Issues to Consider in Making Decisions

Issues to Consider in Making Decisions
Issues to Consider in Making Decisions

Issues to Consider in Making Decisions

Order Instructions:

The DEADLINE is DECEMBER 14, 2014. This is a Graduate course. Please use double-spaced format. Responses should be in APA style and must include citations and a bibliography. You are strongly advised to access a variety of information from academic journals and other scholarly works. Ensure that your answers are well-organized and that they respond to the specific question asked, display the range and depth of your learning, and demonstrate your ability to conform to the analysis, writing, and research standards of master’s level work. Both questions must be answered fully. Each question needs to be 10 pages and each question needs to have 9 references.

Question 1
You have been hired as a special consultant by the U.S. Government Accountability Office (GAO) to provide recommendations on whether privatizing the Transportation Safety Administration (TSA) will increase efficiency, cost effectiveness, and satisfaction by the public.

The following assumptions apply:
1. There will be an estimated cost savings of 15% by privatizing the TSA.
2. 25% of existing employees will lose their jobs.
3. Privatized employees will have less training and education and will be paid less.
4. Government contractors will earn a generous profit.
5. Public satisfaction and overall efficiency may decrease as a result of privatization but the majority of Congress will be favorably inclined towards the change.
6. There may be other unknown results both good and bad in terms of risks to the public, safety, and overall fiscal policy.
In making your recommendation, be sure to consider the following:
a. What organizational, financial, political, and human resource issues would you consider in making such decisions?
b. Who are the stakeholders here in the TSA and how will they be affected?
c. What are the benefits and drawbacks to privatization considering not only fiscal but other theoretical aspects?
When discussing the above be sure to discuss the decision making process, social or ethical issues affecting the public, applicable theory and trends, any diversity or ethics issues, and fiscal considerations.

Question 2
You are the superintendent of Mt. Rossmoor Community College (MRCC). Mt. Rossmoor Community College is the fifth fastest growing community college in the nation. The college’s student body has grown 24% in the past 5 years largely due to the recent housing boom. Due to budgetary cuts on the state level, state universities will increase the cost of tuition by 8% this year, on top of last year’s increase of 14%. The result is that more students will be “priced out” of the state university system. Many of these same formerly state university students will attempt to satisfy general education requirements at local community colleges, including MRCC, thereby increasing demand for courses. At the same time, however, MRCC’s budget will drop 15% this year due to the state budget crisis. As superintendent, you face some tough choices. Should the college significantly increase fees per unit, or maintain current fee levels by drawing down on its budgetary reserve, knowing that next year will not get better? Should the college increase or reduce course offerings? Should the college pursue furloughs, layoffs, or “golden handshakes?” There is even the question of offering online courses and shuttering buildings on MRCC’s main campus, so as to save on electricity and air conditioning. In a white paper, please identify the policy problem, detail the policy options, identify stakeholders, and apply your own financial knowledge to make sound and ethical decisions in the public’s interest.

SAMPLE ANSWER

Question 1

Issues to Consider in Making Decisions

Organizational Issues

The decision to privatize TSA will get it out of the screening business, and that responsibility will be devolved to the nation’s airports. The devolution will save the nation of billions of resources currently with centralized management of 53,000 screeners distributed in more than 450 in different airports throughout the nation who do not play a major role. All airports unique variations since they are designed to suit different passenger levels. Privatization will require, for example, the the need to continually adjust TSA’s workforces. Currently, TSA is very slow in implementing these changes. Most airports anchor on this reason to bargain for their return to the private screening.

The impact of unionization of TSA’s workforce achieved recently could further hinder effective management. Attempts to unionize workers in TSA were previously blocked by the Bush administration. According to Admiral James Loy, a TSA administrator, collective bargaining cannot be matched with the required level of flexibility to fight against terrorism (Edwards, 2013). However, the Obama administration has openly supported unionization, a push aimed at covering workers in TSA with collective bargaining. Following a ruling made in 2010 that TSA members be allowed to vote, an election was approved in 2011for the exclusive representation of TSA’s nonsupervisory workers. According to the Federal Labor Relations Authority, approval of this election would ensure that the organization participates in setting up the leadership that is most appropriate to work with (Workforce Management Innovations in Transportation Agencies, 2010).

The American Federation that lead Government Employees (AFGE) was allowed as the TSA’s monopoly union. In 2012, AFGE and TSA entered into a collective bargaining agreement, in 2012, covering 44,000 employees. With a collective bargaining in place, the monopoly union control over a workplace would tend to decrease efficiency at work place. It will also protect workers whose work is poor and determine to establish larger staffing levels compared to that which is required. As a result, the workers may resist any attempts to introduce laour-saving technologies. The resistance is brought as a result of creating a rule-laden workforce. For instance, TSA managers have the mandate to negotiate with representatives of the union about the reassignment of employees. This negotiation is problematic a dynamic industry such as aviation. The frequent changes in route volumes and air carrier schedules have been associated with the unstable demand for air port screeners (NETView Communications, 2014).

Financial Issues

Privatization will save much money that are unnecessarily paid in form of wages and benefits. In a study carried out to compare wages of federal employees to those of the private sector, it was found out that the federal pay system gives the average federal employee 22 percent hourly cash earnings above that is given to the average private worker. Additionally, federal employees earn about 30 to 40 percent in wages and benefits that are more in total compensation than the private-sector workers in the same category. The recommendations made by Heritage, the government, should hire more contractors, and this supports the idea of privation. The choice to use contractors would be more cost-effective as the government incurs excessive costs in outsourcing. The costs are incurred by the groundkeeper services kept in-house. The average compensation given to the federal groundskeeper employees $13,187 per year greater than the billing the contactors will be requiring from the government.

In another research carried out by POGO discovered that the government can save approximately 20 percent by outsourcing groundskeeper services. The government estimates closely matches with the difference between the two sectors. The average annual billing rates for the contractor are 1.6 times the compensation for the private sector groundskeepers. According to the research of POGO, the government pays federal employees who operate as medical record technicians 0.01 times more average annual billing rates than that of the contractor, that is $58,641 and $57,782, respectively (Chassy & Amey, 2011).Political Issues

Privatization of TSA is surrounded by multiple political issues. The individual airports do not have the permission to “fire” the screener because that is within the jurisdiction of the federal government. Although the SPP program has began making some changes on this policy, there is need for much larger reforms. The transfer of this responsibility from TSA to the airports, according to a government official, Poole, would give the airports an opportunity to establish a more effective and integrated security system that will provide better services than the traditional TSA. At the moment, the airport has already taken over the responsibility of controlling the general airport security. This form of integration would create a platform for cross-training of the staff among the security functions at airports which would, for instance, improve skills and enhance morale. Some politicians support shrinking the role of TSA in aviation security and expanding of private screening to all commercial airports to include only setting security standards, analyzing intelligence and auditing screening operations (Transportation Security Information Sharing, 2014).

Mica is one of the representatives who are pushing for the privatization of the airport screening. He believes that TSA workforce needs to be reduced to approximately 5,000 workers. Rand Paul (Senator) has proposed that TSA be fully privatized, and his proposal has been supported by Cato Institute scholar Jim Harper. The United States will not be the first country to privatize its airports since many other countries have passed policies to enable privatization of their airport screening. For instance, more than 80 percent of commercial airports in Europe use private screening companies. The countries are such as Germany, France, Spain and Britain. A big hindrance to privatization is the politicians who are opposing it for their own interests. Top managers could not stay long in the TSA since they are political appointees who easily dismiss an agency’s previous activities to introduce new ones which they can tag their names on. Middle managers are safer since they are not easily entangled with political dogfights (Denning, 2012).

Human resource Issues

According to POGO’s research on human resources management, it finding showed that the government may be paying an average annual rate of $228,488 to contractors that is more than twice the compensation of the government to the federal employees ($111,711). Also, the average annual billing rates for the contractors are 2.27 times the compensation of the private sector companies to their employees. With regards to the job classifications analyzed by POGO, the research showed that they are usually considered as “commercial” in nature. Jobs that are commercial in nature are those that are accessible in the phone book. The HR function of the federal government plays an important role outsourcing activities and functions that are important to the US security.. For example, Director of National, Intelligence has released a report indicating that the government has recently outsourced 28 percent of its current intelligence workforce. It is therefore paying contractors 1.66 times the cost of the work that can be done by the federal employees, that is an annual payment of $207,000 for a contractor employee against $125,000 for a federal employee).

Additionally, an analysis of the costs of regarding the outsourced language specialists, it was discovered that the government may be paying them an average billing rates of $211,203 per year. This payment is more than 1.9 times $110,014 per year the government compensates a federal employee.  The language specialists are usually used to perform intelligence functions. Again, contractors may be billing the federal government almost 3.5 times $61,010 per year, on average, what it may be compensating the private sector language specialists on the open market (Chassy & Amey, 2011).

Stakeholders in the TSA

The greatest stakeholder in TSA is the federal government.  TSA consists of the aviation system with the government as the major stakeholder. The government sets standards and policies that govern the entire aviation system. It plays the role of the regulatory oversight of all the screening operations. For instance, the government sets principles on arms regulations, as a basic good-government principle.

There are three expert private firms that carry out screening at TSA airports  namely G4S,  Securitas and Garda and each of firms these are responsible for a group of specific Canadian Airports. There are also Aviation Security firms which form part of the stakeholders that offers a great deal of expertise. They have accumulated this expertise for decades. The firms provide best practice service which is exemplified their professional response to the clients’ demands

The firms apply the best practices that are provided across different airports.

