Category: Medicine and Health

Does my patient have significant aortic stenosis?
A 72 year-old woman with a history of Congestive Heart Failure (CHF)  presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several blocks, but now feels winded. She denies chest pain, palpitations, syncope/near syncope, cough, orthopnea, or PND. She states she is compliant with her medications and diet. She has had a recent functional study that showed minimal ischemia.
Meds
aspirin
digoxin 0.125 qd
lisinopril 20 mg qd
furosemide 20 mg qd
KCl 10 mEq qd
PE
HR 90, regular
PB 134/70
Labs
chem 7:
Na 132
K 5
Cl 94
HCO3 30
BUN 18
Cr 1.3
CBC: notable for Hgb 14 g/dL (Hct 43%)
CV
RRR, normal S1 and S2
No S3 but has S4
2/6 mid-peaking systolic murmur at the LUSB that radiates to the carotids.
PMI is mildly enlarged and sustained
Neck
Carotid pulse is brisk.
JVP flat
Positive abdominojugular reflux
CXR
Xray shows cardiomegaly and mild vascular redistribution
ECG
Unchanged with an incomplete LBBB pattern
Clinical Diagnosis
Worsening of her congestive heart failure (positive AJR, enlarged and sustained PMI, cardiomegaly, and vascular redistribution).
Clinical Questions
Is this patient’s worsening CHF due to significant aortic stenosis?
* Please elaborate why you think it may be aortic stenosis according to patient’s symptoms       and    how do you assess each symptom ?  Make sure to submit and upload the assignment as a word document, not PDF. Plagiarism no more than 15 percent.

