Microsoft Office Suite 2013 (PC), 2011 (Mac), or more recent software is required to complete each h
Microsoft Office Suite 2013 (PC), 2011 (Mac), or more recent software is required to complete each h.
Microsoft Office Suite 2013 (PC), 2011 (Mac), or more recent software is required to complete each homework assignment.Note: Some On Your Own projects have been modified for students using Microsoft Office 2011 for Mac software. Students should select the appropriate version of the assignment based on the software they are using. Failure to do so may result in errors or difficulty when completing the project.Note: Use the data files you downloaded previously.Complete the weekly homework based on the following:Complete the On Your Own project (PC or Mac version) according to the project instructions and submit your assignment through the online course shell. Note: It is important to note that some On Your Own projects request a printed or self-submitted document. Students completing this course online or in a physical classroom must submit the assignment through the online course shell regardless of the instructions presented in each On Your Own exercise. Submit your assignment in the appropriate Microsoft Office application(s) using the filename “Last name_First initial_OYO#” in addition to the appropriate filename extension (e.g., .docx, .dotx, .htm, etc.). For example: If your name is Mary Smith, the file for the On Your Own project 12-1 should be saved as Smith_M_12-1.dotx. Include your name, course section, professor name, title of assignment, and version of assignment (PC or Mac).Provide general comments on the overall assignment experience in two to three (2-3) sentences. Submit the written portion in the text box located in the assignment submission link.
Microsoft Office Suite 2013 (PC), 2011 (Mac), or more recent software is required to complete each h
GCC Experience of Nurses Participating in Comprehensive Nursing Care Discussion
assignment writing services GCC Experience of Nurses Participating in Comprehensive Nursing Care Discussion.
Prepare a two to three page written assignment that includes the following:Introduction to the assignment (sections of the assignment: caring, professional identity, and professional organizations/associations)Explain your belief of caring in nursing (self, nursing, environment, and profession)Describe your professional identity including your beliefs, values, motives, and experiencesDiscuss one to two professional organizations/associations you plan to be involved in during your nursing careerConclusion (reflect on the criteria of the assignment; caring, professional identity, and professional organizations/associations)Use at least two credible resources to support your findings. For example, one of the resources could be the website for a professional organization or association, and another resource could be a textbook. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.The document linked below contains the project rubric as well as helpful resources.Final Project Assignment
GCC Experience of Nurses Participating in Comprehensive Nursing Care Discussion
Re-entry collateral consequences on education and housing Essay
Table of Contents Introduction History and the process of reentry process System and Policy Solutions as to strengthen various services Conclusion Works Cited Introduction Reentry refers to the issues related to the transition of ex-offenders from incarceration to community. Reentry comprises of all the efforts aimed at ensuring that those released from prison are able to relate well with the general society. Collateral consequences of criminal charges or the “Four’Cs” are the indirect consequences of criminal convictions and “comprise a mixture federal, statutory and regulatory law as well as local policies and are part of arrest, prosecution or conviction but are not part of the sentence imposed” (National Crime Prevention Council 1). The essay looks at reentry collateral in details and the effects it has had on the community and individuals. The systems and policies being applied by organizations are analyzed. A discussion on how to improve the policies being implemented before they become laws is included in this article. History and the process of reentry process It can be correctly argued out that those who are involved in the reentry programs have one main goal of ensuring that the subjects integrate well with the society. It is significant that the returning person is able to fit well with the society as this will make it possible for him/her to avoid engaging in criminal activities. Some of the challenges the ex-prisoner is likely to face include housing, public safety, employment and families. Other challenges to reentry include problems with family relationships where if not already problematic, are often weakened by incarceration. Convicted felons have difficulty finding employment and this can be aggravated by prison experiences (Irwin 1). Recidivism is the process whereby there is a tendency to re-lapse into previous criminal behavior; the individual characteristics that influence recidivism includes “demographic characteristics, prison experience, employment history, education level, criminal record, and substance abuse dependence” (The Heritage Foundation 1). It has been noted that recidivists tend to have a history of crime record which is traceable to their early ages when they were still young (The Heritage Foundation 1). Ex-prisoners have a lower rate of literacy than individuals in the general population, ex-prisoners also face unmet health and mental needs and housing issues due to legislation that bar the ex-convicts (National Crime