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Developing and Implementing an IT-Based Transcation Processing System

ASSIGNMENT 2 TO BE ABOUT
DEVELOPING AND IMPLEMENTING AN IT –BASED TRANSCATION PROCESSING SYSTEM
Remarks: take a screenshot of the system form and keep it in the report, even if it’s from the internet it’s fine

  1. ASSIGNMENT TITLE
    Developing and Implementing an IT-Based Transcation Processing System
  2. BACKGROUND
    This will present the background of the assignment, how, why, where and from whom it is initiated. This will include a brief organizational background where a system project will be developed including its business processes and operations.
  3. ASSIGNMENT OBJECTIVE
    This section defines the main and specific objectives of the system project.
  4. SCOPE OF THE ASSIGNMENT
    4.1 Project Management: Provide full project management for this assignment
    The provider will have to present the following:
    • Transcation Processing system
    • Engage in a scoping and planning exercise
    • Define the business objectives of the assignment
    • Develop a strategy for meeting them.
    The activities should include developing business and technology strategy, define the change imperative, building a business case, assess the change readiness, determine processes and system risk assessment, develop project team technical environment, and define overall training strategy.
  5. 2 Designing the system
    4.2.1 Defining the system
    This will require the provider to formulate a clear statement which reflects a precise understanding of the scope and nature of a problem. Establishing a definition serves two purpose: it will commit the organization to developing an appropriate information system which will serve the needs of the organization and its stakeholders, and serves as a benchmark against which the system can be measured once it is operational. Defining a system requires the input and agreement by the organization and system developer.
    4.2.2. Identifying reporting requirements
    The provider should identify reporting requirements as the next procedure in building an information system. Unless it is done, it is impossible to know what data will eventually have to be collected. Particular attention must first be paid to recognizing all user groups. Developing proposals for reporting formats speeds up the process because stakeholders have something to respond to.
    4.2.3 Specifying operational requirements
    The provider will have to interview the end-users to note the operational requirements, and definitely before determining software and hardware requirements, and definitely before the system building procedure begins. The best source of operational requirements information is the Projects Office and the line function managers who will use the system.
    4.2.4 Technical standards
    The provider will be expected to define the under-mentioned technical standards that would begin the process of rationalizing technology and explain how they will work to enable the Project Management System to share data and inter-operate with other systems.
    • Networking protocols
    • Operating systems
    • Data-bases and data-warehouse
    • Middle-ware
    • Transaction processing
    • Desktop environment
    • Multi-media standards
    4.2.5 Identifying data elements
    It is required that the provider transform the reporting requirements into data requirements or elements. This means deciding which pieces of raw data must be collected and processed in order to produce the reports requested by information users. The provider must identify data elements meticulously. Attention also need to be given to how the data is to be entered. As this procedure gets under way, related data elements should be grouped together in order to create data files.
    4.2.6 Determining the equipment requirements
    The provider will have to define the tools, supplies, machinery or materials which will be required to operate the system. Equipment could mean a certain software application running under specific computer operating system environment. It is however important to keep in mind that not all systems require essentially the latest technology to operate effectively.
    4.2.7 Building the system
    The procedure to be followed consists of three sub-procedures:
    4.2.7.1 System design: the provider should lay a physical design of the system. It is required the relationships and dependencies are established between the groups of data elements, or data files, in order to determine how data files interact with each other. The result of this sub-procedure should be a schematic diagram which will be used to guide the system builder.
    4.2.7.2 System development: The builder should use the design document to start the process of establishing what the data entry forms will look like, what data will be entered onto which paper forms; how the data will be entered; how output, in the form of reports will be generated.
    4.2.7.3 Software set up: Install and configure the system to provide the required support to line functions. The provider will configure and pre-test the system to confirm that it supports the target vision, and define the required custom development work. Activities include designing the To-Be processes and technology requirements, configuring the processes in the software, creating the training curriculum, and developing technical specifications for conversion, reports and forms.
    4.2.7.4 System testing: The builder should ensure that the system functions correctly. If errors are found the builder of the system must locate the source of the problem, repair it, and test it again. The builder should from time to time consult with Projects Office and line function managers to find out about the user’s impressions of the look and feel of the system.
    4.2.7.5 Writing system documentation: the provider should document the procedure which have been followed as the system development proceeds.
    Technical documents: The technical documents should describe in detail every aspect of the development process, from the point of defining the system through a detailed description of what went into the building of the system. No elements should be ignored –a detailed record of the work which has been done to date must be put down in writing. This will enable a new system builder to build on what a previous one has done.
    User documents: A user document or manual is crucial. Many users may be at a complete loss when using a newly built system unless they can refer to a well-written user manual.
    4.2.7.6. Implementation and Training: The assignment provider should validate and implement the integration of the new business processes, the software, production technology, processes and systems security and controls, and organizational infrastructure and workforce changes. Activities should include performing integration and end-user training, performing process and technology cutover activities for “go live’.
    4.2.7.7 Project Review: The provider should outline an assignment review process
    4.2.7.6. On-going Support and Maintenance: The provider should outline how on going support and maintenance will be offered.
  6. DESIGN AND IMPLEMENTATION PHILOSOPHY
    Needs Analysis
    The provider should outline how he/she will conduct a joint needs analysis of specific requirements with the Projects relevant line functionaries. The core system to be tailor made to suit the needs of the organization’s business processes.
    Concentrate on core requirements
    Based on the results from the needs analysis, the provider should sequence the requirements and concentrate on core requirements
  7. EXPECTED OUTCOME AND DELIVERABLE
    • A fully functional Project Management System
    • Customised Financial Management System
    • A trained Programme for Users
    • A customized projects office (front and back) in electronic format (CD)
    • Technical documents
    • User documents
  8. COMPETENCY AND EXPERTISE REQUIREMENTS
    Includes the providers qualifications as systems specialists and others.
  9. SERVICES DESCRIPTION
    • Project Management
    • Software set up
    • Customisation and Installation
    • Implementation and Training
    • assignment Review
    • On-going Support and Maintenance
  10. APPLICATIONS / FUNCTIONALITIES
    9.1. Assignment’s Financial Management System
    The system should be able to perform the following:
    Assignment Earned Value Graph
    Should be able to measure a series of categories and overall performance within an assignment.
    • Measure assignment performance
    • Planned Value, Actual Value, Actual Costs
    • Monetary value to time and cost
    • Forecast estimate to complete the assignment based on current performance
  11. REFERENCES

