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The Oxford Health Plans Inc. Company Essay (Critical Writing)

Table of Contents Executive Summary Cost Cutting Employee Retention and Work Incentives Financial Bailout Conclusion Reference List Executive Summary The decline in profitability of Oxford Health Plans Inc. Company representing a loss of $291.3 million coupled with the plunge in the stock price of its shares of up to 80% drop, necessitated changes to improve the company’s financial status. The events arose because of the company’s weak internal financial systems. The company took steps among them, shakeup of its top management and pay cuts with the Ex-CEO getting a 61% pay cut. The company also sought financial bailout to the tune of $700 million to stabilize its financial position. The company also employed motivation to retain its employees through incentives involving share allocation at lower prices. Winslow, the author of the article holds the opinion that despite all these measures, the financial status of the company is not likely to improve. He further argues that the incentive plan of awarding employees shares at lower prices may not be effective, as the value of the shares is not projected to increase and the company’s rating is at its lowest; B-minus as per Standard
CAL 301 SDSU Ethical and Societal Issues from Technologyy Use Discussion.

For our final paper, please compose a 5-6-page (double-spaced) term paper. This paper should be well-written, well-organized, and carefully thought-out. Final papers will be due during finals week by end of day Thursday December 17th (11:59 pm). Before getting started, please take some time to take stock of our course materials as a whole. Consider each of the materials covered throughout our sixteen weeks together. Have any particular readings, documentaries, or topics/themes grabbed your attention more than others? Did you find one or more of our week’s course materials particularly relevant to, or helpful in making better sense of, historical or current issues relating to STEM? On the other hand, were there any concerns or arguments in course materials that you felt ‘missed the mark’ or perhaps provided a framework or piece of evidence that you would like to take the opportunity to critique in light of other course materials?Having critically reviewed each week’s ideas, please select a distinct reading/set of readings, and/or clip/documentary from our course and develop a 5-6-page (double-spaced) essay that aims to either 1.) develop an argument that expands on and/or critiques the material(s) selected by way of comparison/contrast with a second course reading/viewing OR 2.) apply the course material(s) to a particular historical or contemporary topic or question concerning ideas, values, and/or practices relating to STEM. In other words, please compose either a compare/contrast/critical assessment essay, OR an essay applying course materials to a particular issue or question relating to STEM. Please note: our final is not meant to serve as an extended outside research paper; rather, our goal is to consider the strengths and limitations of particular frameworks and ideas presented in our course either theoretically in a compare/contrast fashion OR empirically by way of their application/relevance to historical or ongoing concerns in STEM. Examples. If one was intrigued by the epistemological debates between traditional and social constructionist analyses, two options might present themselves: one might choose to further elaborate the implications, strengths, and limitations of the contrasting approaches to the study of knowledge, OR one might like to pick up the arguments developed in one or more of the particular schools of thought (functionalism, the Strong Programme, feminist standpoint theory, etc.) and elaborate on the significance of that school of thought in the context of debates about the U.S. response to COVID-19. Perhaps you were intrigued by our discussions concerning the role of race or gender in STEM – how they are or are not biologically determined and/or socially constructed, or perhaps how these social identities and experiences matter to the ideas and practices embedded in particular STEM fields, interpretations, or applications. One could choose one or a few specific course materials to expand upon, highlighting what you see to be their real or potential strengths and limitations as descriptions or explanations with regard to the roles of race or gender. Or, one might use a particular reading/viewing from class as a theoretical lens through which to discuss the significance of genetic testing. Perhaps some of our course materials can be used to better illuminate aspects of the discussions swirling around questions of scientific funding and its connection to objectivity. Do any of our course materials provide particularly poignant insights into the positive or negative role of standardization and formal vs. tacit knowledge production? How might course materials speak to issues of expertise and decision making in medical settings? What positive or negative consequences might result from taking a positivist or relativist position vis-à-vis questions of expertise? Are there important STEM ‘black boxes’ still in need of substantial unpacking and further analysis? What about the ethical considerations (and potential conflicts of ethics) relating to various technological objects and their applications? Is there any hope for Pluto being a planet??? (I kid!!) It is also suitable to craft a final paper that ‘goes big’ insofar as it aims to address the ‘big picture’ questions of our course – what possibilities do or could exist for expanding or reimagining our STEM knowledges and practices for the greater good? What obstacles to better conceptualizations or applications in STEM have we covered and what, if any, alternative approaches do our course materials explicitly lay out or implicitly gesture towards? Do you agree? Disagree? The STEM sky is the limit here! Important: Whether folks choose to embark on a more theoretically-based elaboration/compare/contrast-style essay or to develop a more empirically-grounded application of course materials to past or ongoing concerns or puzzles in STEM, please be sure to include direct textual evidence in support of any central claims made in the final paper. Insofar as technical terminology is necessary, please be sure to briefly explain what theoretical or methodological concepts mean. While these papers are necessarily motivated by individual interests and concerns, please be sure to fully explain the arguments and significance of the materials under consideration prior to elaborating on one’s personal position/assessment of said materials. Some subjective interpretation and assessment are most welcome; however, final papers should not mirror impassioned letters to the editor! In other words, please be sure to establish the main positions and reasonings behind the materials chosen before extending, critiquing, or applying them. While a final exam constitutes a serious component to any class, please use the opportunity to explore a topic or question from any course material that really excites, puzzles, or otherwise intrigues you – make this your own original project and have fun with it! Please aim for approximately 5-6 double-spaced pages. Times New Roman 12 pt. font. Please do include a works cited page. Any citation style/format is fine – just aim to be consistent.
CAL 301 SDSU Ethical and Societal Issues from Technologyy Use Discussion

