Hi, need to submit a 750 words essay on the topic Meter Dose Inhaler verses Nebulizer Treatment.
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Patients frequently ask health care providers as to which is a better mode of administration in terms of efficacy, convenience and safety. This triggered me to find evidence to ascertain as to which of the two is a better mode of administration in acute wheezing. Thus, it was both problem focused and knowledge focused trigger that generated the clinical question. Names/Types of research sources used The research source used was PubMed. Summation of the research findings as related to the clinical question Rodrigo and Rodrigo (1998) performed a randomized, double-blind, parallel-group study to compare the efficacy of salbutamol (or albuterol) delivered by either metered-dose inhaler plus spacer (MDI-spacer) or by nebulization, and to determine the relationships between physiologic responses and plasma salbutamol concentrations. The study revealed that bronchodilatation remained same with metered dose inhalation and nebulization, but side effects were more with nebulization because of higher levels of plasma salbutamol due to increased absorption. Deerajanawong et al (2005) conducted a prospective randomized, double-blind, placebo-controlled trial with an aim to compare the efficacy of salbutamol aerosol therapy given metered dose inhaler and nebulization in young children with acute wheezing. …
From the study, it was evident that metered dose inhalers are as efficacious as nebulization to administer albuterol in young children with wheezing. Infact, the study revealed that metered dose inhalers were more convenient in this regard. Integration of research findings Administration of albuterol can be done either through metered dose inhalers or nebulization in acute wheezing conditions in children. Both methods of administration are equally efficacious. However, nebulization is more time consuming and has risk of side effects. Potential practice changes based on research evidence Metered dose inhaler would be recommended as the preferred of administration of albuterol in children with acute wheezing since it is easier to administer, takes less time in the process, can be given anywhere and has less side effects References Deerojanawong, J., Manuyakorn, W., Prapphal, N., Harnruthakorn, C., Sritippayawan, S., Samransamruajkit, R. (2005). Randomized controlled trial of salbutamol aerosol therapy via metered dose inhaler-spacer vs. jet nebulizer in young children with wheezing. Pediatr Pulmonol., 39(5), 466-72. Delgado, A., Chou, K.J., Silver, E.J., Crain, E.F. (2003). Nebulizers vs metered-dose inhalers with spacers for bronchodilator therapy to treat wheezing in children aged 2 to 24 months in a pediatric emergency department. Arch Pediatr Adolesc Med., 157(1), 76-80. Rodrigo, C., and Rodrigo, G. (1998). Salbutamol treatment of acute severe asthma in the ED: MDI versus hand-held nebulizer. Am J Emerg Med.
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Hi Need To Submit A 750 Words Essay On The Topic Melting Points And Cooperative
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic Melting Points and Cooperative Identification of Organic Solids.
This is by deriving mixed melting point by obtaining that of the two compounds having a ratio of 1:1. This was instrumental in ascertaining mixture melting point that helped in identifying these compounds. In addition, comparing the already obtained data solid with dissimilar appearance has high melting points in its both mixed (1350C) and pure states (1870C). Hence, indicating its strong covalent bond where by in former state weakened due to dissimilar forces with the other component.
The purpose of this experiment entails the determination of the given compound’s melting point. In this experiment, the melting point measurements they are for four organic solids. Hence, the ascertainment process encompasses utilizing the scientific premise that diverse compounds differ significantly in terms of their melting points. This is because of their respective structural bonds that have varying attraction strengths. Scientifically, ionic compounds are stronger in comparison to their covalent counterparts, which are weaker besides having diminished bond strength. From the obtained data, it is quite evident respective melting points across the groups of mixed substances are a bit low compared to pure solids. Probably, this is because of mixed and unequal attraction bonds/ Van der Waals amid the involved substances. This is evident whereby their pure state
The experiment is somewhat an attempt of solving a puzzle. This is because for scientific discoveries, most scientists have to cooperate with each other. Great teamwork is crucial especially in the modern science. In several occasions, it is possible for diverse scientists to make the same discovery, at the same time, in different parts of the world. For the scientist to prove that they are using the same substances, they have to exchange their biological specimens or chemical samples and data.
The melting points for the
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Hi Need To Submit A 750 Words Essay On The Topic Meter Dose Inhaler Verses Nebul
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic Meter Dose Inhaler verses Nebulizer Treatment.
