...NUR/598 July 8, 2013 Pat Jamerson, RN, PhD Abstract The issue of controlling and preventing teenage pregnancy is a major problem in society. Teenage pregnancy is a significant health issue that plagues our nation and communities. Community and public health nurses are faced with the challenge of addressing teen pregnancy, a monumental health issues that affect vulnerable populations in society. Effectiveness of healthcare interventions depends in part, on the approach that is taken in addressing the presenting issues (Shi & Stevens, 2005). Factors that contribute to teenage pregnancy span socioeconomic, cultural, and psychological issues that are perpetrated by individual characteristics (of the teenagers), peers, family members, and the greater society (Maurer & Smith, 2009). Data from the Centers for Disease Control and Prevention note that in 2009, more than 500,000 children were born to mothers of ages 15 to 19 years, at a rate of 45.5 per 1000 mothers (Centers for Disease Control and Prevention, 2010, para. 1). Teenage pregnancy, a public health priority for youths, is a multifaceted health issue that is influenced, in part, by socioeconomic factors such as peer pressure, low income of families, and the media (Maurer & Smith, 2009; The National Campaign, 2010). Likewise, teenage pregnancy also creates socioeconomic and health problems for teenage mothers, teenage fathers, their children, and society. Some of the effects of teenage pregnancy on the children...
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...Pregnancy Prevention Program Abstract The issue of controlling and preventing teenage pregnancy is a major problem in society. Teenage pregnancy is a significant health issue that plagues our nation and communities. Community and public health nurses are faced with the challenge of addressing teen pregnancy, a monumental health issues that affect vulnerable populations in society. Effectiveness of healthcare interventions depends in part, on the approach that is taken in addressing the presenting issues (Shi & Stevens, 2005). Factors that contribute to teenage pregnancy span socioeconomic, cultural, and psychological issues that are perpetrated by individual characteristics (of the teenagers), peers, family members, and the greater society (Maurer & Smith, 2009). Data from the Centers for Disease Control and Prevention note that in 2009, more than 500,000 children were born to mothers of ages 15 to 19 years, at a rate of 45.5 per 1000 mothers (Centers for Disease Control and Prevention, 2010, para. 1). Teenage pregnancy, a public health priority for youths, is a multifaceted health issue that is influenced, in part, by socioeconomic factors such as peer pressure, low income of families, and the media (Maurer & Smith, 2009; The National Campaign, 2010). Likewise, teenage pregnancy also creates socioeconomic and health problems for teenage mothers, teenage fathers, their children, and society. Some of the effects of teenage pregnancy on the children...
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...Problem Solution: InterClean, Inc. InterClean, Inc. is an industry leader in the industrial cleaning and sanitation industry. Over the years the company has graduated from being a spray and wipe products but rather a solutions and services industry. InterClean, Inc. is trying to make the transition from being a solely sales-based organization to a solutions-based organization. The company has acquired Envirotech in an effort to be a fully all inclusive organization. This has prompted various changes in the organization. In the following paper I will discuss issues and opportunities that could possibly face the company, stakeholders that are involved, alternative solutions, an optimal solution and the implementation of that solution. Situation Analysis Issue and Opportunity Identification The new strategic direction that InterClean, Inc. is undertaking has led to a few very distinct issues. The issues have presented the company with new opportunities to better itself. The CEO of Interclean has determined that the employees of the company have low morale. There needs to be some type of employee motivation. The company will be adding new workshops that will instill confidence and get the employees excited about the changes that will be happening. Pay and other rewards can stimulate employee effort toward reaching key goals—such as high performance (Dreher & Dougherty, 2001). Training and developing employees is necessary with all companies. In the Interclean scenario it highlights...
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...Nursing Research Utilization Project Proposal Abstract The issue of controlling and preventing hospital-acquired infections is a major problem in the Healthcare system. Most patients admitted to hospitals are at some risk of contracting a hospital-acquired infection (Paterson, 2012). Some patients are more vulnerable than others; these include the elderly, patients with defective immune systems, and premature babies. Hospital-acquired infections remain a major concern, and they can occur in any care setting, including acute care within hospitals, outpatient surgery centers, clinics, and long-term care facilities (such as nursing homes or rehab centers). Four categories account for 75% of all acquired infections in the acute care hospital setting. These are surgical site infections, central line-associated bloodstream infections, ventilator-associated pneumonia, and catheter-associated urinary tract infections (Nassof, 2009). Urinary tract infections comprise the highest percentage (Paterson, 2012). These infections usually are spread by the contaminated hands of healthcare providers or the patient’s family members. They are also caused by contaminated surfaces or hospital equipment that has not been properly cleaned (Nassof, 2009). The rate of exposure to infectious materials could be reduced if healthcare providers adhered to certain standard precautions such as hand hygiene. The proposal for this nursing research utilization project is to educate nurses on the importance...
