...Impact of Cognitive Impairment on Screening Mammography Use in Older US Women Kala M. Mehta, DSc, MPH, Kathy Z. Fung, MS, Christine E. Kistler, MD, Anna Chang, MD, and Louise C. Walter, MD Screening mammography guidelines suggest that women with a life expectancy less than 4 to 5 years at the time of screening are unlikely to benefit from breast cancer screening and, thus, should not be screened.1–3 Although some cancer screening guidelines specify upper-age cutoffs for stopping screening as a surrogate for life expectancy (e.g., prostate-specific antigen screening guidelines suggest stopping at age 75 years),4 we do not know of any guidelines that specify the types of comorbidity that would preclude screening. This is despite the fact that certain comorbid conditions, such as dementia, are stronger predictors of life expectancy than age.5 Specifically, patients with dementia generally live less than 5 years6–12 and therefore are unlikely to benefit from screeningmammography. In addition, having dementia or severe cognitive impairment increases the likelihood that elderly women will experience harm from screening mammography (e.g., more psychological distress from false-positive results because of the inability to understand screening procedures, and more complications from the treatment of clinically insignificant disease).13,14 Moreover, screeningmammography can distract care away from more pressing medical problems arising from either the cognitive...
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...Assessment Middle aged Hispanic male Physical health: newly diagnosed with hypertension, 12 pounds overweight, occasional alcohol use, and no tobacco use. He does not exercise regularly, does not have any hobbies at this time and he lacks motivation to take annual physical exams and preventive measures or test. Mental Health: stressful employment, emotional and financial responsibilities for his parents. Learning needs: Visual learner (reading Introduction to the disease process: According to "Center For Disease Control And Prevention" (2012), “hypertension, also referred to as high blood pressure, when the force of blood against your artery walls is out of the normal range” (High Blood Pressure Facts). A healthy blood pressure reading is lower than 120/80mmHg and pre-hypertension is between 120/80mm Hg and 139/89mmHg. Stage 1 hypertension is between 140/90mm Hg and 159/99mm Hg and stage 2 hypertension is a reading of 160/100mm Hg or higher. Blood pressure is recorded as two numbers the systolic pressure (the heart beats) over the diastolic pressure (as the heart relaxes.) Risk factors for cardiovascular diseases including hypertension include: increasing age, male, race (African Americans, Hispanics), diabetes, family history, high sodium diet, obesity, physical inactivity, alcohol and tobacco use. The extra pressure to the walls of the arteries from the high blood pressure can damage the arteries and organs. This risk of damage is increased the longer the pressure remains...
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...Farhang Hesami Document 17-1 A. Summary This article includes an appeal written by a Chinese merchant named Pun Chi to Congress asking help against the anti-Chinese sentiments which was growing, especially in the West. In the first part of the appeal Chi talks about how American ship-masters went to China and encouraged people to immigrate to California during the Gold Rush. He mentions that those Americans would tell them about the beauty of Americans kind and friendly manners. But, when they came to the West they faced a complete different situation. He complains about the brutal violence against their race and that they would not have the basic human rights with no guilt. Pun Chi has addressed 6 major issues in this appeal, which we can read 4 of them in this article. In first part, he talks about the virtue and morality. That people of China would value the virtue a lot and it is not right to be evil to them. He believes Chinese are very kind heart people and it is not important if they are poor. Wealth with no morality is worth nothing. He also mentions Jesus Christ and the importance of virtue in Christianity. In the next parts of the appeal he writes about pf the perpetual vexations of the Chinese. He asks that why his people should be the target of verbal and physical violence. He also questions the justice system. In that time Chinese would not have the right to have testimony at courts and Chi sees that as a reason for whites giving themselves the right to...