Download file to see previous pages…
Patients frequently ask health care providers as to which is a better mode of administration in terms of efficacy, convenience and safety. This triggered me to find evidence to ascertain as to which of the two is a better mode of administration in acute wheezing. Thus, it was both problem focused and knowledge focused trigger that generated the clinical question. Names/Types of research sources used The research source used was PubMed. Summation of the research findings as related to the clinical question Rodrigo and Rodrigo (1998) performed a randomized, double-blind, parallel-group study to compare the efficacy of salbutamol (or albuterol) delivered by either metered-dose inhaler plus spacer (MDI-spacer) or by nebulization, and to determine the relationships between physiologic responses and plasma salbutamol concentrations. The study revealed that bronchodilatation remained same with metered dose inhalation and nebulization, but side effects were more with nebulization because of higher levels of plasma salbutamol due to increased absorption. Deerajanawong et al (2005) conducted a prospective randomized, double-blind, placebo-controlled trial with an aim to compare the efficacy of salbutamol aerosol therapy given metered dose inhaler and nebulization in young children with acute wheezing. …
From the study, it was evident that metered dose inhalers are as efficacious as nebulization to administer albuterol in young children with wheezing. Infact, the study revealed that metered dose inhalers were more convenient in this regard. Integration of research findings Administration of albuterol can be done either through metered dose inhalers or nebulization in acute wheezing conditions in children. Both methods of administration are equally efficacious. However, nebulization is more time consuming and has risk of side effects. Potential practice changes based on research evidence Metered dose inhaler would be recommended as the preferred of administration of albuterol in children with acute wheezing since it is easier to administer, takes less time in the process, can be given anywhere and has less side effects References Deerojanawong, J., Manuyakorn, W., Prapphal, N., Harnruthakorn, C., Sritippayawan, S., Samransamruajkit, R. (2005). Randomized controlled trial of salbutamol aerosol therapy via metered dose inhaler-spacer vs. jet nebulizer in young children with wheezing. Pediatr Pulmonol., 39(5), 466-72. Delgado, A., Chou, K.J., Silver, E.J., Crain, E.F. (2003). Nebulizers vs metered-dose inhalers with spacers for bronchodilator therapy to treat wheezing in children aged 2 to 24 months in a pediatric emergency department. Arch Pediatr Adolesc Med., 157(1), 76-80. Rodrigo, C., and Rodrigo, G. (1998). Salbutamol treatment of acute severe asthma in the ED: MDI versus hand-held nebulizer. Am J Emerg Med.
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Hi Need To Submit A 750 Words Essay On The Topic Mgm626 0902a 03 Economics For D
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic MGM626-0902A-03 Economics for Decision-Making.
The products are also identical and there is complete freedom of entry to the market. Moreover the information about the products and prices from various firms are also available to the customers at no cost. Hence, in a perfect competition, the price is purely set by the market and the firms adhere to the price (Salvatore, 2006). In the case of CPI, if it decides to raise the prices of the toothpaste unilaterally, the demand for the firm’s toothpaste will be completely reduced and the firm will lose its market share. Customers will prefer to buy the products which are priced at the market rate. This will eventually lead to the shutdown of the product totally.
In this case, the market price of the toothpaste is increased to $ 54 per case. As discussed earlier, it is evident that the profit is maximized when the marginal cost (MC) equals the marginal revenue (MR). The marginal cost function remains unchanged as MC = 0.006 Q, as the costs are unaffected due to raise in prices. Also, the marginal revenue will equal price, as the sale of an additional case results in a revenue equal to the price per case.
In a perfect competition, the market price rises only when the demand rises from the current level. In such a case, the supply also has to rise to meet the demand. The point where the supply meets the demand is set as the market price. Hence it is very clear that the demand in the market has risen (Sloman and Sutcliffe, 2004). This will lead to the profit maximizing level of the firms to increase, as the firms now have the opportunity to exploit a higher demand than usual with increased prices.
It is important to note that the products of all the firms are homogenous and are not differentiated in a perfect market. Moreover the customers already have all the information about the products available in the market. Hence it is very difficult to create an impact by advertising the product. The main theme of advertising is to provide information
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Hi Need To Submit A 750 Words Essay On The Topic Microeconomic Issue Halo Effec
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic Microeconomic issue- halo effect.
nsumers tend to associate the positive quality of a personality’s image with a product and its brand, and since consumers have aspirations and desires, the seller hopes that the image associated with the product is powerful enough for the consumer to take action. first, to desire the satisfaction associated with the image, and second, to think that the product and brand linked to the image would be the means to achieve that satisfaction. This association between a person’s reputation and his words and actions is what the Halo Effect is all about (Economist.com).