Prevention Council 1). Some of the housing issues that ex-offenders face include: finding affordable rental housing, maximizing the use of existing housing resources and identifying and eliminating the stigma of ex-offenders in order to receive housing from the society (The Heritage Foundation 1). Get your 100% original paper on any topic done in as little as 3 hours Learn More It has been noted that families offer very significant support for the individuals who are entering the society from the prisons: “former prisoners living with their families are less likely to drop out of reentry programs compared to their counterparts who do not live with their families” (The Heritage Foundation 1). Collateral consequences mean legal, social and economic barriers to an individual reentry into his/her society: Although many individuals released from jail leave with the hope of a fresh start, these barriers make it difficult for the individual to integrate into the community and hence the reason why many ex-prisoners go back to jail. (Irwin 1) Elsewhere collateral consequences have been described as: “Invisible punishments, unseen and often devastating, largely hidden and unspoken until it is too late” (National Crime Prevention Council 1). Collateral consequences are indirect consequences of criminal convictions and comprise “a mixture federal and statutory and regulatory law as well as local policies” (National Crime Prevention Council 1). The second chance act signed into law by president Bush is a response to a glowing crisis in the United States of America faced by ex-prisoners once they are out of jail. It has made significant improvement but a lot needs to be done by community groups, county governments, state governments, church welfare groups and nongovernmental organizations for it to fully succeed and its impact felt in the society. The act recognizes the need for comprehensive and integrated services. It is a benchmark for reentry programs and policies for the federal government to intervene in a growing crisis (The Heritage Foundation 1). The government has made significant funding since the act become law and significant impact has been felt where the program has been initiated and in most cases the results from such an initiation has been a great success. We will write a custom Essay on Re-entry collateral consequences on education and housing specifically for you! Get your first paper with 15% OFF Learn More It should be noted that, “the act did expand the federal government’s role in the reentry process by creating grants for states to implement prisoner reentry programs; the Act authorized $330 million for prisoner reentry programs during fiscal years 2009 and 2010” (National Crime Prevention Council 1). More laws have been passed in relations of the reentry: Congress also passed laws that temporarily or permanently disqualified persons convicted of felony and drug related oddness from receiving certain federal welfare benefits and disqualified those convicted of any drug related offences in the country from receiving federal educational grants. In addition, congress passed laws declaring individuals and their households ineligible for federal housing assistance if they have been convicted of specified criminal activity. Moreover congress did give local authorities vast discretion to local housing authorities to establish standards regarding criminal records (National Crime Prevention Council 1). System and Policy In this section a reports on an identified system and policy connected with that system that affects incarcerated, former incarcerated and family members is briefly discussed. Montgomery county has come up with policies, program and a system that offers ex-prisoners a second chance. The system and policy at the Montgomery has registered a significant success and therefore will be a good example to study. Re-entry efforts in Montgomery County in Ohio have been a good study for policy and law makers, it is a success story of an effective well managed program. The re-entry task force in the county assembled an extensive collaborative force of over 200 community leaders from different professions including ex offenders for their valuable insight into the issue and how the community would benefit from their insight (Montgomery County). The re-entry task force accomplished its work through a combination of several work groups including children, families, continuum of care, employment, housing, legal issues and advocacy, pre/post-release services and technical teams. Re-entry programs in Ohio were 246 in 2009 (Montgomery County). The Montgomery county has been providing a variety of specialized rehabilitative services, which include providing common pleas court system that focuses on encouraging ex-offenders to succeed as law abiding citizens without first going to prison, this program seeks to address whatever dysfunction has resulted in the offender committing the crime, other program include residential drug intervention services, education and employment opportunities, specialized supervision of felony, non support cases and community drug intervention and education. Specialized services include life support that focuses on providing necessary skills that affect positive behavioural changes such as male’s issues group, emergency assistance and alternatives to violence program (Montgomery County 1). Not sure if you can write a paper on Re-entry collateral consequences on education and housing by yourself? We can help you for only $16.05 $11/page Learn More Other specialized programs include case management where there is an individual and group contact between offenders and community control officers, others