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Harnessing the Affordable Care Act to Catalyze Delivery System Reform HW

Harnessing the Affordable Care Act to Catalyze Delivery System Reform HW.

1)In health care advocacy is very important since it assists patients to make better and informed decisions concerning their health as well as help them traverse through the complex medical system. Nurse who acts as advocates for patients facilitate quick healing (Tahan, 2016). Furthermore, nurse advocates work on behalf of patients to protect and safeguard them as well as ensure they receive quality care. Their main responsibilities included assessing patients care needs during and after hospitalization, reaching out to communities to identify resources required and teaching patients on diagnoses as well as referring specialty and advocating for treatment and tests required for patient care.Nurse advocates work in solving arising health problems whenever care is compromised, and by nature, every nurse is an advocate. As a pediatrician, I was in charge of taking care of sick children. One day in my day in practice, a child comes in with bruises that the mother explanation does not match the seriousness of bruises so I suspected the child was being abused. Immediately as a child advocate, I quickly reported the incident to the nurse in charge for necessary action to be taken against the caregiver (Arnold & Bousvaros, 2017). Child abuse is the most common type of abuse that is unnoticed. Therefore, in absence of advocacy the child rights could have been upheld.ReferencesTahan, H. M. (2016). Essentials of Advocacy in Case Management: Part 1. Professional casemanagement, 21(4), 163-179.Arnold, J., & Bousvaros, A. (2017). Advocacy for Pediatric Patients with IBD. In PediatricInflammatory Bowel Disease (pp. 703-713). Springer, Cham. 2)Advocacy is “the act or process of supporting a cause or proposal” (Helbig, 2018). When we as nurses advocate for our patients, stand up for patients’ rights, or work to meet their need for care, as a nurse standing up and advocating for that patient (Helbig, 2018). As a nurse and advocating for the patient we are providing the best care that we can for patients and using our knowledge, critical thinking and evidence-based practice to take care of patients.An example of advocating for patient, I was working night shift and it was late at night, so it was just me, another nurse and the ER MD. A gentleman came in with left sided weakness, it was obvious the patient was having a stroke. Even the family members knew that, this was not normal for him. When this was brought to the ER MD’s attention, the MD at the time did not believe the patient was having a stroke. I do not remember what route the ER MD at the time was going down, however by the time the CT was ordered the patient was out of the window for any interventions for a stroke. Although the patient had long term effects of the left sided weakness due to no interventions completed. This was brought to our managers attention, now as nurses if we feel the patient is having stroke like symptoms we are able to call stroke alerts to alert the ER MD, CT, lab, so the patient is ruled out a stroke or if the patient is having a stroke and able to receive any interventions. When patient’s come in with stroke like symptoms, I think about that patient all the time and how that patient did not receive the care right care in the time of a true emergency. If we did not stand up for that patient policies would not have been changed and possibly more patients would have long lasting effects from having a stroke. ReferencesHelbig, J. (2018). Professional Engagement. Dynamics in Nursing Art & Science of Professional Practice, 23. Retrieved from https://lc.gcumedia.com/nrs430v/dynamics-in-nursin…3)Advocacy is “the act or process of supporting a cause or proposal. When nurses advocate for patients, stand up for patients’ rights, or work to meet their need for care, that nurse is actively assuming the role of patient advocate” (Helbig, 2018). Advocacy can be shown off in the form of collaboration when a group of people come together to provide quality healthcare. Often times one nurse will need to work with other heath care allies to provide a safe nonthreatening environment for optimal outcomes. Using evidenced based practice you can utilize your skill set to aid in the best possible outcome for the patient.One way that I have advocated for my patients that sticks out in my head was with an 8-week old who had a brain bleed. The parents claimed the child rolled off of an ottoman. The injuries and father’s demeanor made me immediately question the story. The child had a subdural brain bleed with a midline shift. Typically, parents do not allow a child of that age to be alone on an elevated surface let alone without barriers. Secondly, a child of that age typically cannot roll from their back to front in order to roll off of an ottoman. With speaking to the father and mother separately they had different stories, either of which did not match the mechanism of injury. In this circumstance, the provider and I decided to advocate for this child who was not able to do so for them self and call authorities. We approached the parents in a nonjudgmental manner as to continue providing the child with the immediate care they needed. This was difficult as a nurse however I still needed to remain professional and allow the investigation to be done by the proper authorities. The child was sent to the area children’s trauma center where they could be appropriately treated by neurosurgery. In this circumstance not only was I advocating for my patient but also for the other children in the household.RefrencesHelbig, J. (2018). Professional Engagement. Dynamics in Nursing Art & Science of Professional Practice, 23. Retrieved from https://lc.gcumedia.com/nrs430v/dynamics-in-nursin…
Harnessing the Affordable Care Act to Catalyze Delivery System Reform HW

