the fairies call on Philomel to protect the Fairy Queen? Does their incantation work? How might these allusions influence our reading of Shakespeare’s play?
  8. What happens to Hermia and Helena’s relationship when they are in the woods?
  9. How does the play-within-the-play of Pyramus and Thisbe reflect events in the main play?
  10. Why does Shakespeare frame the sub-narratives in this play within the marriage of Theseus and Hippolyta? Keep in mind that many of the members of Shakespeare’s audience (any men who had attended grammar school) would be familiar with the mythology of these two characters. According to Greek mythology, Theseus and Hippolyta have a son, named Hippolytus, but their marriage ends soon afterwards (in some versions Hippolyta dies and in others, Theseus abandons her). Theseus marries another woman, Phaedra, who tries to seduce Hippolytus. When he rejects her, she accuses him of rape and kills herself. Then, Theseus curses his son, who soon dies a violent death. In light of this myth, why does Shakespeare frame this play with the marriage of Theseus and Hippolyta? How might the myth of Hippolytus influence our interpretation of this play’s themes about love, marriage, and power?
  11. One of the main themes in this play focuses on the relationship between the mortal world and the fairy world, and between reason and imagination.  Towards the end of the play, Theseus exclaims,

nonconformance event

You are a lab manager and you have been informed that the complete blood count (CBCs) results of 7 patients have been reported prior to finalizing the quality control results (pertaining to those patient results). You review the case and prepare to analyze the nonconformance event (NCE).

Post your responses to each of the following:

  1. What defines this event as a nonconformanceevent (NCE)?  Please explain your answer.
  2. Perform a root cause analysison the above NCE. Describe at least 2-3 root causes for your NCE in your answer.
  3. Outline your corrective action plan. List 2-3 possible actions that will prevent your NCE from occurring in the future.

 

diabetes evaluation

history

 

Kevin U. is a 54-year-old divorced male who presents for his three-month diabetes evaluation.  Kevin is a high school graduate who previously worked as a self-employed logger but now raises beef cows and does some crop farming on the family farm.  Patient is referred for continued diabetes education from his Endocrinologist, Dr. Pehling.  Kevin is accompanied today by his mother and reports it is acceptable to discuss his medical care in her presence.  Kevin presents with his blood glucose meter and denies any learning limitations or physical limitations such as hearing, visual or behavioral which would affect his ability to comprehend the information provided.

Social History

Kevin is one of two children. His sister is alive, reports her as healthy and is a mother to three healthy children.  Father is deceased, cause of death pulmonary fibrosis.  Mother is alive with diagnosis of osteoporosis, HTN, and hypocholesteremia.  Kevin has one son who is 30 years old and healthy.

Kevin was diagnosed with type 1 DM at the age of 18 months.  He denies any hospitalizations for hypoglycemia or hyperglycemia/DKA other than his first diagnosis.  Currently, he is experiencing hypoglycemia unawareness so he limits his driving to only local areas and will check his BG before starting the vehicle; glucose tablets and glucagon are readily available.  Two surgeries are documented with one being a same day surgery 14 years ago to repair an inguinal hernia and most recently had a cataract removed from his LT eye.  Right eye is free from cataracts at this time.  Immunizations are up to date, last pneumococcal vaccine documented as 2015, Tdap 03/14/2014, and influenza vaccine received every year.  Kevin reports as a child he did experience chicken pox, strep throat, and viral illnesses.  Review of medical record shows a positive titer for mumps and rubella.  No known tick exposure, but due to his history of working as a logger, a Lyme titer should be considered.  Colonoscopy completed in 2014.  Diverticulitis was present with one polyp removed.  Last PSA was in 2016 with result of 3.0.

Kevin denies any immediate family members who have mental illness or substance abuse.

Denies tobacco use presently; however, he did chew tobacco when he was in his early 20’s.

Occasional alcohol intake in the form of beer once every two weeks and reports smoking marijuana for the past ten years every evening to help with the neuropathy pain in hands and feet.  CAGE is negative.  Blood glucose meter was down loaded, and readings are reviewed.  Patient on average has been monitoring his blood glucose one to three times a day with average reading being 197.

Allergies

There is a documented reported allergy to Penicillin.  Mother reports that when he was in elementary school and was being treated for strep throat, he developed rash two days into the prescription.  Mom is unsure of any further details, just that the physician told her never to take penicillin again.

