Students are requested to analyse theories related to the concepts of Supranational Governance and Multi-level Governance, covered in the attached supporting reading documents using the matrix from the lecture: sum up the assumptions that lay at the core of a theory, describe in brief the logic and the role of supranational institutions in the European Integration process. Papers should be of no less than 10 000 and no more than 15 000 characters (excluding cover page and bibliography).
analyse theories related to the concepts of Supranational Governance and Multi-level Governance
Work with your preceptor to perform a needs assessment of the organization (Tele health care) and community (Queens NY) Essay
Work with your preceptor to perform a needs assessment of the organization (Tele health care) and community (Queens NY) Essay. Work with your preceptor to perform a needs assessment of the organization (Tele health care) and community (Queens NY) for your practicum. Review the needs assessment to identify possible project topics. In preparation for the capstone change project proposal, Compile a list of three to five possible topics for your project and submit to the assignment instructor in Loud Cloud. Work with your preceptor to perform a needs assessment of the organization (Tele health care) and community (Queens NY) Essay
Looking At Solitude In The Awakening English Literature Essay
programming assignment help “The artist must possess the courageous soul that dares and defies” (156). Edna Pontellier, the main character of Kate Chopin’s The Awakening, under goes a spiritual and sexual awakening during the novel. Because of this awakening, she starts to seek independence from the Victorian and Creole traditions of the time. Even though this new independence of hers is innocent in nature at first, Edna soon begins to live the same lifestyle as Mademoiselle Reisz and starts to push away her family, such as Léonce Pontellier, her father, and her sisters, and her friends, like Alcée Arobin and Robert Lebrun, to keep this independence. Soon, Edna Pontellier begins to willingly seek solitude from certain people in her life. One of these people is Léonce Pontellier, her husband. In her search for independence, Edna starts to distance herself from Léonce and ignore his customs and traditions. When they return from Grand Isle, Edna goes for a walk on Tuesday instead of receiving callers to help to better her husband’s reputation. When Léonce asked her why she left, she replied, “I simply felt like going out” (68). Also, when Léonce went to New York for business, Edna moved to a smaller house that she owned instead of continuing to live in the house that her husband owned. She bought the house using money she received from selling her paintings. Soon, Edna begins to distance herself from her family. When her father, the Colonel, came to visit Edna before the wedding, she was “not very warmly or deeply attached to him” (91). Before the Colonel left, she had a “warm, and almost violent dispute,” with him because she refused to attend her sister Janet’s wedding (96). Her father was also sure that her sisters would never talk to her again if she did not show up for Janet’s wedding. Even though Edna willingly separated herself from these people, she soon began to start to push away the ones closest to her. At first, Edna Pontellier’s search for independence leads her to making new friends, yet her newfound independence starts to push them away also. One of these is Alcée Arobin, a local figure who “possessed a good figure” and “a pleasing face” (100). Soon, Edna falls in love with him and eventually has an affair with him. This affair proves that she is now completely independent from the chains of tradition that had held her down for so long. Yet, even this affair cannot keep them together, for as soon as Robert Lebrun returns from Mexico, Alcée and Edna start to drift apart. Another friend unwillingly pushed away by Edna’s independence is Robert Lebrun. She was with Robert when her search for independence began, for it begins with Edna learning how to swim in the Gulf during the midnight bathing after Madame Lebrun’s party. Edna starts to fall in love with Robert, and Robert soon realizes this. Robert travels to Mexico to try to distance himself from Edna, but he cannot resist and eventually returns. But when he returns, he realizes that Edna doesn’t want to marry him like he wants, but wants to be free from any form of bondage such as marriage. After realizing this, Robert knows he cannot stay, so he again leaves from Edna’s presence. By the end of the novel, Edna realizes that she is now completely alone because of her new independence. During her struggle to break free from tradition, Edna starts to lose herself in her emotions, until she can handle the loneliness and longing no longer. Because she knows no one would understand, she commits suicide by drowning in the Gulf, which is where her search for independence began. She realizes that no matter what, all those that she loves will eventually fade from her memory and she will be alone, trapped in the solitude that surrounds her.
University of Windsor Unionization of Employees Business Administration Essay
University of Windsor Unionization of Employees Business Administration Essay.
Your written response should be 4 double-spaced pages (1” margins, size 12 Times New Roman font). As with all written assignments, you will be graded on the depth of your analysis as well as your professionalism (grammar, spelling, etc.). You do not need to use citations or have a reference page, as this assignment does not require additional research. Read the article ‘Inside a Union Drive at the Trump Hotel’ (https://www.thestar.com/business/2015/05/01/inside-a-union-drive-at-the-trump-hotel.html) published in The Star in 2015.Next, address the following questions in your written response: Some organizing campaigns attempt to organize in secret – that is, without management knowing that the workers are in the process of forming a union. The goal under this strategy is for management to find out as late as possible (ideally, when the union files a petition with the labour board to represent the workers) so that they cannot be simultaneously running an anti-union campaign. As described in this article, the workers who supported the union at Trump Hotel were vocal about it and openly stated whether they supported the union organizing drive. If you were one of these housekeepers, would you want to be open about your support? Why or why not? What might be some of the benefits or risks involved?