History Of The Corruption In China Politics Essay. Chinas economic ascendance puts China in a position to have many wonderful prospects. In 2008, Chinas strong economic and political systems seemed to resist the idea of a global economic crisis. China’s massive growth has enhanced China as an important economic power in the world. With over one billion people and the second largest national economy, China is still controlled by an authoritarian political regime; the Chinese Communist Party. The Chinese Communist Party seems to be able to rule the state and keep a stable and sustainable economy. However, corruption poses a serious hindrance to China’s economy and political systems. The failure to eliminate political corruption could cause the collapse of China’s economy and the Chinese Communist Party in the future (Bergsten C. F 2009 P.97). Corruption also causes the biggest disaster in Chinese history, Tiananmen Square Massacre (Harris 2003). In fact, many of the developing nations that have fast economic growth seem to have a lot of political corruption. Perhaps corruption in a fast developing nation is inevitable. Corruption was widespread in Singapore during the 1960s (Quah S.T. P.31). Singapore was one of the serious corruption countries during its economic development. Many of developing countries with the rapid economic growth have different levels of corruption. The argument in this paper is: corruption in authoritarian states is more prevalent than democratic states. And corruption is a deeply ingrained issue, which is not easy to remove in Chinese society and from China’s government corruption. This paper will introduce the historical background of China after the Chinese Communist Party overthrew the Chinese Nationalist Party and it will address how its culture and people have changed under the leading Chinese Communist Party. In this paper, moreover, Chinese economic reform is the main factors to cause corruption in China (Chow G. C. 2006 P.266). Chinese economic reform is the most important revolution which is different from the original ideology of communism. Because of the economic reform China’s great economic achievements rely on the new modern- socialist market economy- a mixture of open- market economy and state-owned enterprise. Economic reform, at the same time as political reform, or new directions of the party, has never been engaged before by the Chinese Communist Party. The causal factors of an open- market economy impacted on the new western ideologies, and the social and political climates have changed quickly in China. For these reasons, current Chinese society, culture, and politics are being changed, and it is causing major internal issues, political corruption and other relative crimes. This paper will address and explain how and why China’s economic reform, and China’s political system, caused corruption and related crimes in contemporary with China. Also, I would like to introduce the different kinds of corruption in China’s government and in Chinese society. For example, political corruption has influenced the entire state, as well as the leaders of its government. In China, most influential senior officials and high level business and government positions are held by the elite who have propelled their family members and caused inheritance of their power for next generations. Those powerful people are called “princelings’ party” or Crown Prince Party. They and even their relatives control most entrepreneurs, so they are capable of shifting the profits and starting the money laundering out of their state. They are the one who mostly believed to be involved in the political corruption in China. An example of this is the biggest political corruption case: the former of party chief Bo Xilai’s and his families making billions of U.S. dollars by privileged upbringing and political influence (Barboza D. April 23, 2012). Secondly, bribery is another kind of corruption in China. This paper will introduce guanxi, the practice that is such a rule and code to conduct businesses with local business partners. In China, Guanxi used to be widely translated as connections and relationships, which reflects the process and maintaining of interpersonal relationship. Guanxi is a method of exerting power to gain more benefits and it is being used succeefully in all networks of society, such as jobs and business. This paper will also analyze how Guanxi plays an important role in corruption, and more importantly, to analyze the largest amount of smuggling and bribery in Chinese history- the criminal cases of Lai Changxing. Lai Changxing operations were based on his good social networks and Guanxi, and he smuggled over £3.3 billion, and bribed 64 officials during the 1990s (Watts J. May 18, 2012). There is a wide range of literature on corruption from which to choose, and the literature review in this paper should focus on the definition of general practice of corruption, the different levels of corruption by macro-level, and how corruption practice occurs in authoritarian states. I will explore China’s individual case with special political and economic orientation. Peter Hays Gries’s book Chinese Politics: State, Society and the Market, is an excellent source in which to study the specific cases of corruption in China, and how corruption is performed in China. Yan Sun’s book, Corruption and Market in Contemporary China, researches the author’s viewpoints and controversial points in the academic field. Richard McGregor’s book The Party: The Secret World of China’s Communist Rules, is an excellent source which reveals the integrity of China’s Communist Party and the top secret of the central power rule of the Chinese Communist Party. Literature Review Meanings of Corruption Corruption is not a new practice, but one which has existed for many years. There are various definitions of corruption in literature scholars. Corruption currently is a term which used to be studied in philosophy, social science, and political science. In