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Developing Curriculum Content.

Provide a 6 pages analysis while answering the following question: Developing Curriculum Content. Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required.

The developmental approach in designing curriculum content asserts that curriculum should help students to learn the information which is necessary for performing day-to-day operations or tasks. This model emphasizes that curriculum should provide practical information and should help developing skills and learning capacities for better performance (Browder, et al., 2003). The developmental approach looks forward to developing student abilities to be an excellent performer in their life. This model recognizes students’ development as a sequential growth which starts with academics, then career, and then social growth while curriculum should be designed to achieve objectives of all stages of students’ needs.

The readiness approach as the name suggests is related to the entry-level of students. It refers to particular skills and understanding of a student. The readiness approach suggests that in designing curriculum content, it is important to examine the mental standing of the student where the student is (Marcon, 2002). In institutions, some students may have well-developed skills and understanding of complex topics because they were already exposed to learning opportunities but others may not have got the same chances (Muller-Ackerman, 2014).

So, curriculum content must be designed considering the readiness of students and the level of their understanding. In the contrasting scenario, no prior knowledge of students’ readiness may lead to an unplanned curriculum content which will hinder the actual growth and learning of students (Olfman, 2003). Examining readiness provides a series of indicators whereas these indicators help understanding the expectations and needs of students. Based on these indicators educationists have better oversight of required curriculum contents which later produces greater learning and growth.&nbsp.

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Developing Curriculum Content.

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Organizationand developing a SMARTER outline

In Unit III, you started on your course project by selecting an organizationand developing a SMARTER outline. For this unit, you will apply the team effectiveness model discussed in this unit and the Five Cs (cooperating, coordinating, communicating, comforting, and conflict-handling) into a team-building plan.

In a two-page explanation, describe how you will assemble and lead a team who will develop the new product you discussed in your Unit III Assignment. Describe who will be a part of your team, how you will ensure the team is successful, and how you will apply the Five Cs. Additionally, include how you will account for different personalities and needs.

Outside sources are not a requirement for this assignment. Use your creativity and knowledge of effective teams discussed in this unit.

— XYZ Company will be launching a mentorship program that will see the launch of a mobile application that connects some of the knowledgeable and successful mentors to aspiring entrepreneurs in diverse fields and specialties. The point of view is to help entrepreneurs get answers and make important decisions about their businesses.

