Recent Articles

Engineering

| April 17, 2015

Product Design and Development

The last few years have seen a number of devastating natural disasters, ranging from the Tsunami in the Indian Ocean to the Kashmiri earthquake. Each of these disasters requires a huge expenditure to ensure the minimum loss of life. The acute phase of recovery is the most widely publicised, but the ongoing, chronic, phase can last months or years where people need to live in poorer accommodation without the facilities that would normally be taken for granted. Your project is to research, design and (at least) model a product that can have a positive humanitarian impact in the aftermath of a natural disaster. This may range from a hand-powered mini-crane for rescue teams to a solar powered water purifier.

An alternative design project would be to look at a product to support the Physically Disadvantaged, such as motorised attachment for wheelchairs etc

You will be expected to draw on all aspects of this course and be able to demonstrate this in your assessment. You will be expected to research the product (need, potential market and competition) thoroughly and use sound design principles to reduce a number of possible solutions down to one that will be developed fully. Including Stakeholder Analysis and a Communications Strategy
Report should include minutes of project review meetings as the project progresses. The report should contain all of the above elements with clear drawings and text. You should try to use as many of design tools as possible for this project.
The investigation should include: –
Project Plan for the project for the group
Market research
Assessment of the market
Appraisal of the competition
Design specification
Criteria by which the product is to be judged and placed in ranking order.
Safety requirements etc (regulation or standards)
Consider IPR
Possible solution and evaluation
Final Design proposal
Product Design Specification.
Manufacturing Methods
FEA Analysis – Product Verification
Full design and detail of the product. (3D models and detail drawings) together with possible prototypes.

nursing case study

| April 17, 2015

Introduction:

National initiatives driven by the American Nurses Association have determined nursing-sensitive outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-sensitive indicators:

• Complications such as urinary tract infections, pressure ulcers, hospital acquired pneumonia, and DVT

• Patient falls

• Surgical patient complications, including infection, pulmonary failure, and metabolic derangement

• Length of patient hospital stay

• Restraint prevalence

• Incidence of failure to rescue, which could potentially result in increased morbidity or mortality

• Patient satisfaction

• Nurse satisfaction and staffing

Scenario:

Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.

The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient’s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.

Task:

Analyze the scenario (suggested length of 2–3 pages) by doing the following:

A. Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

B. Analyze how hospital data on specific nursing-sensitive indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve the ethical issue in this scenario.

D. When you use sources to support ideas and elements in a paper or project, provide acknowledgement of source information for any content that is quoted, paraphrased or summarized. Acknowledgement of source information includes in-text citation noting specifically where in the submission the source is used and a corresponding reference, which includes:

• Author

• Date

• Title

• Location of information (e.g., publisher, journal, or website UR

Psychology

| April 17, 2015

In psychology, quantitative and qualitative analysis are two regularly used approaches to examine phenomena and analyse data. There are many factors you must consider in order to determine the best approach to examine phenomena and analyse data. These include phenomena you plan to examine, the research question(s) you hope to answer, and the type of data you intend to collect. These factors inform which approach you may take. In this Discussion, you assess Drug addiction in the context of quantitative and qualitative data analysis. To prepare for this discussion, review this week’s learning.
Discussion Question:
1. Provide a brief description of Drug addiction.
2. Explain how data analysis of this issue might differ when you use a quantitative approach and a qualitative approach.
3. Explain which approach to data analysis might be most effective for drug addiction.

Law

| April 17, 2015

To What extent do Patents create monopolies and to what extent is it in the public interest?

Marketing

| April 17, 2015

Your task for this assessment is to demonstrate your understanding of the power of the web to connect communities. The development of the internet from the mid 1990s (much like the development of TV in the 1950s) has completely changed the way consumers interact with companies and products. Your task for this assessment is to develop greater depth to your understanding of the opportunities that the web now provides. Choose one of the following corporate websites for which you will write a case study (for ideas on what a ‘case study’ should contain, look through the opening cases for each chapter of the text):
• Qantas – https://www.facebook.com/Qantas
• RacingthePlanet – https://www.facebook.com/RacingThePlanet
• Asian Heart Institute – https://www.facebook.com/Asian.Heart.Hospital
The principal question to answer is: How do social media and consumer-generated content change the way marketers operate?
In your report, you should address the following issues:
1. Provide a brief overview of the company, its products, history, etc.
2. Investigate how many friends the company has and what facilities, resources and activities, they provide on their Facebook page? Does the company actually ‘sell’ through Facebook or is the site only about connections? What is the significance of consumer-generated content for this company and its products?
3. Why would Facebook customers want to befriend this company? Consider issues of consumer trust, market and media fragmentation and the type of E-Business Model that the company uses. How does the Facebook page build and maintain customer relationships?
4. If you were to advise a small business that is thinking of setting up their own Facebook page, based on your analysis of the company page and your learning about consumer-generated content, provide and justify 3 key points that the small business should consider.
Submission guidelines
• Your report should include at least 10 references, of which 6 are journal articles.
• The report should include standard report styling (numbered headings, clear introduction and conclusion, an executive summary, table of contents and table of figures and tables as appropriate, and a reference list). Proper academic referencing is required using the Harvard style

Tourism

| April 17, 2015

Answer the following question:-

“Internet usage now shapes the context for most holiday planning and booking.” (Mintel, Holiday Booking Process, November 2013).
Discuss the implications of this statement for the tourist industry.

