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The preparation for the wedding brings together different Indian social classes.  Discuss how the film both critiques the class divide

The preparation for the wedding brings together different Indian social classes.  Discuss how the film both critiques the class divide in India and also supports traditional ideas about class structures by using two specific examples of the narrative and or characters.

2 small questions use as the book says which I will attach below

6.12 It is estimated that 66% of new businesses fail during the first ten years. What is theprobability that in a sample of 30 startups, more than half will fail in the first ten years? page 94
6.15 An online retailer claims that 90% of all orders are shipped within 12 hours. A consumer (page 95)group placed 98 orders of different sizes and at different times of day.a. What is the probability that at least 80% of these orders will be shipped within 12 hours?b. What is the probability that less than 95% of these orders will be shipped within 12 hours?

DATA MODELING AND WAREHOUSING 3 Running Head: DATA MODELLING AND WAREHOUSING 1

The preparation for the wedding brings together different Indian social classes.  Discuss how the film both critiques the class divide DATA MODELING AND WAREHOUSING 3

Running Head: DATA MODELLING AND WAREHOUSING 1

Data Modeling and Warehousing

Institution Affiliation

Name

Date

Data warehousing can be described as a centralized storehouse that reserves data from various info sources such like marketing, sales, in supply chain management among others. This is aimed at changing the information into understandable models with are easy for analysis and querying in instances like universities.

A university is a large organization which becomes very complex when trying to identify the best business drivers. In that case, software makers give out programs that aid in assisting big institutions in identifying and monitoring their business drivers. The best business drive that a university can adopt is data warehousing that stores data from multiple sources and this is enabled by the enterprise resource planning software. Most universities face difficulties when it comes to sorting and arranging data that exists with the new data. For instance in a case of a certain university in the United States, they had to acquire and get their data manually which is very tiresome and a lot of time is wasted. In additional, the university also had to incur a lot when updating their new infrastructure due to update in technology.

Using softweb gave the university an organized view of the important data in the institution and which included a data warehousing solution. With good and organized dashboards, it has become very easy for the university to analyze, get clear statistics and also maintain contracts within the organization. We can argue that in the coming ten years that all big institutions that will not have been grounded deeply embedded in their way of their business model will have a likelihood of ceasing to exist (Jarke, 2013).

Transactional systems are best used for class enrolment because it a type of information system that compiles, stores, reorganizes and reclaims all data transactions of an institution. The transactional systems have components similar to those of quick enroll component. The transactional processing system reduces workload and gives out accurate information needed when enrolling students. This system has certain features that are considered important when enrolling learners. The first one is performance which is measured by a good number of transactions made in the certain period. The system is also always available in all this process of class enrollment. Most institutions depend on transactional processing system since it does not disrupt operations being carried out.

Transactional system is able to handle both software and hardware issues without corrupting the existing data. The large numbers of users have the right to be protected from attempts of interfering with data. The system is also very easy to use and helps the users avoid data entry errors as much as possible. This system is flexible for growth and does not require any replacement. It is easy to add, change or even replace hardware and software components and does not require shutting down the whole system.

Transactional systems might fail to work due to various reasons such as human errors, system and hardware failures, data which is invalid or wrong, viruses, software errors or even disasters caused by nature or man. It might not be possible to prevent all this errors from the systems but TPS is able to detect the errors and cope up with them (Bog, 2014).

A university should always be updated on the new technology to ensure their infrastructure is good. The institution should also come up with the best business drives to ensure that their data is secure and also be able to allocate data when needed. Universities need to use the best systems to ensure that they run their programs effectively and avoid any errors.

References

Bog, A. (2014). Benchmarking transaction and analytical processing systems: The creation of a mixed workload benchmark and its application. Berlin: Springer.

Jarke, M. (2013). Fundamentals of data warehouses. Berlin: Springer.

OFFENDERS’ PERSPECTIVE PAPER

OFFENDERS’ PERSPECTIVE PAPER.

Please address the following questions. If you cannot answer the question because the study does not address the issue, please note that in your answer and move on to the next question. Please address each of the questions listed below in this paper. 1) Briefly summarize the research in one of the articles/chapters listed below or from another ethnographic work (which must be approved by the date of the early draft submission April 9th). In this summary paragraph(s), you need to include the following information: (a) characteristics of the subjects (including how many there were, and any demographic characteristics of them mentioned in the research); (b) the method(s) used by the researcher(s) to locate the subjects; (c) the method(s) used to elicit information from them: and (d) a summary of the key findings. 2) What does the research tell us about why or how the people committed the crime(s) described? [Note: draw a causal diagram of these stages if this helps you explain the process.] 3) Which theory (or theories) discussed in class help explain these actions? Which parts of the research relate to which parts of the theor(ies)? Be specific. You may have to include more than one theory if more than one can be easily applied to the research described. Do not limit yourself to the theories the researchers used. VERY IMPORTANT SECTION. 4) Given what is described in this research only, how might these offenders be prevented from doing crime – including stopping doing crime all together, committing less crime, or committing less serious crime? In other words, what intervention might be useful to reduce or help eliminate this crime? Do not just include increased imprisonment or longer sentences UNLESS the research relates to a THEORY that has policy implications related to increased imprisonment or longer sentences. 5) What policies might be developed from these potential interventions in #4. In your paragraph(s) describing this policy (or these policies), please include a discussion of: (a) the governmental (or quasi-governmental) agency that would carry out the policy; (b) how the policy would operate in practice; (c) whether the policy(ies) you describe would be successful and why you have this view; and (d) what types of problems this policy would be likely to encounter (e.g., the public would not support it, costs are too high, or it is seen as discriminatory). Be sure in this discussion that you are as specific as possible so I can understand the reasons (and evidence) supporting for your views. Some of these articles do the analysis for you. Your job is to make it clear whose ideas belong to whom and to make sure you demonstrate that you have read the research article and can include important aspects of it. 6) References: You will need to have a citation to the research article/chapter and to each of the theory chapters in Cullen, Agnew, and Wilcox (2017). The only time you can cite my handout is if the material mentioned there is from another source you do not have access to.

