...Evidence Based Nursing in Pediatric Asthma When embarking on an evidence based practice (EBP) it is important to start with a PICO question, which helps in organizing the clinical care and consequently, choosing the appropriate study design. The most common study methods include qualitative research, meta-analysis, cross-sectional studies, randomized controlled trials, case-control studies, animal research studies, and editorials and opinions. Introduction Asthma is the most common chronic disease in childhood and accounts for substantial morbidity and health care costs. While we don't know why asthma rates are rising, we do know that most children with asthma can control their symptoms and prevent asthma attacks by avoiding asthma triggers,...
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...[pic] Automated Greenhouse Lighting Final Report [pic] Duration: January 11, 2010 – April 23, 2010 Course: EE416 Electrical Engineering Design Instructor: M. A. Osman School of EECS Richland, WA 99354 Table of Contents Executive Summary 3 Introduction 3 Project Description 4 Target Technical Specifications 5 Setbacks 6 New Scope and Direction 7 Project Management 9 Modeling, Simulation, and Engineering Analysis 11 Conclusion 16 Recommendations and Future Work 16 References 17 Executive Summary This report focuses on the activities that Team Rainier has made between January 11 and April 23, 2010. The team was originally updating the palletizing process for J. Lieb Foods. Currently J. Lieb Foods has a rotary operated control system that controls the Programmable Logic Controller (PLC) which in-turn operates the palletizer. Team Rainier was updating the control system to a touch screen control for the operators and an upgraded PLC to control the palletizer. Through the process of economic analysis J. Lieb had selected the PanelMate 1000 as their touch screen and the quantum as the PLC. Due to recent developments with J. Lieb the project stalled and now has a different scope and direction. Team Rainier has been in contact with Dr. Allan Felsot of the Viticulture and Enology Program at Washington State University Tri-Cities. Dr. Felsot is the director of the green house at the university campus. Currently...
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...bacterial infections associated with the disease, NSAIDs are used relieve inflammation and control pain, and chlorhexidine is used to control intraoral bacteria and inflammation. Some patients will receive surgery to remove injured tissue and damaged bone, but as a very last resort to avoid worsening the condition. ONJ has serious effects on the patients that suffer from it, including both physical and psychological. Some patients with this disease can end up developing osteoarthritis from the severe damage to areas around the joints. Other patients may develop depression and issues with their altered facial appearance after removal of bone, teeth, and facial structures. (Osteonecrosis, 2015). After researching about this topic, I created a PICO question. In a patient taking bisphosphonate medications (P), does waiting a certain length of time after regular use of the medication to perform traumatic dental procedures (I), opposed to not waiting (C), reduce the risk of developing bisphosphonate-related osteonecrosis of the jaw...
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...The sampling done in the research article took place in a high school in Halifax, Nova Scotia, Canada, using 7th, 8th and 9th grade students. This was so that the study was able to get a range of adolescent aged people. A criteria was set for the people that could participate within the study, this was: All participants were to be able to speak and read fluent English, as well as not having any development disabilities. This was so that people who met the criteria could be selected randomly, therefore allowing the study to be generalised amongst the population (Fampra). They then sent 350 letters out to people who met the criteria, however only 24 responded and participated in the study. With qualitative research, the studies should be carried out in a neutral place, so that the researcher is able to watch the participant’s behaviour and reactions closer. Therefore allowing the researcher to get the most accurate results (bmj.com). In the articles case the data collection took place in facilities in the local mall or the participant’s school. The participants were then separated up into same sex focus groups. The researcher decided to do same sex focus groups so that people who were participating in the study were not discriminated against as well as focus groups being more likely to encourage quieter people to speak out about their opinions (bmj.com/content/311/7000/299.extract). The article also refers to this as the “Peacock effect ( tendency for males to speak more frequent...