“research supporting attachment theory. has been conducted primarily in Western cultures, and basic attachment theory concepts such as the caregiver serving as a ‘secure base’ for exploration, the importance of a caregiver’s sensitivity to an infant’s communication, or the notion that secure attachment promotes greater social competence are deeply rooted in Western cultural values [and] are not applicable to other cultures.” (Wei et al, 2004, p. 408). Discuss the above with focus on the Strange Situation attachment measure. Draw on additional research to support your argument. Introduction: There are contrasting views of attachment theory and the actions and signals of infants. What attachment theory does do is give us an insight into child and adult behaviour which is useful when considering this complex relationship. It also offers an alternative theory to those of many major paradigms such as those views held by behaviourists, or Freud’s motivational theory. Studies on strange situation classification in other cultures have sparked a lively debate on their universal versus cultural meaning (Bretherton, 1992). The purpose of this essay, is to provide a summary and critique of current and past research, on the assumption made by Wei, Russel, Mallinckrodt and Zakalik (2004) that most supporting research for attachment theory was conducted in Western cultures and is therefore not applicable to other cultures. The essay will focus mainly on strange situation assessment and how different cultures may affect the infant- caregiver relationship. Attachment theory was first developed by Bowlby (1969) and is one of the earliest theories of social development. Bowlby, who held the psychoanalytical view that childhood experiences influence behaviour and relationships later in life, believed that the infancy-caregiver relationship was very important when studying attachment in childhood and in adulthood. Bowlby’s work was later elaborated on by Ainsworth (1989) who described attachment as the theory used to explain how childhood attachments serve as a model for future relationships. Ainsworth developed an assessment procedure called ‘strange situation’ which allowed the relationship between child and caregiver to be observed. Expanding on Bowlby’s original theory, four major styles of attachment were found when using Ainsworth strange situation assessment, these were secure, insecure-avoidant, insecure- resistant and insecure-disorganised (Ainsworth, Bleher, Waters“research supporting attachment theory
Critical Evaluation Essay – I NEED THIS ASAP.