— textbook — McShane, S. L., & Von Glinow, M. A. (2018). Organizational behavior: Emerging knowledge, global reality (8th ed.). New York, NY: McGraw-Hill Education.

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BUILDING AN EFFECTIVE TEAM

A team is considered an essential ingredient to a successful establishment of a business or a product or service. However, putting together a capable team is not something that will happen overnight. It requires planning as a continuous process to make it happen. XYZ Company will be starting a mentoring program that will see the launch of a mobile application that will be aimed to connect aspiring entrepreneurs to knowledgeable and successful mentors in diverse fields and specialties. To build a capable team to make this goal come to pass, I will accurately identify employees’ skill sets that will suit the tasks that I have identified from different departments. The other step will be delegating tasks to each person, and as a leader, my job will be making sure that the employees do their responsibilities as they are needed.

It will be essential to involve all team members in goal setting to ensure cohesion and a trustworthy relationship. As the team leader, it will be crucial not to micromanage, especially to those who will be developing the app. The team that will make this project come to pass will be the tech team who will be responsible for developing and maintaining the app. The marketing personnel will also be on the team that I will put together. The marketing team will entail of the digital marketers whose responsibilities will be familiarizing the targeted audience about the app. The other part of the marketing team will be the ground team, who will have the responsibility of reaching potential mentors and showing the public the necessity of subscribing to the application.

An effective team must be built on five attributes (the five Cs) where each attribute relies on the other, thus becoming a domino effect. The five Cs include cooperating, coordinating, communicating, comforting, and conflict-handling, where a team cannot coordinate if there is no cooperation, and there can be no communication if there is no coordination, while no comforting can work with no communication. The vital aspect…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. Organizationand developing a SMARTER outline ……..

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Developing a Health Advocacy Campaign


To be an effective advocate and to develop a successful health advocacy campaign, you must have a clear idea of the goals of your campaign program and be able to communicate those goals to others Developing a Health Advocacy Campaign. In addition, it is the nature of nurses to want to help, but it is important to make sure that the vision you develop is manageable in size and scope. By researching what others have done, you will better appreciate what can realistically be accomplished. It is also wise to determine if others have similar goals and to work with these people to form strategic partnerships. If you begin your planning with a strong idea of your resources, assets, and capabilities, you will be much more likely to succeed and truly make a difference with those you hope to help.
Over the next 3 weeks, you will develop a 9- to 12-page paper that outlines a health advocacy campaign designed to promote policies to improve the health of a population of your choice. This week, you will establish the framework for your campaign by identifying a population health concern of interest to you. You will then provide an overview of how you would approach advocating for this issue. In Week 9, you will consider legal and regulatory factors that have an impact on the issue and finally, in Week 10, you will identify ethical concerns that you could face as an advocate. Specific details for each aspect of this paper are provided each week. The Final Paper will be due in Week 10. This paper will serve as the Portfolio Application for the course.
Before you begin, review the complete Assignment. 
This week, begin developing your health advocacy campaign by focusing on the following:
Identifying a Problem
 To prepare:•Select a population health issue of interest to you and identify the population affected by the issue.•Locate two scholarly articles, each of which provides a description of an effective health advocacy program that addresses your issue. •Analyze the attributes of the programs to determine what made them effective.•Reflect on a policy you could propose or a change to a current policy to further improve the health of the population you selected with regard to the issue.•Consider how you could develop an advocacy program, applying the attributes identified in similar, effective programs.
To complete: 
For this section of your paper (approximately 3–4 pages in length) address the following:
•Describe your selected population health issue and the population affected by this issue.•Summarize the advocacy programs you researched in this area.•Explain the attributes that made those programs effective.•Develop a plan for a health advocacy campaign that seeks to create a new policy or change an existing policy with regard to the issue and population you selected. Be sure to include in your plan: ?A description of the public health issue and proposed policy solution ?Specific objectives for the policy you want to be implemented?The means by which you will convey information to various stakeholders on the need for this policy change ?Be sure your proposed need is substantiated by data and evidence.?Methods of establishing support for the policy, including how to influence policymakers 
•Explain how the attributes of the effective advocacy programs you researched could be applied to your proposed advocacy campaign.