general, to define corruption in academic work is usually in various forms. Klitgaad writes: “In ordinary usage, too, “corruption” embraces a wide array of illicit behaviors, including bribery, extortion, fraud, nepotism, graft, speed money, pilferage, theft, embezzlement, falsification of records, kickbacks, influence-peddling, and campaign contributions. (Klitgaard 1998, P1.).” Klitgaard (1998) gives different violations terms to describe corruption. When people are involved in these terms, they could be accused of corruption. In philosophy, corruption is a moral deviation or depravity in human behavior. In economics, it is an exchange between people who give payment to enjoy privileges and receive payment to provide services. Klitgaard (1998) indicates corruption is an illegal act, and it has expended some of terms of crimes. All these criminal activities are too narrow to understand corruption in a particular field of study. But bribery is first term that Klitgarrd’s (1998) pointing to as a usual term by which many people perceive corruption. By studying particularly regional corruption in this paper, bribery and the mainly characterized of authoritarian regimes, nepotism, are important fields to study in this topic of the paper. Bribery and Briber Bribery is one of the most common terms of thought under the topic of corruption. It is based on the improper acceptance, giving, receiving, offering or solicitation of a gain or advantage from the briber, including the some actions, views, advices, or decisions of a public official, or person in a position of trust, or person bound by a duty to act impartially (Bribery and Corruption Law. 2012). In bribery and corruption law, it notes that it is necessary to understand that bribery is two exchanges with purposes of payment and receiving benefits from each other. Or a person merely attempts to bribe, even though unsuccessfully, could also be considered to be a briber. On one hand, a person who provides implication of money or gift could be defined as a briber. Gifts do not only include objects of value, such as goods and property, but also includes immaterial matters, such as services and emoluments (i.e. salary, fees or other benefits). On the other hand, a person who gains all these advantages or materials directly or indirectly from briber could be defined as being involved in bribery. Bribe, as well as corruption, is an illegal act with different levels, and the person may be accused of corruption which is a criminal activity. Low level of Corruption: government official corruption Low level corruption is characterized often by the traffic cop asking for bribes on the street. It undermines people’s trust in political institutions and its leaders. (Kristoff M and Pertio, R May 01, 2010 P.2) There are many scholars who discuss corruption as multi-level, which involve different magnitudes of the bribe. The authors, Kristoff and Pertio (2010) argue two levels of corruption, higher and lower levels of corruption. Low level corruption has a higher impact on the social fabric of society, with small amounts of money or other benefits. It usually takes place in some government officials, institutions, or public organizations. It erodes people’s trust and the public confidence in government. Kristoff and Pertio (2010) think that police corruption is a common corruption in low level of corruption. Police can gain from corruption easily and commonly, which damages the effective security in society. Low level corruption also includes corruption of government official. Government corruption is usually defined that the sale, by government officials, of government property for personal gains. Government officials usually receive bribes from a particular person or a group of people for providing permits or licenses, for giving passage at customs, and for prohibiting the entry of competitors. Also, government officials charge privately the products for their own using. (Shleifer. A and Vishny. R. W. May 1993. P3) In addition, government officials note that the cost of producing goods is immaterial to the official since the government pays this cost. They cover the sale of licenses, passports, or a passage on a government toll- charged road, or a policeman sells services that he is supposed to offer for free, and this exerts personal effort (Shleifer. A and Vishny. R. W. May 1993. P5). The authors, Shleifer and Vishny (1993) clarify how government officials or police offices engage in corruption and provide different offers to bribers. Government officials include particular institutions or organizations by the government, which has an obligation to provide public services, such as educational institutions. These institutions do not have rights to sell any products or services privately, and expropriate any frees by unofficial announcement. Based on the authority of government officials, such as policemen, they may force or inflict the charging fees which are supposed or obligate to be provides free services. In some weak governments, they even sell passports and driver’s licenses, as long as people could make a certain payment or provide personal connections within the government. People living under a weak deviant government do not a desk to compliant or report police and government misconduct. This causes some government officials, such as police officers, to provide or to force charging fees for services which are received from the briber. Because there can be an absolute execution by powerful people, this prevents the right to inspect government procedures and activities. Therefore this results government corruption becoming serious. High Level of Corruption: Political Corruption A high level of corruption usually involves substantial amounts of payment, and it often involves senior levels of government officials. The procurement of high level corruption can deal with the massive amounts of money, but it has a high secrecy from the public. (Kristoff, MHistory Of The Corruption In China Politics Essay