Critical Evaluation Essay
In this essay, you will be critically evaluating a
classic argument.
Choose one argument from the historic American or global works listed in the
“Supplemental Readings” section of the course lessons. Decide whether this
argument is successful or not. If you decide this essay is successful, discuss
why. You may use the structure of the argument, the tone, and the various types
of support (ethos, pathos, and logos) as proof of the argument’s success. Make
sure that your thesis has an introduction that contains a hook and a thesis,
body paragraphs that discuss one proof at a time (one paragraph per example),
and a conclusion. If you decide that the essay is not successful then discuss
the fallacies that the argument makes. You are still required to have a strong
introduction (hook and thesis), body paragraphs that discuss one fallacy at a
time, and a conclusion. You may also discuss how the essay is successful with
reservations. In this case, point to both the support and the fallacies you
have found in the work.
This paper should be at least 700 words, but no more than 850. The paper should
be formatted correctly MLA style and written in third person (do not use the
words I, me, us, we, or you).  The essay should also contain citations and
a works cited list. 
A Modest Proposal
For Preventing The Children of Poor People in Ireland
From Being Aburden to Their Parents or Country, and
For Making Them Beneficial to The Public
By Jonathan Swift (1729)
    It is a melancholy object to those who walk through this great
town or
travel in the country, when they see the streets, the roads, and cabin
doors, crowded with beggars of the female sex, followed by three, four, or
six children, all in rags and importuning every passenger for an alms. These
mothers, instead of being able to work for their honest livelihood, are
forced to employ all their time in strolling to beg sustenance for their
helpless infants: who as they grow up either turn thieves for want of work,
or leave their dear native country to fight for the Pretender in Spain, or
sell themselves to the Barbadoes.
I think it is agreed by all parties that this prodigious number of children
in the arms, or on the backs, or at the heels of their mothers, and
frequently of their fathers, is in the present deplorable state of the
kingdom a very great additional grievance; and, therefore, whoever could
find out a fair, cheap, and easy method of making these children sound,
useful members of the commonwealth, would deserve so well of the public as
to have his statue set up for a preserver of the nation.
But my intention is very far from being confined to provide only for the
children of professed beggars; it is of a much greater extent, and shall
take in the whole number of infants at a certain age who are born of parents
in effect as little able to support them as those who demand our charity in
the streets.
“I have been assured by a very knowing American of my acquaintance in
London, that a young healthy child well nursed is at a year old a most
delicious, nourishing, and wholesome food, whether stewed, roasted, baked,
or boiled …”
As to my own part, having turned my thoughts for many years upon this
important subject, and maturely weighed the several schemes of other
projectors, I have always found them grossly mistaken in the computation. It
is true, a child just dropped from its dam may be supported by her milk for
a solar year, with little other nourishment; at most not above the value of
2s., which the mother may certainly get, or the value in scraps, by her
lawful occupation of begging; and it is exactly at one year old that I
propose to provide for them in such a manner as instead of being a charge
upon their parents or the parish, or wanting food and raiment for the rest
of their lives, they shall on the contrary contribute to the feeding, and
partly to the clothing, of many thousands.
There is likewise another great advantage in my scheme, that it will prevent
those voluntary abortions, and that horrid practice of women murdering their
bastard children, alas! too frequent among us! sacrificing the poor innocent
babes I doubt more to avoid the expense than the shame, which would move
tears and pity in the most savage and inhuman breast.
The number of souls in this kingdom being usually reckoned one million and a
half, of these I calculate there may be about two hundred thousand couple
whose wives are breeders; from which number I subtract thirty thousand
couples who are able to maintain their own children, although I apprehend
there cannot be so many, under the present distresses of the kingdom; but
this being granted, there will remain an hundred and seventy thousand
breeders. I again subtract fifty thousand for those women who miscarry, or
whose children die by accident or disease within the year. There only
remains one hundred and twenty thousand children of poor parents annually
born. The question therefore is, how this number shall be reared and
provided for, which, as I have already said, under the present situation of
affairs, is utterly impossible by all the methods hitherto proposed. For we
can neither employ them in handicraft or agriculture; we neither build
houses (I mean in the country) nor cultivate land: they can very seldom pick
up a livelihood by stealing, till they arrive at six years old, except where
they are of towardly parts, although I confess they learn the rudiments much
earlier, during which time, they can however be properly looked upon only as
probationers, as I have been informed by a principal gentleman in the county
of Cavan, who protested to me that he never knew above one or two instances
under the age of six, even in a part of the kingdom so renowned for the
quickest proficiency in that art.
I am assured by our merchants, that a boy or a girl before twelve years old
is no salable commodity; and even when they come to this age they will not
yield above three pounds, or three pounds and half-a-crown at most on the
exchange; which cannot turn to account either to the parents or kingdom, the
charge of nutriment and rags having been at least four times that value.
I shall now therefore humbly propose my own thoughts, which I hope will not
be liable to the least objection.
I have been assured by a very knowing American of my acquaintance in London,
that a young healthy child well nursed is at a year old a most delicious,
nourishing, and wholesome food, whether stewed, roasted, baked, or boiled;
and I make no doubt that it will equally serve in a fricassee or a ragout.
I do therefore humbly offer it to public consideration that of the hundred
and twenty thousand children already computed, twenty thousand may be
reserved for breed, whereof only one-fourth part to be males; which is more
than we allow to sheep, black cattle or swine; and my reason is, that these
children are seldom the fruits of marriage, a circumstance not much regarded