Effect of the Privatization on the Stakeholders

The Transportation Security Administration’s (TSA) through the Screening Partnership program (SPP) provides cost reviews of federal government and the contractor employees. TSA created SPP in the process of introducing privatization with an aim of allowing commercial airports an opportunity to hire contractor screeners in preference to the federal employees. According to the Aviation Transportation Security Act of 2001 (ATSA) P. L. 107-71, it is the responsibility of SPP to allow the airports to go through the process themselves from the screening services provided by the federal government. As a stakeholder in TSA, airports are therefore allowed by the law to choose whether to remain working with the federal government or to use private screening services. A report released by GAO on TSA contractor in 2009, showed that passenger screening at the airports where the staff consists of contractors has historically cost the federal government or the tax payer’ money from 9 to 17 percent more than the airports with federal employees. The contractor screeners’ performance was at a level equivalent to or greater compared to that of the staff from the federal government. The recommendations made by GAO based on the highlighted limitations focused on the methodology applied by TSA that will form part of the foundation of privation policy (Program Application, 2014).

The most affected stakeholder in TSA is the workforce in case of downsizing in the course of privatization.  In order to reduce expenditure through paying salaries and wages, private companies usually reduce the size. Both private and commercial airlines will have to adjust all their levies upon a full implementation of the policy to privatize TSA (Rebuilding TSA into TSA into Smarter, Learner Organization, 2012).

Benefits and Drawbacks to Privatization

The SPOT program helps to illustrate the problems associated with the top-down federal system of controlling the aviation security. The TSA “deployed SPOT across the nation without prior determination of whether this action had a scientifically valid basis. The TSA did not perform a cost-benefit SPOT’s cost analysis before deploying it. Although this is the tradition of the government, rolling out an expensive plan that will affect the whole country, it is one way taxpayers’ money is misused. Cost-benefit analysis is paramount in any organization before implementing any plan. This is because of the reason that the government does not care whether the ultimate benefits will materialize or not. Despite a huge investment of more than $1 billion in SPOT in just the previous decade, the GAO discovered 23 occasions where known terrorists from neighbouring countries managed to breeze through airports where SPOT was operated by TSA. None of the terrorists have ever been caught of the last one decade. In this case consider the escape of Faisal Shahzad from the JFK in New York, an airport with an active. His name was in the “no fly”. House Republicans considered SPOT as one of TSA’s greatest failures, bearing a great cost but leading to meager results. Although it is has been used to apprehended 1, 083 criminals, over 2 billion passes through the airport gates applying SPOT.  According to TSA employees, privatization is likely to jeopardize passenger safety.

Decision Making Process

The privatization process of TSA began when Rep. John Mica tabled a motion in the Congress in 2010 requiring the urgency to be privatized. Orlando Sanford International Airport announced in 2010 that it was necessary to opt out using TSA for the Screening Partnership Program. The Aviation and Transportation Security Act, Public Law 107-71, under § 44920 allowed the creation of a private screening program through which the SPP was formed. The House Committee dealing with  Transportation and Infrastructure was then given the mandate of analyzing the reasons and impact of privatization. The committee then compiles a report with recommendations on how to go about the privatization to the congress. Upon receiving the report, the Congress holds a debate on the issue and votes whether to allow the TSA to be privatized or not.

In the case of Orlando International Airport, it was alleged that there was a different reason for pushing for the privatization of the airport rather than enhancing security.  Although several airports had done their exploration and saw the necessity of opting out using TSA, politics has it that he is drumming up support for his daughter D’anne Mica. D’Anne was the head of the Airport’s Strategic Communications at the time the Sanford International Airport expressed interest in using SPP. Being the Communications Contractor, the father, and the daughter had a reason to push for the privatization of the agency. However, the decision-making process in transportation planning and ensuring security is designed in a manner that involves all users of the organization. The users include the business community, environmental organizations, freight operators, and the general public.

Social or Ethical Issues Affecting the Public,

The use of a costly investment technology on TSA has drawn a lot of controversies due to the application of Advanced Imaging Technology (AIT) machines. The machines that were deployed in 2008 are “full-body scanners”. It is unethical to use these machines since they are able to see beneath passengers’ clothing resulting to major privacy concerns. They also bear an antisocial effect since it may lead to erosion of values of the airport workers using these machines since they are likely to become immoral with time. The machines also cause extra airport congestion and carry high costs. The questionable detection gains of the AIT machines make them a dubious investment.  The screening process involves ransacking travelers’ personal items which are sometimes lost. Additionally, it is common for travelers to miss their flights as a result of the screening procedures.

The conflict of interest is another source of ethical issues. Employees breach Ethical Conduct Standards. Examples of breaching ethical standards include preferential treatment and endorsement of private entities, misuse of government resources such as funds and information (Potts, 1999).  Abuse of civil liberties had frequently been associated with the nationalization of TSA.

Applicable Theory and Trends,

Privatization of government agencies has become a trend in many countries. The U.S has become a laggard privatizing its efforts. The country Airports such as Orlando International Airport is one of those that have already established its links with SPP. The terrorist attack of the U.S.A in 2001 had initially led to a unanimous vote in the congress to federalize the security at the airports. According to Representative John Mica, one of the architects of the 2001 TSA legislation, it was a mistake nationalizing airport screening. His scathing attack on TSA as a bloated bureaucracy and that the agency had set a track record of failure especially in catching terrorists is very influential. The Federal Aviation Administration (FAA) was in charge of the civil aviation. Part of its duties included supervising passenger and baggage screening done on behalf of the airlines by private companies. The primary reason that seems to cause the push for privatization is to enhance security.

Currently, almost all stakeholders are pushing for the abolition of TSA. Emphasis is laid on the elimination of activities that do not show substantial benefits not only to the government but also to the travelers. For instance, passenger and baggage screening should be moved to the airports where they will be subject for private bidding. They form two-thirds of the annual budget of TSA. It is suggested that the remaining fraction of TSA such as intelligence and analytical activities be moved to other federal agencies E(dward, 2013).

Diversity or Ethics Issues

Promotion of ethics such as by respectful and lawful treatment of both employees and travellers, observing the federal laws, privacy and civil rights protecting regulations, affording redress and prohibition of discrimination are to a large extent promoting diversity. Being among the workforce is everyone’s obligation to be dedicated in upholding the code of ethics of the organization and being professional. In so doing it is easy to promote diversity, although in unity (Edwards, 2013)

Fiscal Considerations

A comparative cost analysis released by the House Committee on Transportation and Infrastructure in June 2011 showed that the efficiency of SPP screeners is more efficient by 65 percent than their TSA federal counterparts. The analysis also indicated that the taxpayers are likely to save $1 billion spread within five years if the top 35 airports in the nation performed efficiently, such as the San Francisco International airport which is already under the SPP program. It is hard  task  to compare the costs incurred by when using federal employees and private employees. This is because contradictory results are produced as a result of using disparate methodologies. To facilitate a smooth  process of privatization, the government needs to create a system that can give exact cost of executing  commercial services. Otherwise, it will be hard  for the pubic to determine the actual savings realized in a fiscal year (Rebuilding TSA into TSA into Smarter, Learner Organization, 2012

References

Edwards, C. (2013, November 13). Privatizing the Transport Security Adminstration. Retrieved December 14, 2014, from http://object.cato.org/sites/cato.org/files/pubs/pdf/pa742_web_1.pdf-to-action.pdf

NETView Communications. (2014, January 1). Retrieved December 14, 2014, from http://www.highereducation.org/reports/pa_at/

Chassy, P., & Amey, S. (2011, September 13). Bad Business: Billions of Taxpayer Dollars Wasted on Hiring Contractors. Retrieved December 14, 2014, from http://www.pogo.org/our-work/reports/2011/co-gp-20110913.html

Workforce Management Innovations in Transportation Agencies : Overcoming Obstacles to Public Sector Innovation. (2010). The Innovation Journal: The Public Sector Innovation Journal, 15(1). Retrieved December 14, 2014, from http://www.innovation.cc/scholarly-style/zolnik_workforce_mgmtt_innovns_transport_agency2rev3.pdf

The Transportation Planning Process: Key Issues. (2007, September 1). Retrieved December 14, 2014, from http://www.planning.dot.gov/documents/briefingbook/bbook.htm

Denning, S. (2012, June 3). How To Make Government Innovative Again. Retrieved December 14, 2014, from http://www.forbes.com/sites/stevedenning/2012/03/06/could-government-invent-a-130mph-driverless-car/

Starr, P. (1988, January 1). The Meaning of Privatization. Retrieved December 14, 2014, from http://object.cato.org/sites/cato.org/files/pubs/pdf/pa742_web_1.pdf

Regulatory Policy and the Road to Sustainable Growth. (n.d.). Retrieved December 14, 2014, from http://www.oecd.org/regreform/policyconference/46270065.pdf

Transportation Security Information Sharing: Stakeholder Satisfaction Varies; TSA Could Take Additional Actions to Strengthen Efforts. (2014, July 14). Retrieved December 14, 2014.

Program Application. (2014, June 2). Retrieved December 15, 2014, from http://www.tsa.gov/stakeholders/program-application

Rebuilding TSA into TSA into Smarter, Learner Organization. (2012, September 1). Retrieved December 15, 2014, from http://homeland.house.gov/sites/homeland.house.gov/files/092012_TSA_Reform_Report.pdf

Potts, S. (1999, April 28). 99×10: Ethical Challenges of Privatization and Partnering. Retrieved December 15, 2014, from http://www.oge.gov/displaytemplates/modelsub.aspx?id=1441

Question 2

Identification of the Policy Problem

Rossmoor Community College (MRCC) has recently recorded low completion rates. The main problem is balancing an increased student population and the funds available to run the college. It is evident that this is a new problem for MRCC caused by budget cut by the government. A cut on the national budget will require the MRCC to either look for extra funding to boost the budget such as through fees increment, reduce the current budget, reduce subject offerings, and demolish some structures in order to reduce reduction of electricity and other options available to solve the problem. The public policy limits me as a superintendent increasing fees or reducing the budget. The policy problem faced is the challenge of protecting the rights of the students against the college prerogative in the terms of paying and levying fees respectively.