include secure transitional offender program and felony non support court which is a specialized court that was implemented in an effort to ensure payment of court-ordered child support obligations. Stop the violence me is a program designed to educate men on violence, power and control in relationships and empathy for the victim. To ensure that the efforts make some significant achievement, a number of local, non profit agencies are given financial support to assist the re-entry population (Montgomery County 1). Montgomery County has also provided services to ex offenders who are part of Montgomery County “call in sessions”; these sessions offer individuals a chance to turn their lives around and provide services to those who are willing to do so including case management, job training and educational services. A number of community based providers also offer services to ex offenders; the council also assists a few non profit agencies with financial support to assist the re-entry population such as Dayton urban league, action partnership, Salvation Army booth house, mercy manor and volunteers of America (Montgomery County). Solutions as to strengthen various services Re-entry services must be offered in a coordinated fashion, the re-entry system is usually a complex network made up of many interdependent systems. We simply cannot afford to have these various systems and services working in isolation. Hence, all agencies and organizations – both public and private – will need to be engaged in service coordination in order to respond to the many barriers encountered by the ex-offender upon their release into society. Only Complete service integration through a network of community partnerships will be vital in ensuring that these efforts are to be successful in the future and have positive impacts on both the community and ex offender (Montgomery County). Another factor that demonstrates the importance of public-private partnerships is the fact that the government cannot fund this initiative on its own as the government cannot participate everywhere. Many years of experience have shown that with governmental programs of all types, public money eventually dries up. This is true for both governmental funding used to initiate new services as well as governmental funding used to leverage funds from the private sector for the continuation of services. This results in services decreasing and later ceasing to exist. To counteract this occurrence, the community must exhibit a sincere investment in a particular service and bear a significant portion of the necessary funding. It is only through public-private partnerships that sustainability is even a possibility (Montgomery County 1). The Ohio prisons have realized that it may not be possible to always rehabilitate all convicts in the system and have consequently partnered with the Montgomery County to reduce recidivism and bring attention to the state of reentry in Ohio hence the need for increased cooperation (Montgomery County 1). There is a need to increase the number of transitional, supportive, and affordable ex-offender housing opportunities in Montgomery County for high-risk groups (i.e., individuals with sex offenses on their criminal record, mental health disorders, and/or substance dependency) as well as for families and children (Montgomery County 1). It would be wise if an assessment for the needs of each inmate is carried such that the same can be consistently followed upon being released from prison. When possible, applications and steps toward accessing student loans and other financing will take place prior to release so as to aid in education (Montgomery County 1). There should be negotiation with the local housing authority to recommend that families and children are given a preference on the waiting lists. There is also a need to develop supportive housing units that will supply needed services and appropriate transitional housing for up to one year (Irwin 1). Develop a program for ex-offenders to use “sweat equity” to rehabilitate homes which might otherwise be demolished, similar to the Habitat for Humanity model (Irwin 1). Develop a Housing Locator containing informational materials to be given to ex-offenders before they are released that includes available housing opportunities based upon eligibility criteria, this will lead to former prisoners having shelter and help reduce crime recurrence from such ex-convicts (Irwin 1). A needs assessment must be conducted with each inmate prior to release and it should be incorporated in the Reentry Plan and consistently followed up when the prisoner is released into the community (Irwin 1). It would be significant if courts are given more discretion in determining treatment options and authorizing early discharge from special probation for individuals who make exceptional progress (Irwin 1). Conclusion For there to be successful reentry program and effective policies and systems, there must be effective partnership between the community, ex-prisoners, government, non-profit groups and also inmates themselves to avoid ex-convicts going back to jail. Well implemented reentry programs have helped former prisoners to integrate back to the community and contribute to the growth of the community positively and also become role models for recidivists and prisoners. Works Cited Irwin, John. The Warehouse Prison: Disposal of the New Dangerous Class. NY: Oxford University Press, 2004. Print. Montgomery County. Reentry Report. Montgomery County, 2011. Web. National Crime prevention council. Prisoner Reentry Presentation. NCPC, 2007. Web. The Heritage Foundation. Secodn Chance Act. The Herotage Foundatio, 2011. Web. .