by our savages, therefore one male will be sufficient to serve four females.
That the remaining hundred thousand may, at a year old, be offered in the
sale to the persons of quality and fortune through the kingdom; always
advising the mother to let them suck plentifully in the last month, so as to
render them plump and fat for a good table. A child will make two dishes at
an entertainment for friends; and when the family dines alone, the fore or
hind quarter will make a reasonable dish, and seasoned with a little pepper
or salt will be very good boiled on the fourth day, especially in winter.
I have reckoned upon a medium that a child just born will weigh 12 pounds,
and in a solar year, if tolerably nursed, increaseth to 28 pounds.
I grant this food will be somewhat dear, and therefore very proper for
landlords, who, as they have already devoured most of the parents, seem to
have the best title to the children.
Infant’s flesh will be in season throughout the year, but more plentiful in
March, and a little before and after; for we are told by a grave author, an
eminent French physician, that fish being a prolific diet, there are more
children born in Roman Catholic countries about nine months after Lent than
at any other season; therefore, reckoning a year after Lent, the markets
will be more glutted than usual, because the number of popish infants is at
least three to one in this kingdom: and therefore it will have one other
collateral advantage, by lessening the number of papists among us.
I have already computed the charge of nursing a beggar’s child (in which
list I reckon all cottagers, laborers, and four-fifths of the farmers) to be
about two shillings per annum, rags included; and I believe no gentleman
would repine to give ten shillings for the carcass of a good fat child,
which, as I have said, will make four dishes of excellent nutritive meat,
when he hath only some particular friend or his own family to dine with him.
Thus the squire will learn to be a good landlord, and grow popular among his
tenants; the mother will have eight shillings net profit, and be fit for
work till she produces another child.
Those who are more thrifty (as I must confess the times require) may flay
the carcass; the skin of which artificially dressed will make admirable
gloves for ladies, and summer boots for fine gentlemen.
As to our city of Dublin, shambles may be appointed for this purpose in the
most convenient parts of it, and butchers we may be assured will not be
wanting; although I rather recommend buying the children alive, and dressing
them hot from the knife, as we do roasting pigs.
A very worthy person, a true lover of his country, and whose virtues I
highly esteem, was lately pleased in discoursing on this matter to offer a
refinement upon my scheme. He said that many gentlemen of this kingdom,
having of late destroyed their deer, he conceived that the want of venison
might be well supplied by the bodies of young lads and maidens, not
exceeding fourteen years of age nor under twelve; so great a number of both
sexes in every country being now ready to starve for want of work and
service; and these to be disposed of by their parents, if alive, or
otherwise by their nearest relations. But with due deference to so excellent
a friend and so deserving a patriot, I cannot be altogether in his
sentiments; for as to the males, my American acquaintance assured me, from
frequent experience, that their flesh was generally tough and lean, like
that of our schoolboys by continual exercise, and their taste disagreeable;
and to fatten them would not answer the charge. Then as to the females, it
would, I think, with humble submission be a loss to the public, because they
soon would become breeders themselves; and besides, it is not improbable
that some scrupulous people might be apt to censure such a practice
(although indeed very unjustly), as a little bordering upon cruelty; which,
I confess, hath always been with me the strongest objection against any
project, however so well intended.
But in order to justify my friend, he confessed that this expedient was put
into his head by the famous Psalmanazar, a native of the island Formosa, who
came from thence to London above twenty years ago, and in conversation told
my friend, that in his country when any young person happened to be put to
death, the executioner sold the carcass to persons of quality as a prime
dainty; and that in his time the body of a plump girl of fifteen, who was
crucified for an attempt to poison the emperor, was sold to his imperial
majesty’s prime minister of state, and other great mandarins of the court,
in joints from the gibbet, at four hundred crowns. Neither indeed can I
deny, that if the same use were made of several plump young girls in this
town, who without one single groat to their fortunes cannot stir abroad
without a chair, and appear at playhouse and assemblies in foreign fineries
which they never will pay for, the kingdom would not be the worse.
Some persons of a desponding spirit are in great concern about that vast
number of poor people, who are aged, diseased, or maimed, and I have been
desired to employ my thoughts what course may be taken to ease the nation of
so grievous an encumbrance. But I am not in the least pain upon that matter,
because it is very well known that they are every day dying and rotting by
cold and famine, and filth and vermin, as fast as can be reasonably
expected. And as to the young laborers, they are now in as hopeful a
condition; they cannot get work, and consequently pine away for want of
nourishment, to a degree that if at any time they are accidentally hired to
common labor, they have not strength to perform it; and thus the country and
themselves are happily delivered from the evils to come.
I have too long digressed, and therefore shall return to my subject. I think
the advantages by the proposal which I have made are obvious and many, as
well as of the highest importance.
For first, as I have already observed, it would greatly lessen the number of
papists, with whom we are yearly overrun, being the principal breeders of
the nation as well as our most dangerous enemies; and who stay at home on
purpose with a design to deliver the kingdom to the Pretender, hoping to
take their advantage by the absence of so many good protestants, who have
chosen rather to leave their country than stay at home and pay tithes
against their conscience to an episcopal curate.
Secondly, The poorer tenants will have something valuable of their own,
which by law may be made liable to distress and help to pay their landlord’s
rent, their corn and cattle being already seized, and money a thing unknown.
Thirdly, Whereas the maintenance of an hundred thousand children, from two
years old and upward, cannot be computed at less than ten shillings a-piece
per annum, the nation’s stock will be thereby increased fifty thousand