The Real Jesse James History Essay

Rough and tumble, the outlaw Jesse James has become a glamorized figure of American history. Jesse James is a controversial figure, with some believing history wrongly romanticizes a ruthless criminal who burglarized, murdered, and terrorized innocent citizens. The life of Jesse James is not one of cowboy fantasy, like the life communities such as present day Saint Joseph, Missouri promote, but one of a monster on a hateful mission of revenge. However, to Jesse’s credit, he was born into a perfect storm for such an abnormal life. James was born to great parents on a farm near present day Kearney, Missouri. His father was a Baptist Pastor and farmer. James’ life seemed to be heading in the right direction, with loving parents and a solid foundation on the farm; nothing seemed a problem, until tragedy struck. Being a Pastor, Jesse’s father felt a calling from God that he needed to head to California to spread God’s word to the gold miners. Jesse’s father, however, never returned home, having died while in California. Traumatized was the three-year-old Jesse James, who lived in a close knit farm family. His whole life had been turned upside down, but this would be the story of Jesse’s life. Jesse James’ mother brought her children into two other marriages, it being necessary for a farm wife in those days to have a husband. Clay County Missouri in the 1850’s had tremendous ties to the South. In fact, over seventy percent of the counties residents had migrated north from southern states, bringing their southern culture and, of course, slaves. Civil unrest was building in the nation between two major cultures. The progressive, northern culture was becoming upset with the conservative, southern culture on humanitarian issues over slavery. Even so, Missouri was a border state, a state with about half rebel support and half union support, but Clay County was overwhelmingly Rebel. The fact was that Clay County was in a region of Missouri called “Little Dixie,” which was as southern in heritage as the deepest parts of Georgia. For the young Jesse James, whose life up to the point before the Civil War, had been one of tremendous instability, a conflict on such a scale as the Civil War would obliterate any foundation he had. Some people argue that Jesse’s life was already laid out for him, that he had little power of what he became. With the Civil war raging in every corner of the nation, a sixteen year old Jesse James joined a Confederate posse that fought on horseback under the command of “Bloody” Bill Anderson. The men of the posse road all over the Midwest and South to fight a gorilla/raider style warfare against the Union Armies. Jesse’s posse was made up of cutthroat criminals, who robbed and murdered families all over the countryside. Their influence rubbed off on Jesse, who was very impressionable, being in his mid teens. Every criminal has a determining factor in what makes them so different in their personality makeup. Many believe that Jesse’s major setback was the lack of a father, which left Jesse vulnerable to manipulation by the older men. Jesse James seen his comrades as brothers, and some, such as Bloody Bill (not only his leader but a much older man), as father figures, whom Jesse attracted towards. Whatever they commanded, Jesse would do, trying to impress the rest of the posse. However, being so bold cost Jesse James near the end of the war, when he found himself outnumbered by Union forces. Attempting to surrender, Jesse was shot in the chest by a Yankee officer, nearly killing him. What would history have been like if Jesse had indeed died from his wounds? The answer is that a lot of heart ache and sorrow would have been spared, and this nation would have never had to deal with a true outlaw such as Jesse James. After the war, Jesse was growing anxious while healing from his wounds. Jesse wanted to round up his old posse and get revenge on people he thought had harmed his posse or the rebel cause. In fact, most of the bank robberies and murders that Jesse and his gang committed were not primarily for money, but for revenge. Jesse James’s former commander “Bloody” Bill Anderson had been killed by a man that the gang thought was a cashier in Daviess County Missouri, near the city of Gallatin. Jesse’s posse rode up to the bank in Daviess County (not more than eighty miles from where Jesse grew up), robbed the bank, and killed the cashier. The robbery netted little money for the gang, which further drives home the theory of revenge. The bank robbery/murder was the most famous in Daviess County history, partly because the man that was murdered was mistaken for the culprit who killed Bloody Bill, which in reality, the victim was innocent. After this, Jesse repeatedly robbed banks all over the Midwest and South, killing anyone who got in his way. One such bank that Jesse James had tremendous trouble with was a small bank in Northfield, Minnesota. The primary reason that Jesse wanted to rob this particular bank was because he believed it was linked to a very influential Republican (Republicans were anti-slavery, Jesse, needless to say, was a pro-slavery Democrat). However, this turned out not to be the case. While attempting to break into the well guarded bank, two members of the gang were killed as nearly the whole town opened fire upon the posse. Jesse and the rest of the group escaped without any money. After the Northfield attempt, Jesse went underground for a while trying to hide his identity, before trying to reorganize a new gang. The new gang did not last very long, mostly because Jesse James became very paranoid that one of his gang members would kill him in response to the large reward that the railroads had put out for him. Deciding to end the gangster lifestyle, at least for the time being, Jesse James decided to move to St. Joseph, Missouri, where he rented a house with his wife and two young children. St. Joseph was a perfect place for Jesse because it was near his family farm in Kearney, Missouri, and he had two friends there which he trusted his life with. They were two brothers by the name of Robert and Charley Ford, which acted as body guards to Jesse, and often spent the night with his family. Unknown to Jesse however, Robert Ford was working with the Missouri Governor to bring Jesse in dead or alive. One day, while in the James’ household, Jesse was having a conversation with Robert Ford. Robert had been looking for the perfect opportunity to take down James, as he wanted the large reward from the railroad companies. As Jesse was dusting a picture, Robert took aim with his revolver, shooting Jesse James in the back of the head. How could a ruthless bandit become a national hero of sorts? People remember him as modest and effective bandit. Using words such as bandit almost romanticizes the fact that Jesse James was, in reality, a horrible man. A man who killed, robbed, and hurt innocent people. People that were hard working individuals who never deserved to have their lives uprooted by a man who believed he was above the law. St. Joseph, Missouri is a city that is proud to be the death place of such a ruthless criminal. Most cities in the world are not proud of murdering thieves but try to put them out of memory. , St. Joseph, however ,promotes the fact that Jesse James was here, in a way that glorifies him as an American hero of the past. If one were to ask people across the nation about St. Joseph, Missouri, the first image that would pop into most people’s minds is the Outlaw Jesse James in all his glory. However, I believe it is a disgrace to the memory of those harmed by Jesse James to glorify such a horrible person. If Jesse James committed these acts of violence and crime today, no one would look at him as some kind of hero, but rather as a terrorist. Idolizing Jesse James is comparable to idolizing someone of the likes of Osama Bin Laden. Both use terror and violence in the name of a cause in which they believe worthy even though it goes against society’s laws. Making movies, having festivals, and promoting the fact that your city had a famous outlaw in its past is all wrong in my opinion, but no one can deny Jesse James was famous figure. After his death, people looked at Jesse James as America’s Robin Hood, standing up for the little person against big business. My hope is that people can remember Jesse James as a part of history, but also come to realize that he was not all sunshine and daisies. But rather that he was a cutthroat criminal who was in life for himself and not for a cause as he would like to say.