Thorndike in a 1920 study observed the Halo Effect at work in a study involving soldiers and the way they rated their officers. He discovered that when soldiers viewed their officer in a positive way, all the officer’s actions are viewed positively. This is the way a son would treat the punishment from a father whom the son admires: every punishment is for the son’s good, no matter how unjust the punishment may seem to an outside observer.
Applied to microeconomics and the behavior of firms and consumers, the halo effect can be observed at work in many instances. In fact, the global economic crisis may have been caused by the halo effect, and the same halo effect is being used to get the world out of the crisis. Rosenzweig, writing in the McKinsey Quarterly, observed how the halo effect could explain both business success and failure, emphasizing the importance of consumer or observer perception in determining economic behavior.
Among the horror stories associated with the crisis, the investment scam of Madoff shows how the halo effect contributed both to his success and failure. Madoff was an investment banker who served as the Chairman of NASDAQ, the over-the-counter stock market that boomed in the late 1990s. According to the New York Times, Madoff was able to head NASDAQ because of his high-profile lifestyle and low-key consistency in generating above-average returns for investors. His
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Hi Need To Submit A 750 Words Essay On The Topic Missions Download File To See P
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic Missions.
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also prevail in the communities under focus.2 Examinations of the service topic signify an association of the aforementioned problems with several areas of human geography such as settlement, population, development, economics, health and culture. Place: Assessments into the severe problems posed by the inaccessibility of water in squatter settlements reveal that collection of water for primarily drinking and other household purposes is conducted via limited means.3 Slum resident have to gather water either through public standpipes or travel considerable distances by feet in search of water that is brought back to their homes in containers.4 These findings indicate that the major obstacles to enhancing water accessibility to slum occupants are. a shortage of direct water supply through pipelines and dispersed locations of water sources, if any are available. To address these issues, the development of local infrastructure such as dams and reservoirs must be undertaken on a small scale. However, the success of these proposals is highly dependent upon the active involvement of the residents themselves throughout the commencement of the project till its implementation.5 Effects of Monsoon Climate: While, the availability of water in slum, dweller and squatter settlements of Mumbai is scarce it is important to note that the limited quantity of water that is eventually consumed by occupants is contaminated. High water contamination levels in poor communities across Mumbai city are a ramification of problems that are associated with restricted and in some cases inexistent sewer, drainage and sanitation facilities.6 Furthermore, disease outbreaks following heavy monsoon rainfall are caused by the mixing of animal urine with drinking water.7 Health Geography: The grave inequality in the provision of healthcare to poor communities of Mumbai city must be addressed on an immediate basis. The strategy for resolving this aspect of the problem must focus on prevention rather than cure.8 Initial procedures to tackle with health issues prevalent in slums must focus on the establishment of medical clinics and units per community that must eventually be increased in quantity. These medical clinics should not only be assigned the task of treating ill residents but should also provide basic healthcare knowledge, awareness and information to residents. Awareness campaigns must be designed with the view of highlighting the importance of personal hygiene and individual initiatives to combat diseases.
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Hi Need To Submit A 750 Words Essay On The Topic Mkt302 Mod 5 Case The Marketing
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic MKT302 Mod 5 Case: The Marketing Mix: Price.
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In this paper, the pricing strategies in relation to two different products, i.ee canned vegetables and aspirin will be illustrated to identify the influences caused by the variables on price determination. In this context, canned vegetables can be categorized as non-basic goods and aspirin as a basic good. Pricing Method of Canned Vegetables In relation to the pricing method of canned vegetables, the availability of substitutes can be observed prevailing at a high degree than that observed in the case of aspirin. Canned vegetables as a non-basic good is often observed to be highly influenced by demand fluctuation in the consumer market owing to various aspects such as economic volatility, consumer awareness and availability of sophisticated vegetable-packaged goods to substitute canned vegetables (SEOBook.com, 2013). Hence, a cost pricing method is often followed for canned vegetables due to its behavior as a non-basic good (Etzel, Walker, Stanton &. Pandit, 2008). It is worth mentioning in this context that such non-basic goods are perceived to be highly influenced with the availability of substitutes which further reduces the switching costs of the buyers and therefore imposes significant influences on the pricing methods. Contextually, substitutes for a product tend to affect strongly the price elasticity of demand for canned vegetables (Magloff, 2013). Therefore, it can be stated that apart from its production cost and customer convenience, effects of substitute products also play a vital role in the pricing of canned vegetables. Pricing Method of Aspirin Unlike the canned vegetables, aspirin, as a pharmaceutical product can be categorized as a basic good which is essential for consumers. Hence, being a basic good, aspiring has to witness lower degree of substitute effects. Also, because of its necessity, the product has to witness lesser demand fluctuation as compared to canned vegetables. However, owing to the same reason, producers are also restricted from charging increasing prices for the product being more strongly influenced by legal as well as governmental and economic interventions than canned vegetables. As aspirin is considered as a basic product, the price for such products are most commonly determined through the value based pricing technique. Illustratively, from the perspective of consumers and the company, the value of aspirin is higher if someone perceives a headache. If the value of the product is higher, then the price of the product tends to increase wherein the value-based pricing method is deemed as most appropriate. Moreover, the dimension of value pricing depends on usage value, economic and perceived value as well as customer willingness to pay for the product, i.e. aspirin (Deloitte Development LLC, 2013). Compare and Contrast Between Cost Plus Pricing and Value Based Pricing Cost plus pricing, as followed in the case of canned vegetables is considered as the cost of manufacturing a service or a product that is required for profit making, often expressed as percentage. On the other hand, value based pricing, as followed when determining the price for aspiring, emphasizes on the perceived value of the good for the consumers and the willingness of customers to pay for the product.