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...Closing the Gap in Homeownership Rates: How Fannie Mae and Lender-Partners Can Close the Gap Sullivan University MGT 510 Executive Summary This proposal addresses the gap in homeownership rates between whites and minorities. According to the United States Census Bureau, 67.9 percent of the population in the United States are homeowners. However, while 71.8% of Whites are homeowners, only 47.3% of African Americans and 48.2% of Hispanics are homeowners. This large gap in homeownership rates can be contributed to discrimination by lenders and minorities’ misconceptions about the lending process. To overcome these issues, lenders need to eliminate discrimination and reach out to minorities. Ultimately, lenders who discriminate are going to hurt their own bottom lines since minorities represent a large market that has the high potential for growth. Introduction: Homeownership is the “American Dream” Housing has often been referred to as the #1 creator of wealth in the United States. It has been called, (1) the leading consumer product, (2) the leading consumer investment, and (3) a leading economic driver. Homeownership, in short, is the “American Dream.” It creates wealth. If you purchase a home today, with appreciation and through upkeep, it will be more valuable in the future. That appreciation provides homeowners with opportunities to create wealth. According...
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... | |Racism | | | |Actions or beliefs that reflect the racial worldview. | |Reverse discrimination |Discrimination against members of a dominant or majority group including city or state. | Part II Complete the following using the MySocLab Social Explorer Map: Income Inequality by Race located on your student website: • Select 1 racial group from the list below: o African American o Asian American o Arab American o Hispanic American/Latino o White/Caucasian • Write a 250- to 350-word summary of the economic, social, and political standings of that group. Use additional resources if necessary, from the University Library or your textbooks. African American’s have always been known as the lower class, either economically, socially or politically. They have been fighting to find a place in society since the beginning. Socially, they have been kept at the bottom and also were led...
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...In Praise Of An Incomplete Leader(8/27/15) CONCEPT OVERVIEW CASE SUMMARY • • • • • Tech Notes from 8/27/15 Class Sensemaking – interpreting developments in business environment Relating – building relationships Visioning – communicating a compelling image in the future Inventing – coming up with new ways doing things PRACTICAL APPLICATION • • There are great leaders in the world who are super successful. Yet they lack one or a few of these traits. To complement their weaknesses, they find other people in their organization to balance them out. We see this application in the case where Taran Swan lacked relating and sensemaking but has inventory and visioning. Taran Swan at Nickelodeon(8/27/15) CONCEPT OVERVIEW CASE SUMMARY This case describes the launch of Nickelodeon in Latin America and its first 18 months. Swan is shown putting together a team and adjusting the culture of the company. After 18 months, Swan must leave the company because of complications with her pregnancy. On bedrest for 6 months, she must decide if she can continue to run the organization from New York. Other options include placing an interim lead or quitting altogether. If she stays, how will she need to adjust her leadership style and working relationships? This case provides perspective on the pros and cons of an incomplete leader. In addition, this case showcases the effects a new and driven leader can have on the culture of an organization...
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...The impact of diversity in work place Janevine Onyeanuna Walden University Issues and Trends in Nursing NURS 3000 Section 04 Dr Mary Tan March 15, 2015 The impact of diversity in work place Knowledge of the impact of diversity is nesseccary at all levels of nursing work place because the nursing work place is made up individuals of diverse cultural group and so the ethnocentric approach to nursing practice should be eliminated in providing care. A good nursing care to a patient is clear, accurate communication and understanding of the patient’s values, belief system and family dynamics. The purpose of this paper explains the impact of gender, ethnic, demographic diversity on nursing profession and also the effect of underrepresentation of minorities nursing profession. Importance of Diversity in the Work place Cultural diversity in nursing profession is a cross- cultural health discipline, which encompasses the belief system of a variety of groups; it refers to the differences between individuals based on beliefs, customs, and ideology as evidenced in their way of life. Nurses bring their cultural and philosophical views into nursing profession so there fore its needful for them to understand the nurse- patient relationship, nurse- nurse relationship which includes the culture of the nurse, the culture of the co-worker and the culture of the patient, and the culture of the setting. Patients...