pounds per annum, beside the profit of a new dish introduced to the tables
of all gentlemen of fortune in the kingdom who have any refinement in taste.
And the money will circulate among ourselves, the goods being entirely of
our own growth and manufacture.
Fourthly, The constant breeders, beside the gain of eight shillings sterling
per annum by the sale of their children, will be rid of the charge of
maintaining them after the first year.
Fifthly, This food would likewise bring great custom to taverns; where the
vintners will certainly be so prudent as to procure the best receipts for
dressing it to perfection, and consequently have their houses frequented by
all the fine gentlemen, who justly value themselves upon their knowledge in
good eating: and a skilful cook, who understands how to oblige his guests,
will contrive to make it as expensive as they please.
Sixthly, This would be a great inducement to marriage, which all wise
nations have either encouraged by rewards or enforced by laws and penalties.
It would increase the care and tenderness of mothers toward their children,
when they were sure of a settlement for life to the poor babes, provided in
some sort by the public, to their annual profit instead of expense. We
should see an honest emulation among the married women, which of them could
bring the fattest child to the market. Men would become as fond of their
wives during the time of their pregnancy as they are now of their mares in
foal, their cows in calf, their sows when they are ready to farrow; nor
offer to beat or kick them (as is too frequent a practice) for fear of a
Many other advantages might be enumerated. For instance, the addition of
some thousand carcasses in our exportation of barreled beef, the propagation
of swine’s flesh, and improvement in the art of making good bacon, so much
wanted among us by the great destruction of pigs, too frequent at our
tables; which are no way comparable in taste or magnificence to a
well-grown, fat, yearling child, which roasted whole will make a
considerable figure at a lord mayor’s feast or any other public
entertainment. But this and many others I omit, being studious of brevity.
Supposing that one thousand families in this city, would be constant
customers for infants flesh, besides others who might have it at merry
meetings, particularly at weddings and christenings, I compute that Dublin
would take off annually about twenty thousand carcasses; and the rest of the
kingdom (where probably they will be sold somewhat cheaper) the remaining
eighty thousand.
I can think of no one objection, that will possibly be raised against this
proposal, unless it should be urged, that the number of people will be
thereby much lessened in the kingdom. This I freely own, and ’twas indeed
one principal design in offering it to the world. I desire the reader will
observe, that I calculate my remedy for this one individual Kingdom of
Ireland, and for no other that ever was, is, or, I think, ever can be upon
Earth. Therefore let no man talk to me of other expedients: Of taxing our
absentees at five shillings a pound: Of using neither cloaths, nor houshold
furniture, except what is of our own growth and manufacture: Of utterly
rejecting the materials and instruments that promote foreign luxury: Of
curing the expensiveness of pride, vanity, idleness, and gaming in our
women: Of introducing a vein of parsimony, prudence and temperance: Of
learning to love our country, wherein we differ even from Laplanders, and
the inhabitants of Topinamboo: Of quitting our animosities and factions, nor
acting any longer like the Jews, who were murdering one another at the very
moment their city was taken: Of being a little cautious not to sell our
country and consciences for nothing: Of teaching landlords to have at least
one degree of mercy towards their tenants. Lastly, of putting a spirit of
honesty, industry, and skill into our shop-keepers, who, if a resolution
could now be taken to buy only our native goods, would immediately unite to
cheat and exact upon us in the price, the measure, and the goodness, nor
could ever yet be brought to make one fair proposal of just dealing, though
often and earnestly invited to it.
Therefore I repeat, let no man talk to me of these and the like expedients,
’till he hath at least some glympse of hope, that there will ever be some
hearty and sincere attempt to put them into practice.
But, as to my self, having been wearied out for many years with offering
vain, idle, visionary thoughts, and at length utterly despairing of success,
I fortunately fell upon this proposal, which, as it is wholly new, so it
hath something solid and real, of no expence and little trouble, full in our
own power, and whereby we can incur no danger in disobliging England. For
this kind of commodity will not bear exportation, and flesh being of too
tender a consistence, to admit a long continuance in salt, although perhaps
I could name a country, which would be glad to eat up our whole nation
without it.
After all, I am not so violently bent upon my own opinion as to reject any
offer proposed by wise men, which shall be found equally innocent, cheap,
easy, and effectual. But before something of that kind shall be advanced in
contradiction to my scheme, and offering a better, I desire the author or
authors will be pleased maturely to consider two points. First, as things
now stand, how they will be able to find food and raiment for an hundred
thousand useless mouths and backs. And secondly, there being a round million
of creatures in human figure throughout this kingdom, whose whole
subsistence put into a common stock would leave them in debt two millions of
pounds sterling, adding those who are beggars by profession to the bulk of
farmers, cottagers, and laborers, with their wives and children who are
beggars in effect: I desire those politicians who dislike my overture, and
may perhaps be so bold as to attempt an answer, that they will first ask the
parents of these mortals, whether they would not at this day think it a
great happiness to have been sold for food, at a year old in the manner I
prescribe, and thereby have avoided such a perpetual scene of misfortunes as
they have since gone through by the oppression of landlords, the
impossibility of paying rent without money or trade, the want of common
sustenance, with neither house nor clothes to cover them from the
inclemencies of the weather, and the most inevitable prospect of entailing
the like or greater miseries upon their breed for ever.
I profess, in the sincerity of my heart, that I have not the least personal
interest in endeavoring to promote this necessary work, having no other
motive than the public good of my country, by advancing our trade, providing
for infants, relieving the poor, and giving some pleasure to the rich. I
have no children by which I can propose to get a single penny; the youngest
being nine years old, and my wife past child-bearing.
The End