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...| Greenwood Plaza | | A Feasibility Analysis prepared for Real Estate Investment & Entrepreneurship | | Greenwood Plaza | | A Feasibility Analysis prepared for Real Estate Investment & Entrepreneurship | 1200-1228 S Greenwood Ave Montebello, CA 90640 TABLE OF CONTENTS Contents EXECUTIVE SUMMARY 3 MARKET STUDY 4 Historical supply and demand for space with the market area 6 MARKETABILITY STUDY 7 Neighborhood Analysis 7 Discussion of historical rents and vacancy levels 10 Building, site and tenant description 4 Property operating plan 5 OWNERSHIP ORGANIZATION FORM 7 RECOMMENDED FINANCING STRUCTURE 9 AFTER-TAX RISK-ADJUSTED EQUITY REQUIRED RATE OF RETURN 10 OPERATING CASH FLOWS FORECAST AND ASSUMPTIONS 11 RISK AND SENSITIVITY ANALYSIS 14 CONCLUSION AND RECOMMENDATION 17 REFERENCES 18 APPENDICES 19 EXECUTIVE SUMMARY We came across Greenwood Plaza, a neighborhood...
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...SCHOOL OF NURSING Models of Capstone Projects: A Conversation Terri E. Weaver, PhD, RN, FAAN Professor and Dean University of Illinois at Chicago College of Nursing © Weaver, 2012 Jane M. Kirkpatrick, PhD, MSN, RNC-OB Head, School of Nursing Associate Dean, College of Health and Human Sciences Purdue University Objectives for this session Discuss the intent and scope of the DNP capstone scholarly project: – Differentiating from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) ...
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...treatment approach looks good on paper or worked really well with a similar client does not mean it is the perfect one for the current client and may require some tweaks (ASHA, 2005). Including all of the above aspects into clinical decision making, in regards to a treatment approach, is what fabricates evidence based practice. In speech-language pathology this is especially important, communication is a large part of everybody’s lives and when there is a breakdown in communication there is a decreased quality of life and overall feelings of wellbeing. Using evidence based practice is the way to ensure that a treatment approach for a particular client will improve their communication abilities resulting in an overall improved quality of life. PICO Question In preschoolers who have a stutter, is fluency shaping more effective than stuttering management in promoting fluency in conversational speech? According to Pirns and Ingham, these two approaches are frequently used and researched in the field of fluency (2009). While outcomes for both approaches vary the self-management skills taught in both approaches are beneficial to clients and improve therapy outcomes (Prins & Ingham, 2009). MK is a 5:3-year-old boy who attends half day preschool five days a week. He lives with his mother, father and infant sister in a language rich environment in which he receives speech-language services in home twice a week with a fluency specialist. He came to the Nazareth Speech-Language Clinic due...
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...EMORY UNIVERSITY NELL HODGSON WOODRUFF SCHOOL OF NURSING TITLE: NRSG 507: Theory and Research Applications CREDIT ALLOCATION: 3 Semester hours PLACEMENT: Tuesdays 1:00 – 3:50 PM Rm. 201 FACULTY: Catherine Vena, PhD, RN | Eun Seok (Julie) Cha, PhD, RN | Clinical Associate Professor | Assistant Professor | Room 224 | Room 234 | cvena@emory.edu | echa5@emory.edu | 404-727-8430 | 404-712-9578 | Office Hours: By appointment | Office Hours: By appointment | COURSE DESCRIPTION: This course is an introduction to the theoretical and research foundations of advanced nursing practice. Key content to be covered includes the philosophical basis of science and knowledge, the structure and development of theory, qualitative and quantitative research methods, theory and research critique, and the application of theory and research in advanced nursing practice. It delineates research competencies for advanced practice nurses. The course encompasses critique of studies, application of research findings to practice (research utilization) and evaluation of outcomes attributable to advanced practice nursing. Ethical considerations related to research are integrated throughout the course. COURSE OBJECTIVES/OUTCOMES: 1. Understand the relationship between theory, research, and practice. 2. Critique and evaluate theoretical perspectives and research methods used to address clinical problems. 3. Understand...