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...point Likert scale. The study indicated that the majority of the mentees benefitted from building relationships with their mentors, at the end of the study students reported not experiencing any discipline consequences during the year as well as better grades. Further, in the third article, written by Coller and Kuo the mentees were identified by their teacher “as likely to benefit from mentorship”. The school based mentorship is heavily focused on youth empowerment program curriculum amongst Latino Children, as this population is at very high risk for underachievement and dropout (Coller & Kuo). The idea of the program being examined is to improve youth health through fewer risky behaviors and attitude improvements to build positive feelings of self-worth and perceived social acceptance (Coller & Kuo). The evaluation of outcomes were determined by number of mentor/mentee pairs, average relationship length, percentage of relationships lasting more than one year and relationship quality. Summary program and descriptive statistics were collected (Coller & Kuo). School volunteer sign-in sheets and group activity rosters were reviewed and summarized to confirm participation of each individual over the course of five years. In the article written by Somes, Owens and Piliawsky examined a school dropout prevention program in a quasi experimental approach. The research goals were to evaluate whether intervention with urban, at-risk teens was effective in changing education attitudes and...
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...history of the company and summarized it. This helped me to write the executive summary and the current situation sections. Then I examined the specific market that our company targets and used what I found to write the target market section. I also looked at the strengths, weaknesses, opportunities, and threats facing the company. Those I then translated into internal and external opportunities and presented with bullet points. Using the information I gathered along with the work done by Cheyann, we decided on the marketing objectives we were going to try. I went on to summarize these objectives and the plans that went along with them. I also wrote out our action plan that we would implement to meet those objectives. I do not really remember or even know what it was that Cheyann did. However, I know that she did a lot of work, and then she did even more over the thanksgiving break. Therefore, I estimate that she completed 55 to 60 percent of the work, leaving me to complete the rest. -Brian November 27, 2012 Cheyann Wittmann Marketing Plan Letter Buiness 243 The marketing plan has been a very interesting experience this semester. Brian and I never had any trouble getting together and working on the project because we had the same schedule. I believe we did a very good job dividing up the work between us. For the second part of the executive summary, I provided the information for the product, location, packaging, and promotion...
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...Jack Mendez Community Assessment RN 402-Community Health Nursing March 10, 2010 One of the most significant assessment findings within North Minneapolis is the prevalence of crime. When asked, many people around the metro will say that North Minneapolis is a “bad area” or that it is “unsafe”; this usually comes with a non-verbal look of concern from the person giving their input. How much worse is North Minneapolis than other metro areas? To find the answer to this question statistics and data from North Minneapolis will be analyzed. Assessment data will look at physical-environment, psychological, biophysical, sociological and behavioral aspects of Minneapolis as well as more specific areas within Minneapolis. Physical Environmental Community Assessment Minneapolis consists of 5 precincts or geographical areas that are controlled by different policing bodies. North Minneapolis falls primarily under the 4th precinct. “Its service area is bounded by Interstate 94 W on the East, Interstate 394 on the South and the city limits on the West and North” (City of Minneapolis, 2010). The fourth precinct consists of 16 zones which comprise the farthest north and northwest areas of Minneapolis. The nursing assessment will also focus in on the residents living within the Victory zone, one of the many zones within the city of North Minneapolis. Victory runs along Victory Memorial Parkway to Xerxes on the west, down to Dowling Avenue, and east to Newton Avenue. Victory...
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...The Freedom Writers Freedom Writers was released in 2007 on January 7. It was based on the book the Freedom Writer's Diary by Erin Gruwell, who wrote the story based on a school name Woodrow Wilson Classical High School in Eastside Long Beach, California. This film tells a story about Erin Gruwell, who is a young teacher who just started her job as a freshman and sophomore English teacher at Woodrow Wilson High School. She is soon challenged by a group of Black, Latino and Asian gang members who had excessive hate for the new teacher, Erin Gruwell. The most significant themes in The Freedom Writers is tolerance, journal writing/empowerment, determination and last but not least is freedom. Erin Gruwell, the teacher starts on her first day at Woodrow Wilson High School. She is unprepared for the nature of her classroom because the students live by their generations history of strict rules and rivalries amongst other “groups.” Most of the students in her classroom are in gangs and almost everybody knows somebody that has been killed by gang violence. Once she steps in the class, Gruwell quickly learned that her students had more to worry about than homework; her students went home to gunfire, gangs, drugs, and a host of other difficult situations. Gruwell did not know what she was getting into. The students was convinced that they didn’t have nothing in common, or that they could learn from a white teacher because she never experience what they previously and currently...
