suffering from external hemorrhoids

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I know that if you are suffering from external hemorrhoids then you are going to want a treatment that works – not to spend hundreds of dollars on this and that which help a bit, but never provide the long term solution that you are looking for.The first thing to do is take a long hard look at why you have got the hemorrhoids in the first place; do you know if your parents had them – sad to say, some people are just more likely to get them than others, and this predisposition is hereditary! This doesn’t mean that you can’t get rid of them, just that you will always need to be careful. Are you pregnant? Well the good news is that you may be rid of your hemorrhoids once you have had your baby – but giving birth can also give you hemorrhoids! Do you take enough exercise? If you move, so do your bowels in a regular way with less chance of being constipated. On the other hand, if you have to stand a lot for your work, this can exacerbate hemorrhoids because of the gravity factor!For me, it was a combination of all these factors which led me to look for external hemorrhoid treatment. I wanted a natural solution rather than chemical or surgical, if that was possible, and was glad when I found just the right solution. However, it is important for you to get as much information as you can about hemorrhoids to allow you to make informed choices for yourself. Everyone has different priorities, and reacts to treatments in different ways.

Becoming Limitless Review

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“Sounds great,” you say before  Becoming Limitless Review exchanging air kisses, and continuing on your mission of securing the finest produce. You know she won’t call. You know you won’t either.She could have said, “No, I’m too busy,” or “No, I’m not interested.” Rather than such bluntness, she replies with the socially approved, milquetoast, “I’ll try.”Underlying her intentions was, “No” – delivered with grace.In reality, what is there to “try” Am I actually eating less Am I really more active Select one: “yes” or “no.” If I choose to not act on my own words, I am not “trying,” I am simply “not doing.”

Whether it’s because you’ve got a punishment riding on their performance or they’re just too hard on themselves, some of our athletes just won’t lay it all on the line at practice…and because of that, they won’t get better. The practices that are the most fun and energetic are when your athletes are trying new shots and techniques…the ones where you watch them muddle through and start to see the glimmer of excitement as they realize they’re mastering a skill. Let’s help our athletes to be brave and try new things.

In-game confidence: These are the athletes that stare down the server when she’s at the baseline, silently daring her to deliver her best shot. These are the folks who you go to when you’re in desperate need of a sideout. They don’t always deliver (no one does), but you keep going to them because you see no fear when you look them in the eyes.

Overcoming tough situations: The longer the season goes, typically the better and higher the level of play and competition. The athletes that are afraid will shrink from the challenge, but your brave athletes who believe in themselves, their team, and the plan will rise to the occasion.Recruiting: Perhaps you think that there’s no way that you could land a certain recruit…because she’s at a higher level than your team or she’s being wooed by schools bigger than you. That’s where belief in your institution, your program, your team, and yourself will come into play. While you can’t be sure that the belief you hold will pay dividends, you can be pretty positive that no recruit wants to play for a coach who’s afraid of a tough situation.

Meal Planning For Carbohydrates

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Please submit Meal Planning for Carbohydrates Assignment here.

Part A

Please respond to the following questions in complete sentences and paragraphs. This section should be at least 200 words.

  • What is meant by the AMDR, and what is this range for carbohydrates?
  • How does the type of carbohydrate impact health?
  • What is one negative health impact from carbohydrate intake?
  • What is one positive health impact from carbohydrate intake?

Part B

Here is a sample one-day menu for Mr. Brown. His doctor just told him to cut down on added sugars in addition to increasing his fiber intake. He hopes to meet with a dietitian next week, but in the meantime needs some help making these changes. List five suggestions for Mr. Brown’s diet. Make sure to provide only changes that address the meal planning goals mentioned above. Tell him which food(s) you would have him omit and how you would replace these items. You may also change portion sizes. Highlight (yellow only, please) or bold the item you are changing. Then write the change next to that. You may make more than five changes, but if you do so, you will only receive full credit when all changes correctly match the assigned directions.