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...Abstract The experiences outlined are observations of my personal experiences over a three year period observing the organizational objectives and leadership practices of Ajax Corporation. I will describe the organization outlining its goals and objectives. I will describe three leadership practices of the primary leader of the organization along with how the current leadership has affected the organizational structure. Upon completion of describing the organizational objectives and leadership practices I will conduct a SWOT analysis showing the strengths and weaknesses as well as the opportunities and threats to the organization. In conclusion I will outline my evaluation of the primary leader of Ajax Corporation describing three strengths using a scholarly leadership theory as well as three weaknesses. With a final recommendation of three theory- based practices to maximize the future success of the primary leader and Ajax Corporation. Organization Description and Objectives Ajax Corporation is a medical device manufacturer with facilities located in forty eight countries with gross revenues of eight hundred million dollars. The organization I have experience with is located within the United States and is the largest manufacturing facility of a specific type medical device controlling sixty five percent of the market share for this type of device. This manufacturing facilities organizational structure is a plant manager with a leadership team in...
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...>>> español INTRODUCTION THEORY OF MODERNIZATION THEORY OF DEPENDENCY THEORY OF WORLD-SYSTEMS THEORY OF GLOBALIZATION A MODO DE COLOFON BIBLIOGRAPHY NOTES 1. Introduction The main objective of this document is to synthesize the main aspects of the four major theories of development: modernization, dependency, world-systems and globalization. These are the principal theoretical explanations to interpret development efforts carried out especially in the developing countries. These theoretical perspectives allow us not only to clarify concepts, to set them in economic and social perspectives, but also to identify recommendations in terms of social policies. For the purposes of this paper, the term development is understood as a social condition within a nation, in which the authentic needs of its population are satisfied by the rational and sustainable use of natural resources and systems. This utilization of natural resources is based on a technology, which respects the cultural features of the population of a given country. This general definition of development includes the specification that social groups have access to organizations, basic services such as education, housing, health services, and nutrition, and above all else, that their cultures and traditions are respected within the social framework of a particular country. In economic terms, the aforementioned definition indicates that for the population of a country, there are...
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...Pre-Socratic Period Thales of Miletus Background: Thales of Miletus (fl. c. 585 BC) is regarded as the father of philosophy. Thales of Miletus was considered one of the Seven Wise Men of ancient Greece. Thales was the first of the Greek natural philosophers and founder of the Ionian school of ancient Greek thinkers. Works/Writings/Philosophy: His is said to have measured the Egyptian pyramids and to have calculated the distance from shore of ships at sea using his knowledge of geometry. He also predicted an eclipse of the sun. In geometry Thales has been credited with the discovery of five theorems like the one that a triangle inscribed in a semicircle has a right angle. He tried to discover the substance from which everything in nature is made off and suggested water. Thales is important in bridging the worlds of myth and reason. He initiated the revolutionary notion that to understand the world one needed to know its nature and that there was an explanation for all phenomena in natural terms. That was a giant step from the assumptions of the old world that supernatural forces determined almost everything. While considering the effects of magnetism and static electricity, he concluded that the power to move other things without the mover itself changing was a characteristic of "life", so that a magnet and amber must therefore be alive in some way (in that they have animation or the power to act). If so, he argued, there is no difference between the living and the dead...
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...In Pre-Hospital Cardiac Arrest Patients, How Does Hands-Only CPR Compared To Standard CPR, Affect Neurological Outcomes? Abstract Summary Out-of-hospital cardiac arrest is the leading cause of death in the U.S. Increasing bystander-initiated CPR through “hands-only” CPR and EMS dispatcher instructed “hands-only” CPR improves survival rates. Methods CINAHL, PubMed, and OvidMD were searched for the following key terms or combination thereof: “hands-only”; “compression-only”; chest compression-only”; “bystander”; “CPR”; “dispatcher”; and “neurological affect”. We initially restricted our search to peer-reviewed studies published in English between January 2004 and June 2014, but agreed by consensus to use a 2000 study located during a manual search of included study references. Results We identified nine Level II, III, and IV studies comparing “hands-only” CPR and “standard” CPR, published between 2000 and 2013, and occurring in the countries of Japan, London, Sweden and the U.S. All but one of the study results recommend that “hands-only” CPR is at least equal or superior to “standard” CPR. Conclusions Guidelines should be established to teach bystander “hands-only” CPR nationwide, to increase public awareness of the effectiveness of “hands-only” CPR and start to teach out-of-hospital “hands-only” CPR. Introduction Sudden cardiac arrest is the leading cause of death in the United States (Neumar, Barnhart, Berg, Chan, Geocadin, Luepker,… Nichol, 2011). According...