Current Medications

Lantus 65 units SQ twice daily

Humalog- insulin to carb ratio of 1:6 with a correction scale of 2 units for every 50 above BG of 150.  Administer SQ thirty minutes before each meal

Atorvastatin 80 mg daily

Lisinopril 20 mg one daily

Multivitamin daily

Mega Red 500 mg daily

Aspirin 81 mg daily

Gabapentin 300 mg one tablet three times a day

Melatonin 6 mg by mouth every evening

Glucagon kit to be used as needed for hypoglycemia

Viagra 100 mg ½ – 1 tablet as needed

Lab results

Total cholesterol of 198                                  A1c 8.8                                                ALT 51

LDL 140                                                           Cr 1.9                                                   PSA 3.0

HDL 40                                                            GFR 42                                                 HGB 14.6

Triglyceride 155                                              AST 45                                                 PLT 286,000

RUMAL 268                                                     Glucose 260                                        TSH 2.6

Vitamin D 45

Chief Complaint

Kevin’s main complaint today is the burning and tingling sensation he is experiencing in his hands and feet.  Has been using gabapentin with minimal relief, applies CBD oil twice daily which he reports provides immediate short term relief.  Kevin does state the marijuana does provide the best relief for him.  He also voices his frustration with the State of Minnesota’s process for medical marijuana and lack of markets in his area.

Blood glucose readings have been in the 200-300 range, and he is happy with this.  Kevin prefers to have his numbers higher due to his hypoglycemic unawareness.  Last episode of low BG was three weeks ago; he reportedly was ill with a GI bug, limited oral intake but continued to take insulin.  His son stopped for a visit and found him unresponsive and did administer glucagon.

Kevin continues to exercise daily by walking 2 miles on his indoor treadmill; denies any shortness of breath or chest pain with this activity.

Physical Exam

Patient is noted to be alert and orientated times 4.  PEARL, mild film noted over RT eye, possible beginning of cataract. Peripheral vision screen is completed and noted to be intact.  Denies any burning or itching of eyes.  Denies any nasal congestion or drainage, nasal polyp in RT nare noted on exam.  Dental caries are noted, ear exam completed with no redness of ear canal or turbinate’s, no drainage noted.  Whisper test completed, and hearing noted to be intact.  Neck negative for any lymphadenopathy, no carotid bruits noted, and thyroid is noted to be with in normal size, no lumps or abnormalities noted.  No jugular vein distention noted. Cardiac is noted to S1 & S2, negative for murmur.  Lungs auscultate clear, and Kevin denies any shortness of breath.  Abdomen is soft and non-tender with bowel sounds being present. Dullness is noted to percussion over liver and noted to be 8 cm midclavicular line, no abnormalities noted on palpitation.  Spleen is intact.

Spine is midline with no deformities noted.  Genital exam deferred due to his mother’s presence.  Distal and central pulses are present and are a +2. Skin exam reveals topic dermatitis on his bilateral posterior elbows, bilateral hand and lower leg redness.  No open areas are noted.   A foot exam completed including a monofilament exam.  There is a callous noted on the bottom of his RT foot, below his great toe.  No open areas are noted.  A monofilament exam completed 5/10 on RT foot and an 8/10 on LT foot. Onychomycosis noted on bilateral nail beds.  There is no evidence of Charcot joint; Kevin does see a Podiatrist for nail care every three months.

Evaluation and Plan

Review of lab work shows elevated cholesterol, A1c, glucose, RUMAL, creatinine/GFR and liver labs.  Total cholesterol is with the recommended range of <200. However the LDL is out of range at 140.  Recommended level for LDL is <100.  LDL is also known as the “bad cholesterol which also has a genetic component.  Better diet control and exercise can assist the atorvastatin in lowering the LDL and raising the HDL to a level of >50.  “People with high blood triglycerides usually also have lower HDL cholesterol. Genetic factors, type 2 diabetes, smoking, being overweight and being sedentary can all lower HDL cholesterol.” (heart.org, 2018) On average for past three months, Kevin’s glucose has been in the range of 180-200.  This is documented by his A1c.  The A1c is an average of glucose readings over the past 2-3 months.  It is measured by the amount of glucose that is attached to red blood cells circulating in the body.  This is an acceptable A1c reading for a brittle type 1 diabetic who is experiencing hypoglycemic unawareness.  Adjusting insulin to lower the A1c could have a detrimental effect on the individual, so no changes will be recommended regarding insulin.   Kevin has been a diabetic for over fifty years and his kidneys are being stressed.  This is based on his RUMAL (the amount of albumin/protein released in system when kidneys are stressed) Kevin’s results are >300 which is considered moderate kidney disease.  Normal RUMAL is up to 30, mild kidney disease is 30-300, and >300 shows moderate kidney disease.  Consider increasing the dose of his ACE inhibitor to 40 mg once daily.  The creatinine is elevated at 1.9, normal range being 0.5-1.5.  The creatinine shows how kidneys are functioning, but the GFR which shows how the kidneys are filtering is diminished at 45.  Any result <60 is considered a sign of kidney disease. If the dose of ACE inhibitor is increased, careful monitoring of renal functions and electrolytes is needed. The liver functions test AST is used to detect a liver injury or active or chronic liver problem.  The normal range for males is 8-46.  The ALT which is mildly elevated at 51.  This test is used to detect liver injuries or long-term liver disease.  Normal range is 5-40.  The slight elevation could be related to use of atorvastatin or could be related to “fatty liver.”  Monitoring should be completed every three months.