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...Family Dollar Marketing Plan Shelley Hines King University Principles of Marketing BUSA 3240-0502 Executive Summary Family Dollar was founded by Leon Levine in 1959 (History). He wanted to create a discount store for what at the time was design for people looking for quality products at reasonable prices. Since the first store in Charlotte North Carolina, the chain has grown to over 8,000 locations across 45 states. He designed a floor plan that all the stores used as a main setup with an only a few modifications. Leon believed back then as any good manager will tell you “customers are boss, and you need to keep them happy” (History).This sentiment is still in place today. With the stores layout the same, customers can go to any location and easily find what they need. The philosophy that he started with the first store is just as strong today as it was then. Environmental Analysis External Environmental Forces One of the biggest forces Family Dollar must deal with is competition. They are in constant rivalry with competitors such as Dollar General, Dollar Tree, and Wal-Mart (Family Dollar Stores, Inc. Competition). Their strongest rival would be Dollar General with much of the same products and similar pricing. Therefore, it is becoming more and more important for Family Dollar to keep its competitive advantage with offering products the other competitor doesn’t or products at a lower price. Another factor that benefits Family Dollar is demography. Family Dollar...
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...Pimping Central America Corey J.Quebedeaux CJS23/Criminology January 26, 2015 Kenneth Bitting Pimping Central America Imagine living in conditions so consumed with poverty that you are forced to risk your life to flee to another country in hopes to take care of your family. Hoping and praying to find “under the table” jobs such as roofing, gardening, grounds maintenance, cleaning houses and/or agricultural work. Central American’s do this on a daily and nightly basis; combing through the desert heats during the summer and its vicious coldness in the winter in hopes of a brighter future. Some get lucky and others either get caught and deported back to Mexico or, worse yet, trafficked and sold into a life of servitude (slavery). “Although it’s the 14th largest economy in the world, rural Mexico is still very unequal. Depending on the measure, between one-third and one-half of Mexicans live in poverty and up to 18 percent live in extreme poverty, unable to meet their basic food needs.” ("Bread For The World Institute", 2011). In this paper I will discuss death rates, risks and benefits (to include programs) of crossing through the desert for an undetermined future in the United States of America. I will also focus on the trafficking and prostitution rings between the United States and Central America. By the end of this paper I will have explained how and why these issues of Central American’s immigrating into the United States meet the specifications of the Social Structure...
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...African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in Western North Carolina Asheville is located. Gender Dispersion was 46.8% Male, 53.2% Female with an average age being 39.2 years of age. Race breaks down as follows: White persons (2000), 78%, Black or African American persons(2000), 17.6%, American Indian (2000), 0.4%, Asian persons (2000), 0.9%, Hispanic or Latino origin (2000),...
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...Illegal Immigration COM 220 Illegal Immigration According to Penalver (2006), “ “During the half of The Nineteenth Century the government of the United States hoped to use its vast Western territories to pay the national debt by auctioning the lands to the highest bidders normally Northeastern settlers.” These settlers used to disappear for a while to proclaimed, trespassed the land to farm it illegally and take the soil back once the federal troops were gone until the situation became tiring and the soil was ultimately sold for ridiculous prices. Later, “on December 12, 1815, President James Madison issued a proclamation warning: uninformed or evil disposed persons, who have unlawfully taken possession of or made any settlement on the public lands forthwith to remove the reform" or face ejection by the army and criminal prosecution. But that didn't stop the settlers. In 1838, Henry Clay, expressing a widely shared sentiment, dismissed the squatters as a "lawless rabble." The 1862 Homestead Act granted free title to settlers who met the statute's five-year-residency and improvement requirements. In one of the great ironies of American history, the lawless squatters underwent a dramatic image makeover to become, in the gauzy romanticism of our collective memory, heroic settlers” Illegal immigration is an act that should be penalized by federal laws since every body should follow the standard regulations of the law. The ironic part here is that some of those people...
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