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Hi Need To Submit A 750 Words Essay On The Topic Musculosketal Clinical Case Tes
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic MUSCULOSKETAL CLINICAL CASE.
Test for this was physical examination and calculation of BMI.
This is a clue the pain results from trauma caused by physical injury on the lower back (Jallo & Vaccaro, 2009). The injury is because of lifting heavy loads at work. To confirm this diagnosis, the ailing described type, location and severity of his back pain. In addition, he also gave the history of his back pain.
Generally, from the patient’s habit evidence exists that he consumes alcohol in excess, during weekends. This evidence is evident by code V11.3. Research work undertaken in the past cites heavy alcohol drinking normally is associated with lower back pain. Alternatively, the numbness and tingling in his right foot toes results from alcoholic neuropathy (Smith & Stahel, 2014). Alcoholic neuropathy results from too much drinking, which can lead to depletion on nutrients such as vitamin E, folate, vitamins B6 and B12, niacin, and thiamine, needed for proper nerve function.
This condition has no known etiology, however, some of its common symptoms comprise tingling or numbness in hands and feet, abnormal pain processing as well as fatigue among others. It is coded 729.1 to mean it includes other conditions with “Myalgia and myositis, unspecified” (Basavanthappa, 2010). Generally, the diagnosis of this condition is based much on how a patient feels, however, blood tests can also be used. Certainly, the patient had these symptoms, thereby acting as a confirmation for the validity of the diagnosis.
The code provided (304.3) for this diagnosis implies that despite the patient being dependent on cannabis, he has not developed psychological dependence because of the use. Researches cite Cannabis dependence also results to pain in the back or limbs. This is because it causes conditions such as osteomyelitis (Buckup, 2011). Cannabis dependence in the patient was confirmed through the Cannabis Abuse Screening Test (CAST).
This descends from a
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Hi Need To Submit A 750 Words Essay On The Topic Nano Tompkins Has Been Titled T
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic Nano.
Tompkins has been titled the CEO because his background closely fits the position. He is likely to be doing more work than the other founders. Since he is doing more work he deserves a different salary and equity level. The other founders are fair with the equity but not fair about the salary that Tompkins receives. The decisions made regarding split equity and compensation is unfair and leaves no room to share equity amongst other employees. Without being able to share equity amongst other employees, the new employees may not be as driven to get the company where it needs to be.
The founders are the creators of the company and share in ownership. All though they may share in ownership it does not mean that they should share equity and compensation if there job duties are not the same. A change is equity and compensation needs to be made to create a real fairness and ability to offer equity to other employees.
The size of the founding team is five men that are all from the same company. Don Rupert is the head of AMSL. He is a co founder of NanoGene. Will Tompkins is a bio chemist and founder along with three other scientist and biologist. Mark Masterson and Ravi Rhoota were former AMSL scientist and an important asset to NanoGene. Gary Garfield who was also important to NanoGene is a doctor in biology. Each founder is vital to NanoGene in a way that the type of development for NanoGene requires each founder to make it work.
Having five founders starting up a company can cause problems early as well as later on in the company life. Having five founders requires the need to receive acceptance from each of the five founders each time an issue arises. It is unlikely that all five founders will agree on each issue. When issues come up of importance it is likely that a vote will need to take place.
Being a founder of a company is an important role. Founders are the
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Hi Need To Submit A 750 Words Essay On The Topic Nothing Gold Can Stay By Robert
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic Nothing Gold Can Stay by Robert Frost.
