Discuss the technical issues behind the HealthCare.gov site. If you were the CIO of the government agency responsible for managing the site, what should have been done to prevent the issues from occurring? Explain your rationale. Also, what role would decision support technologies have in dealing with the issues?

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“Questions

  1. Discuss the technical issues behind the HealthCare.gov site. If you were the CIO of the government agency responsible for managing the site, what should have been done to prevent the issues from occurring? Explain your rationale. Also, what role would decision support technologies have in dealing with the issues?
  1. Identify, describe and contrast the two major forms of search engine marketing.
  1. As the systems development team leader, you have been instructed to use the Systems Development Life Cycle in developing a new cloud-based real-time supply chain management computing platform for your company. Outline the basic steps of the life cycle, identify specific (not generic) deliverable from each step for the problem at hand, and discuss specific strategies for accelerating the process. Detail potential issues you would anticipate in using the life cycle methodology.
  1. A large health care organization is planning to implement an automated patient care system that will enable the health care organization to electronically share information with their patients. They would like to provide patients with online access to medical records, submit consent forms for treatment, and enable electronic payment of bills. Discuss and explain the security risks and identify relevant security technologies necessary to protect both the patients and the health care organization.
  1. Your rapidly growing organization is located in a historic building in downtown Boston. Most data managed by the organization is noncritical except for a couple of databases that hold the company’s financial and employee information. Originally the organization took up just a small part of one floor but will be expanding to 2 adjacent floors. You are tasked to provide network capabilities for all employees as well as visiting contractors. Describe the type of networking technology you would implement and explain why. Compare your solution to other technologies.

Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.

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Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.
Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.
To prepare:
Review this week’s media presentation on the gastrointestinal system.
Review Chapter 33 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.
Review Chapter 35 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.
Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.
Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.

To complete:

Write a 2- to 3-page paper that addresses the following:
Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

If the union wanted to file a complaint with the NLRB, what “unfair labor practice” claim(s) could it make? What defenses would the company utilize?

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CASE STUDY

The company operates about 700 convenience stores. A sales assistant at one of the company’s stores was murdered while on duty. The murder was widely publicized, and employees complained of inadequate security measures. As a result of the murder, 15 sales assistants telephoned the union requesting a union organization effort. The union sent representatives to 60 stores in the area where the murder had occurred and left union authorization cards. Two days later the company notified the union that an injunction had been issued during a prior union campaign prohibiting solicitation on company property.

The next workday, the company had a meeting with the store managers in the area and talked about the need to improve security. The company officials also discussed the union’s organization activities and reminded the managers of the “no solicitation” policy and stated that a union would not necessarily do the employees any good. Later that week, the company had an unprecedented meeting for all sales assistants. Approximately 200 sales assistants attended and were paid for their time. The company officials told the employees that they did not need a union and that the employees from the union could retrieve their authorization cards. The employees were asked to voice their complaints and the employees listed the following: getting less than 40 hours work per week; not having breaks; not being paid for overtime work; working alone at night; and poor lighting at the stores.
The next day the company sent a memo to all regional personnel directing that sales assistants should work a 40-hour workweek; canopy lights were installed at all the stores; a policy was adopted that no one would be required to work alone at night; and sales assistants began receiving wages for after-hours overtime work.

The company posted “no solicitation” signs in all stores and directed that those signs be enforced; if the employees did not enforce the signs, they would lose their jobs. Later that month the company held further meetings with sales assistants, who again were paid for their time. They asked to select committee representatives to meet with management to discuss their complaints. Management officials left the room while the employees selected their representatives. The company made a list of the ten most frequently mentioned items from the employees’ recommended subjects for the committee to discuss.

Meanwhile, the union filed a representation petition with the NLRB seeking an election in a unit of all Summitt, Ohio sales assistants. The company president told the managers to tell the sales assistants that if they joined the union, the company would close those stores. The first meeting of the Employee Management Committee was held and the ten priority items were listed, granting employees a new vacation policy, improved health-care benefits, sick days, change in holiday hours for pay, recognition of seniority ranks, and improved security systems. Not long after that, the company sent an additional memo around announcing other improvements in life, major medical, and accident insurance plans, in addition to death and family benefits and a revised disciplinary appeal system.

QUESTION

If the union wanted to file a complaint with the NLRB, what “unfair labor practice” claim(s) could it make? What defenses would the company utilize? Use the specific terms and concepts covered in this course to support your analysis.

Compare the two least-squares equations with their R square values, and identify which one is better. Why?

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Computer Assignment

[a] Your assignment should be done individually only.
[b] Your student ID must be put on the top right-hand corner of every page.
[c] Both the two questions must be attempted, using SPSS or another package.
[d] All graphs should be presented within the body of the assignment under the relevant questions, NOT at the end of the assignment in an appendix.
[e] Your assignment is expected to contain no more than 7 single-sided pages.
[f] A soft copy of your assignment is required to be submitted onto the Moodle site before 5pm Friday 15 April 2016; Email submission is NOT acceptable. After the submission of your assignment, there will be a number of validation questions available on Moodle based on or related to your assignment, which MUST be answered and marked before 11:59pm Sunday 17 April 2016.

Question 1.
Assume that the final scores in a statistics unit follow a normal distribution with mean 72 and standard deviation 10. Use SPSS to find (and present the code as part of your solution):
[a] the proportion of the scores less than 50.
[b] the proportion of the scores larger than 65 but less than 85.
[c] the minimum score for being in top 10%.
[d] the probability for the average of 5 scores to be larger than 80.
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Question 2.
People with diabetes must manage their blood sugar levels carefully. They measure their fasting plasma glucose (FPG) several times a day with a glucose meter. Another measurement, made at regular medical checkups, is called HbA. This is roughly the percent of red blood cells that have a glucose molecule attached. It measures average exposure to glucose over a period of several months.
The Excel file called Diabetes has data on both measures of glucose level in diabetics for 18 diabetics five months after they had completed a diabetes education class.
[a] Construct a histogram to study the FPG variable, with brief comments.
[b] Find the correlation coefficient between the two variables FPG and HbA.
[c] Present a scatter plot of FPG vs HbA with the least-squares equation and brief comments.
[d] Identify one outlier in the y direction and one outlier in the x direction, and remove them from the dataset. Find the correlation between FPG and HbA, and draw a scatter plot of FPG vs HbA with the least-squares equation. How does the correlation and the scatter plot change after the two outliers have been removed? Why?
[e] Compare the two least-squares equations with their R square values, and identify which one is better. Why?
[f] Which subject has a particularly high FPG value and which subject has a particularly low FPG value relative to the pattern for the remaining subjects after the two outliers have been removed? Why?