Critical Evaluation Essay – I NEED THIS ASAP

Organizational Systems and Quality Leadership in Nursing

Root Cause Analysis When an adverse event happens in the healthcare setting, a system known as a root cause analysis (RCA) is often used to try and better understand why the event occurred. This systematic approach looks to identify flaws in the system, to see if they can be corrected and to help prevent the occurrence from happening in the future (“Institute for Healthcare Improvement,” n.d.-b). RCA is used once an adverse even has occurred, not prior to. It also does not look to place blame, but to understand the cause of a negative event. RCA looks at what happened, why the adverse event happened, and what can be done to prevent it from happening again in the future (“Institute for Healthcare Improvement,” n.d.-b). In the scenario presented to us a sentinel event ultimately resulting in a patient’s death was given. We would use RCA to help determine the cause so that any preventable circumstances could be corrected and this scenario does not happen again in the future. RCA’s are completed using a team format. Team members would come from varied backgrounds that would have knowledge of the issue at hand. Having team members with diverse backgrounds allows for different perspectives and points of view. There are generally six steps associated with RCA. The first step in RCA is to identify what happened. In this scenario it appears that Mr. B our patient was over sedated in conjunction with a procedure, developed respiratory distress, ventricular fibrillation and subsequently dying. There are many identifiable factors that contributed to this happening. Lack of adherence to the facilities conscious sedation policy, lack of monitoring post procedure, lack of communication between team members and specialties and understaffing were contributing factors. The next step would be to identify what should have taken place. In our scenario that would have consisted of the doctor following conscious sedation protocol, proper monitoring of continuous blood pressures, ECG and pulse oximetry. This would include notifying the proper staff and addressing any abnormal results. The administration of supplemental oxygen was needed when the patient’s oxygenation saturations were alarming. Respiratory therapist were available but not notified. Additional staff would have been called in to address the increased volume of patients arriving to the Emergency Department allowing for proper care and monitoring of patients. Identifying causes of the adverse event is the next step. Lack of training in conscious sedation and resulting administration of too high a dose of sedation medication is one cause. Lack of communication between the LPN and RN regarding changes in vital signs and failure to address abnormal findings also contributed. Lastly an influx of patients resulted in understaffing which placed an increase of demand on the LPN and RN’s time which contributed to the patient being left alone for longer periods of time with less monitoring. Creating a causal statement is the next step. This statement consists of three pieces including the cause, the effect and the event (“Institute for Healthcare Improvement,” n.d.-b). This event took place due to lack of proper training on the moderate sedation, lack of post procedure monitoring and breakdown of communication due to understaffing resulting in a patient developing respiratory distress and atrial fibrillation with the end result of the patient being transferred to a tertiary facility and later passing away from these complications. The next step in the RCA process is to create recommendations that would help to prevent the scenario from happening again in the future. In our case, all staff that would be performing or assisting in moderate sedition should receive mandatory education and not be allowed to perform this procedure until education has been completed and documented. Protocol checklists should be created and utilized for procedure and post procedure monitoring. Supervision/management should also ensure adequate staffing levels to provide safe and quality care for all patients. Lastly it is recommended that a summary be written and shared. The Institute for Healthcare Improvement states that flowcharts are often used for this purpose as they are a simple and clear method of detailing the event in the proper order (“Institute for Healthcare Improvement,” n.d.-b). Improvement plan Once our needs have been identified, we can work on creating an improvement plan that will decrease the likelihood that this type of error will happen again. A moderate sedation protocol checklist should be created and implemented. Much like a surgical “time out” each step should be addressed and checked off by all team members prior to the procedure happening. Each team member taking part in this process should receive training and education in moderate sedation prior to assisting in any procedure. Training may include items such as medication management and monitoring expectations pre-procedure, during procedure and post- procedure. It should also outline who should be providing post-operative care and when to notify the provider or abnormal findings. It should also outline criteria for when the patient may be discharged. Having this protocol in place and adhering to it, will help to prevent this scenario from happening in the future. B1. Lewin’s Change Theory Understanding organizational change can be challenging. Kurt Lewin developed a model in the 1940’s that is still fundamental today. It involves three stages: unfreeze, change and refreeze. One great example that I came across on MindTools to help explain this involves an ice cube. If you would like to change the ice cubes shape, then you would need to unfreeze it turning it into water (Unfreeze). Then you could mold it in a new shape (Change) and refreeze the water back into ice in its new format (Refreeze) (“Lewin’s Change Management ModelUnderstanding the Three Stages of Change,” n.d.). Motivating staff to want to change is an important piece of the unfreeze stage. Getting them to “buy in” to the idea so to speak. Identifying the issue and showing staff member why the current process is no longer effective can be difficult and often meets with resistance. In our scenario putting a new protocol into place would be sure to ruffle some feathers. Detailing case studies and showing how this new protocol would improve patient safety should be stressed. The more people that are accepting of the change, the easier the transition to the change phase will be (“Lewin’s Change Management ModelUnderstanding the Three Stages of Change,” n.d.). The change phase would involve providing the necessary training, education and initiating the protocol checklists. These changes can take time and do not generally happen overnight. Once people become more comfortable with the new processes and see how they can be beneficial they are more apt to participate. Refreeze would happen when staff has embraced the new protocols and they are being used throughout the facility on a consistent basis (“Lewin’s Change Management ModelUnderstanding the Three Stages of Change,” n.d.). C. FMEA Unlike RCA which happens reactively, FMEA which stands for failure mode and effects analysis (FMEA) is a tool to assess processes for possible issues and fixing them prior to them happening. It is often used to examine a process and the possible impact of making changes to that particular process, and to track the effect of those improvements over time (“Institute for Healthcare Improvement: Failure Mode and Effects Analysis (FMEA) Tool,” n.d.). C1. FMEA Process Evaluating with FMEA begins with selecting a process to be assessed. Next we would need to assemble a team with members who have the appropriate skills and knowledge of the process that will be reviewed. Identifying and listing all the steps in the process in order would be next. The Institute for Healthcare Improvement suggests that flowcharting might help to visualize the process (“Institute for Healthcare Improvement,” n.d.-a). Filling out the FMEA table is step four. This includes asking questions such as what could go wrong and why, what are the consequences and what is the likelihood harm would happen and be detected. Severity of harm is assigned and a Risk Profile Number (RPN) is calculated. Possible interventions to improve safety are identified. Step five is to analyze the RPN’s and plan improvements. The failure modes that have the highest RPN’s would have primary focus. Evaluating possible impacts from the proposed changes would be the next step. Lastly we would use FMEA to assess and monitor any improvement (“Institute for Healthcare Improvement: Failure Mode and Effects Analysis (FMEA) Tool,” n.d.). C2. FMEA Table Please see table in separate attachment. Interventions We would like to implement interventions that would help us to achieve the process improvements that we have identified to increase patient safety and decrease the likelihood of additional sentinel events. Collaborating with the educational department to create and conduct the required training and education for moderate sedation procedures would be vital. Additionally, a team should be created to determine which assessments and monitoring protocols should be included on the new moderate sedation checklist. This checklist should either be part of the electronic record, or if a paper version is to be used, it should be readily available with sufficient copies in the post procedural area. Unit managers, risk management and supervision would need to meet and discuss the best possible scenario for nurse patient ratios in the emergency room and for post procedural patients to promote patient safety and satisfaction. Re-evaluation of these interventions once in place should take place at timed intervals such as three and six months. This will identify the success of the interventions and if any adjustments or additional interventions are necessary. Leadership – Promoting Quality Care As nurses, one of the best ways that we can promote quality care and demonstrate leadership is to advocate for our patients. Throughout our shifts, we are continually assessing and reassessing our patients, their needs, changes in condition and health status. Nurses foster communication not only between nurse patient relationships, but to all team members included in the patients care from the physician, therapies and social services. Leadership – Improving Patient Outcomes Promoting quality care and improving patient outcomes often times go hand in hand. One way that nurses can demonstrate leadership in improving patient outcomes is by continually educating themselves and applying evidence based practices. This can help to increase patient safety and satisfaction. Increased patient safety and satisfaction results in positive outcomes (“Five Ways Nursing Leadership Affects Patient Outcomes,” 2016). Leadership – Quality Improvements Being an active participant on your unit can help lead to quality improvements. Joining a specialty team or working with management to tackle a specific safety issue such as fall risk management can help create new processes or goals for the unit to assist in patient safety and satisfaction. Working with patients, processes and protocols, nurses are a great resource of information when it comes to identifying and implementing quality improvements. E1. Leadership in the processes Nurses are on the front lines when it comes to patient care and satisfaction. They make a valuable member of the RCA and FMEA process. Of all healthcare team members, nurses spend the most amount of time with patients on a daily basis. They can be a great resource when it comes to evaluating processes and procedures. Professional nurses are required to complete mandatory continuing education helping them to keep current of evidence based practice. Due to the amount of time spent with their patients, seeking their input is critical when it comes to discussing patient care. Nursing staff work with many of the processes that would be under evaluation, and can help to determine where improvements can be made in regards to safety, workflow and patient/staff satisfaction. Nurses demonstrate their leadership by sharing their knowledge on patient care, keeping current on best practices and advocating for their patients. References: Five Ways Nursing Leadership Affects Patient Outcomes. (2016, June 27). Retrieved November 19, 2018, from Institute for Healthcare Improvement: Failure Mode and Effects Analysis (FMEA) Tool. (n.d.). Retrieved November 16, 2018, from Institute for Healthcare Improvement: Failure Modes and Effects Analysis (FMEA) Tool. (n.d.-a). Retrieved November 16, 2018, from Institute for Healthcare Improvement: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. (n.d.-b). Retrieved November 15, 2018, from Lewin’s Change Management ModelUnderstanding the Three Stages of Change. (n.d.). Retrieved November 16, 2018, from