Breakfast
1 cup sugar-frosted flake cereal
8 oz 1% milk
8 oz orange juice
2 scrambled eggs

Snack
1/2 peanut butter and jelly sandwich (1 slice white bread, 1 TBSP Skippy peanut butter, 1 TBSP grape jelly)

Lunch
8 oz tomato soup
6 Saltine crackers
1 turkey sandwich (3 oz turkey, 2 slices white bread)
1/2 cup canned pears in heavy syrup
8 oz grape juice

Snack
6 oz fruited yogurt, sweetened
1 oz almonds

Dinner
5 oz BBQ chicken
1 medium baked potato with 1 TBSP butter
1/2 cup cooked broccoli
8 oz cola
4 oz 1% milk

Snack
1/2 cup chocolate ice cream

Lecture—Demographic and Epidemiological Transitions

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To understand how countries, change over time, it is important to understand the concept of both demographic and epidemiological transitions. The first concept, demographic transition, results from a change in which there is a shift in the fertility and mortality patterns within the country. Early on in the history of a country, it is typical to see patterns of both high fertility and high mortality. This leads to a slow trend in the overall growth of the population of the country.

As the country becomes more established, one will begin to see a pattern in which mortality declines and fertility remains constant or declines at a slower rate. This will result in a growth in the overall population of the country. This occurred with many of the currently developed countries with the increase in hygiene and nutrition and a decline in infectious diseases. In countries at this point in a demographic transition, the proportion of people in the younger age ranges is higher. Lastly, as countries mature, fertility rates decline to a point that catches up with mortality rates. At this point, the increase in the total population growth of a country slows down.

An epidemiological transition is related to the demographic transition in that it is a change in the pattern of diseases being seen in the overall population. This means there is a shift from mostly communicable diseases to mostly noncommunicable diseases. Early changes to a country’s pattern of disease are based on factors such as hygiene, nutrition, education and socioeconomic level, and advances in public health and medicine.

Demographic Transition- According to Keith Montgomery (n.d.), when we describe both the growth and the decline of a population, we look at the epidemiological and demographic transition data. The image provided shows the stages countries go through in regard to the expansion of populations in terms of birth rate and decline in terms of death rate. The data is examined to help determine the needed interventions and preventable outcomes that may affect the countries.

National Guidelines Regarding Human Subjects’ Research

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To prepare for this course project submission, read Protection of Human Subjects published by the U.S. Department of Health and Human Services. This document outlines the National guidelines regarding the protection of human subjects used in research.

Institutional Review Boards (IRBs)

As part of the case study, imagine that the hospital that was just acquired (the one you have been researching) is currently doing research or will be doing research in the future in conjunction with the parent hospital. Analyze how these guidelines should be implemented at the hospital that was just acquired (the one you have been researching) to make sure the practices are consistent between the two sites and explain the role the IRB plays in the process.

For example, would you create policies and procedures, offer training, create a handbook, or provide some other way to integrate these guidelines into the facility? Maybe the hospital you are researching already has these guidelines in place so your analysis will focus on making sure the practices are the same between sites.

Submit a rough draft of your course project. The rough draft should be approximately 6-10 pages in length not including the title page and references.

Budgetary Variance Model

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Subject:  Essay

task: New task

Urgency 12 to 15 hours

Required Wordcount

4 page(s)/1100 Words

Citation Style APA Style

Details:

The service unit, or output, for this department is the number of procedures performed. A static budget was prepared at the beginning of the year. Examine that budget in relation to actual experience. The relevant data are included in Table 17-18 in your course text.

The department manager is pleased because the department has a favorable $120,000 cost variance.

Evaluate the effectiveness claims of the manager using the budgetary variance mode described in Chapter 17. What is your analysis of the department manager’s performance? Explain your reasoning

Evaluate the unique characteristics in health care that complicate this analysis.

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As you learned in Week 1, health care spending is growing faster than overall growth in the economy (as measured by GDP) and by 2026 is expected to consume 20 percent of GDP.  Many economists believe that the trade-offs required to finance health care spending have become increasingly challenging for both private and public payers.

Given what you have learned from the course material in Week 1, discuss these trade-offs and how to evaluate them from an economic perspective. BE SURE TO USE SECTION HEADERS CORRESPONDING TO THE SECTIONS BELOW.

Specifically, do the following:

  1. From an economic perspective, explain why health care spending cannot grow greater than overall growth in the economy for an extended period of time without adverse consequences.
    1. Identify what economic constraints overall and in the healthcare industry will occur if this happens.
  2. Identify TWO Economic concepts that can be used to evaluate the trade-off between health care and other economic goods and services. In doing this:
  • Define the economic concept completely
  • Apply the economic concept to the current issue of rising health care spending and trade-offs
  1. Evaluate the unique characteristics in health care that complicate this analysis.

This report should be at least four double-spaced pages, include a reference page, and cover page.  In writing, your report you should rely largely on reference material in the course readings and summary slides in Week 1. Please be sure to properly cite all material used.  