Research article written in a style suitable for publication in a peer reviewed journal. This assessment accounts for 70% of the module mark
The word count for the research article is 6000 words.
Assesses learning outcomes 1-4
o Demonstrate knowledge of relevant literature and of research methods in order to identify areas for investigation and to develop a feasible research plan relevant to the programme of study- DIABETES
You must include a cover page with your signed declaration (Appendix A).
Assessment Requirements, Submission Deadlines & Details
Assessment 1
o Develop personal research skills  through use of
academic literature, data collection and data analysis in order to undertake a Master’s
level research dissertation
o Synthesise findings from your own research with the research and scholarship of others. o Critically discuss the completed project highlighting the strengths, limitations and
implications for future study and/or investigation
The formatting of the research article should conform to the following guidelines:
Font style – Calibri (Body) (the same as this document)
Font size – size 10 for the main text. The font size for tables/figures should be slightly smaller, size 9.
Line spacing – single line spacing
Columns – the main text should be formatted into two columns (apart from the title, abstract,
tables and figures)
Page numbers – pages should be included as per the style of the BMC journal relevant to your programme
introduction (around 1500 words)
The main purpose of this section, as well as providing a concise critical review of the literature relevant to your research study, is to provide a clear rationale or purpose for the research that you have done.
The introduction should provide background that puts the article into context and allows readers outside the field to understand the purpose and significance of your research. You should define the problem you are addressing and why it is important. You should include a brief review of the literature that is key to your research area and note any relevant gaps in this current research area. The introduction should be concluded with a clear statement of the purpose of the research and the research question(s) should be clearly identified.
The introduction should essentially achieve the following:
Summarize existing research
Promote the need for your study by pointing out deficiencies in existing research.
Methods (around 1000 words)
The purpose of this section is to provide sufficient methodological information so that anyone who chooses to can evaluate the appropriateness (or validity) of your methods or can easily replicate it.
The Methods section should:
Tell the reader exactly what you have done;
Convince the reader that what you did was correct, i.e. it should clarify issues of validity, reliability, and describe widely accepted measurement techniques and protocols.
In order to aid clarity, it is important to arrange this information into sub-sections with subheadings. The methods section of a research article should be written in the past tense. Refer to previously published research articles methods sections for further guidance.
It is a good idea to ask someone who has no knowledge of your research to read this section. If it is detailed enough, the naïve reader should be able to exactly replicate your research.
Results (around 1000 words)
The results section should describe the results of your experiments. This section is normally supported by relevant figures and tables and includes clear empirical statements of your results
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analysis. Again, put yourself in the position of the reader. This section must contain sufficient detail to enable full understanding of the results, allowing a clear conclusion to be made.
The data should be presented in logical sequence which follows the logical progression of your research – subheadings are encouraged to structure the results section.
Remember that you should only show data once, in the form of a graph or table and not in both graph and table form. As a general rule do not merely insert either tables or graphical material directly from SPSS – recast these in Word (tables) or Excel/Prism (graphical material) with a focus on the relevant material. If using Graphpad Prism software, graphs are easily exportable directly into your article, or can be saved as an image for use.
Tables should have a table, placed above the table
Figures should have a figure legend provided below the figure
Tables/ figures should not overlap pages
The research article should include summary tables and figures as appropriate. It is recommended that no more than six tables/figures be included. Remember that multiple figures can be combined as one figure that is split into a number of parts (A, B, C etc.), but the information presented should be related.
Although it is imperative that you accompany each table/figure with a text explanation, you must not go beyond an objective explanation. The results section is not the place to interpret or discuss your findings. It is not sufficient to merely refer to the table as in: The results of the analysis are shown in Table 1. Thus, you should highlight the main features of the results in your text, but do not attempt to interpret them (leave this for your discussion). It is important that you refer to the relevant figure/table within the main text.
Discussion (around 1700 words)
This section provides the opportunity to `make sense’ of your data in relation to previous research and your specific research question(s). The discussion is an important to section which allows you to demonstrate to the reader/marker that you can interpret the results correctly and that you understand the research undertaken.
The discussion section that allows you to put your work into a wider context; a description of each table and graph, which you included in the results section, is unlikely to be sufficient for a pass grade. You must attempt to synthesize your results and relate them to previous work – if the research was worth reviewing in the introduction, it is worth mentioning it again with respect to your findings.
Begin the discussion with a summary of the major findings (in relation to the aims of the study). Then proceed to explain systematically individual findings and support your discussion with relevant literature. In general, you should endeavor to determine whether the results:
answer your research question
are consistent with what other researchers have found in this area. If they differ, why might
this be so?
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are likely to be due to any methodological shortcomings or flaws in the study;
have implications or applications for existing and/or future research.
You should write in an appropriately succinct style; this may be the section that lets you down. If you have relied too much on published work for the introduction, you may find it difficult to maintain the same style. You should aim to relate the findings of your study to most, if not all, the research evaluated in the introduction.
If you have followed the ‘hour-glass’ model of report writing, you will recall that the introduction became increasingly focused and ended with the hypotheses. The discussion should show a reversal of this pattern and begin with a statement emphasizing the primary findings of your study and whether or not the hypotheses were supported. The discussion should then become broader as these findings are discussed in relation to research that was reviewed in the introduction. Secondary findings (if appropriate) should also be discussed in a similar manner.
Do not worry if your findings are not consistent with those published previously. It is more important that you make an attempt to explain any inconsistencies; after all you are likely to have carried out your research under somewhat different conditions from that which was published. Inconsistencies with no explanation will be viewed somewhat negatively.
Limitations of your study should then be addressed along with implications these may have for your results (you may have begun to do this when explaining why your findings are not consistent with previous research in the area).
You should then make some recommendations for future research.
Conclusion (as a guide – 350 words)
Your report should end with concluding statements about the research. Your conclusions should provide a synthesis of your key results interpretations, and how these are relevant in a wider context – you should provide a succinct explanation of the implications of your findings.

Cover page has only 
Title of paper, class, your full name, and date 
Abstract
150-200 words 
Introduction
1 paragraph that sums up the whole paper.
Results
7-10 high quality paragraphs that flow nicely (these should be 10 topics that you choose to talk about releated to the paper i will attach)
Include at least 3 figures and figure legend for each.
Conclusion
1 paragraph of your conclusion, it’s your thoughts .
References or Bibliography 
make sure that your citations are found in the  introduction and results.
Let me know if you have any questions .