Adolescent Brain: Plasticity to Counter the Perfect Storm
This paper will focus on the presentation of Dr. Chiye Aoki titled “Adolescent Brain: Plasticity to Counter the Perfect Storm”, hosted by Dr. Katya Likhtik. Dr. Aoki received her doctorate from Rockefeller University where she demonstrated that neuronal plasticity changes cytoskeletal activity inside neurons (Presentation, Oct.22). After this, Dr. Aoki went on to Cornell, where she worked on researching the distribution on NMDA receptors in axons and synapses, as a function of activity or inactivity (Presentation, 2018). Today, inspired by the changes she saw when her children reached adolescence, she is studying anxiety, resilience, and feeding behaviors, within the context of anorexia nervosa at NYU (Presentation, 2018). Furthermore, Dr. Aoki is involved in a leading position in BP-Endure Hunter/NYU program (Presentation, 2018). Before delving into the literature and presentation given by Dr. Aoki, a brief exploration of the background of anorexia nervosa is warranted. Anorexia nervosa is a mental illness that is characterized by an irrational fear of gaining weight, although the inflicted individual is of normal weight or even underweight (APA, 2013). Anorexia nervosa is also defined by high levels of anxiety because of this fear of gaining weight, which is handled though self-imposed starvation (Kaye, 2004) and excessive exercise (Beumont, 1994). Anorexia has the highest mortality rate of all mental disorders (Arcelus, 2011). This illness also has a twenty-five percent relapse (Hudson, 2007). Furthermore, this illness is about nine times more prevalent in females than in males, according to Dr. Aoki’s presentation, and there are no accepted pharmacological treatments for this illness (Presentation, Oct.22). Finally, according to twin studies, there appears to be a strong genetic component to this illness, with as much as fifty to seventy percent of the condition being genetically heritable. (Bulik, 2007). To gauge the background of the information provided in her presentation, a close look was given to two papers that Dr. Aoki authored, “Enlargement of Axo-Somatic Contacts Formed by GAD-Immunoreactive Axon Terminals onto Layer V Pyramidal Neurons in the Medial Prefrontal Cortex of Adolescent Female Mice Is Associated with Suppression of Food Restriction-Evoked Hyperactivity and Resilience to Activity-Based Anorexia.” and “Synaptic changes in the hippocampus of adolescent female rodents associated with resilience to anxiety and suppression of food restriction-evoked hyperactivity in an animal model for anorexia nervosa.” In the first paper, Dr. Aoki and her team were able to discover that negative correlations exist between glutamic acid decarboxylase terminal contact lengths onto L5P and Activity Based Anorexia (ABA) in the context of wheel running behavior (Chen, 2015). More specifically, this study indicated that ABA induction among adolescent female mice had an impact on the prefrontal cortex circuitry and could potentially contribute to the prevention of weight loss caused by food restriction-evoked hyperactivity (Chen, 2015). In the second paper, Dr. Aoki and her research team focused on the role of a GABAergic mechanism in the hippocampus, and its role in regulating an individual’s anxiety, which is highly correlated to an individual’s propensity for ABA. More specifically, the research of this paper found that ionotropic GABAA receptors with the subunits alpha4 and delta, play a role in suppressing pyramidal neurons, via shutting inhibition (Aoki, 2017). This is important in the context of anorexia, given that hippocampal pyramidal neurons are known to become more excitable during ABA (Aoki, 2017). The hippocampus itself is not part of the brain’s feeding center, however, it is a valuable in the context of anorexia since this illness is also an anxiety disorder, and the hippocampus along with the amygdala and the prefrontal cortex play a role in the experience of anxiety. (Adhikari, 2010) In the presentation, Dr. Aoki started by focusing on the way the brain develops over a lifetime. While a lot of changes take place in infancy the brain reaches its adult volumetric size by the age of five. At this age, humans have most of the cellular mass that constitutes the human brain, however, many synaptic changes take place as well. In adolescence, there is a window in which synaptogenesis takes place at an immense rate, followed by a pruning that leads to a finalized adult brain. Nevertheless, the human brain continues to develop for over a decade, with the prefrontal cortex experiencing changes in myelination up to the age of twenty-six (Presentation, 2018). Dr. Aoki went on to say that it is suspected that the cause of the discrepancy in the prevalence of anorexia between the two genders would seem to indicate a hormonal component. She also informed us of a derivative of estradiol, THP (allopregnanolone), a female associated hormone, has the ability to modulate brain circuitry to great extents while estrogens generally inhibit food intake (Young, 1991). Then, prior to engaging in the molecular and biological aspects that she’s been exploring, Dr. Aoki made sure to let us know that anorexia is not a lack of appetite, but a suppression of hunger. She also said that exercise is a form of showing stress and that animal subjects would be appropriate to to carry such experiments because they seem to experience the foraging instinct associated with hunger, just as humans do. In other words, if mice are