Legal Considerations
 To prepare:•Review Chapter 3 of Health Policy and Politics: A Nurse’s Guide (3rd ed.) to determine methods of influencing the political process. •Reflect on whether the policy you would like to promote could best be achieved through the development of new legislation, or a change in an existing law or regulation.•Contemplate in what ways existing laws or regulations may impact how you proceed in advocating for your proposed policy. •Consider how you could influence legislators or other policymakers to enact the policy you would like to propose.•Think about the obstacles of the legislative process that may prevent your proposed policy from being implemented as intended. 
To complete:
For this section of your paper (approximately 3–4 pages in length) address the following: •Explain whether your proposed policy could be enacted through a modification of existing law or regulation or the creation of new legislation/regulation.•Explain how existing laws or regulations could impact your advocacy efforts.•Provide an analysis of the methods you could use to influence legislators or other policymakers to support your policy. In particular, explain how you would use the “three legs” of lobbying in your advocacy efforts. •Summarize the obstacles you anticipate arising in the legislative process and how you could overcome these hurdles.

To prepare for this final portion of your paper:•Review provisions 7, 8, and 9 of the ANA Code of Ethics in relation to advocacy for population health.•Reflect on the ethical considerations you may need to take into account in your advocacy campaign.•Research the ethical considerations, laws, and reporting requirements (with respect to lobbying) that are relevant to the location where your advocacy campaign will occur.•Consider potential ethical dilemmas you might face in your campaign.
To complete:
For this section of your paper (approximately 3–4 pages in length), address the following: •Explain any ethical dilemmas that could arise during your advocacy campaign, and how you would resolve them.•Describe the ethics laws and reporting requirements that are applicable to your advocacy campaign.•Evaluate the special ethical challenges that are unique to the population you are addressing.
Reminder: You will combine the sections of your paper developed in Weeks 8, 9, and 10 into one cogent paper

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Introduction

Mental health advocacy in the rural area involves the process of creating awareness, breaking attitudinal and structural barriers associated with mental illness in order to achieve positive results. The concept of advocacy is not a new phenomenon since similar actions have been implemented in urban. The main objective of developing health advocacy campaign for mental people in the rural area is overcome discrimination and stigma as well as promoting the rights of people with mental disorder (Druss, &Bornemann, 2010). In the United States, rights and the needs of people suffering from severe mental disorder became more visible in the past three decades. The Civil organization, consumers and families developed a platform in which the voices of these persons were heard. In the last decade, non-governmental organizations, their associates, and many mental health workers have tried to make general population and the society that person with mental illness have their human rights and should be supported to overcome the conditions.

Initially, advocacy was concentrated in urban areas where more mental health facilities were accessible. However, recently the services………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………………………………………Developing a Health Advocacy Campaign ………………………………………………………….

………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

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Developing a strategic plan

Developing a strategic plan requires specific steps that need to be executed in a sequence. The assessments in this course are presented in order and should be completed in sequence.
Develop and write your own personal mission statement. Be clear about your passion, values, goals, and philosophies. Once you have your mission statement articulated, explain how it:
Expresses your image of yourself.
Expresses your values and philosophies.
Identifies what you have to offer.
Explain how your mission statement answers the following questions:
What are your economic goals?
What is your philosophy in terms of quality and image?
What are your core competencies and competitive advantages?
What “customers” do you serve best?
How do you view your responsibilities to those who rely on you?
Format this assessment as a research paper, following current APA guidelines for both style and citing sources, making sure that you also use correct grammar and mechanics. There is no required minimum or maximum page length; however, you should strive to be as detailed as possible in addressing each bullet point while also being as clear and concise as possible

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BUSINESS CAPSTONE Assessment 1: Mission Statement

Name:

Grade Course:

Tutor’s Name:

Date of Submission:

Introduction

            Mission Statement is a living statement that is very critical to the growth and development of the organization and to an individual. The Mission Statement can be changed with time with specific purpose of achieving or attaining lay down goals within a specified period of time(Cochran, et al., 2008). Its serves as a guide into how an organization intend to achieve its goals or vision and it specifically speak to the to the owners, customers and employee goals.

Personal mission statement in relations to the strategic planning

            A personal mission statement outlines what an individual wants to achieve at a personal level. In simple terms, mission statement defines who an individual is and what he/she intend to achieve or do the society. It is very important for a leader to develop personal mission statement and aligned it to the mission statement of the organization he/she is leading. It is imperative to note that mission statement also guides the process of personal development career wise and personal achievement(Horwath, 2012). My personal mission statement reads “To provide excellent services to the community by assisting the veterans to live a happy life and overcome the scares of war, I will serve as the link between the veterans and the federal government and ensure that they get the necessary support they require. I will lobby the government and other organization to mobilize resources to build shelter, provide food and medical care to all veterans who do not afford these services.”