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...country. In May 1996, SM Fund, Inc. was again renamed to SM Development Corporation to better state its new business of property development, whose focus is primarily to enter into the opportunities of the real estate industry. The paper aims to provide a comprehensive analysis on SM Development Corporation’s industry as one of the leading property development companies in the Philippines. Currently, the company is at full-swing with their openings of new condominiums for students, vacationers and business people depending on its location. SMDC has proven to be able to respond to buyers their locations are friendly to their target market and their price range is more affordable while amenities are not constrained. In order for the company to keep its head above their competitors, strategic management should be done. In line with this, the paper will be focusing on details such as the SWOT analysis, financial analysis and the different matrices used to evaluate the industry’s environment using the company’s chief executive officer’s point of view. TABLE OF CONTENTS ACKNOWLEDGEMENTS INTRODUCTION I. EXTERNAL ENVIRONMENT ANALYSIS A. Definition of the Industry B. Analysis of Present Task Environment C. Analysis of Potential Changes in the Macro-Environment D. Threats and Opportunities E. External Factors Evaluation (EFE) Matrix F....
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...Term Project-Nike Algernon Jones & Maria Lopez MBA 6202/6215 – Strategic Management Dr. David Epstein Nike, originally known as Blue Ribbon Sports (BRS), was founded by University of Oregon track athlete Philip Knight and his coach Bill Bowerman in January 1964. The company initially operated as a distributor for Japanese shoe maker Onitsuka Tiger (now ASICS), making most sales at track meets out of Knight's automobile. In 1966, BRS opened its first retail store, located at 3107 Pico Boulevard in Santa Monica, California. By 1971, the relationship between BRS and Onitsuka Tiger was nearing an end. BRS prepared to launch its own line of footwear, which would bear the Swoosh newly designed by Carolyn Davidson. The Swoosh was first used by Nike on June 18, 1971, and was registered with the U.S. Patent and Trademark Office on January 22, 1974. In 1976, the company hired John Brown and Partners, based in Seattle, as its first advertising agency. The following year, the agency created the first "brand ad" for Nike, called "There is no finish line," in which no Nike product was shown. By 1980, Nike had attained a 50% market share in the U.S. athletic shoe market, and the company went public in December of that year. Together, Nike and Wieden+Kennedy have created many print and television advertisements, and Wieden+Kennedy remains Nike's primary ad agency. It was agency co-founder Dan who coined the now-famous slogan "Just Do It" for a 1988 Nike ad campaign. Throughout the...
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...United States Environmental Protection Agency Solid Waste and Emergency Response (5302W) Policy, Economics & Innovation (1807T) EPA100-R-03-005 October 2003 www.epa.gov/ innovation/lean.htm Lean Manufacturing and the Environment: Research on Advanced Manufacturing Systems and the Environment and Recommendations for Leveraging Better Environmental Performance ACKNOWLEDGMENTS This report was prepared for the U.S. Environmental Protection Agency's Office of Solid Waste and Emergency Response (OSWER) and Office of Policy, Economics, and Innovation (OPEI). Ross & Associates Environmental Consulting, Ltd. prepared this report for U.S. EPA under contract to Industrial Economics, Inc. (U.S. EPA Contract # 68-D9-9018). DISCLAIMER The observations articulated in this report and its appendices represent Ross & Associates’ interpretation of the research, case study information, and interviews with lean experts and do not necessarily represent the opinions of the organizations or lean experts interviewed or researched as part of this effort. U.S. Environmental Protection Agency (EPA) representatives have reviewed and approved this report, but this does not necessarily constitute EPA endorsement of the observations or recommendations presented in this report. Lean Manufacturing and the Environment: Research on Advanced Manufacturing Systems and the Environment and Recommendations for Leveraging Better Environmental Performance Table of Contents Executive Summary...
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