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It represents a period in the spring atmosphere where vegetation and flowers are blossoming. The imagery used describes the development process of the leaves. The second half of the poem Nothing Gold Can Stay by Robert Frost talks about the consequences of having a good thing in a society. The part is viewed as an observation of the natural world. The poem describes identical moments in a life cycle. They are the daily, mythic and yearly. The poem uses each cycle to describe how something deemed to be perfect turns out to be the opposite of what is expected. Spring, down and Eden is used to describe situations where people are at the peak of their lives like being a young child and progressing with time to be an old man. In sum, Nothing Gold Can Stay by Robert Frost has a meaning that things or individuals who are highly upheld or successful are the same ones that are easily corrupted with times. Bad Things Last The world’s black is gold, It stays where it is not expected, Her fruits are a poison, But only to those who are clean, The poison subside the poison, So hell was not unbeaten, So dusk goes to night, Bad things last Where the Sidewalk Ends by Shel Silverstein The description given by the speaker or poet of Where the Sidewalk Ends by Shel Silverstein reveals that the poet is conversant with the place. However, the through his words “rest from his flight” reveals that the speaker is not comfortable by the present situation on the mentioned place. In the second stanza it is clear that the speaker yearns for freedom in a different place other than the one they currently are in. However, despite the place “Where the Sidewalk Ends” being challenge, the speaker is positive to come out victorious and this might represent a life situation which is threatening, but one comes out of it victorious. The arrows however, represent a slim chance of hope as they are drawn using chalk. Chalks are easily washable and this can only mean that the speaker’s hopes of finding a way out were slim. The problem in “Where the Sidewalk Ends” is however solved when the speaker states that the children who drew the arrows knew the directions and would draw them once again in the eventuality of the arrows being washed down by rain. This could only mean that there are no impossible situations and to even those that seemed impossible, a solution was just lying within waiting to be discovered. There is a country where the borders end There is a country where the borders deaden And before the towns begin, And there the ground grows bear with sand, And the scorpions roam around. Let us go to this town where the sky is full of lights And the sky scrappers disappear into the night. We shall sigh with a laugh that is deep and loud, To the country where the border end. Yes we’ll sigh with a laugh that is deep and loud, And we’ll go where the skyscrapers disappear into the sky, For the sand they are used, and from sand they are built, There is a country where the boarders end. 2nd Limerick Poem “Once lived a boy Bolton, Who yearned to be a winner? He went on her toes, And broke her nose, Then he became cleaner.” Third Poem Be Glad Your Eyes Are Seeing Be glad your eyes are seeing, To see your tears when you are crying, You marvel at the beauty of the world, Yet laugh at those who are blind. Imagine loosing your eye Without anyone to act like your guide, You will probably curse to die Your wish will be like smoke. Your eyes are your gold A blessing indeed from God If you are forced to loose either of them Your world will no better be like a worm.
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Hi Need To Submit A 750 Words Essay On The Topic Nurse Management In The Hospita
/in Uncategorized /by developerHi, need to submit a 750 words essay on the topic Nurse management in the hospital setting.
With diversity in ideas, there is assurance that the final decision will be brainstormed upon and will be the best. Team works also add the value of improving communication among the employees as well as getting them to know each other (West, 2012).
The first strategy to create a positive team climate is to provide the team members with freedom to be creative and work without maximum supervision. This will not only allow creativity but will facilitate more ideas to be provided and more brainstorming without members being nervous or afraid.
The other strategy is to mix the team members according to their differing abilities and personality. These strategies are bound to ensure to teams spend less time addressing personal issues or arguing and more doing their assignments.
Finally the other strategy to a positive team outcome is to set deadline on the assignment or project. The deadline will ensure that they do not engage in unnecessary activities but rather just focus on the work at hand (West, 2012).
The first strategy is accommodation. This involves one party in the conflict allowing the other party to satisfy their concerns and neglect their own as a way to end the conflict peacefully. This is a selfless conflict management strategy.
The other strategy to manage conflict is avoidance. This involves avoiding taking any action at all about the conflict or even paying any attention to the conflict at hand. Compromising is another conflict management strategy which involves attempt to solve the conflict by finding ways to partially solve the conflict and satisfy both parties but without completely satisfying any party. This only manages in quelling the conflict for a while.
Lastly is collaboration which involves trying to make each party understand the concerns of the other party in question as way to find mutual solution and promote understanding. If this technique succeeds, then the conflict is managed for longer periods or even ended
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