The benefits of diet and exercise and how simple changes can improve blood pressure, glucose readings and cholesterol results should be reviewed in detail with Kevin and his mother.  A referral to a dietician should be considered.  Encourage Kevin to continue to see the Podiatrist every three months for foot exams and nail care.  Consider Penicillin testing for the questionable allergy to penicillin when he was a child. One can question if the rash was related to the strep infection or the medication.  Completing a penicillin challenge could prove beneficial in the future if he should develop a foot ulcer which needs antibiotic coverage. A Lyme titer should be completed to determine if Lyme disease is enhancing his neuropathy pain in hands and feet.  One could consider a referral to a vascular surgeon for ABI assessment and evaluation for peripheral vascular disease.  Further referrals for massage therapist, acupuncture or physical therapy should be considered.  Medication change from gabapentin to Lyrica could also be considered.  Encourage Kevin to continue to monitor blood glucose before driving farm equipment or his vehicle.  Review automobile safety; if there is an accident which involves a person with diabetes, their license is automatically suspended until a provider deems the individual safe behind the wheel.  The potential to be with out a driver’s license could be months to lifetime.  Blood glucose should be monitored before meals and at bedtime, minimum of four times a day.  EKG should be completed, for baseline comparison.  Reinforce the need for dental exam every six months along with regular Ophthalmologist visits for dilated eye exams.  Kevin will be seen back in three months for evaluation of diabetes and discussion following referrals to the recommended providers.

 

 

 

 

 

 

Coalition Against Domestic Violence

Let’s pretend you have been invited to talk to one of the following groups on healthy relationships, parenting, or domestic violence :

a. high school or college students

b. families at a human services agency

c. victims of abuse

Review the documents on equality, power and control tactics and “Coalition Against Domestic Violence” files that contain information that is given to help and educate individuals, children, and families in New Mexico (just an example) on domestic violence.

Decide on

1. the audience

2. topic you want to speak on

Then,

1. prepare a one page handout/flyer for your presentation/talk.

2. research and include statistics, information on the topic and the resources available for California residents who may be facing the issue you have selected to present on.

3. turn in your hand-out as a pdf. attachment

leadership in organizations

Question 1: How did the Power and Influence section impact your understanding of leadership in organizations? Give examples to support your conclusions. (400 words)

Question 2: How did the Servant Leadership section impact your understanding of leadership in organizations? Give examples to support your conclusions. (400words)

Question 3: How did the Transformational Leadership section impact your understanding of leadership in organizations?Give examples to support your conclusions. (400 words)

Question 4: Describe how this class has impacted your views on effective leadership. Describe how you intend to be an effective leader in your (future) organization. (500 words).

Public Health Capstone

Topic of the Master of Public Health Capstone Project: A Systematic Review of Refugee Women’s Mental Health.

Pre-approved literature to include as part of the 25 sources required:

1. Refugees’ experiences of healthcare in the host country: a scoping review Elisabeth Mangrio1,2* and Katarina Sjögren Forss1,2

2. Gender-related mental health differences between refugees and non-refugee immigrants- a cross-sectional register-based study Anna-Clara Hollander1*, Daniel Bruce1, Bo Burström1 and Solvig Ekblad1,2

3. Social Determinants of Immigrant Women’s Mental Health Intersecting Sexual and Reproductive Health and Disability in Humanitarian Settings: Risks, Needs, and Capacities of Refugees with Disabilities in Kenya, Nepal, and Uganda Mihoko Tanabe1 • Yusrah Nagujjah

4. Maternal depression in Syrian refugee women recently moved to Canada: a preliminary study Asma Ahmed1, Angela Bowen2* and Cindy Xin Feng3

5. Review Article: Social Determinants of Immigrant Women’s Mental Health Mahin Delara1,2