University of Windsor Unionization of Employees Business Administration Essay
WU Importance of Neuroscience Foundation in General Medication Prescription Responses
WU Importance of Neuroscience Foundation in General Medication Prescription Responses.
SOLANGE ADANGWA Week 2 DB Main PostCOLLAPSEMain Post
As mental health nurse practitioners, we need to understand the. basic knowledge of neuroscience to adequately treat and take care of our patients with mental health disorders.The Agonist-to-Antagonist Spectrum of The action of Psychopharmacologic AgentsAn agonist is a pharmacologic agent that binds to a receptor and generates a biological response while an antagonist binds to a receptor and inhibits a response. Agonists have intrinsic efficacy which is the ability to increase the activity of a receptor, antagonists have the ability to decrease the activity of a receptor (Berg & Clarke, 2018). The agonist to antagonist spectrum of therapeutic agents includes agonist, partial agonist, antagonist, and inverse agonist (Berg & Clarke, 2018). Most typical and atypical antipsychotics act as inverse agonists when bound to the 5-HT2A and 5-HT2C receptors. An inverse agonist binds to receptors and produces an opposite effect to that of the full agonist (Sullivan et al. 2015).G-protein Coupled Receptors and Ion Gated Channels G-protein coupled receptor and ligand-gated ion channels are both proteins involved in membrane transport and intracellular communication (Duncan et al., 2020). Both G-protein coupled receptors and the ligand-gated ion channel transmembrane receptors control the opening and closing of ion channels allowing for extracellular ions to flow intracellularly.The opening or closing of postsynaptic ion channels is accomplished in different ways by two families of receptor proteins. First is the ionotropic receptors linked directly to ion channels. These receptors contain an extracellular site that binds neurotransmitters and a membrane-spanning domain that forms an ion channel. The second is the G-protein coupled receptors do not have ion channels as part of their structure; instead, they affect channels by the activation of intermediate molecules called G-proteins (Purves et al., 2001).Epigenetics in PharmacologyEpigenetics refers to the regulation of gene expression through alterations in DNA or associated factors. These factors control the diverse manifestations of diseases. Understanding the epigenetic modification may lead to new therapies for diseases (Feinberg, 2018). The understanding of the actual function of the entire genome has made pharmacology to be modified further in tackling diseases not in the conventional ‘drug‐receptor’ sense, but in a more ‘global‐response’ sense. Epigenetic regulatory mechanisms may span more than one gene or family of proteins that regulate large groups of genes. Pharmacological agents targeting epigenetic changes have formed the bases of drug treatment of specific disease entities (Stefanska & MacEwan, 2015).Impact of Foundational Neuroscience on the Prescription of Medication.According to Seo et al., (2018), Olanzapine as an antipsychotic modifies epigenetic changes in the BDNF gene. Serotonin, histamine, and dopamine as neurotransmitters utilize the ligand-gated ion channels mechanism to allow for ionic influx into the inner cell membrane. This action triggers signaling processes. The knowledge of the effect of agitation and schizophrenia on the central nervous system coupled with the mechanism of action, side effects, or toxicity of the antipsychotic (Olanzapine) will enable the nurse practitioner to prescribe the appropriate medication for patients.A patient presented with severe agitation, visual and auditory hallucinations, and delusions. Equipped with the knowledge of the mechanism of action of Olanzapine, the Nurse practitioner gathered information about the patient’s past medical history that could affect the metabolism, efficacy, and toxicity of the medication. For example, Olanzapine is metabolized in the liver and excreted by the kidney. The Nurse Practitioner rules out any liver and kidney disease.In conclusion, understanding the basics of neuroscience, epigenetic changes, and cell communication is important to mental health providers.ReferencesBerg, K. A., & Clarke, W. P. (2018). Making sense of pharmacology: Inverse Agonism and functional selectivity. International Journal of Neuropsychopharmacology, 21(10), 962-977. https://doi.org/10.1093/ijnp/pyy071Duncan, A. L., Song, W., & Sansom, M. S. (2020). Lipid-dependent regulation of ion channels and G protein-coupled receptors: Insights from structures and simulations. Annual Review of Pharmacology and Toxicology, 60(1), 31-50. https://doi.org/10.1146/annurev-pharmtox-010919-023411Feinberg, A. (2018). The key role of epigenetics in human disease prevention and mitigation. N Engl J Med. DOI: 10.1056/NEJMra1402513. https://www.nejm.org/doi/full/10.1056/nejmra1402513Purves D, Augustine GJ, & Fitzpatrick D. (2001). Two Families of Postsynaptic Receptors. Neuroscience. 