            As one of the veteran’s child I have witnessed first hand how veteran struggle to make ends meet when they retire from active service. Some of the veterans are retired early before they attain retirement age due to medical condition caused by the nature of their work(Pearce &Robinson, 2007). In most cases, veterans are traumatized by the past events they encountered while serving and they need constant psychological assistance from the psychologist. When the government fails to assimilate veterans back to the society, they are exposed to the wrong side of the law.

My economic goals            There is no doubt that funding is required for the veterans to get the much-needed services. My economic goals lobby non-governmental………………………………………………………………………………………………

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DEVELOPING COUNTRY LIST

You will write a critical review that synthesizes your reactions to the two articles (DEVELOPING COUNTRY LIST). Your paper must be APA style (e.g., title page, no abstract, double-spaced, reference page). The paper should be 800-1000 words. Please use the following organization.
a. The first section should include a general summary of the studies conducted (between 200-400 words).
b. The second section should involve your critical analysis of the articles (less than 600-800 words). Identify and defend the article that makes the strongest argument and will have the more significant impact on the topic/population it is written about. Integrate information from your course into the critique of the article. You might discuss the practical significance of the research.
c. The third section will involve your suggestions for future research in this area, based on what you have learned in your course. This should not be a summary of what the authors suggested as recommendations for future research, but rather, your own personal suggestions for future research based on the reported findings.
d. Please use headings in alignment with APA style (i.e., Summary, Analysis, Suggestions for Future Research). The paper will be graded based on the quality of content and alignment with APA style. Each article may earn up to four credits toward your research requirement. You must turn in both your summary/analysis of the article and a PDF of the article (or link to the article if a PDF is not available) when you submit your work for this alternative. Be sure to write your paper in your own words! Using actual phrases from the article without quotes is plagiarism. Paraphrasing sentences (e.g., substituting words here and there) is also plagiarism. Using the authors’ ideas without providing credit is also plagiarism.


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Developing Democracy in Gabon

Name of Student

University Affiliation

Developing Democracy in Gabon

            Gabon often referred as the Republic of Gabon, is an African country which is situated along the Atlantic Ocean. The country borders Cameroon in the north, Republic of Congo to the south and east, and Equatorial Guinea (Heilbrunn, 2014). The country is characterized by diverse groups consisting of pigmies and several Bantu groups. Since the early 1970s, the country has been categorized by World Bank as a middle-income economy with a per capita income per person that exceeds $14,000. According to the authors, the country has performed well albeit with problems in income distribution and higher poverty levels among a third of its population. The country has also been ruled primarily by one leader since 1967, with the immediate leader Omar Bongo who died handing power to his son.

Political History and Barriers to Development of Democracy

            When Gabon gained its independence in 1960, Leon M’ba was elected the president of the parliamentary republic under the Gabonese Democratic Bloc. According to (Heilbrunn, 2014) M’ba consolidated power and limited freedom of speech and association. In November, 1967 following the death of M’ba, Omar Bongo took over the country’s leadership. Bongo’s selection was based on the French recommendation because he was expected to protect their interests and promote country’s stability and reconciliation that had resulted from his predecessor. Several months after getting into power, Bongo created a single party in 1968. The formation of the single party was made possible through backing of an assembly that consisted only from M’ba’s party. The president created the Parti Democratique Gabonais (PDG) on the basis that all the existing parties were formed through ethnic affiliations. Although the coming into power of Bongo…DEVELOPING COUNTRY LIST…………………………………………………………………………………………

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Developing strategies for not-for-profit and public health organizations

Assignment Description

When developing strategies for not-for-profit and public health organizations, a needs/capacity assessment is performed.

  1. Why must this special assessment be performed in lieu of another strategic alternative assessment, such as a SPACE analysis?
  • Provide a hypothetical example to show your rationale for the special assessment process. The example given is open for peer comment and discussion.

…………………………………………………………………………………………public health organizations…………

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Health Care: Strategic Planning

(Course Instructor)

(University Affiliation)

(Student’s Name)

Strategic Planning for Not-for-Profit and Public Health Organizations

            The success of any organization is hugely dependent on its strategic planning process and the ability to link the strategic plan with the organization mission and vision statement. However, the development of the organization strategic plan differs depending on the purpose of the organization the organization exists to serve (Bryson, 2015). Since, the organizations can be categorized broadly into for-profit and not-for-profit, the needs and capacity assessments differs greatly between the two sets of organizations. Although both strive to attain financial stability, the motive of the for-profit organization is to make profits, while the not-for-profits is to fill the gaps in service within the community.