The budget crisis in the country where the college is found has contributed to a similar problem in MRCC that is now facing a budget reduction of 15% and this would take the college another process of amending the budget. However, since the public university system of the state is undergoing similar budget cuts, MRCC can grab the self-presented opportunity and make strategic decisions that will move it from the its current rate as fifth fastest growing community college in the nation to become the fastest.  The location of MRCC is in a community that gone through incredible growth in terms of housing market, is now experiencing the results of its steady growth and excellence that is reflected in a 24 percent increase in the population of the student capacity in the last five years (Kim, 1992). State universities increased their tuition fees by 14 percent last year and there are further plans to raise it again by eight percent i this year.  This is the opportune moment for the MRCC can step in and fill goals of the higher education goals for many students who are not likely to be able to traditionally attend MRCC for various reasons.

The dilemma we are in as MRCC is how to solve the problem posed by our own budget reduction of 15 percent at the same time anticipate the student population to continue increasing. There are number options available through which the challenge can be solved. By maintaining the course of action that we already have about the amount of tuition to be paid, it will force us to resort to our budget reserves. Although this is a solution, it will only be short-term. Also, the situation of the state budget does not seem to be improving in the changing anytime soon, and it is apparent that our situation will not change significantly in the coming several years. Again, if we raise our tuition significantly, it will not be possible to deplete the budgetary reserve. However, the raise of tuition will drive away potential students because they would feel that the fees charged by MRCC are too high for them, yet they cannot manage to pay for the state universities’ education. The increment will therefore bar them from the benefit of transferring to our campus (Born, Reyes & Johnson, 2013).

Another possibalternative that can be considered is about course offerings. The concern is whether MRCC should   increase or decrease them. Increase of course offerings will pose the challenge in class management. It will be necessary to maintain staffing levels they are currently. The result of this would an enlarged instructor student ratio. The current budget will not allow hiring of more instructors. Nevertheless, if the option of decreasing the course offerings would be force some staff members, either lay-off instructors or participate in mandatory furlough days in order to meet the budget prepared earlier. There is still another option that relates to course options, and that is increasing online availability. This option minimizes the necessity of some buildings within the campus. These buildings can be shuttered to reduce electricity and air conditioning expenses. In fact,  some buildings are so old and not used frequently, yet their lights have to be on at night. These are some of the buildings that will be demolished first. The reduction of these operational costs will enable MRCC to manage live within the current budget hence avoid increasing fees. The result is an increased admission of the students who miss out on state universities and this gives MRCC an opportunity to move closer to being the fastest growing learning institution (Altbach, 2013).

Policy Option

Public policy requires a superintendent to make a right choice on the basis of morality, since rights of individuals are involved in this challenge. The policy presents a two side-interpretation of morality, that is, morality with regards to a goal and morality in terms of delegation one’s duty. The challenge at hand in view of the public policy, with regards to morality, is my duty to respect the students’ rights on the basis of what they, as a majority feel is right and are ready to abide by. On the other hand, I have a choice to consider morality as a goal that will favour me to judge the whole situation and make my own convenient decision. It is unfortunate on my side since the policy provides an inconsequential benefit to the side of the students. It will tend to preserve the reputation of the students as well as  society as a whole at the expense of college administration. Therefore, it remains the responsibility of the superintendent to remember that making decisions is central and paramount in the course of executing duties and the focus should be what is best for the society (NETView Communications, 2014).

The community based model college is successive everywhere in the United States.  Therefore, our college is a key differentiator of what an American can achieve at a low cost and easy accessibility.  Through our successive partnership with key stakeholders, our college has grown immensely in terms of student enrolment. The admission of the expected 24 percent increment of students, whom we are working to accommodate, will imply our potential to achieve anything we purpose to do. According to the model, a community college such as ours can do more by hinging on partnership with, instead of competing against, the existing or neighbouring Community colleges (Kim, 1992).

Identify Stakeholders

Our future success as MRCC depends on the response we give the situation we are in. This is a situation that not only demands an immediate attention, but it also needs a carefully thought of and as well as well informed decision.  We must begin drafting the plan for our upcoming semesters with the consideration of this situation. The decision making process will involve all stakeholders of the institution who include  all the employees of MRCC, ranging from the  support staff to instructors to directors, each of the  current and potential students,  local elected officials as well as local homeowners. There are community colleges of our category that have developed and grown at a faster rate compared to four-year institutions over 40 years ago (Taylor, 2013). Similarly, public community colleges have traditionally enrolled about 40 percent of all undergraduate students. That means that we can afford the capacity to accommodate even more than that so long as we respond well, first to these situation and any other that will definitely be coming (Trani & Holsworth, 2010). Community colleges provide a lot to the society where they are situated and this is just due in part to such services .Others include ease of access, community responsiveness, more creativity, and an improved focus on learning. In addition, the innovation of the faculty and leadership of community colleges has been more compared to that of the four-year college counterparts. This is primarily in terms of increasing accessibility to higher education a more diverse with regards to economic and cultural backgrounds of the student body (Kim, 1992) that is the same trend we need to continue at MRCC.

Convenience for students means a lot to their smooth academic life and performance. It plays an important role in community colleges such as our college, MRCC, in what they are created for. Students will always choose to study in an institution that they find convenient in terms of accessibility and the affordability of the tuition fees charged. Our college has been able to admit students who have qualified to join state universities but opt for MRCC due to accessibility and affordability of what we provide. With regards to the current situation, the whole dilemma encompasses around enrolment. It occurs for various reasons such as taking a single course in order to enhance a promotion at one’s work place or just to gain a specific skill. Some students are seeking enrolment in MRCC to take general education classes before they finish their courses at a four-year college while others enrol in order to complete a technical program that will enable the student to fit a specific job market of interest (Boggs, 2011). The time when the society and specifically students looked at community colleges as stepping stone between high school and a four-year college is gone. Interested students do not have to possess necessary skills to be admitted in a community level college. Again, students who are unable to afford tuition fee or are generally unable in terms of financial support are able to find an opportunity to learn in our college through certain or financial arrangements available both within and without MRCC. In recent times, community colleges have experienced an increased number of four-year college students returning to community colleges prior to completion of their degree in state universities (Kalogrides & Grodsky, 2011). We want to capitalize on this situation which we are in to become successive.

Funding of community colleges occur through a combination of fees, local community funding through tax, tuition and state funding. About two-thirds of community college operating funds arises from State and local funds. However state funding support has reduced significantly in most states in the USA. We are now experiencing the same problem currently. For instance, Arizona has been funding its community colleges up to  25 percent of its operating budget but that has gone down to less than 1 percent. Many other community colleges throughout the nation have now turned to other options of getting funds to support its functions. For example, in 2009-2010, there was an almost unanimous increase of tuition and fees at almost all by 7.3 percent at community colleges across America to an about $2,543.00. In comparison, public four-year colleges charged tuition and fees were at an average of $7,010.00. Tuition charged by community college is approximately 36 percent of four-year colleges (Russell, 2010).

The application of these average costs last year forced the state university system to raise tuition by 14 percent to $8,003.00. There are also plans to raise the amount further by  8 percent in the current year, to $8,643.00. If we use this as the baseline, it is approximated that the average community college tuition next year could be $3,111.00, and that will be consistent Nevertheless, our goal is to capitalize on the pricing out of four-year college students, while still keeping our current rate of student population enrolled. The MRCC will maintain its consistence with the national average and eventually increase its tuition rates by 7 percent to attain a sum of $2, 722.00. This is part of the strategy described regarding keeping the current population. Our major target is raising MRCC’s tuition and fees to about 31 percent of that of the tuition and fees for four-year colleges. That would be below the community college national average of 36 percent of tuition and fees of four-year public college.

A decision to transfer the excess cost of operations to the students by increasing their tuition and fees will cause a decrease in overall student enrolment, especially if not done carefully (Dickeson, n.d). The worst that will happen for those students who will not afford to attend the state university system is that they will have no option except  going  back home to stay with their parents. However, will be available and affordable to hence they will have another chance of continuing education from there. The disadvantage will be for those students who live far away from our college MRCC. The solution for them is that they would be exempted from paying part of tuition and fees that was increased, to compensate for their stay at home instead of boarding and having to pay for room at board (Romano, 2012).

MRCC, just as any other community college can fit in the description “catch-all higher education” provider for everyone. Unlike in the past, it is now impossible to provide all the necessities everyone may need (Romano, 2012). As MRCC considers the options available to itself out of the dilemma it finds itself, we do not lose focus on our mission but we are getting more committed to funnel our resources only to those programs regarded by the public as successful and popular. Based on the current situation that we are facing is characterized with the influx of four-year college students, we are more careful on spending to provide general education studies. We shall not lock out students taking those programs not offered in our community college but are in the local technical schools. It will be necessary to partner with them to partner with the schools on class offerings (Koester & Shulock, 2014) The aim of this partnership is the reduction of the number of faculty members with specialities, which may translate to cutting down on specialized lab or the need for some equipment. Although these necessities are cut down, we still ensure that all the students access  coursework. A lot of people  living in the community depend on the community college to get the education they want according to their specific needs. Examples include, health care workers, people in new technological fields, teachers and others that are not specific but want to apply the education in diverse places in the society such as in economy (Boggs, 2011). We will primarily focus our energies on these areas. As a successful graduate with a specialty in a field with a high demand, I will be a position to increase MRCC’s reputation, ensuring that there are continued enrollments through the success that will be realized.

