RADIOTHERAPY RADIATION DOSE CHANGES DUE TO LUNG INHOMOGENEITY DENSITY CHANGES: STUDY OF A CONVOLUTION CALCULATION METHOD

The proposal must be from Medical Radiation Physics viewpoint. The proposal content must follow: -Proposed thesis title -Table of contents -Background -Research question -Purpose & aims -Significance -Literature review -Research design (experimental and methodological approaches) -Timeline or plan (4 years) -Expected outcomes -References The research proposal must concentrate on the performance and accuracy of Radiation Dose Calculation Algorithms in terms of a successful lung cancer radiotherapy. As much as sources as possible to be used to ensure that they cover all aspect of the topic.

Vaccine Hesitancy in Families with Young Children

Papers are to be well written in a scholarly manner with proper APA formatting and citation of sources. o Please remember you will need a minimum of 3 scholarly nursing articles for your paper that are selected from the pre-approved list. (Any article that the student selects that is not on the list must 1st be approved by the course professor). o Other appropriate materials that can be used in addition to the scholarly article- relevant RNAO BPGs and relevant scholarly authoritative sources (e.g., WHO, Health Canada), your Perry et al text- in addition to the scholarly journal article. o You may use Health Canada or Potter & Perry text for your selection of the relevant determinant of health

The two traits of dissociative identity disorder that most positively correlate to rape are depersonalization and memory loss

Instructions below: research paper (20%): You are required to write a research paper on a topic approved in advance.

The topic should indicate a positive correlation between a psychological diagnosis and specific criminal behavior. Papers are expected to adhere to standards set forth in the American PsychologicalAssociation’s Publication Manual (6th Edition). Papers will be 8-10pages in length (excluding title page & references) and include at least 10references from professional journals. Papers with less than 8full pages of the body (in APA format) are incomplete and will receive a 0. Late assignments will not be accepted.

The final paper must be submitted as a hard copy at the start of class on the due date. Students are also required to submit an electronic version through blackboard by the beginning of class on the due date. Final papers are due on October 29, 2019. Students are encouraged to visit the Writing Center (NB 07.68) for assistance with thesis development, grammar, and punctuation. For assistance with conducting research, students should visit the Library. Grading criteria for the paper is as follows: Adherence to APA standards

GMPs and the purpose of Phase I clinical trials

A Case Study in Regulation Background On January 17, 2006, FDA issued a direct final rule/proposed rule to exempt investigational drugs and biologics for phase 1 human clinical trials from the cGMP regulation.

As you know, it is a requirement that all clinical and commercial drugs and biologics, such as vaccines, be made per cGMP regulation. At the same time, FDA issued a draft guidance providing recommendations on manufacturing Phase 1 material (to replace the formal, legal cGMP regulation).

FDA was proposing to regulate Phase 1 material by means other than cGMP regulation, by relying on the broad applicability of the Food, Drug, and Cosmetic Act (which states that drugs not made per cGMPs are adulterated, but does not provide specifics) and by the information submitted in Investigational New Drug (IND) Applications by sponsors. FDA stated that they were taking the action “to streamline and promote the drug development process.”

Preparation Read the following documents to prepare yourself for an essay response on this proposed rule: FDA Guidance for Industry: INDs – Approaches to Complying to cGMP during Phase I (read sections I through V)Preview the document History of GMPs

– Power of Storytelling article by Barbara ImmelPreview the document Barbara Immel comments on Direct Final/Proposed RulePreview the document Optional: Chipping Away the GMPs (Powerpoint slides as a pdf) by Barbara ImmelPreview the document Essay The events and comments surrounding the FDA proposal to eliminate formal cGMP adherence for Phase I studies led the Agency to withdraw the rule on May 2, 2006 due to the significant adverse comments they received by individuals and groups, such as the Immel Group. This result is important because it is a timely reminder of the complexity involved in changing regulation and also the impact that the public can have on shaping how the FDA regulates this industry. Write a three-page essay (12-pt font, double-spaced) based on your experience in this course and the preparatory readings above that addresses the following prompt:

Intake Clinical Assessment and Ethical Documentation

In your paper:

-Include a summary of the selected case scenario, including an explanation of the presenting issues. (attached) -Provide an overview of the required tasks that must be accomplished in the introduction, opening, and body of a session, drawing from a Clinical Interviewing source. -Explore the ethical, legal, and cultural considerations in this phase of treatment, along with strategies used to accomplish these tasks. Incorporate the ACA code of ethics,(attached) applicable Florida laws, and at least one academic research journal (within the past 5 years) to consider in this case. -Complete the Intake form for your client using the Counseling Center Client Intake Review. (attached)

-Using the information from the completed intake, select and apply two assessments tools (one suicide assessment and one other assessment) that are appropriate for the case scenario. Provide a rationale for your choices. -Document how you would discuss the importance of these assessments with your client, including your rationale for use as drawn from the intake, supporting with evidence from the literature. -Explore your ability to use interviewer tasks, skills, and consideration of assessments during this phase of the treatment process. -How do you believe you can accomplish the intake tasks? -How might you effectively work with this client? What strategies might you use? -What challenges did you encounter while working through this activity?

Nursing and leadership in the health care community

Answer the following questions and relate your responses to Nursing and leadership in the health care community. Provide your responses with a minimum of 1 reference each. 1 Power, influence, advocacy, and authenticity are all functions of leadership. View the video: “Morale and Discipline: The Mind of a Leader” at: https://lopes.idm.oclc.org/login?url=http://fod.infobase.com/PortalPlaylists.aspx?wID=96349&xtid=48949 Discuss how strong leaders apply power, influence, advocacy, and authenticity to motivate those they lead. 2 One model of leadership being adopted by many organizations, disciplines, and vocations is servant leadership. Describe this model. Identify two reasons why these groups are adopting this model. 3 Read “Core Principles and Values of Effective Team-Based Health Care,” by Mitchell et al., from the Institute of Medicine of the National Academies website. URL: https://nam.edu/perspectives-2012-core-principles-values-of-effective-team-based-health-care/ In the assigned article, “Core Principles & Values of Effective Team-Based Health Care,” the authors state that “the incorporation of multiple perspectives in health care offers the benefit of diverse knowledge and experience; however, in practice, shared responsibility without high-quality teamwork can be fraught with peril.” Describe the perils that the authors say lead to uncoordinated care and unnecessary waste and cost. How do communication and interdisciplinary collaboration prevent adverse events? 4 Consider your current work environment and your role as a member of the health care team. What can you do to encourage collaboration and demonstrate stewardship?

Healthcare Informaticist Report

“The Report” Consider that you are a Healthcare Informaticist.

You have been asked to evaluate the current internal workflow and make a recommendation regarding the workflow, communications, protocol and software required in order to select a new healthcare information system for a hospital, clinical department or other provider entity.

This report will consist of filling out the SBAR Process Improvement template provided, 5 pages MAX. APA FORMAT. By completely filling out the SBAR template, be sure the below are addressed: Describe the “real” or hypothetical work environment, provider objectives and current information systems configuration, as well as any unmet needs or issues. Situation Background Assessment Recommendation Much of the information required for this assignment is available from the Web and industry journals (e.g., Modern Healthcare, Healthcare Informatics, Hospitals & Health Networks, etc) and your course text. You may also wish to request product literature from vendors or obtain it through your own or another organization. Although not required, you may also wish to interview one or more individuals with relevant experience and expertise. Be sure to provide appropriate APA interview citations.

Healthcare consumerism influencing marketing

Description Marketing is essential to the healthcare industry for branding and growing health systems. In this assignment, please examine the impact of consumerism in choosing a primary care provider in Saudi Arabia. Review the following article (attached) Al-Briek, A., Al-Barrak, A., Al-Johi, K., Al-Anazi, M., Al-Ateeq, M., & Masud, N. (2018). Factors that influence patients in choosing their treating physicians in the private sector in Saudi Arabia. American Journal of Public Health, 6(4), 173-181. Retrieved from http://www.sciepub.com/AJPHR/abstract/923 Please analyze the following substantive requirements: -Describe what consumers are looking for in a provider in Saudi Arabia. -Evaluate the data presented and any information that would be valuable that is not present in the study. -Assess how healthcare consumerism plays (or should play) a role in the marketing strategy of provider facilities in Saudi Arabia. -Provide two recommendations on how to market the healthcare facility. -Recommend how to monitor the data to ensure your marketing approach is working.