2nd edition. Sunderland (MA): Sinauer Associates; 2001. https://www.ncbi.nlm.nih.gov/books/NBK10855/Seo, M. K., Kim, Y. H., McIntyre, R. S., Mansur, R. B., Lee, Y., Carmona, N. E., Choi, A. J., Kim, G., Lee, J. G., & Park, S. W. (2018). Effects of antipsychotic drugs on the epigenetic modification of brain-derived neurotrophic factor gene expression in the hippocampi of chronic restraint stress rats. Neural Plasticity, 2018, 1-10. https://doi.org/10.1155/2018/2682037Stefanska, B., & MacEwan, D. J. (2015). Epigenetics and pharmacology. British Journal of Pharmacology, 172(11), 2701–2704. https://doi.org.ezp.waldenulibrary.org/10.1111/bph.13136Sullivan, L., Clarke, W., & Berg, K. (2015). Atypical antipsychotics and inverse agonism at 5-HT<sub>2</sub> receptors. Current Pharmaceutical Design,Kara Thomas-Jenkins 32 yo pregnantCOLLAPSE My scenario is that of a 32-year-old pregnant lesbian (TJ) who is here to see me for her annual physical exam. Her chief complaint or issue coming in is that of vaginal discharge. I am her primary care provider and will not be doing an extensive obstetrician exam but will relay on previous notes that said she has had an uncomplicated pregnancy so far. She and her partner used sperm from a sperm bank to conceive. This discussion will look at how to get a comprehensive health assessment while remaining culturally sensitive.Cultural and Lifestyle Awareness Although the sexual orientation of a person should not influence how a health assessment is done, research suggests that there are many medical disparities of that of the lesbian, gay, bisexual, and transgender (LGBT) communities (Bidell, 2017). One way that LGQT communities feel discriminated against is that of lack of training of medical professionals to deal with the unique challenges the LGQT has (Bidell, 2017). This specific lack of training can cause clinical judgment and personal bias to leak into medical decisions (TIAN & HEN, 2019). This can cause the perfect storm of devaluing the patient’s insight into their health and dismissing symptoms due to this bias (TIAN & HEN, 2019).Targeted Questions and explanation of Why Chosen With the thought that personal ideas and judgment can leak into decision-making for my patient, it is important to fall back on basic questions I would ask any of my patients who presented with the same chief complaint.What does the vaginal discharge, look like, and is there a smell? This question is asked to try and narrow down what type of gynecological issue is present. Is this leaking of the fluid or rupture of membranes? Is she having bleeding that needs to be emergently looked at? Is a sample of this discharge needed? These are all questions I would be able to narrow down once I understood what type of discharge it was.How long have you had this discharge? Again, this will help facilitate where to go from there, if it is something I can treat or if she needs to be seen by an OBGYNHave you had discharge like this before? This could possibly help narrow down the diagnosis.How has your mental health been? This question is good for any pregnant woman and can spark conversation about what else might be going on in her life.Are there any other issues you are having or that concern you? This is a good open-ended question to allow a conversation to flow and for my patient to open up and inform of anything else that might be on their mind.Strategies for Being Culturally Sensitive Being sensitive and understanding to different cultures and lifestyles is imperative in the medical community. It might be impossible to fully understand each culture’s unique and diverse traits but it is the job of medical professionals to be aware of their own bias (Bidell, 2017). That being said one of the most important strategies a medical professional can do to keep these bias low and increase their own cultural competence is to continue to learn (Ndiwane et al.,2017). It is imperative that we do not get complacent but strive for more learning (Ndiwane et al., 2017). One of the best ways to learn is to use a simulation on how you might treat a patient and then learn of their culture (Ndiwane et al., 2017). Once this is done you retry the simulation and see how you might treat the patient differently or ask/frame a question differently (Ndiwane et al., 2017). This allows real-time information on bias without using patients as the test subjects. This allows failure and growth without hurting or misdiagnosing a real patient (Ndiwane et al., 2017).ReferenceBidell, M. P. (2017). The Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS): Establishing a New Interdisciplinary Self-Assessment for Health Providers. Journal of Homosexuality, 64(10), 1432–1460. https://doi-org.ezp.waldenulibrary.org/10.1080/009…Ndiwane, A. N., Baker, N. C., Makosky, A., Reidy, P., & Guarino, A. J. (2017). Use of Simulation to Integrate Cultural Humility Into Advanced Health Assessment for Nurse Practitioner Students. Journal of Nursing Education, 56(9), 567–571. https://doi-org.ezp.waldenulibrary.org/10.3928/014…Shu-Hui TIAN, & Man-Hua SHEN. (2019). The Implementation of the Right to Equality in the Care of a Vulnerable Medical Population: Pregnant and Postpartum Lesbians. Journal of Nursing, 66(5), 71–78.
WU Importance of Neuroscience Foundation in General Medication Prescription Responses
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