Besides streamlining our campus course offerings, we will provide more courses through distance learning, for example, online learning. In order for higher education to extend their reach, they offer online courses, and this mode of education has become common across the country. The courses potentially maximize the use of resources of MRCC through an increased enrollment that is not limited by the size of classrooms, but they will be utilized for traditional course offerings.  The only facilities that will remain closed are those mentioned earlier such as labs and classrooms that remained without use following successive partnerships with local technical schools. The technical staff already on the payroll will be in a position to accommodate the network in a start-up online program. Additionally, in order to fully  capitalize on the impeding state university systems  exodus of students, MRCC has to address the  issues concerning faculty. Part-time faculty will be the preferred option for faculty since they are less expensive compared to full-time faculty. Part-time faculty has been commonly used at community colleges in the past 40 years. According to national statistics, the staffs makeup to about 67 percent across the country. Part-time staffs have areas of technical expertise relevant for today’s students. They also offer more flexibility that most students prefer.  Majority of the part-time faculty members have their full-time jobs although they also teach for various reasons, such as pursuing employment through teaching or they could be teaching  in order to raise potential entrants into the professional field suitable for them of the job market for a more globally conscious group of graduates (Koester  & Shulock, 2014)

The strategy to be applied in order for the MRCC succeed  will begin with ensuring that the increase in tuition and fees is consistent with the average tuition and fees at national which is about 7 percent as determined over a number of  past several years.  MRCC will then go ahead, and partner with local technical schools in order to provide the specialized coursework, not offered in MRCC, for both our students and theirs. The partnership will give room for MRCC to close down some specialized labs and classrooms so as to save on utility costs. Some of the equipments may be transferred to the partner school.  Next, MRCC will use a combination of full-time faculty to teach traditional courses and part-time faculty to introduce online course offerings. The composition of the courses will include larger class sizes, and there will not be a necessity for an extra or larger classroom space. Lastly, the online courses will be provided for the purposes of beginning general education courses. Later, the courses will be expanded to include other basic technical courses. Beginning online courses in this manner will enable an increase in course offerings within MRCC without necessarily adding class space (Trani & Holsworth, 2010).

In application of this situation, analysis of several trends identified in higher education will give a glimpse of what probably to expect of higher education in future. It is already apparent that state funding of education is reducing at a high rate despite an increasing standard of living in terms of rising costs. For instance, benefits packages for full-time staff and faculty take a significant portion of MRCC’s budget and the same applies to all other community colleges. Considering the rout  of offering online courses is becoming increasingly common for traditional students, while non-traditional students have been found to be slower to in embracing the new learning technology. It is also noticed that majority of non-traditional students are returning to school to receive technical diplomas in specific areas of their interest or to complete their degrees. An effective response to these trends will require a superintendent to draw an effective plan consisting of both financial and academic issues. y (Romano & Djajalaksana, 2010). In conclusion, the plan that MRCC will come up with will not be satisfy every stakeholder accordingly, but it will play an essential role for  the success of the community college (Hirsch, 2014).

References

Altbach, P. (2013). American higher education in the twenty-first century: Social, political, and economic challenges. Baltimore: Johns Hopkins University Press.

Boggs, G. (2011). The American community college: From access to success. About Campus, 16(2), 2-10.

Born, S., Reyes, B., & Johnson, H. (2013). The Impact of Budget Cuts on California’s Community Colleges. Retrieved December 14, 2014, from http://www.ppic.org/content/pubs/report/R_313SBR.pdf

Dickeson, R. (n.d.). Frequently Asked Questions About College Costs. Retrieved December 14, 2014, from https://www2.ed.gov/about/bdscomm/list/hiedfuture/reports/dickeson2.pdf

Hirsch, W. (2014). Challenges facing higher education at the millennium. Phoenix, Ariz.: Oryx Press.

Kalogrides, D., & Grodsky, E. (2011). Something to Fall Back On: Community Colleges as a Safety Net. Social Forces, 89(3), 853-877

Kim, H. (1992, February 10). How Colleges Are Coping, 1992. Retrieved December 14, 2014, from http://files.eric.ed.gov/fulltext/ED377922.pdf

Koester, J., & Shulock, N. (2014, July 1). MAXIMIZING RESOURCES FOR STUDENT SUCCESS: Maximizing Resources for Student Success by Reducing Time- and Credits-to-Degree. Retrieved December 14, 2014, from http://hcmstrategists.com

Russell, A. (2010, October 1). Update on the Community College Baccalaureate: Evolving Romano, R., & Djajalaksana, Y. (2010, January 1). Using the Community College to Control College Costs: How Much Cheaper Is It? Retrieved December 15, 2014, from http://www.ilr.cornell.edu/cheri/upload/cheri_wp116.pdf

Campus Quality Fee Appendix M Web Feedback: Statements in Opposition of the Fee. (n.d.). Retrieved December 14, 2014, from http://www.csun.edu/studentaffairs/campus-quality-fee-appendix-m

Taylor, M. (2013) 2013 Cal Facts. Retrieved December 14, 2014, from http://www.lao.ca.gov/reports/2013/calfacts/calfacts_010213.aspx

Trani, E., & Holsworth, R. (2010). The indispensable university: Higher education, economic development, and the knowledge economy. Lanham, Md.: Rowman

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Mental health care and screenings in public school system

Mental health care and screenings in public school system
Mental health care and screenings in public school system

Mental health care and screenings in public school system

Order Instructions:

Planning Your Visit Guidelines
Graded Assignment 2
PURPOSE
The purpose of this assignment is to: (a) identify and articulate a plan for a legislative/policy making visit (CO #2); (b) deliver a message and ask/recommendations (CO #2, 3), and (c) communicate ideas in a clear, succinct, and scholarly manner. (CO #3)
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:
(CO #2) Employ strategies to affect the development, implementation, and consequences of policies at the institutional, local, national, and international levels. (PO 4, 8, 10)

(CO #3) Communicate with policymakers to advocate for effective policies that affect nurses and nursing, consumers, or the health care system. (PO 2, 3,10)

(CO #4) Analyze the historical, ethical, and political contexts of health care policy and the consequences of policy implementation. (PO 6, 10)

(CO #5) Advocate for institutional, local, national, and international policies that influence health care and its consumers and nurses and their nursing practice. (PO 2, 10)

TOTAL POINTS: 175 points
REQUIREMENTS
Assignment Criteria for Presentation
1. Introduce your chosen policy issue, the current status, and an overview of your plan for a legislative visit.
2. Articulate key strategies involved in your plan, message, and recommendations under each of the Planning Your Visit Ungraded Worksheet 2 sections using headings in your paper.
3. Provide an analysis of empirical evidence supporting your approach strategies including plan, message, and follow-up.
4. Provide specific examples of the impact and/or importance of a successful visit and follow-up to nursing.
5. Provide concluding statements summarizing the content.
6. Paper will be five (5) pages, excluding title and reference pages, and in APA format 6th edition.
PREPARING THE PAPER
Following completion of Planning Your Visit Ungraded Worksheet 2, develop a plan for visiting your policymaker, including the message/ask, and the recommendation(s) you will deliver. Include a minimum of five (5) classic references or current references (published within the past 5 years) that support your plan, the message, recommendations, and follow-up.

Category Points % Description
Introduction and Conclusion 35 20 Introduction clearly introduces your policy-priority issue. Concluding statements summarize content.
Key Strategies 40 22 Articulate key strategies involved in your plan, message, and recommendations under each of the Planning Your Visit Ungraded Worksheet 2 sections using headings in your paper.

Empirical Evidence 35 20 Provide an analysis of empirical evidence supporting your approach strategies including plan, message, and follow-up.

Specific Examples 35 20 Provide specific examples of the impact and/or importance of a successful visit and follow-up to nursing.

APA Format 15 9 Text, title page, and references are consistent with APA format 6th edition.
Writing Quality 15 9 Rules of grammar, word usage, sentence and paragraph format, and punctuation are followed. Paper length appropriate.
Total 175 100
A quality assignment will meet or exceed all of the above requirements.

GRADING RUBRIC
Assignment Criteria A
(100–92%)
Outstanding or highest level of performance B
(91–84%)
Very good or high level of performance C
(83–76%)
Competent or satisfactory level of performance F
(75–0%)
Poor or failing or unsatisfactory level of performance
Content
Possible Points = 145 Points

Introduction and Conclusion
35–32 Points 31–29 Points 28–27 Points 26–0 Points

  • Introduction clearly introduces your policy-priority issue, current status, and overview of plan for legislative visit. Concluding statements summarizing content have no inaccuracy.
  • Introduction of your policy-priority issue, current status, and overview of plan for legislative visit has rare inaccuracy. Concluding statements lack occasional important element or specificity.
  • Introduction of your policy-priority issue, current status, and overview of plan for legislative visit lacks occasional important element or specificity.
  • Concluding statements lack occasional important element or specificity. Introduction of your policy-priority issue, current status, and overview of legislative visit has multiple instances of inaccuracies or is lacking content. Concluding statements have multiple instances of inaccuracies or lacks content.

Key Strategies 40–37 Points 36–34 Points 33–30 Points 29–0 Points

  • Identification of all key strategies of your policy-priority issue plan, ask, and recommendations are clearly analyzed and fully articulated.
  • Identification of key points of your policy-priority issue plan, ask, and recommendations has rare inaccuracy or lack of detail/clarity. Identification of key points of your policy-priority issue plan, ask, and recommendations lacks occasional important elements or specificity.
  • Identification of key points of your policy-priority issue plan, ask, and recommendations has multiple instances of inaccuracies, lacks content or clarity.

Empirical Evidence 35–32 Points 31–29 Points 28–27 Points 26–0 Points

  • Empirical evidence supporting your approach strategies to your policy-priority issue has no inaccuracy and is clearly articulated.
  • Empirical evidence supporting your approach strategies to your policy-priority issue lacks occasional important elements or specificity.
  • Empirical evidence supporting your approach strategies to your policy-priority issue has multiple instances of inaccuracies or lacks detail/articulation.
  • Empirical evidence supporting your approach strategies to your policy-priority issue is missing.

Specific Examples 35–32 Points 31–29 Points 28–27 Points 26–0 Points

  • Provides specific examples of the impact and/or importance of a successful visit and follow-up to nursing and has no inaccuracy and is clearly articulated.
  • Provides specific examples of the impact and/or importance of a successful visit and follow-up to nursing and lacks occasional important elements or specificity and/or lacks clarity.
  • Provides specific examples of the impact and/or importance of a successful visit and follow-up to nursing and has multiple instances of inaccuracies and/or lacks clarity.
  • No specific examples of the impact and/or importance of a successful visit and follow-up to nursing.