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...The Software Departmental Library System > Feasibility Report Version <1.0> 2/1/2016 Document Control Approval Document Change Control |Initial Release: | | |Indicator of Last Page in Document: | | |Date of Last Review: | | |Date of Next Review: | | |Target Date for Next Update: | | Distribution List This following list of people shall receive a copy of this document every time a new version of this document becomes available: Guidance Team Members: Engr Anum Tariq Clients: (Must staff) Software Team Members: Shoaib Tufail Mediha Maroof Muzaffar Hussain Ammema Sittar Change Summary The following table details changes made between versions of...
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...refresh print mode: 1% match (publications) Kim, S. H., A. Yu, J. H. Jung, Y. J. Lee, and E.-S. Lee. "Incidence and Risk Factors of 30-Day Early and 90-Day Late Morbidity and Mortality of Radical Cystectomy During a 13-Year Follow-up: A Comparative Propensity-score Matched Analysis of Complications Between Neobladder and Ileal Conduit", Japanese Journal of Clinical Oncology, 2014. Calene Roseman NUR / 544 Nursing Research Utilization Project August 18, 2014 Dr. Margarret Colucceillo 2 Nursing Research Utilization Project Proposal Clinical issue: The improvement of morbidity and improved recovery for patients with bladder cancer. Undergoing radical cystectomy with ileal conduit (Castle. & Pruthi,2013) The problem that I identified and needs a solution is the improvement of post-operative outcomes and morbidity for bladder cancer patients undergoing radical cystectomy with ileal conduit (Kim.Yu.Jung.Lee.& Lee.2013)With the aim to discharge patients using fast track and clinical pathways and improve quality of life and morbidity. Radical cystectomy is a serious and extensive surgery not without risk and complications, hence the fact that complications occurs frequently. (Kulkarni. 2011) the standard care for bladder cancer is cystectomy. (Kulkarni.2011) During this major surgery the bladder is removed along with seminal vesicles, the prostate and lymph nodes (Ohio State University, department of surgery,) The diversion or ileal conduit is shaped by removing a small part...
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...The effects of EHRs will be on the duration and time utilization of follow-up outpatient, and inpatient consultations will be used as the measure of the operational impact of digitalized medical records. The effects of implementation of EHRs will be measured by comparing timings between query using traditional records with questions using electronic records. Also, the impacts of implementation of electronic health records will be measured by seeking views of healthcare professionals regarding benefits and obstacles of using digitalized records. A follow-up examination about the use of EHRs will be selected rather initial outpatient visits as the unit of measure because some patient would not have any pre-existing hospital medical record at their first consultation. Data collection tools to capture the impacts of post implementation of EHRs will also be measured to determine the efficiency of EHRs. Staff related administration will include time taken to fill chart full- filling lab outcome and consult notes, day visits, time spent in writing the chart, and time spent in doing billing. Physicians related clinical measures will include time spent analyzing lab results, time spent writing the chart, and time to consider the...
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...International Conference on Technology and Business Management March 28-30, 2011 Conceptual Framework for E-CRM Project Deployment in Indian Banks Ashwini Atul Renavikar ashvinirenavikar@yahoo.co.in University of Pune Sharad L Joshi sharadljoshi@gmail.com Marathwada Mitra Mandal Institute of Mgt Education, Res and Training, Pune A survey of Database Group (2006) has revealed that approximately 65% of the financial institutions have failed in getting expected benefits from huge investments in CRM technology. Another finding of the study conducted by I-L Wu and K-W Wu (2005) approximately 60% of the web-based CRM software (e-CRM) installations are failures. With these findings at the background the researchers have attempted to study the aspect of e-CRM deployment in 11 Indian banks (34 branches) with specific reference to banks in Pune and Mumbai. The study has been conducted in a sectoral comparison of public, private and cooperative banks. The study has contributed to the body of knowledge by suggesting a conceptual framework – PCM-PPT framework which is a result of quantitative and qualitative analysis of responses by bankers and e-CRM consultants. Keywords: e-CRM, Relationship Marketing, McCall’s Quality Factors 1. Introduction Customer relationship management (CRM) is that part of an enterprise’s business strategy that enables the entire enterprise to understand, anticipate and manage the needs of any current and potential customers. CRM is not an event or a technology...