Today’s Healthcare Environment: The Wall of Silence Scholarly Paper

Description Please follow all directions and make sure to answer all questions/ topics asked. I need level 1 & 2 headings. APA format. Refer to nursing profession. The Wall of Silence by Gibson and Singh (2003) will be read. Please read the book and based upon the content, and additional sources complete the assignment as described. This assignment will provide the approach for connecting The Wall of Silence, the course content, and personal and professional experiences. A scholarly paper that addresses all four sections of the book will be completed. The book should be cited and included on the reference page with other necessary sources as evidence of understanding the course material and content. Based upon Gibson and Singh Part 1 and 2: Gibson and Singh provided alarming statistics based upon the IOM’s 1999 report of 100,000 deaths per year due to medical errors. According to Gibson and Singh, this translates to 275 deaths due to medical errors every day. Based on the number of deaths known, and considering the potential number for unaccounted deaths, reflect on the book and address the following: 1. Part 1 of Gibson and Singh details 10 patient-family accounts and their experience with medical error. Select one of the cases and discuss the following areas: a. Summarize and provide an overview of the selected case. b. Describe the type of error that occurred in the case (examples include: medication errors, misdiagnosis, a delay in treatment, cross contamination, failure to take the necessary precautions, surgical errors, unnecessary treatment, missed warning signs, etc.). c. Discuss the underlying cause of the selected medical error that occurred in the selected case. d. Compare one or more quality or safety initiative that now exists that could have prevented the error? (Cite the source where the initiative, guideline or protocol was found). 3. Discuss the role of nurses in developing a culture of safety interdependent upon a professional code of ethics. a. Explain some of the reasons nurses fail to report errors and describe potential consequences to the nurse, patient, facility, and system associated with failure to report. b. Discuss some of the reasons that have resulted in the nursing shortage and the subsequent effects on patient safety, quality of care, and the potential for errors in the health care system. c. Explain the importance of quality improvement as the process pertains to improving the quality and safety of patient care. 4. Support entries with quotations from the book as needed and with additional literature and sources from the course and the library. Based upon Gibson and Singh Part 3 and 4 The culture of cover-up is contradictory to our professional code of ethics. Gibson and Singh provided a detailed overview of why medical errors occur and they provided rationales behind the culture of cover-up in the health care environment. They described potential methods of regulation and reporting to better inform patients and consumers about their health care providers. Gibson and Singh also devoted an entire chapter to the use of technology making health care safer. Consider the importance of developing competency in nursing informatics and technology in healthcare. How might these systems impact nursing practice now and in the future? 5. Describe the meaning of the ‘culture of coverup’ and the consequences to patients, families, the public, and healthcare facilities. 6. Explain how healthcare consumers can access and investigate potential providers or facilities before making selections about health care providers and facilities. 7. Explain the benefit(s) for healthcare organizations that initiate voluntary reporting systems for internal use and how the information and data collected can be utilized for quality improvement project(s) to continually improve the safety of health care provided to patients.? 8. Describe the need for healthcare providers to use information and technology to communicate, manage knowledge, mitigate error, and support decision-making? How does technology support safety at health care facilities? 9. Gibson and Singh compared the current health care system to less flawed, safer industries, like aviation. Compare and contrast safety and quality in health care when compared to the aviation industry? 10. Support entries with quotations from the book as needed and with literature and sources from the course and the library (see requirements in # 15) 12. Include an introductory paragraph, purpose statement, and a conclusion. 13. Include level 1 and 2 headings to organize the paper. 14. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used. 15. Include a minimum of 4 professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory) and be less than five (5) years old. 16. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

Watson’s Theory of Human Caring

The purpose of this paper is to examine how the application of Watson’s Theory of Human Caring is used to help reduce the anxiety and fears in pediatric intensive care patients. Make sure you include all elements. The application section towards the end of the paper needs to describe specific ways to apply what was learned that another APN can put into practice. Broad statements will not be sufficient. Need to know specific content of programs and/or scales may use to teach and/or assess learning.