Points Points Points Points
Content Subtotal _____of points
Format
Possible Points = 30 Points
APA Format: 15–14 Points 13 Points 12–11 Points 10–0 Points
Text, title page, and reference page(s) are completely consistent with APA format. There are 1–2 APA format errors in the text, title page, and/or reference page(s). There are 3–4 APA format errors in the text, title page, and/or reference page(s). There are 5 or more APA format errors in the text, title page, and/or reference page(s).

Writing Quality. 15–14 Points 13 Points 12–11 Points 10–0 Points

  • Paper is appropriate in length. References include the minimum of five (5) scholarly references, excluding the course text. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work.
  • Paper is short or long in length and/or contains fewer than 5 but more than 1 scholarly reference, excluding course text, or references utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with1–2 exceptions.
  • Paper is short or long in length and contains only 1 scholarly reference. Additional references are not scholarly.
  • Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with 3–4 exceptions.
  • Paper is two or more pages short or long in length and does not contain scholarly references.
  • References utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are not followed with 5 or more errors.

Format Subtotal _____of points
Total Points _____of points

SAMPLE ANSWER

Mental health care and screenings in public school system

In healthcare setting, there are various policy issues aimed at providing solutions to various healthcare problems. This discussion focuses on policy on mental health care and screenings in public school system. Many children in schools suffer from mental diseases such as autism, memory loss and this impact on their studies in schools.  Coming up with a policy on screenings of students with such problems will help to promote their healthy living as well as improve their learning outcomes. This paper therefore provides a plan and strategies in addressing these problems in schools.

Mental health is one of the challenges that many schools experience across the world.  Out of the 450,000 youths in schools, around 47 percent of them elementary and middle school suffer from emotional disturbance and other mental problems (Atkins, Hoagwood, Kutash, & Seidman, 2010). 73 percent of students in secondary school as well suffer from this problem while only 20 percent have the opportunity to access to appropriate services (Atkins, Hoagwood, Kutash, & Seidman, 2010).

The current status of the mental health care and screenings in public school systems is that twenty five percent of children experience a mental health disorder annually. Other than that forty percent of adolescents meet lifetime diagnostic criteria for multiple mental health disorders according to Stiffman et al., (2011), mental health disorders can greatly affect children and adolescents’ functioning in multiple domains, including at school, in the home, with friends and in communities (Stiffman et al., 2011).

Given the high prevalence of mental health disorders among children and adolescents,

Schools have developed programs to meet students’ mental health needs. These students mental

Health (SMH) programs can range from universal to highly target. Universal programs are designed to increase awareness of and sensitivity to mental health issues in students. For example, by supporting students coping with stress and encouraging student help-seeking behaviors. The more-targeted programs are designed to provide staff or faculty skills to identify and respond to specific mental health issues or populations (e.g., suicide prevention, substance use).

Before making a visit to the policy maker (superintendent) it is important to have a good plan on the same. In this case, I will have to come up with a draft on the major aspects that are required to discuss with the policy maker. As part of my preparation, I will be forced to carry out a survey and as well read various literature studies on the topic/policy issue to acquaint myself with the information about the same. This will enable me to have a clear understanding of the problem and make the argument credible and persuasive.

The purpose of this assignment is to identify and articulate a plan for a policymaking and legislative visit while exploring strategies to affect the development, implementation, and consequences of policies at the institutional, local, national, and international levels. The paper also seeks to create strategies to communicate with policy makers to advocate for effective policies that affect nurses and nursing, consumers, or the health care system. An attempt to analyze the historical, ethical, and political contexts of health care policy and the consequences of policy implementation will also be made. Arguments made in the paper will advocate for institutional, local, national, and international policies that influence health care and its consumers and nurses and their nursing practice.

Evaluating the diverse array of SMH programs is critical to improving their effectiveness. Health care professionals for children and adolescents must educate key stakeholders about the extent of these problems and work together with them to increase access to mental health resources. School-based programs offer the promise of improving access to diagnosis of and treatment for the mental health problems of children and adolescents. Pediatric health care professionals, educators, and mental health specialists should work in collaboration to develop and implement effective school-based mental health services.

The plan must have key strategies that indicate clearly how the policy will be implemented and its implications on the society. I will have to review works done by others in this area. This will enable me to gain a deeper understanding of what has been found in the field and the gaps (Keeton, Soleimanpour & Brindis, 2012). I will therefore use this knowledge to build a strong case by focusing more on these gaps to provide an insightful solution to the problem at hand.  I will also abreast myself to understand how the policies are legislated before they are adapted.  Therefore, one of the strategies is to make sure that the policy addresses salient aspects that have not been addressed by the current legal systems. I will as well base my arguments on evidence-based research to enhance its adaptability. The policy maker need to be motivated and satisfied that indeed the policy is workable and credible.

Communication is also very critical strategy in this process (Keeton, Soleimanpour & Brindis, 2012).  Being able to communicate effectively is important in influencing the policy makers to buy into ones idea. I therefore, will establish rapport with the policy makers through appropriate communication skills. The messages conveyed must be positive to influence the whims of the policy maker. Example of the messages I will send will manifest my level of professionalism and attention to detail. They will also provide positivity about the policy to influence its adoption.  The recommendations of the policy will also play a critical role in determining whether the policy makers will supported it or not recommendation  will be clear and precise (Keeton, Soleimanpour & Brindis, 2012). They will also be based on the evidence-based research.

The approach strategies including plan, the messages, recommendation and follow up will be based on empirical evidence. Planning is important as it allows one to be ready and understanding the scope of the project. Planning allows the researcher to estimate the resources required, time required human resources requirements among many other aspects. It therefore helps to provide an overview of the project and whether it will be successful or not hence if worth implementation or not (Keeton, Soleimanpour & Brindis, 2012). The messages must as well be appropriate to trigger positive outcome. The medium of communicating is also essential. Using face to face is one of the methods of relaying communication. It is effective because, people can observe the emotions and gestures of the parties when communicating hence enhancing understanding. Follow up is also critical in any communication process. It allows one to determine whether the process was successful or not (Happell et al., 2013). For instance, in these initiatives, follow up is critical to ensure whether the policy makers will have approved the same or not.  It will also allow the policy makers to provide recommendations on areas that require further amendments to refine the policy

Importance of a successful visit and follow up to nursing is exemplified through various outcomes. A nurse will often feel good and successful when policies proposed by them go through.  A successful visit by the nurse is evident through the negotiations and the final decisions reached by the policy maker. Managing to convince the policy maker about the viability of this policy will be one of the indications of success of the policy (Rutten, Gelius, & Abu-Omar, 2010). A nurse gets gratification from positive feedback from the policy makers and this increases their level of commitment in rendering better quality services.

It is therefore important for nurse to participate in policymaking. They have an opportunity to help contribute positively in promotion of health through evidenced based research.  Strategic planning is also very important to ensure that the policy maker responds positively on the policy. The messages and recommendations must indicate professionalism. It is also important to follow up to ensure that the project recommendations are acted upon. Nurses are gratified and feel good when they help to change the society though their initiatives.  Mental healthcare and screening is school system is a policy that will impact positively on the lives of many students with various mental problems. This will promote their learning and will allow them to receive appropriate training. Children in schools that are mistreated and discriminated against because of this mental status will also be able to learn in conducive environment. Specialist training services can be provided to such children to help them achieve their dreams. Some of the conditions are not worse and if assistance is accordance, the lives of these children can be transformed.

References

Atkins, M., Hoagwood, K., Kutash, K., &Seidman, E.  (2010).  Toward the integration of education and mental health in schools.  Administrative Policy Mental Health, 37(1-2). 40-47.  doi: 10.1007/s10488-010-0299-7.

Happell, B et al., (2013). Screening physical health? Yes! But…: nurses’ views on physical health screening in mental health care. Journal of Clinical Nursing, 22(5/16): 2286-229.

Keeton, V., Soleimanpour, S., & Brindis, C. (2012). School-Based Health Centers in an Era of     Health Care Reform: Building on History. In School Based Health Centers in an Era of  Health Care Reform: Building on History, Current Problems in Pediatric and Adolescent Health Care. July 2012 42(6):132-156.

Rutten, A., Gelius, P., & Abu-Omar, K.  (2010).  Policy development and implementation in health promotion – from theory to practice: The adept model.  Health Promotion International, 26(3).  322-329.  doi: 10.1093/heapro/daq080

Stiffman, A.R., Stelk, W., Horwitz, S.M., Evans, M.E., Outlaw, F.H., & Atkins, M.  (2010).  A   public health approach to children’s mental health services: Possible Solutions to current service inadequacies.  Administrative Policy Mental Health, 37(1-2).  120-124.  doi: 10.1007/s/10488-009-0259-2.

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Lessons from the film Fog of War Assignment

Lessons from the film Fog of War
Lessons from the film Fog of War

Lessons from the film Fog of War

Order Instructions:

watch the film THE FOG OF WAR
https://www.youtube.com/watch?v=nwXF6UdkeI4
1) From the movie or any source, write down who Robert “Bob” McNamara was.

2) Write down the eleven (11) “lessons” that organize the narrative as they appear. (It’s easy–they pop right up).

3) Describe what McNamara MEANS by each “lesson.” To what is he referring? (Your answer will be longer than a single sentence and reference both his meaning and the history he cites.)

5) Lessons Learned: Bay of Pigs Invasion
www.youtube.com/watch
a) How did Castro view the US and what worried the US about Castro?
b) Which president first approved the CIA plot to overthrow Castro?
c) The plan was that Cuban elites abroad would invade and trigger what?
d) JFK inherits the plan, and he doubts it; but, if he chose not to support the so-called Operation Bumpy Road, what would he probably have been accused of being?
e) Partly, it failed because JFK refused to authorize what?
f) Also, who failed to rise up?