Research articles that relate to legislation that has affected current healthcare policies such as: Health Insurance Portability & Accountability Act (HIPPA), Affordable Care Act (ACA), Mental Health Parity Act (MHPA), Emergency Medical Treatment and Labor Act (EMTALA), Paperwork Reduction Act
Develop a PPT presentation with at least 20 slides (1 with APA references) explaining the health policy and policy-making process. Discuss the roles nursing organizations have played in influencing policy as it relates to the health policy/legislation selected. Discuss how this policy has impacted the healthcare system. Include how nurses can become involved in policymaking. 

Read the Executive Summary, Key Findings & Key Recommendations of Sachs et al. (NOT the whole thing! It’s lengthy!). This report on ‘lessons learned’ from the Covid-19 pandemic is insightful, and is the focus of our introductory reflection post. Please read it, and post a short reflection on it, again about 150 words in a paragraph. 

In Essay format:
Read through this article: https://bit.ly/3DCIYRJ
Were you in a situation where you were terminally ill, would you appreciate the choice outlined in the article? What are some of the concerns brought up in the article, and what are your personal thoughts on the recent lawsuit?
Note:
– Word length requirement is between 200 and 500 words
– Handwritten answers will be immediately rejected
Requirements
Must be typed out (handwritten answers will be rejected and result in an immediate decline of your application)
Between 200 and 500 words
Must be free of plagiarism, including any text generated by artificial intelligence such as ChatGPT
Proper grammar practice and no spelling mistakes
Failing to meet our quality standards will result in your application being rejected
At least one example of correct use of all of the following:
Commas
Colons
Semicolons
Exclamations
Quote Marks
Apostrophes
Parentheses
Dashes
Hyphens
Citation in APA format (at least one resource)
For more information, please refer to our Grammar Videos. https://www.youtube.com/watch?v=r3y3bOueqPM&list=PLhEgI1bxSO3UppIYs6AJdSTmEyOEdsUt0
NO PLAGIARISM
Note: Answers must be 100% original. Any plagiarism will result in your application being rejected.
You should use your own words and ideas.
You may include quotes from outside sources that are up to one (1) sentence long only. All quotes must be cited with the appropriate format.
Paraphrasing outside sources without the respective citations and failing to add your own ideas is plagiarism. 
Taking your own ideas that are published elsewhere and not properly citing them is plagiarism.
Copying text generated by artificial intelligence such as ChatGPT is plagiarism.

Assignment Instructions
Research and write a brief essay to the following topic. Your response should be between 300–500 words. Your work should follow the conventions of Standard English (correct grammar, punctuation, etc.). Your writing should be well ordered, logical and unified, as well as original and insightful. Furthermore, all sources used should be properly cited using APA formatting.
Assignment Directions
Based on the readings in Chapter 8, answer the following questions and be sure to include references.
Provide an explanation of current global mental health issues.
Define stigma and explain its relationship to a mental health policy.
Identify at least three key concepts to be included in a mental health policy.

Write approximately 50 page bachelors thesis,
I have attached a image of a format to follow as well as a guided book to refer too 
Below is the general idea in Capitals and just 
underneath is the specific question. 
If you have any other ideas for a better suited question you can make your own changes 
Ethical Considerations and Processes in Medically Assisted Suicide and Euthanasia A Comprehensive Analysis of the Legal and Medical Perspectives, with an Emphasis on European Practices
How do European practices of medically assisted suicide and euthanasia reflect the complex interplay of ethical, legal, and medical considerations?

All the information is all the files and also template provided 
All apa7 referencing and 0 ai information. 

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Using methods described in Melnyk and in the literature, complete an Organizational Assessment at the system level (be sure you understand what a system level is). Please explain if your system is ready for this DNP Project. How do you know? 
What is the current knowledge level or experience of your: a.) department, b.) unit that the department is a part of, and c.) the overarching health system, related to EBP?
Every project requires a team. Think about your DNP Project and list the necessary members that are needed for design, implementation and evaluation. List any and all that may apply. Be sure to include what profession they represent (e.g., Nursing, Medicine, Finance, IT, etc.). Try to include those at the system level as well as the department level. Finally, share what their role will be on the project team. This can be in a list format as well. Be sure to not only list nursing professionals. You should be describing an interprofessional team, which means different disciplines are represented. Also, note if any of these team members will serve as your project champion. Refer to yourself as the Project Manager.
Will provide information on my DNP project and references, resources