The essay is about the implication of the ICT usage in the tourism industry, where Internet has many implication for the tourist industry.

Engineering

| April 17, 2015

Based on the following core and well data:
S„in- = 27% Sor = 22%
kro at Sw in- = .95
k, at So, = .6 k= 210 md lap = cp effective reservoir pressure = 6000 psi bottom-hole flowing well-bore pressure = 4200 psi effective drainage radius is 740 feet the well was drilled to TD with a 7 7/8 inch bit, using fresh-water 11 ppg bentonite mud. Porosity from well logs averages 23% Porosity from cores averages 19% The formation volume factor of oil is 1.3 bbls/STB. The water resistivity is .05 ohm-m.
Show all your work. Box your answers if it is a calculation. Include the units. Write legibly or preferably type the word answers. Include a cover page and staple the work to it.
1. Construct an oil-water relative permeability graph. (it can be a sketch, use graph paper.) What is the wetting phase and why? 2. Calculate initial water saturation, using Rt from the attached well log. 3. If Sw = 35%, what oil production rate would you expect (in barrels/day)? 4. What is the 00IP a. What porosity do you use and why? b. What ‘If or ‘net pay’ do you use and how does it compare to ‘gross pay’?

Nursing

| April 17, 2015

Does Meditation, Mindfulness, and or Stillness have a positive effect on patients with chronic pain.

I. Abstract (10 points)
A brief synopsis of the proposed research stating concisely the study objectives
and methods to be used. Approximate length 200-300 words. To be placed on
the first page directly behind the cover page.

II. The Research Objective (30 points)
Introduction–Statement of the Problem: The problem that the intended research
will address is included here and stated in such a way that its importance is apparent to the reader. Make sure the problem is not too broad or complex that it cannot be explored in this paper.

Definitions: Clear, concise statements describing key terms. Define the context of the study and the dependent and independent variables. Definitions describe parameters.

Delimitations: Describe any special limits or requirements for the study or the participants.

Theoretical Rationale: Research should be based in a theoretical framework (a nursing framework is preferable). Make the case for using the chosen theory as it applies to the problem or question.

Problem Statement/Research Question: Problem statements express the dilemma or troubling situation that needs investigation and that provides a rationale for a new inquiry. A problem statement identifies the nature of the problem that is being addressed and its context and significance. A problem statement is not merely a statement of the purpose of the study. It is a well-structured formulation of what it is that is problematic, what it is that “needs fixing,” or what it is that is poorly understood. Problem statements, especially for quantitative studies often have most of the following six components:

1. Problem identification: What is wrong with the current situation?
2. Background: what is the context of the problem that readers need to understand?
3. Scope of the problem: How big a problem is it; how many people are affected?
4. Consequences of the problem: What is the cost of not fixing the problem?
5. Knowledge gaps: What information about the problem is lacking?
6. Proposed solution: What is the basis for believing that the proposed study would contribute to the solution of the problem?

Research questions (sometimes called the problem statement) present the idea to be examined in the study and is the foundation of the research study. The hypothesis (specific to quantitative research) attempts to answer the research question. The hypothesis specifies the independent and dependent variables and the anticipated relationship between them. Hypotheses can be directional or non-directional. Try to avoid null hypotheses.

Need for the Study–Significance of the Problem: The proposal needs to describe clearly how the proposed research will make a contribution to knowledge. The proposal should include the expected generalizability of the research, its contribution to theory, its potential for improving nursing practice and patient care, and possible applications of the knowledge to be gained.

III. Review of Related Literature (20 points)
How does the intended research build on what has already been done in an area? Synthesis of the literature should strengthen the author’s arguments concerning the significance of the study, orient the reader to what is already know about the problem, and indicate how the proposed research will augment that knowledge. Look for literature that supports the stated problem and each of the variables to be investigated. Using original source research from peer-reviewed nursing journals is essential.

IV. Method (10 points)
The explanation of research method should address the research objectives. There should be a description of the research design, the study population and frame, sample description, instruments used, specific procedures and analytic strategies should be discussed along with rationale for the methods, methodological problems, and strategies to handle such problems.

V. Work Plan (10 points)
Discussion centers on the management of the flow of work on the research
project. The sequence of tasks to be performed, anticipated length of time required for their completion, and personnel required for their accomplishment. How will data be collected? What instruments will be used (validity and reliability, scoring). This plan indicates how realistic the researcher has been in designing the study. How will the data be analyzed? The key personnel and their qualifications should be described here as well as documenting the extent to which special facilities are required by the project. Access to libraries, data processing equipment, instrumentation, computers, etc. should be described to reassure advisors/sponsors that the project will be able to proceed as planned. Indicate any institutional allocation of space, equipment or services. Permission to conduct the study, use the facilities, tap into the population, use the instruments, etc. must be included in the Appendix.