6) Cuban Missile Crisis (from Fog of War with Robert McNamara)
http://www.youtube.com/watch?v=HZVR-DKERhc www.youtube.com/watch
a) What did the Soviet Union do “under the cloak of deceit”?
b) What does McNamara tell JFK on an audio tape are the two things that needed to be done?
c) What was General Lamay’s recommendation?
d) On “that critical Saturday,” how many messages did they have from Khrushchev [the head of the Soviet Union]?
e) The first messages said if the US promised not to do WHAT, that the Soviets would take the missiles out of Cuba?
f) What did former ambassador to Russia, Tommy Thompson, tell JFK to do?

7) Gulf of Tonkin Incident (also from Fog of War)
www.youtube.com/watch
a) The ship Maddox reports what?
b) Though nothing blew up, the US ordered air bombing attacks where?
c) With the Tonkin Gulf Resolution, Congress gave the president what power?
d) As it turned out, the error was allegedly by the sonar men. Why?

8) Vietnam: Road to War (3 mins)
http://www.history.com/topics/vietnam-war/vietnam-war-history/videos/the-road-to-war
www.history.com/topics/vietnam-war/vietnam-war-history/videos/the-road-to-war
[Please be aware this video states that N. Vietnam attacked US ships, but remember that no boat was hit and the “attack” amounted to alleged blips on a radar screen.]

a) If Americans knew about Vietnam at all, they knew it as a….what?
b) Americans feared that if Vietnam fell to communism that what would then happen?
c) What president was going to pull US military advisors and money out of a failing situation in Vietnam?
d) Who was president (the former’s v.p.) during the Tonkin Incident and who really started the actual war?
e) Did the “resolution” declar war officially?
f) In five years, how many US troops were in Vietnam?
g) How many Americans total served?
h) In what year did the US lose this war and Vietnam “fall” to communists?

9) Tet Offensive (5 mins)
http://www.history.com/topics/vietnam-war/tet-offensive www.history.com/topics/vietnam-war/tet-offensive
a) What was “Tet”?
b) The North Vietnamese declared a seven-day what?
c) So the “Tet Offensive” was what? (It’s posted in a words/titles frame)
d) How many cities get attacked at the same time?
e) How many Americans were killed that one year?
f) Although the US technically win against the Tet Offensive, the N Vietnamese see it as a long-term victory because what happened? That is, why was this a turning point?

10) AGENT ORANGE (5 mins)
http://www.youtube.com/watch?v=65KFpyxK0Ho www.youtube.com/watch
a) Agent Orange was a herbicide. What is that?
b) The first man to speak (to be interviewed) said he saw what?
c) How many gallons were sprayed by the US on Vietnam?
d) How long does it take Agent Orange to “degrade”?
e) What disease did the American soldier who spoke have?

11) Nixon
https://www.video.pbs.org/video/14275557/
Nixon was writing a special speech in response to what?
He called the “forgotten Americans,” his supporters, what??
Did his overall ratings rise or fall after the speech?

12) Nixon Speaks on Vietnam in 1969
www.youtube.com/watch
a) How long had the war gone on when he was inaugurated?
b) How many Americans were in Vietnam at the time?
c) In what city were failed negotiations going on?
d) What would have been “the popular and easy course to follow”?
e) Nixon says the real question at hand is how to win America’s WHAT?
f) He says Eisenhower sent what? Kennedy sent what? And Johnson sent what

SAMPLE ANSWER

U.S. History

watch the film THE FOG OF WAR
https://www.youtube.com/watch?v=nwXF6UdkeI4
1) From the movie or any source, write down who Robert “Bob” McNamara was.

Secretary of Defense during Kennedy/Johnson administration
2) Write down the eleven (11) “lessons” that organize the narrative as they appear. (It’s easy–they pop right up).

  1. Empathize with your enemy.
  2. Rationality will not save us.
  3. There’s something beyond one’s self.
  4. Maximize efficiency.
  5. Proportionality should be a guideline in war.
  6. Get the data.
  7. Belief and seeing are both often wrong.
  8. Be prepared to reexamine your reasoning.
  9. In order to do good, you may have to engage in evil.
  10. Never say never.
  11. You can’t change human nature.

3) Describe what McNamara MEANS by each “lesson.” To what is he referring? (Your answer will be longer than a single sentence and reference both his meaning and the history he cites.)

  1. Empathize with your enemy: It is important to loot more at the world through the eyes of our enemies so as to appreciate their opinions and thoughts processes.
  2. Rationality alone will not save us: It was luck that saved the US from the Cuban Missile crisis. There is potential for nuclear war up to date. This might result from a combination of nuclear weapons and human error.
  3. There’s something beyond one’s self: McManara’s important events in his life greatly influenced his policy decisions as Defense Secretary.
  4. Maximize efficiency: McManara helped maximize efficiency after being brought back from the 8th Air Force and assigned to the 58th Bomb Wing flying planes to the Pacific theatre. He was majorly responsible for the decision to begin firebombing Japanese cities.
  5. Proportionality should be a guideline in war: Accoding to McManara, if the US had lost the war, they would all have been subjected to criminal proceedings. His belief is that they indeed acted as war criminals.
  6. Get the data: While working as an executive member at Ford, MacManara commissioned several studies with the purpose of getting information on everything from buyer demographics for vehicles to accident reports in order to make cars safer. This information was used for designing care that great successes. McManara believes that in order to improve the deteriorating conditions, it was important for American people to be educated on the dire conditions of the country.
  7. Belief and seeing are both often wrong: Despite the US putting themselves in the “skin of the Soviets” during the Crisis, the US still failed to do so with Vietnam because of a lack of understanding of the Vietnamese position. In the eyes of the people, the Vietnamese conflict was a civil war and not a Cold War battle that the US thought it was.
  8. Be prepared to reexamine your reasoning: Despite being the most powerful nation in the world today, it is not good to use power unilaterally. Failure to convince allies about the correctness of our actions means that there is need to reexamine the US’s reasoning.
  9. In order to do good, you may have to engage in evil: Despite having to engage in evil at times, it is important to do the best to minimize it. McManara sympathized with the anti-war protestors during his time as Defense Secretary.
  10. Never say never: McManara believes that the president was solely responsible fir the Vietnam War. He also feels apologetic for his errors.
  11. You can’t change human nature. According to McManara, ‘the fog of war’ implies to the complexities of war and the inability of human mind to fully comprehend them at one time. Human nature complicates war and it makes it difficult to end it. Though we are rational individuals, rationality is limited.

5) Lessons Learned: Bay of Pigs Invasion
www.youtube.com/watch
a) How did Castro view the US and what worried the US about Castro?

Castro viewed US as an enemy to Cuba, while US were worried about Castro’s anti-American rhetoric. In addition, they were worried about the bearded revolutionary of Cuba.
b) Which president first approved the CIA plot to overthrow Castro?

President Eisenhower.
c) The plan was that Cuban elites abroad would invade and trigger what?

To overthrow Fidel Castro’s government in Cuba.
d) JFK inherits the plan, and he doubts it; but, if he chose not to support the so-called Operation Bumpy Road, what would he probably have been accused of being?

He would have been accused of being a failure both at home and abroad.
e) Partly, it failed because JFK refused to authorize what?

The American troops.
f) Also, who failed to rise up?
Jack.
6) Cuban Missile Crisis (from Fog of War with Robert McNamara)
http://www.youtube.com/watch?v=HZVR-DKERhc www.youtube.com/watch
a) What did the Soviet Union do “under the cloak of deceit”?

They introduced nuclear missiles into Cuba that besieged 90 million Americans.
b) What does McNamara tell JFK on an audio tape are the two things that needed to be done?

  • Develop a specific strike plan.
  • Consider the consequences.
  1. c) What was General Lamay’s recommendation?

He recommended that President Kennedy to go to war in the Bay of Pigs and later in the Cuban missile crisis.
d) On “that critical Saturday,” how many messages did they have from Khrushchev [the head of the Soviet Union]?

Two messages.
e) The first messages said if the US promised not to do WHAT, that the Soviets would take the missiles out of Cuba?

Promised not to invade Cuba.
f) What did former ambassador to Russia, Tommy Thompson, tell JFK to do?
He is the one who revealed the scheme of Khrushchev that he had ordered his ambassadors in Washington to resist temptation when provoked.
7) Gulf of Tonkin Incident (also from Fog of War)
www.youtube.com/watch
a) The ship Maddox reports what?

There were two attacks that were going to take place.
b) Though nothing blew up, the US ordered air bombing attacks where?

North Vietnam.
c) With the Tonkin Gulf Resolution, Congress gave the president what power?

They gave President Lyndon B. Johnson unlimited powers that he was to go up against the communist aggression in Southeast Asia.
d) As it turned out, the error was allegedly by the sonar men. Why?
Because it was concluded that the motive was not political. NSA deliberately distorted intelligence reports to cover up honest intelligence error.
8) Vietnam: Road to War (3 mins)
http://www.history.com/topics/vietnam-war/vietnam-war-history/videos/the-road-to-war
www.history.com/topics/vietnam-war/vietnam-war-history/videos/the-road-to-war
[Please be aware this video states that N. Vietnam attacked US ships, but remember that no boat was hit and the “attack” amounted to alleged blips on a radar screen.]
a) If Americans knew about Vietnam at all, they knew it as a….what?

They knew it as a communist group
b) Americans feared that if Vietnam fell to communism that what would then happen?

That the surrounding territories would have fallen.
c) What president was going to pull US military advisors and money out of a failing situation in Vietnam?

President Lyndon Johnson.
d) Who was president (the former’s v.p.) during the Tonkin Incident and who really started the actual war?

Richard Nixon.
e) Did the “resolution” declar war officially?

No.
f) In five years, how many US troops were in Vietnam?

500,000 US troops were in Vietnam.
g) How many Americans total served?

522500 Americans.
h) In what year did the US lose this war and Vietnam “fall” to communists?
This was in 1975.
9) Tet Offensive (5 mins)
http://www.history.com/topics/vietnam-war/tet-offensive www.history.com/topics/vietnam-war/tet-offensive
a) What was “Tet”?

This was a revolving point in the war when the enemy seemed to rebel against the attackers.
b) The North Vietnamese declared a seven-day what?