            When carrying out strategic planning in not-for-profit and in public health organizations, there is often the need to carry out capacity/needs assessment in lieu of other strategic analyses such as SPACE analysis. The programs that are delivered by the public health and not-for-profit organizations are determined by the needs of the community and the capacity of the organizations to deliver on such needs (Duncan, Swayne, & Ginter, 2013). Although some programs such as disease control are mandated by the legislations, there is an assumption that such legislations are because of important needs and are supported by non-discretionary funding (Ugboro, Obeng, & Spann, 2010).           The needs of the community are functions of the requirements of the community, (which include disease, environmental and sanitation), the community……………………………………………………

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

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What are the various aspects of decision making that are important to understand when developing effective decision support systems?

 analytics and the Support of Decision MakingOverview

Focusing on the analytics, decision support systems (DSS), and business intelligence (BI) frameworks and how BI and DDS support key issues of managerial decision making, assess aspects of decision making that are important to understand in order to develop effective computer support for decisions makers.

Instructions

Write a 3–5 page paper that summarizes your conclusions. Address the following questions in your paper:

  • What are the various aspects of decision making that are important to understand when developing effective decision support systems?
  • What are some examples of application areas for analytics that support decision-makers?
  • What are the challenges and considerations, both technological and organizational, that need to be addressed when adopting business intelligence initiatives?
  • How does the introduction of analytics and business intelligence initiatives affect users, and how does it influence decision making at different levels of an organization?

In your paper be sure to address the major frameworks of computerized decision support in analytics, decision support systems (DSS), and business intelligence and how those frameworks support key issues of managerial decision making with the use and applications of business analytics.

As you complete your assignment, be sure your paper meets the following guidelines:

  • Written communication: Written communication is free of errors that detract from the overall message.
  • Scholarship: Use at least 5 professionally reputable sources to support your main points and analysis. Be sure to include scholarly sources. Course readings may be included among the 5 required sources.
  • APA formatting: All resources and citations should be formatted according to current APA style and formatting guidelines.
  • Length: 4–5 typed, double-spaced pages.
  • Font and font size: Times New Roman, 12 point.

Resources

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Writers Solution

What impact did an undescended testicle have on this young man’s risk for developing testicular cancer?

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.  

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

 Case Study 1 

Mr. JS presents today to your office for a follow up appointment after a BP reading at home of 166/95 last week. He is a 52 y/o male with a PMH of HTN and Angina secondary to CAD, which is well controlled, experiencing less than 1 attack per month. On today examination, MR JS’s vital signs are as follows: Temperature: 96.8º Heart Rate: 68 bpm Blood Pressure: 168/92 Respiration: 14 Ox Sat: 95% at room air Pain: denies pain. Labs: Last LDL on records (6 months ago): 189 Current Medications: Atorvastatin 40 mg/day Metoprolol tartrate 10 mg/twice/day 

CASE STUDY QUESTIONS: 

1) According to the recently released American Heart Association guidelines on hypertension, what should be the BP goal for a patient with chronic stable angina and hypertension? 

2) In addition to diet and lifestyle modifications, what is the medication of choice to control the BP of a patient with chronic stable angina? Provide rationale 

3) Provide at least 3 (questions) you would ask your patient RELATED to the case presented and provide rationale. 

4) Please explain whether you would request any laboratory or screening tests for this patient and why (if any) 

5) How would you achieve the B/P goal recommended for this patient according to the guidelines provided above? 

6) Provide References in APA style 

 Testicular Cancer 

Case Studies A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes. 

Critical Thinking Questions 

1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer? 

2. What might be the side effects of cytotoxic chemotherapy? 

3. What was the purpose of preserving his sperm before chemotherapy? 

4. Is this young man’s age typical for the development of testicular carcinoma? 

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Writers Solution

continue your paper on developing a training

 You will use the organization selected in Unit 1 to continue your paper on developing a training program. This week’s focus is on the needs assessment phase, using task analysis, of the training program. You will be using Figure 4-1 on page 108 as a map for your course project and Unit 2. During the next several weeks, you will be designing a training program. This project will develop during the course with a section on needs assessment, a section on design, a section on implementation, and a section on evaluation. The result will be a complete training program for an organization. You will be using Figure 4-1 on page 108 as a map for our course project. In Unit 2, you will take the next step in the development of your training program by completing a needs assessment using a task analysis.