Be sure to include your name and section headers corresponding to the parts of the report above.

Benchmark – Financial Operating Plan Analysis

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You are a junior analyst at a 500-bed nonprofit hospital in a competitive metropolitan market. You have been asked by the CFO to work on the financial operating plan for the upcoming fiscal year. The finance department has stated that the hospital’s anticipated revenue is $60,000,000, with a 6% operating margin. The hospital administration is only allowing you to recommend up to a maximum of two projects to the CFO.

You have been asked to consider making a proposal for the following service line requests:

  1. A new EMR system, 10-year payback with $1,000,000 outlay. The system will update current the platform to meet new regulations and, according to the vendor, provide better clinical outcomes.
  2. Overhaul of the cardiovascular lab, rooms 2 and 3. Costs of $900,000 a room are estimated. The updates will generate a 3% return above what the hospital has historically seen due to advances in operational efficiencies.
  3. New parking garage with an estimated cost of $3,600,000 (can be amortized over 5 years). The garage will add an additional 125 covered parking spots on the campus.
  4. Purchase a 50-physician practice at a cost of $2,800,000.  The group is also considering a similar offer at a competing hospital. The practice presently has a strong utilization in your facility.

Proposal:

In a 750-1,000 word proposal, answer the following questions:

  1. Name and describe three components of the health care finance system that are present in the assignment.
  2. Describe how the components you selected interact with one another and how this interaction informs your decision-making process.
  3. Explain the steps and information you would need to make your recommendations.
  4. Describe which two projects you would recommend and provide rationale.
  5. Explain why you would not recommend the other two projects and provide rationale.
  6. What if this hospital was a for-profit system, would your answer change? Why or why not?

Cite a minimum of three references to support your rationale.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

This assignment assesses the following programmatic competencies:

MPA: 4.3: Analyze how components of the health care finance system interact with each other.

HCA: 3.6:  Develop and apply skills necessary to manage finances, evaluate financial performance, and develop financial plans at the departmental/organization level.

MBA: 5.1: Develop financial plans to support the viability of health care organizations.

Communication And Perception From The EBook, Communication In The Real World:

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prepare:

  • Read Chapter 2, Communication and Perception from the eBook, Communication in the Real World: An Introduction to Communication Studies
  • Read article Barna Group. (2015, March 19), What Most Influences the Self-Identity of Americans?
  • View the media located in this week’s Learning Resources.
  • Consider how you present your “self” to others, or in other words manage your impression on others. Consider the various things you do differently to manage your own self-presentation.
  • Consider the people who have helped you become who you are today as well as the outside influences.

Post by Day 3 1-2 paragraphs that include the following:

  1. Provide two examples of others (people or outside influences) that have been major influences in the development of your “self.” Explain how each of these others has impacted your “self” as it is today. Be sure to use concepts and ideas from your course resources when answering this.
  2. Give an example of a time where you had to manage your self-presentation or impression in order to be perceived a specific way. What things did you change? Did it work? Be sure to use concepts and ideas from your course resources when answering this.

Apply: Productivity Tools For Businesses

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urpose of Assignment

In this assignment, you CREATE A MICROSOFT WORD DOCUMENT THAT ANTICIPATES the Week 5 assignment of the same name, “Individual: Apply: Productivity Tools for Business.” In that assignment you apply integrated office software and social media applications to create business opportunities and/or resolve specific business needs.

Assignment Steps

 

Create a WORD document that declares your intention regarding the Week 5 assignment, which is to “Create a 15- to 20-slide presentation on the benefits of using social media and cloud-based software to create, promote, and run a business. Include the following:

  • Research at least four different social media applications that can be used to establish, promote, and/or conduct business.
  • Explain the rationale and benefits to using them in the workplace, such as why or how they increase market share or productivity.
  • Describe the potential risks that a business should be aware of when considering using these tools.
  • Discuss any additional technology considerations that should be considered before using these types of tools.
  • Evaluate the benefits of using networking, cloud-based, and integrated software solutions to complete business projects, and provide two or three examples.
  • Discuss new technologies and trends that may impact future business solutions.
  • Explain how consumer or market changes help drive opportunities and updates in business workflows and productivity software use.
  • Discuss ethical implications associated with unsecured financial transactions, the potential leak of personal data, unsolicited communication, or other questionable activities.”

Your WORD document need only be one (1) page in length, and may be in outline form. The intent of this assignment is to let me help guide you regarding the Week 5 assignment.