It was declared a world heritage site.
c) So the “Tet Offensive” was what? (It’s posted in a words/titles frame)

This was the time when the South Vietnamese army was able to repel the assault from the U.S forces.
d) How many cities get attacked at the same time?

These were about a hundred cities.
e) How many Americans were killed that one year?

9000 Americans.
f) Although the US technically win against the Tet Offensive, the N Vietnamese see it as a long-term victory because what happened? That is, why was this a turning point?
Because President Johnson was faced with the public, that were unhappy Americans. However, he also dismissed Tet Offensive as complete failure. He even faced opposition in his party.
10) AGENT ORANGE (5 mins)
http://www.youtube.com/watch?v=65KFpyxK0Ho www.youtube.com/watch
a) Agent Orange was a herbicide. What is that?
It was used in by the military in the Vietnamese war.

  1. b) The first man to speak (to be interviewed) said he saw what?

He saw Agent Orange pouring from the skies.
c) How many gallons were sprayed by the US on Vietnam?

20 million gallons.
d) How long does it take Agent Orange to “degrade”?

It takes decades to degrade.
e) What disease did the American soldier who spoke have?

Throat cancer.
11) Nixon
video.pbs.org/video/14275557/
Nixon was writing a special speech in response to what?

The Vietnam War.
He called the “forgotten Americans,” his supporters, what??

The ‘great silent majority’
Did his overall ratings rise or fall after the speech?
The rating soared very high.
12) Nixon Speaks on Vietnam in 1969
www.youtube.com/watch
a) How long had the war gone on when he was inaugurated?

The war had gone on for four years.
b) How many Americans were in Vietnam at the time?

540,000 Americans.
c) In what city were failed negotiations going on?

Paris
d) What would have been “the popular and easy course to follow”?

The popular and easy course to follow was to order the immediate withdrawal of all American forces.
e) Nixon says the real question at hand is how to win America’s WHAT?

Peace.
f) He says Eisenhower sent what? Kennedy sent what? And Johnson sent what?

Nixon says Eisenhower sent economic aid and military equipment to help the South Vietnamese in their attempts to prevent the takeover by Communists. Kennedy sent 16,000 military personnel to Vietnam to act as combat advisers. Lastly, Johnson sent U.S. combat forces to South Vietnam.

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Surveillance System Comparison Essay

Surveillance System Comparison
Surveillance System Comparison

Surveillance System Comparison

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Surveillance System Comparison
This section of your Scholar-Practitioner Project prompts you to explore modern surveillance systems applied at different levels of government related to the disease you selected. In addition, you describe the government’s responsibility to monitor and report at the four political levels. By understanding the reporting requirements of government, you are able to design your surveillance system to meet those requirements.

To complete this portion of your Scholar-Practitioner Project, write a 2- to 3-page paper that addresses the following:

  • Identify modern surveillance systems implemented at the local, state, regional, and national levels related to the disease you selected.
  • Evaluate the effectiveness of the modern systems in monitoring the disease you selected.
  • Analyze the government’s responsibilities for monitoring the disease/condition you selected at the different political levels (local, state, regional, and national). Include an explanation of how the reporting requirements differ at each level.
  • Suggest how you would apply any lessons learned in this exercise to the system you are constructing.

SAMPLE ANSWER

Surveillance System Comparison

Modern surveillance systems implemented at the local, state, regional, and national levels

Early warning surveillance systems are designed to create an early alert of a disease threat through the detection of mere presence of potentially infectious micro-organisms. Early warning surveillance systems are mostly monitored at the federal level. Syndromic surveillance deals with symptoms indicative of Ebola virus. This surveillance system providing real time monitoring for non-specific, prediagnostic indicators of disease outbreaks has been broadly adopted by cities, states and the national government. States use The Real Time Outbreak and Disease Surveillance System (RODS) in gathering data on symptoms of emergency room patients (Institute of Medicine (US) Forum on Microbial Threats, 2007).

Situational awareness surveillance systems are used in monitoring the progress and outcome of an intervention for purposes of mitigating or stopping the progression of a communicable disease. Cities, states and the national government have shown a wide and multifaceted use of surveillance for describing and informing response throughout the entire period of an outbreak. Animal surveillance systems help in detecting transmission of the Ebola virus among animal and human populations over space and time, in addition to predicting future transmission patterns.
The effectiveness of the modern systems in monitoring Ebola virus

The modern surveillance systems assist local and state health departments in enhancing, designing, and developing means for rapid detection of Ebola outbreaks as well as other public health threats and emergencies. These surveillance systems enable the health departments to investigate and mitigate such outbreaks of part of a National Electronic Disease Surveillance System.  For instance, syndromic surveillance systems help in providing timelier identification of disease outbreaks than could be achieved through traditional surveillance systems. Nevertheless, sysndromic surveillance has been criticized for the few outbreaks that it has managed to detect and most people are doubtful as to its potential to perform better than alternative systems to alert the public health community to a problem.

The government’s responsibilities for monitoring Ebola virus at the different political levels (local, state, regional, and national)

In America, public health surveillance for infectious diseases occurs through a variety of local, state, regional and federal programs. Healthcare providers and others often report cases of ‘notifiable’ infectious disease as defined under local and state health codes to health departments. Accordingly, health department officials conduct a verification of the disease reports, monitor disease incidence, identify possible, and send the findings to the Centers for Disease Control and Prevention. The Centers for Disease Control and Prevention and other federal agencies carry out an independent gathering and analysis of information for disease surveillance. Furthermore, the federal agencies fund national and international networks for disease surveillance laboratories which establish diagnostic tests and develop disease diagnostic research. Despite the CDC having set out guidelines for surveillance systems funded by the national government, there is a general lack of evaluation. In addition, so far there is barely any evidence to support the cost-effectiveness of massive national public health surveillance investments.

In conclusion, it is very important to note that effective surveillance requires a clear appreciation of the capabilities sought. When designing a surveillance system, I need to establish the phenomena that need detection, the populations in which detection is needed, and the data that would be most effective for that purpose. An effective surveillance system should be follow legally and professionally acceptable processes, be cost-effective, and have the ability to identify in an ongoing predictive, sensitive, simple, timely, standardized, and flexible manner the emergence of meaningful epidemiological phenomena as well as their particular associations. 

Reference

Institute of Medicine (US) Forum on Microbial Threats. (2007). Global infectious disease surveillance and detection: Assessing the challenges – finding solutions, workshop summary. Washington DC: National Academies Press.

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Governmental Challenges of Disease Surveillance

Governmental Challenges of Disease Surveillance
Governmental Challenges of Disease Surveillance

Governmental Challenges of Disease Surveillance

National and State Challenges for Electronic Disease Surveillance

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Governmental Challenges of Disease Surveillance

Different levels of bureaucracy produce unique challenges. This holds true even in the context of disease surveillance. The inherent advantages and disadvantages of specific surveillance systems require each level of government to determine which system will best fulfill its needs.

elect two levels of government (e.g., local, state, regional, or national) and consider the challenges faced by the two levels in electronically monitoring conditions/diseases.

identify the two levels of government you selected and post an analysis of the challenges they face when implementing electronic disease surveillance systems. Then explain which challenges are common and which are unique to the two levels you selected. Consider the similarities and differences, and propose recommendations to mitigate the challenges.

SAMPLE ANSWER

National and State Challenges for Electronic Disease Surveillance

The first challenge occurs in the initial stages of implementing the electronic disease surveillance system: few or no personnel have the necessary knowledge and skills (Noah, 2006). Therefore, governments must begin by training personnel all over the country and states. At the same time, the trained personnel are frequently sent to remote areas, reducing the number of skilled personnel in their states.

More challenges arise when implementing the system in rural areas. Most of these areas have communication are less efficient compared to those in urban areas (Noah, 2006). Therefore, state and national governments must start by improving all the communication networks in all rural states. Worse still, many such areas lack modernized diagnostic laboratories, which hinder the speed of monitoring the diseases. Hence, the authorities must improve the laboratories first.

Also, epidemiological personnel find it hard moving from the old system to the electronic system due to the number of piled cases. Medical personnel spent much time reporting outbreaks and prevalence of diseases (Burdakov, Ukharov & Wahl, 2013). It is, usually, difficult to clear the many pending cases in the stations before normalizing the operations.

Lastly, the system encompasses many local sites, which must be compared with each other in determining the most affected areas. It is very difficult for the personnel to compare data for the purpose of giving preference to some areas. This exercise requires keen involvement since the personnel must go for very minor details (Noah, 2006).

National, state, regional and local authorities experience the same challenges in terms of skilled personnel, the lack of efficient resources in remote areas and the mobility of trained personnel. On the other hand, only the national and state authorities are affected by the problem of handling many affected sites. Regional and local governments have relatively fewer cases due to their geographic sizes (Burdakov, Ukharov & Wahl, 2013). Hence, they easily compare the prevalence of the diseases in different areas.

Mitigating these challenges requires training enough personnel and improving diagnostic laboratories and communication networks in every state before introducing the system. This ensures that the reporting of cases is not hampered by the mobility of personnel and poor communication networks.

References

Burdakov, A., Ukharov, A., & Wahl, T. (2013). One Health Surveillance with Electronic Integrated Disease Surveillance System. Online Journal Of Public Health Informatics, 5(1). https://www.doi:10.5210/ojphi.v5i1.4480

Noah, N. (2006). Controlling communicable disease. Maidenhead, England: Open University Press.

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IT Needs of Disease Surveillance Assignment

IT Needs of Disease Surveillance
IT Needs of Disease Surveillance

IT Needs of Disease Surveillance

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IT Needs of Disease Surveillance

When developing an IT system for disease surveillance, it is essential to consider the needs of the system, the scale and availability of data, the robustness of the algorithms, and the budget. These considerations are important in determining the system’s architecture, which is a critical component of the system. Subtle differences in architecture design can greatly impact how a surveillance system may be used and how it will perform under different conditions.