Albany College of Pharmacy Parasite Film by Bong Joon ho and Han Jin won Critique

best assignment help Albany College of Pharmacy Parasite Film by Bong Joon ho and Han Jin won Critique.

https://www.jstor.org/stable/10.1525/rep.2014.126….https://drive.google.com/file/d/1fsqC8LmRkiukduA6K…https://drive.google.com/file/d/1DEjOfMUHK5u20VECy…https://drive.google.com/file/d/1ZEsOCBjSvkfRhS7gV…https://drive.google.com/file/d/1VydWNUA4ThDIqLqER…Please make sure to share a link to your first draft. Looking forward to reading your work! +You know when you sit down to write and everything that ends up on paper is just crap. You don’t like it. You feel lost. Whatever vision you had in your head for the wonderful thing you were about to write crumbles to mud and ends up a big messy muck on the page. You’re not alone. Read an excerpt (Links to an external site.) of Anne Lamott’s Bird by Bird where she allows you to embrace your “shitty first draft.”
Albany College of Pharmacy Parasite Film by Bong Joon ho and Han Jin won Critique

Brookhaven College Artificial Intelligence in Forecasting Making Decisions Discussion

Brookhaven College Artificial Intelligence in Forecasting Making Decisions Discussion.

I’m working on a computer science writing question and need an explanation to help me learn.

Discussion: Q for Swarm1. Find out what Swarm (Links to an external site.) is.2. Choose several case studies included in the Resources -> Prediction Highlights (Links to an external site.) and Resources -> Case Studies (Links to an external site.).Pay attention to the question and possible answers described in the case studies.3. Propose a question that you think Swarm can help you finding the answer.Submission instructions:Click on the Discussions -> “Q for Swarm” and create a new thread. You need to include the following information in your post:What is question you want to ask and what are the possible answers (10 points);What category does this question belong to. Category can be one of the following: politics, business, healthcare, and education (2 points);Why do you think it is an important question to ask (3 points);Why do you think collective intelligence can help finding the answer to your question (5 points).
Brookhaven College Artificial Intelligence in Forecasting Making Decisions Discussion

Challenges for Measuring Fear of Crime

A case study on the difficulty and the progress of measuring fear of crime Fear of crime has been the centre of attention of scientific inquiry for nearly half a century. Scholars in this field have argued that fear of crime is directly correlated to experiences of deviant activity (Blakin, 1979; Skogan