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Running head: CHEMOTHERAPY SIDE EFFECTS 1 8 CHEMOTHERAPY SIDE EFFECTS Chemotherapy Side

Running head: CHEMOTHERAPY SIDE EFFECTS 1

8

CHEMOTHERAPY SIDE EFFECTS

Chemotherapy Side Effects: Evidence-Based Practice for Reporting Outcomes

Grand Canyon University: NUR 504

November 22, 2017

Chemotherapy Side Effects: Evidence-Based Practice for Reporting Outcomes

Clinical Guideline

Problem Statement

Chemotherapy is a treatment option for many patients battling cancer. Chemotherapy can have side effects affecting patients from mild to moderate to strong. When toxicities are identified and managed early, dose reductions may be avoided resulting in more efficacious treatment and control or cure of disease. Pearce et al. (2017) found that 84% of patients on chemotherapy experienced at least one common side effect, 67% of patients experienced six or more side effects and 27% of patients experienced a grade IV, or severe, side effect. A study by Di Maio et al. (2015) found that patients experienced more toxicities than clinicians reported during clinical trials. When on a clinical trial, patients’ symptoms are often monitored more closely than in routine care. If side effects and toxicities are not being recognized by clinicians when patients are on clinical trials, it is concerning to think how many side effects are potentially being overlooked or under assessed with patients who are not part of a clinical trial.

EBP Question

Given the importance of early identification of side effects from chemotherapy and the discrepancy in patient-reported versus clinician-reported symptoms, best practices to address these issues need to be identified. While it is a clinician’s responsibility to treat symptoms, if those symptoms are not being effectively communicated to or assessed by clinicians then they will not have the information they need to prescribe effective interventions or adjust treatment. The focus of this paper is to explore the existing evidence to answer the following question: What are effective methods for reporting and assessing side effects of chemotherapy?

Literature Review

Weaver et al.’s (2014) articleA pilot study: dose adaptation of capecitabine using mobile phone toxicity monitoring- supporting patients in their homes, described their research on using a mobile device to monitor symptoms in patients receiving oral chemotherapy at home. The oral doses of chemotherapy can be altered based on the side effects while taking the therapy. The mobile phone had a preset application for patients to click into and respond to questions related to side effects. The patients were given phones to participate in the study. The response rate of 92.9% was received with this method.

Shears et al. (2016) conducted a study to evaluate the use of an electronic patient-reported outcomes (ePRO) tool for lung cancer patients, which they completed on a tablet device in the office prior to consultation. The results of this study found that the ePRO tool was easy for patients and clinicians to use and that it improved the quantity and quality of data collection. A study by Basch et al. (2017) evaluated an ePRO tool that patients used between visits. When severe or worsening symptoms were reported an email would be sent to an oncology nurse responsible for the patient’s care. A report of symptoms was also generated for the treating oncologist to review during clinic visits. The results of this study found that patients had not only an increased quality of life but also experienced an increase in overall survival of five months compared to the control group.

Research Synthesis

The review of the literature revealed several important aspects regarding toxicities of chemotherapy treatment. Patients receiving chemotherapy often experience multiple toxicities ranging from mild to severe. Clinicians consistently under-report the toxicities that patients experience compared to what patients report. Electronic patient-reported outcomes have been shown to be a viable method of making clinicians more aware of toxicities that patients are experiencing. Use of ePROs has been shown to increase quality of life and overall survival for patients receiving chemotherapy.

Clinical Protocol

The use of an ePRO tool for patients to communicate toxicities with healthcare personnel will assist patients and doctors in managing chemotherapy side effects on a quicker basis (Weaver et al., 2014). Electronic methods like iPad and iPhone aid in fast gathering, interpretation and recording of the data, immediate data capture and individualized self-management advice that may allow serious symptoms to be managed in a more effective and prompt manner (Weaver et al., 2014).

Implementation Plan

In order to implement the application for electronic patient reporting of outcomes, staff and patients will need to be educated on use of the software application. Patients will need instructions on how to download the application to their personal electronic device as well as how to navigate the application. This assistance will be provided by the oncology nurse in the clinic prior to starting chemotherapy treatment. Clinic staff and providers will also need training on how to retrieve the data that patients will enter in the application.

