Your company has decided to produce P by the reaction A —> P. Unfortunately, there is a… 1 answer below »

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Your company has decided to produce P by the reaction A —> P. Unfortunately, there is a parallel reaction, A —> B. Both reactions are irreversible. Both reactions are incomplete; the reactor effluent contains reactant A, product P and worthless by-product B.

The boiling points at I atm are P (30°C), A (50°C), and B (55°C). Purifying P to 299% (minimum purity to market) by distillation is easy, but separating A and B is more difficult.

To produce and sell product P, you need only a reactor and separator I. You have two options for the A+B mixture in the “separator I bottoms” stream: ( I) you may recycle some of the A+B mixture, for example, by purging 50% and sending 50% through the recycle, or (2) you may purchase a second separator to separate A from B before recycling.

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Gov 4

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Read the assigned text chapter, as well as the following articles: How Citizens United Changed Politics, in 7 Charts and Corporate Politics, Governance, and Value Before and After Citizens United. Pay particular attention to pp. 304–315 of the text.

Then address the following questions within your  discussion workspace. Post your personal ideas first and then as a group arrive at a consolidated opinion. Should the First Amendment protect corporate political expression? Why or why not? If not, where should you draw the line for corporations between freedom and restrictions? If you were in charge of government relations at a business, what strategies would you now employ, in light of the Citizens United decision, to advance your position?

 

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Referrals

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Patient care hinges in part on adequate and timely information exchange between treating providers. Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care. Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners.

As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals.

Consultations

A consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians’ Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP’s evaluation and recommendations.

When an NP requests a consultation from another provider, the N P should request “consultation” on the referral form, rather than “referring.”

Referrals:

A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.

When a NP refers a patient, the NP should state on the referral form that the NP is “referring the patient for evaluation and treatment.” The referred-to provider will bill an evaluation and management code, rather than a consultation code.

Writing Assignment: Consult: Write up a consult request and include all key elements.

Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN for consultation regarding eczema unresponsive to treatment in the past six months.

Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code.

Writing Assignment: Referral: Write up a referral request and include all key elements.

As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.

1. Document your referral to Dr. Owens

2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.

1. Complete referral request written to provider for the current complaint. Includes all essential elements, including patient identification, referring provider information, reason for referral, treatments patient has undergone to date, evaluation and management codes.

2. Complete consultation request written to provider for current complaint. Includes all essential elements, including, patient identification, reason for the consult, consulting provider’s information, current evaluation and recommendations or treatments and correct CPT code for consult.

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The Outline

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Assignment Part 2: The Outline

Objective:  Organize your thoughts and the main points of your research for your final presentation

Assignment Instructions:  To help you complete Part 3: The Presentation, you will first submit an outline to organize your thoughts and main points. Your outline should be formatted a specific way and must contain the following elements as described below. 

To prepare for this assignment, I recommend that you do the following:

· Read these directions carefully.

· Review the sample outline. This sample is merely to show formatting; please see the criteria for the outline below to ensure you have included all five required sections.

The outline format:  Your outline must be formatted as described and exemplified in the example attached.  Please note that this format will be assessed in your grade:

· Use an alphanumeric sequence

· Sections should be indented and aligned

· Follow the suggested order of the required elements

· Use brief but detailed and descriptive phrases. 

ANIMALS:

I. The Introduction Section

A. Organism Introduction

1. The common and scientific name of your organism. Please see this link to help with scientific names if needed: How To Write Scientific Names

2. Where you observed your organism (country, state, park, zoo, etc.)

3. A brief discussion on why you chose your organism

4. If possible, a picture and/or video of you safely observing your species in the field. If not possible, search the Internet for an image (and remember to cite your source for the image) in a typical habitat.

II. The Body

A. Physical Description

1. You must include a brief physical description. You can use your personal observations. If you cannot safely observe your organism, you must research.

a. Size, Coloring, etc.

B. Life Cycle and Reproduction

1. Life Cycle: describe the life cycle of your organism.  The life cycle refers to the series of changes that happens from the beginning of life as your organism develops and grows into a mature organism.  Please see here for some hints on the Life Cycle. If you have any questions please feel free to ask!

2. Reproduction: You must discuss the reproductive strategies of your organism (e.g. release of gametes by a fish or hermaphroditic reproduction in earthworms), mate choice, mating displays, mate competition and mating systems.

C. Structure and Function

1. Please select one organ system of your organism that you find to be particularly interesting and describe both the anatomy and physiology of that system.

2. If your organism is an animal, here are a list of the general animal organ systems

D. Energy Ecology

1. If you can observe these, that is best. If not, research.

2. What are the food sources? Types? Amounts? Temporal pattern of feeding? Specific handling or processing of food items by the organism (e.g. the way a squirrel manipulates an acorn)

E. Habitat

1. Where your organism lives. This does not refer to a city or state, but rather the natural environment in which your organism lives.

2. You should consider abiotic factors, such as soil, water, etc., as well as biotic factors, such as predators, hosts, etc.

III. The Conclusion Section

A. This section should contain four to six points that sum up the main points from the body of the outline.

B. Start your conclusive section with one sentence summarizing some basic information about your chosen organism (name and geographical distribution).

C. Continue with a brief summary (1-2 sentences) about the life cycle and any particular body structures.

D. Include a brief summary (1-2 sentences) about the ecological role of your chosen organism in its ecosystem.

E. Wrap up the conclusive section with a closing note that provides brief information about a unique fact and/or behavior of your chosen organism.

IV. The Reference Section:  

A. This is not just the reference page; rather, referencing should occur throughout the outline as it will in your presentation.  Therefore, your outline should include both a separate reference page containing a minimum of five sources listed in proper APA reference list format AND internal citations throughout the outline where appropriate.  Please be sure to see the resources below for assistance regarding in-text citations and reference list formatting, and/or ask me if you have any additional questions.

Please make note of the following tips and tricks:

· I understand that this is a rough draft and, as your research and writing continue over the next few weeks, details may be added or changed.  Although you do not have to resubmit it to me, I recommend that you update this outline to help you best complete Part 3.

· Write your outline so that it has detailed bullets that you can easily then flesh out into sentences for the narration of your presentation (Part 3).

· After your outline is complete, I recommend that you next draft your introductory and conclusion sections for your outline.  This will ensure that all the main points of the outline are incorporated in these two framing sections of your final presentation. 

· Please note that less than 10% of your outline or presentation (Part 3) should contain direct quotes.

· All internal citation references should be listed on the reference page, and vice versa. ** Work which is improperly cited and referenced or lacking either proper citations or references may not be accepted for credit. ** 

Additional Resources:

· Use MS Word’s Outline Function.  Use a MAC?  Here is a video link (captioning included on the link) that you may find useful that reviews formatting in MS Word. (Setting up APA headers in Word).

· Also, please see the resources below at The Owl at Purdue site for more information on how to develop an outline: 

o Types of Outlines and Samples

o Four Main Components for Effective Outlines

o Why and How to Create a Useful Outline

· For more information on how to format in-text citations and references lists, the links below: 

o In-Text Citations: The Basics

 

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