Paper/ Youtube

python assignment help Paper/ Youtube. I’m studying for my English class and don’t understand how to answer this. Can you help me study?


Outline for Required Paper
(The first 14 parts just need to be short answers and not complete sentences. Use the Word document on the homepage as your model and simply put in your answers. Part 15 should be in complete sentences and 350-500 words.)1. URL of YouTube selected (Does not need to be from the contents of this course. It should be a piece of music you feel passionate about).
2. Name of artist or group.3. Title of song.4. Name of composer and/or arranger.5. Number of people performing.6. Instrumentation (for example piano, guitar, bass and drums).7. If vocals, what classification of voice ranges.8. Meter (for example “4/4”).9. Beats per minute – BPM (for example 120 beats per minute). Free metronome available at: https://www.metronomeonline.comPlay your YouTube and open the metronome in a new window. Sync the beats.10. Tempo (for example “allegro” taken from metronome).11. Type of musical texture (for example “homophonic”).12. Key (for example “major” or “minor”)13. Harmony (for example “consonant” or “dissonant”).
14. Musical style (for example “rock”, “jazz”, “folk” etc.).
15. A paper (350-500 words) explaining why this piece of music is important to you. Why do you think this piece is significant and how do you personally relate to it. The following points clearly delineate what is expected on the paper. Carefully following this format will insure a good grade.
Paper/ Youtube