When data from the patient is received, the clinician can make decisions on how to manage toxicities before they become severe. The application will give the patient a list of symptoms/toxicities that they can select and enter information on if they are experiencing those symptoms. Patients will rate the severity of each symptom as mild, moderate or severe. If a patient enters that they are experiencing a severe symptom, then the application will prompt them to immediately call their provider. The nurse has a direct line of communication at home and data is logged and distributed on a report for symptoms levels and clarifications.This communication offers the nurse to have access to the patient’s “logged profile” during treatment and can assess the dose and effects during the course of chemotherapy (Weaver et al., 2014).

The nurse can see a precise clear picture of patient symptoms in real time all throughout the entire cycle of treatment (Weaver et al., 2014).

The outcomes that will be used to evaluate this evidence-based protocol are increased patient reporting of toxicities, earlier reporting of toxicities and increased patient quality of life. The number of toxicities per patient and the severity of symptoms when first documented in the facility’s electronic health record will be measured for the 2 month period prior to implementation and 2 months after implementation for comparison. The expectation is that more symptoms will be documented and the severity of symptoms at first documentation will be decreased. The FACT-G cancer-specific quality of life questionnaire will be used to measure the effects of the new application for ePRO on quality of life (Absolom, 2017). Overall quality of life for all patients at the facility will be measured just prior to implementation and then again 2 months later.

Barriers to the technology piece is not everyone is versed on the applications and I phones. Nurses and techs are trained to assist patients and there are demonstrations and Helplines for assistance. There are also voice activated pieces of equipment to assist those patients with crippling arthritis and difficulty seeing tabs, buttons and icons. The majority of the American population owns a personal electronic device but patients who do not may not be able to take advantage of this method of reporting toxicities unless organizations or insurance will cover the cost.

Staff and patients will be motivated to implement this new technology. The result of developing this EBP guideline will be assisting patients and clinicians with the most effective and efficient means of reporting and assessing chemotherapy toxicity. The effectiveness of the method will increase the confidence of the nurses and other oncology staff in safely following and managing toxicity effect in real time. Ultimately the goal is to lead to better quality of life and survival for cancer patients.

References

Absolom, K., Holch, P., Warrington, L., Samy, F., Hulme, C., Hewison, J., Morris, C., Bamforth, L., Conner, M., Brown, J. & Velikova, G. and on behalf of the eRAPID systemic treatment work group. (2017). Electronic patient self-Reporting of Adverse-events: Patient Information and aDvice (eRAPID): a randomised controlled trial in systemic cancer treatment. BMC Cancer, 171-16. doi:10.1186/s12885-017-3303-8

Basch, E., Deal, A. M., Dueck, A. C., Scher, H. I., Kris, M. G., Hudis, C. & Schrag, D. (2017). Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. JAMA. 2017;318(2):197-198. doi:10.1001/jama.2017.7156

Di Maio, M., Gallo, C., Leighl, N. B., Piccirillo, M. C., Daniele, G., Nuzzo, F., Gridelli, C., Gebbia, V., Ciardiello, F., De Placido, S., Ceribelli, A., Favaretto, A. G., De Matteis, A., Feld, R., Butts, C., Bryce, J., Signoriello, S., Morabito, A., Rocco, G., & Perrone, F. (2015). Symptomatic toxicities experienced during anticancer treatment: Agreement between patient and physician reporting in three randomized trials. Journal of Clinical Oncology, 33(8), 910-916, doi: 10.1200/JCO.2014.57.9334

Pearce, A., Haas, M., Viney, R., Pearson, S., Haywood, P., Brown, C., & Ward, R. (2017).

Incidence and severity of self-reported chemotherapy side effects in routine care: A prospective cohort study. Plos ONE, 12(10), 1-12. doi:10.1371/journal.pone.0184360

Shears, A., Bayman, N., Harris, M., Lee, L., Haslett, K., Wilson, B., & Faivre-Finn, C. (2016). 136 Electronic patient reported outcomes significantly improved toxicity data collection and were acceptable to both patients and clinicians in lung cancer radiotherapy outpatient clinics. Lung Cancer (01695002), 91S49-S50. doi:10.1016/S0169-5002(16)30153-2

Weaver, A., Love, S., Larsen, M., Shanyinde, M., Waters, R., Grainger, L., Shearwood, V., Brooks, C., Gibson, O., Young, A. M. & Tarassenko, L. (2014). A pilot study: dose adaptation of capecitabine using mobile phone toxicity monitoring – supporting patients in their homes. Supportive Care In Cancer, 22(10), 2677. doi:10.1007/s00520-014-2224-1

Mgt 404- maha harbi

All answered must be typed using Times New Roman (size 12, double-spaced) font. No pictures containing text will be accepted and will be considered plagiarism). The Assignment must be submitted in (WORD format only). Use 2 to 4 References and write it in the last page by APA style. I want new words, No plagiarism “Please make it 0% percentage (we want put it the solution with the Cove page🙏)

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