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...Cracking the Growth Code in IT-BPO Mergers As the market matures, consolidation can be the key to growth. Most IT-BPO companies in India have a focused M&A strategy to build growth momentum. But what will it take for these strategies to pay off? Cracking the Growth Code in IT-BPO Mergers 1 India has been the world’s dominant destination for information technology (IT) and business process outsourcing (BPO) services. However, as the market matures the industry has experienced a slowdown in growth, pushing IT-BPO providers toward focused M&A strategies to build and sustain growth momentum. Growth through M&A is now a core strategy influenced by the need to: • Fill gaps in service portfolios or geographic presence, to meet client demands and compete with the global majors; examples include Infosys’ acquisition of Lodestone to tap its European customer base, Wipro’s acquisition of Opus CMC to tap into its capabilities in high-end mortgage BPO, and Genpact’s acquisition of Triumph Engineering to bolster engineering capabilities • Manage cash reserves more effectively to meet shareholders’ expectations • Capture opportunities from client divestitures of services assets; examples include Cognizant’s acquisition of ING’s and CoreLogic’s captives, TCS’ and Wipro’s acquisition of Citigroup’s captives, and Tech Mahindra’s acquisition of Hutch BPO Done well, M&A strategies can help Indian players tap into $2 billion to $4 billion in revenues each year. Yet, about 70 percent of...
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...Data Structures and Algorithms DSA Annotated Reference with Examples Granville Barne Luca Del Tongo Data Structures and Algorithms: Annotated Reference with Examples First Edition Copyright c Granville Barnett, and Luca Del Tongo 2008. This book is made exclusively available from DotNetSlackers (http://dotnetslackers.com/) the place for .NET articles, and news from some of the leading minds in the software industry. Contents 1 Introduction 1.1 What this book is, and what it isn’t . . . 1.2 Assumed knowledge . . . . . . . . . . . . 1.2.1 Big Oh notation . . . . . . . . . . 1.2.2 Imperative programming language 1.2.3 Object oriented concepts . . . . . 1.3 Pseudocode . . . . . . . . . . . . . . . . . 1.4 Tips for working through the examples . . 1.5 Book outline . . . . . . . . . . . . . . . . 1.6 Testing . . . . . . . . . . . . . . . . . . . 1.7 Where can I get the code? . . . . . . . . . 1.8 Final messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 1 1 3 4 4 6 6 7 7 7 I Data Structures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . reverse order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
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...AFT Task 2 A1. Sentinel Event The Joint Commission’s definition of a sentinel event is “an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or risk thereof” includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome.” (http://www.jointcommission.org). The Joint Commission list specific events that are considered reviewable. One of those events is the abduction of a patient On Thursday, September 24th, at approximately 12:30 p. m., a mother arrived to pick up her daughter from the hospital’s outpatient surgery department. The mother left 2 ½ hours earlier to run an errand. When the mother arrived, she was told that the child had been discharged. The child’s mother and father are divorced, and the mother has sole custody of the child. A “code pink” child abduction was called, and local law enforcement notified. The child was found unharmed thirty minutes later at the home of the child’s father. The mother brought the child to the hospital for outpatient surgery that was to take approximately 45 minutes with a period of recovery of one hour. The mother requested that the nurse call her on her phone should the child get out of surgery early, and she left her cell phone number with the nurse. After the mother left, the father came to visit the child. The nurse stated...