American History: The Kingdom of Matthias Essay

Introduction The Kingdom of Matthias is a great literary work that is as intriguing as it is captivating. Its capture of a myriad of characters with divergent cultures and social class and its basis on contemporary issues that affected the people of the time is particularly of great interest and makes the story equally authentic as it is relevant to the issues of religion and women position in the time. The central theme in the story revolves around two ladies whose lives are used by the author to discuss the thematic issues addressed in the story such as social injustice, affirmative action, equality and activism. The iconic women that are at the centre of the story are Isabella Van Wagenen and Isabella Matthews Laisdell. Drawing from The Kingdom of Matthias, class lectures, and the course textbook this paper examines the ways that race and gender affected the legal rights of both the Isabellas and of women in general during the nineteenth century. Specifically, it does so by determining the rights of their husbands and fathers and also includes a discussion of dominant notions of marriage and motherhood that examine whether these notions applied equally to both Isabellas. The one Isabella Van Wagenen is a name remembered with an aurora of awe, respect and honour to date. Isabella who changed her name to Sojourner Truth was born around 1787 in Ulster County New York as Isabella Hardenbreg (last name of her owner Colonel Hardenbreg). Upon the Colonel’s death, she was inherited by his son, Charles, and subsequently auctioned off along with her brothers when Charles died in 1808. She lived in lamentable and terrible conditions most of her life (Johnson and Wilentz 93). At Colonel Hardenbreg’s plantation she shared a common area with twelve other slaves. She had several owners in her life; some were harsh and cruel work masters, some were kinder than other slave owners and yet others were indifferent. As difficult as her life would seem it is actually the trials and tribulations that she went through that forged her into the wise, determined and remarkable woman that she is remembered as (Johnson and Wilentz 93-95). The many years of slavery, losing her parents, beatings and humiliation by her owners only served to teach her the value of humor in tough times, made her a tough woman both mentally and physically and turned her into one of the greatest activist for rights of women and blacks and minorities. In their book, The Kingdom of Matthias, Johnson and Wilentz describe her as being mysterious. Life for women was very difficult in the nineteenth century but for a black woman it was particularly distressing and cruel. Get your 100% original paper on any topic done in as little as 3 hours Learn More Living in a patriarchal society where women either belonged to their fathers or husbands or in the case of black women, their owners was particularly difficult (Johnson and Wilentz 45). Their everyday lives were dominated and dictated by these oppressive male figures in their lives and they were robbed off their dignity. Women were whipped for real and perceived transgressions by their husband or fathers and were treated like children who knew no better. In the book The Kingdom of Matthias, the self proclaimed prophet of God, Matthias, had his followers living on a farmhouse a few miles outside of New York where he could dictate each and every minute aspect of their lives, from their clothing, diet, finances and even sexual life. Matthias ran the farmhouse (which he named Mt. Zion) just like any tyrannical patriarch would, with a harsh hand and particularly intense hate for women (Johnson and Wilentz 85). He firmly believed in the subjugation of women and believed they existed to cook, clean, care for the home and act as sexual objects for the men. It is in such oppressive conditions that Isabella Van Wanegen lived. In fact at one time Matthias whipped Isabella when she was sick because he believed that the sick ‘harbored detached spirits and devils’ (Johnson and Wilentz 122-123). She joined Matthias’ cult through her master Elijah Pierson the Tishbite who believed that he was an incarnate of John the Baptist preparing the way for Matthias’ coming. The cult, despite its obvious flaw in doctrine, was a champion for the rights of the poor and oppressed and back then there was no shortage of poor and oppressed folk. Life at Mt. Zion was about community and togetherness. The people who lived there all believed in their prophet, they had a common faith and they were intimate and very close to one another and this served to break down any racial or color barriers. This enabled Isabella to feel accepted and valued among at Mt. Zion where she was an important source of information for Mathias. Isabella Matthews Laisdell was Matthias’ daughter. She was brought up in somewhat better conditions than Isabella Van Wanegen although she did not escape the patriarchal domination of her father. Being Caucasian, she was not subjected to slavery like Van Wanegen. Matthias, a firm misogynist, was so deep into his hatred of women that even his own daughter could not escape. In fact, before starting his cult, he had applied to be a member of the Presbyterian Church but he was rejected because of his violent nature and it was this rejection that drove him to begin his own following based on the Old Testament teachings (Lecture notes 3). We will write a custom Essay on American History: The Kingdom of Matthias specifically for you! Get your first paper with 15% OFF Learn More He declared that women who nagged and belittled their husbands would be cast away (Johnson and Wilentz 93). When he moved to Mt. Zion, he was successfully seduced by Anne Folger, the wife of Benjamin Folger and he declared her to be his match spirit according to a revelation given to him by god, hence her marriage to Benjamin was nullified. Matthias then sent Benjamin to bring his children to the farm (Mt. Zion). Benjamin had sex with Isabella before bringing her back as payback to what Matthias had done to him, and made a point of informing her father of this. Matthias was furious and severely whipped his daughter before thinking through and deciding that she and Benjamin were ‘match spirits’ and ought to wed despite her current marriage to Charles Laisdell. This clearly illustrates the similar troubles undergone by both Isabella Van Wanegen and Isabella Matthews Laisdell under the iron fist rule of Matthias. Isabella Mathews also experienced beatings from her father all her life. Matthias was a wildly violent man who easily lost his temper and this cost him several jobs. He frequently roughed up his wife (Margret) and children which included young Isabella. In conclusion, the nineteenth century society was very conservative about marriage. The role of the man was to provide for his wife (who he owned) and children. The woman’s function was to take care of her home and children and submit to her husband (Lecture notes 2). The patriarchal model was propagated and enforced by the church which integrated domestic authority in its administration structure and men led their families to church. Infidelity was not tolerated at all. It is in this setting that Matthias fashioned and dissolved marriages between his followers in any manner that he pleased. He took Anne Folger as his wife even though she was already married to Benjamin Folger, Catherine Galloway, a widow, had sex with the married Benjamin and was confused and hurt when he was declared to be a ‘match spirit’ to Isabella and then married her. Matthias and his preachers had several sexual partners plucked from their young female followers. This form of liberal living was just too much for the then society to accept as normal and it proved to be the downfall of Matthias and his cult after the death of Elijah when the gutter press had a field day with wild sexual accusations leveled against the cult. Works Cited Johnson, Paul and Sean Wilentz. The Kingdom of Matthias. Oxford, UK: Oxford University Press, 1995. Print. Not sure if you can write a paper on American History: The Kingdom of Matthias by yourself? We can help you for only $16.05 $11/page Learn More Murrin, John, et al. Liberty, Equality, Power: A History of the American People. Vo.1 to 1877. 5th ed. Toronto, ON: Wadsworth Publishing, 2005. Print. Lecture Notes.

ICT 205 Kings Own Institute Cybersecurity Questions

ICT 205 Kings Own Institute Cybersecurity Questions.

I’m working on a cyber security question and need guidance to help me understand better.

In this case study, an ecommerce website is considered. In this website, when customers choose items of interest to purchase, they go to their shopping cart. When they are ready to proceed with their purchases, they click on Checkout button to pay for the items. At that point, the customer logs into the site to enable the site to retrieve their payment information.(a) Let us assume that the shopping cart saves the associated items and prices on the server in a file. Specifically, for each customer a file is created. The website identifies the customers by their IP addresses.Is this design vulnerable to a DoS attack? Explain why or why not. (2.5 marks)(b) Now let us assume that the website stores a list of shopping cart items on the client side instead of server side. Every time that a user clicks on add-to-cart, the server sends all of the associated details such as item name, price, and quantity, combine them into a hidden HTML form field. Now, when the user clicks on Checkout, all of the past purchased items in the hidden form field are sent to the server through a Javascript magic. The server then joins them together into a list and presents the user with the corresponding total amount for payment.1. Is this design vulnerable to the DoS attack? Explain why or why not. (3 marks)2. Do you think this design is meeting the requirements of information security such as integrity? (2 marks)
ICT 205 Kings Own Institute Cybersecurity Questions

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