VI. Budget (10 points)
Project activities are translated into monetary terms. This is a statement of how
much money will be required to accomplish various tasks for the project.

VII. Use of APA formatting (10%) A word about style—APA (6th edition) format must be used. Your paper will not be accepted unless it is in that format. If you have questions about APA formatting, please meet with me before mid-semester. Bibliography and Appendices are included in this evaluation.

Nursing

| April 17, 2015

You are required to respond to BOTH of the following questions relating to the case studies presented in this unit. Use short answer format in your responses.

Question 1: (300 words)
Discuss the pathophysiology of ONE (1) of the following:
• Ischaemic heart disease
• Acute myocardial infarction
• Heart failure

Question 2: (300 words)
Now choose a different cardiac disease from the one you chose for Question 1 (must be from the list above) and discuss the pharmacological treatment aims of your SECOND chosen condition.

Referencing:

You need to reference your responses appropriately. A minimum of 5 recent evidence-based resources is required for this section of the assignment. APA is the required referencing style for these assignments. Follow the link at the top right of the page for information and examples.

Structure and presentation:

Use the short answer format for this task.

Nursing

| April 17, 2015

This assessment will require you to analyze a healthcare system’s survey data (Hospital Consumer Assessment of Healthcare Providers and Systems, or HCAHPS) and develop a strategic plan for improvement of organizational scores. The HCAHPS results posted on Hospital Compare, which is part of the government’s Medicare website, allow consumers to make fair and objective comparisons between hospitals and state and national averages on important measures related to the patient’s unique perspective of the care received. You will need to incorporate the most recent survey scores data analysis (including comparison scores/benchmarking), impact of scores (financial and quality), organizational structure/design, use of technology, and influential cultural and social/environmental factors into this project. You may select a method of presentation that involves either a media presentation or a business plan document that will provide a thorough analysis, a plan that includes stakeholder involvement, and a timeline for implementation, evaluation, and outcome measurement.

Scenario:

You are the newly appointed chief nursing officer of a hospital and have been tasked with improving the most recently reported HCAHPS score for the entire organization. The hospital board is requesting a detailed report, analysis, and plan to improve these results. You are instructed to complete the full data and impact analysis; develop a detailed strategic plan to improve the scores in all areas of the hospital, incorporating quality improvement, shared accountability, technology, care delivery model, and financial stability; propose a rapid implementation timeline; and outline the process of evaluation in an effective presentation that you will present at the next board meeting.

Requirements:

Create a multimedia presentation or business plan document in which you do the following:

Note: If a multimedia presentation is selected, presenter notes must be included for each slide in order to fully cover the level of explanation, analysis, and discussion necessary.

A. Provide the HCAHPS scores for a hospital of your choice.

Note: Refer to the web link to find HCAHPS scores for various hospitals.

B. Analyze the HCAHPS scores of your chosen hospital by doing the following:
1. Compare the scores to state and national averages.
2. Compare the scores to two other hospitals in the region.
3. Compare the survey response rates to two other hospitals in the region.
4. Describe the hospital’s demographic patient population and services provided.
5. Discuss how the following environmental and community factors could potentially influence HCAHPS scores:
a. cultural dynamics
b. educational dynamics
c. socioeconomic dynamics
6. Explain potential short- and long-term financial impact on the organization.
a. Discuss potential impact on quality outcomes.

C. Discuss the potential cause of the chosen hospital’s HCAHPS scores.

D. Develop an organizational strategic plan to improve the chosen hospital’s HCAHPS scores throughout the organization by doing the following:
1. Explain how organizational change can help improve the chosen hospital’s HCAHPS scores.
2. Discuss the structure (i.e., framework), process (i.e., actions), and outcomes of the strategic plan.
3. Discuss how you would incorporate evidence-based practice and shared governance to improve organizational quality.
4. Explain methods you would use to incorporate concepts of shared accountability among patients, medical providers, payers (e.g., insurance providers, Medicare, Medicaid), and personnel.
5. Explain methods you would use to incorporate technology trends within healthcare.
6. Explain methods you would use to improve the care delivery system, including the topics of quality, cost, access, and patient-centered care.
7. Explain methods you would use to improve financial stability.

E. Develop an implementation plan and timeline for the strategic plan you developed in part D by doing the following:
1. Discuss key roles and responsibilities of stakeholders.
2. Discuss how you would ensure stakeholder accountability and involvement.
3. Discuss any training staff would need in order to implement the plan.
4. Outline a timeline for implementation of your plan, including periodic review checkpoints to measure progress.

F. Discuss the process you would use to evaluate the success of the strategic plan, including the following:
• method of measurement that would be used
• evaluation of the timeline
• method of analysis
1. Discuss how you would involve key stakeholders in the evaluation process.
2. Explain how the evaluation results will be communicated internally and externally.

G. When you use sources, include all in-text citations and references in APA format.