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...IT Strategy 3 Integration of Solution with Our Company 3 Project management model 4 Assumptions 4 Resources & Availability 4 Stakeholders 5 Implementation Strategy 6 Project Plan 6 Cost & Schedule 7 Risk management 7 Appendix 10 Appendix 1 10 Appendix 3 11 Project Description: The following project is about devising a mobility solution for Plant Maintenance Function. There is a need for such an application, majorly because the workforce in plant maintenance are usually spread out in the field, and the issue of support can creep up anytime. So to provide the real-time data access so that the system downtime may be curbed to the maximum level, we need the mobility application, handy with the maintenance person. The repercussion of delay in maintenance activities can lead to a lot of losses. The loss at times is in the range of multi-thousand dollars (SEIMENS, 2010). Appendix 1 shows the amount of loss that companies have to face due to a single hour delay in maintenance activities. Planned IT Strategy: The best solution for such a problem is undoubtedly Mobility system (Prokarma, 2015). The platform that we would be using in Adobe Flex, basic programming would be done in Core Java. The implementation will take place as per the regular implementation steps i.e. Development – Build – Quality testing (IPT & UAT) – Pre-Production – Production – Technical Go-Live – Business Go-Live – Post Go-Live Support. Integration of Solution with Our Company: Our Company...
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...Hospital involving the possible abduction of a 3 year old patient. According to the Joint Commission, a sentinel event is one that is unexpected and results in death or serious injury (2015). According to the documents and interview provided, a child Tina was admitted into the hospital on September 14th by registration. Insurance and demographic information was collected by registration. The patient then went to pre op with his mother for outpatient surgery. The pre op nurse then prepped the patient for surgery by having the mother sign the consent form, changing into appropriate surgical attire, and starting the I.V. The pre op nurse told the mother the procedure would take about 45 min and then the patient would be in recovery for at least an hour. The mother had to leave to take care of an errand with her other children and had left her cell phone number with the pre op nurse. She instructed the pre op nurse to call her if her daughter was done sooner. The pre op nurse put down her number in her notebook. After the completion of the surgery, the patient was taken to the Post Anesthesia Care Unit (PACU). Upon arrival in PACU, the mother had not returned. The patient was becoming uneasy that her mother was not back, the PACU nurse had the mother paged on intercom but it was determine that she had not returned. The patient was then transferred to the discharge nurse who was informed that the patient’s mother had not responded to the pages. Several minutes later the discharge nurse...
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...Reducing Risks of Child Abductions at Nightingale Community Hospital A sentinel event in the hospital is an unexpected occurrence that involves or poses a high risk for death, serious physical injury or severe psychological damage (Joint Commission, 2013). Incidences that lead to adverse outcomes necessitate immediate attention and plans of actions to prevent recurrences. The Joint Commission, a non-profit certifying body for healthcare organizations, sets safety and quality standards for hospitals. It requires hospitals to conduct root cause analyses (RCA), implement processes to reduce risks of recurrence and evaluate the effectiveness of those processes for sentinel events (Joint Commission, 2013). Nightingale Community Hospital (NCH) had a child abduction sentinel event. The legal guardianship of a child who had surgery was not communicated to various departments of the hospital. The parents of the child were divorced and the mother had legal custody. The child was discharged home with her father. Fortunately, law enforcement located the child at her father’s home and no charges were filed. National statistics show that 9% of missing children are abducted by family members and 3% are kidnapped by non-family members (Polly Klass Foundation, n.d.). Less than 1% of abducted children are victims of homicide, physical abuse and/or sexual assault (Polly Klass Foundation, n.d.). Although these percentages are very low, the impact is great! This means a child who is abducted...
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...Analyzing failures in change management According to me, Change is an inevitable part of any business. Successful change management is a key to success of any business. Over the years, companies have put their best efforts to manage change in the organization. Alongside organizations’ efforts, researches in the field have been extensive to ensure progress in this area. Despite of all these efforts, organizational change has not reached the success rate which is vital. Complex change processes and the most advanced technologies have shown very marginal improvement in change management. Failure of change leads to a number of factors. Out of all, few are found common and critical to most of the cases. They are discussed in this article. It is found that rather than technology and processes, commitment of the people involved and knowledge from experience plays more important role in change management. Organizational change covers most of the business functions in any organization. Change can be a little change in the system or a large scale change in the business environment which change the complete structure of the business (Allena et al., 2007). It is clear that larger the change, more the impact on business. Along with that there are more complications in the change as it gets bigger. Change management becomes more and more important with the increasing size of change (Weber et al., 2008). In the past, organizations have tried delivering change at their best. They have...
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