accustomed to a running wheel and then food deprived, their activity will overall increase. The individual differences come in when some of the subjects continue to exercise even when food is presented, while others don’t exhibit this behavior (Presentation, 2018). For the actual experiments elaborated in the presentation, Dr. Aoki took Wild-Type mice, let them acclimate to the wheel for four days, and then subjected them to food restriction. As expected, some mice increased their level of activity, while others stayed consistent with their activity prior to food restriction. It is also important to note that the wheel is an enrichment element and is seen to be enjoyed even if placed in a non-captive environment. Mice that become hyperactive in induced starvation conditions, exhibit the odd behavior of continuing to exercise even during times when food is available. The behavior can be so chronic that they can die of exhaustion (Presentation, 2018). Food restriction hyperactivity also causes abnormal activity patterns. Under normal conditions, mice sleep during the day and are active during the night. As per Dr. Aoki’s presentation, food restricted mice exhibit activity as much during the day as during the night. These mice also peak just before feeding time, food-anticipatory activity, as well as after the feeding session, referred to as post-prandial. These experiments yielded a correlation positive between anxiety level and wheel running (Presentation, 2018). Dr. Aioki proceeded to tell the audience why she focused her research on the brain structures that she did. Brain structures that are thought to play a role in anorexia include prefrontal cortex, amygdala, and the hippocampus. The prefrontal cortex plays a role in decision-making, based on integration of sensory input and internal state. The amygdala encodes information about danger, safety, and adverse stimuli. Finally, the hippocampus has also been associated with playing a role in anxiety. The more excited the hippocampus, the more anxiety-like behavior (Presentation, 2018). Dr. Aioki discovered that the more GABA is present in the hippocampus, the more dampening of anxiety takes place. She also found that NR2A, an NMDAR subunit, appears to have a correlation with the amount of weight loss experienced by food restricted subjects. Specifically, the more synapses expressed NR2B, the more severe the weight loss. If NR2A was located in the membrane, the animal was more inflicted by severe weight loss, while if it was located in the cytoplasm, it seems to be protective against this event. The movement of NR2A from the cytoplasm happens with the aid of Drebrin, which stands for “Developmentally Regulated Brain Protein”. The more Drebrin animals express, the more NR2A is localized in their cell membranes (Presentation, 2018). As for the role of GABA in the hippocampus, α4βδ-GABAA receptors work with the inhibitory neurotransmitter and are present at excitatory synapses so they can repress over excitation. This makes the excitatory synaptic inputs less effective and reduces anxiety, but also impairs cognition. In behavior, this manifested as the ability to better suppress running impulse. The question here was whether the GABA receptor was different, or if the amount of GABA changed as well. After further analysis, it was discovered that there is a disparity between the frequency of GABA release between individuals, not the receptors themselves, contributing to the differences in behavior (Presentation, 2018). Finally, Dr. Aoki talked about using DREADD, designer receptors exclusively activated by designer drugs, to activate or suppress neurons at a given time. This allowed her to activate receptors in the prefrontal cortex just before feeding started, which resulted in suppression of physical activity during the meal time (Presentation, 2018). Current scientific literature suggests that similar conclusions as Dr. Aoki’s body of work. Puberty in mice is found increased expression of α4βδ-GABA receptors in the hippocampus. The expression of these receptors also negatively impacts spatial learning in a hippocampal-dependent task. These impairments were not seen in knock-out mice for α4βδ-GABA. Current literature also reaffirms that α4βδ GABARs are a sensitive target for steroids such as THP which ultimately results in increased anxiety, disproportionately in women (Smith, 2013). In summary, Dr. Aoki’s presentation demonstrated that animal models are helpful in identifying cell and molecular differences in adolescents. Furthermore, NR2B, Drebrin and GABA inhibition in the hippocampus affected anxiety levels. Finally, excitation of the prefrontal cortex helps with the exercising behavior. Works Cited Presentation, 2018. Aoki C., 2018 “Adolescent Brain: Plasticity to Counter the Perfect Storm” APA, 2013. Diagnostic and Statistical Manual of Mental Disorders DSM-5, Washington, DC. Kaye, W.H., et al., 2004. Comorbidity of anxiety disorders with anorexia and bulimia nervosa. Am. J. Psychiatry 161, 2215–2221. Beumont, P.J., et al., 1994. Excessive physical activity in dieting disorder patients: proposals for a supervised exercise pro- gram. Int. J. Eat. Disord. 15, 21–36. Arcelus, J., et al., 2011. Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Arch. Gen. Psychiatry 68, 724–731. Hudson, J.I., et al., 2007. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol. Psychiatry 61, 348–358. Bulik, C.M., et al., 2007. The genetics of anorexia nervosa. Annu. Rev. Nutr. 27, 263–275. Chen, Y. W., Wable, G. S., Chowdhury, T. G.,