Select a public health organization of interest to you and research the organization’s surveillance activities. Consider the organization’s needs and how its needs align with the system’s software architecture.
brief description of the organization you selected and its surveillance activities. Considering the needs of the organization, recommend whether a single-purpose desktop application with local-level data or a networked application with broad-based information access is best for the organization, and describe what architectural features you would propose. Justify your selections. Respond to a colleague who selected a different architecture and/or organization than you.

SAMPLE ANSWER

IT Needs of Disease Surveillance

CDC’s Epidemiology and Prevention Branch in the Influenza Division focuses on compiling and analyzing data on influenza activity on an annual basis in the United States and producing FluView, a weekly influenza surveillance report. The U.S. influenza surveillance system comprises of collaborative efforts between the CDC and its various local, state, and national partners in different health departments, emergency departments, clinics, healthcare providers, vital statistics offices, and clinical laboratories.

CDC’s influenza surveillance activities include; monitoring the time and place of occurrence of influenza, tracking influenza-related illnesses, determining the influenza viruses that are circulating, detecting changes in influenza viruses, and measuring the effect of influenza on hospitalizations and deaths in the U.S. Influenza surveillance is classified into five categories: virological surveillance, outpatient illness surveillance, mortality surveillance, hospitalization surveillance, and summary of the geographic spread of influenza.

CDC works towards the development of a comprehensive system for influenza surveillance due to the fact that influenza viruses are dynamic, thus requiring ongoing collection and characterization of the strains. In addition, there are high chances for influenza strains to undergo changes that may lead to pandemics of influenza; surveillance of viruses helps in detecting these changes. Furthermore, there is need for annual administration and updating of vaccines on the basis of surveillance findings. Surveillance data is also an important foundation for triggering national responses to emerging pandemic strains.

CDC utilizes de-centralized information architecture, which is the most appropriate system for enabling secure and timely exchange of information across multiple pragmatic areas. Thus, a broad-based information access is the best for CDC. Unlike CDC which should adopt a networked system, a city health department should adopt single-desktop design because local control programs are not properly designed for data integration (Jennings, 2009).

References

CDC. Overview of Influenza Surveillance in the United States. Retrieved from: http://www.cdc.gov/flu/pdf/weekly/overview.pdf

Jennings. J. M. (2009). Integration of Surveillance Data. Public Health Reports, 124: 40-50.

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Surveillance Digital Dashboard Assignment

Surveillance Digital Dashboard
Surveillance Digital Dashboard

Surveillance Digital Dashboard

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Digital Dashboard
Without the usability features inherent in effective design, informatics systems may overwhelm a user with data. This portion of your Scholar-Practitioner Project requires that you put to use the informatics display techniques that are covered in this week’s Learning Resources.

This week you create a mock-up screen of a “digital dashboard” for your disease surveillance system. Include a framework for the display of data based on the algorithm you designed , using appropriate graphics, symbols, and words. You may use PowerPoint, Word, Prezi, or a program of your choosing to create the screen. Additionally, you may choose to annotate the mock-up as appropriate.

Please save the mock-up in one of the following formats:

PowerPoint file: Use “.ppt” extension
Word file: Use “.doc” extension
Prezi file: Use “.pez” extension
PDF file: Use “.pdf” extension
Image file: Use “.jpg” or “.gif” extension
Rich text file: Use “.rtf” extension

References

Bahl, V., McCreadie, S.R., Stevenson, J.G. (2007). Developing dashboards to measure and manage inpatient pharmacy costs. American Journal of Health Systems Pharmacy, 64(17), 1859-1866.

Few, S. (2006). Information Dashboard Design: The Effective Visual Communication of Data. Beijing, Ch: O’Reilly.

Malik, S. (2005). Enterprise Dashboards: Design and Best Practices for IT. Hoboken, NJ: Wiley.

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Bio-surveillance Algorithms Assignment

Bio-surveillance Algorithms
Bio-surveillance Algorithms

Bio-surveillance Algorithms

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Bio-surveillance Algorithms

Different diseases may share many of the same symptoms. Because diseases have a broad range of symptoms (many of which overlap), bio-surveillance algorithms must be constructed to identify those indicators that can (individually or in some combination) accurately discriminate the presence or absence of the condition of interest, properly monitor those indicators, and provide reliable output on each specific disease’s trends. Matching the process of analyzing the data with the necessary types of data is of utmost importance when trying to obtain an early identification of a health event with minimum false positives.

select an infectious disease or condition (not tuberculosis). Consider the best approach/algorithm to monitor the disease or condition you selected. Determine the number and type of covariates the algorithm should have.

describe the algorithm that you think would best monitor the disease/condition you selected. Explain which covariates you would include in the algorithm. Finally, explain the limitations of the algorithm and the implications for public health.

SAMPLE ANSWER

An Algorithm for Monitoring Ebola

Ebola is a disease that easily spreads between primates, human beings included, whenever uninfected individuals come into contact with body fluids of those infected. It is caused by the Ebola virus, whose natural carrier is the natural fruit bat. There has been no evidence of the occurrence of air transmissions of Ebola. Research shows that the virus kills an average of 50% of patients who contract it. Due to the resemblance of its symptoms to malaria, fever, cholera and many other diseases, there is need for a specific algorithm to help in the monitoring and treatment of Ebola.

Algorithm for Ebola

I will use three steps in the evaluation of the disease for the purpose of differentiating it from diseases such as malaria and typhoid. The first step entails carrying out a non-specific laboratory test. This form of testing includes counting the number of platelets, white blood cells and liver enzymes, alanine aminotransferase (Smith, 2006). The process also includes checking for any signs of blood clots.

The second step is carrying out a specific test. This involves separating the virus from others, checking its RNA and antibodies that fight the virus in the victim’s blood (Smith, 2006). In the initial stages of the disease, medical practitioners should isolate the virus using cell culture and the evaluation of the polymerase chain reaction of the virus. They can as well use the Elisa test in arriving at the same end. In later stages of the disease, checking for the presence of antibodies produced to counter the virus is the most reliable method for determining the presence of the virus in the human body. This method also works well when working with individuals who recover from the Ebola virus. Two types of antibodies are, usually, detected at different periods after the infection. Igm antibodies can be seen only two days after the first signs while IgG are visible after about one or two weeks (Smith, 2006). However, isolating the virus through the cell culture practice is not possible. Doctors prefer PCR and ELISA since they are the most sensitive methods. An electron microscope can help identify the viruses by exposing their filamentous nature while in the cell cultures. However, it is not possible to differentiate between the different types of the virus.

Thirdly, the differential diagnosis method will help identify Ebola identify as different from other types of viruses. This method requires a lot of time since it entails the analysis of all the diseases that have similar symptoms. Such diseases include malaria, dengue fever and Marburg virus diseases.

This algorithm should have two covariates: samples of fluids from a healthy person without antibodies against the virus and other samples from an individual suffering from malaria to compare their composition with that of the individuals suspected to be suffering from Ebola.

Limitations of this Algorithm

The third part of this algorithm is expensive, involving and time-wasting. It requires diagnosing all the diseases that exhibit symptoms similar to those of Ebola. Many victims may die while doctors are still carrying out the tests. Worse still, the second part of the algorithm takes long to give the results for the presence or absence of antibodies. The method can, therefore, not be relied on in critical circumstances. The disease might continue spreading to other regions as medical experts wait for the results of their experiments

References

Smith, T. (2006). Ebola. Philadelphia: Chelsea House Publishers.

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Creating an Algorithm Assignment Help

Creating an Algorithm
Creating an Algorithm

Creating an Algorithm

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Creating an Algorithm

Tracking the spread of diseases can be an intricate, complex, and labor-intensive process. As a result, automated surveillance systems utilizing algorithms are employed to interpret data. In this segment of your Scholar-Practitioner Project, you develop a simple algorithm to interpret data related to the disease or condition you selected last week. To aid your development, review your Learning Resources and research the construction of algorithms.

To complete this portion of your Scholar-Practitioner Project, write a 1- to 2-page paper that addresses the following:

  • Identify the indicators you chose to include and explain why they are appropriate.
  • Describe the logical process of the algorithm (you may wish to illustrate using a diagram).
  • Justify any other salient features of the algorithm.
  • Evaluate the strengths and limitations of the algorithm.

SAMPLE ANSWER

Creating an Algorithm

Detecting depression from structural MRI scans is significantly new in the mental health diagnosis. This detection requires processes including image acquisition as well as pre-processing, feature extraction, selection and classification. Identifying a suitable feature selection algorithm facilitates the enhancement of the detection accuracy. Medication algorithms for major depression disorder treatment are designed to optimize treatment implementation and the correctness of treatment strategies. Therefore, they are significant tools for treatment and avoidance of refractory depression. Treatment algorithms are express treatment protocols which aim at providing specific therapeutic pathways and tools for decision-making throughout the treatment process (Trivedi & Kleiber, 2001).

Indicators to include in the algorithm and their appropriateness

The severity indicators for a major depressive episode include recurrent thoughts of death and suicidal ideation, diminished ability to think or concentrate, feelings of worthlessness or excessive guilt, fatigue or loss of energy, psychomotor agitation or retardation, insomnia or hypertension, substantial weight loss or weight gain, increased or decreased appetite, diminished interest or pleasure, and depressed mood. These indicators are appropriate because they provide a basis for determining the severity of depression. Severity indicators are determined in terms of the number and type of symptoms exhibited by the patient. Thus, symptoms are either mide, moderate or severe depending on their degree of impairment of occupational function or the usual social functions or relationships with other people. The TMAP strongly recommends that measurement-based care should be adopted in the treatment of major depression disorder. In addition to symptom severity, it is also important to measure the side effects and global functioning at each visit in order to ensure that treatment decisions are guided by objective data (Suehs et al, 2008).
The logical process of the algorithm

The preliminary stage involves the assessment of the patient and discussion of treatment options. The first step of the algorithm is antidepressant monotherapy. Medication recommendations for antidepressant monotherapy include selective serotonin reuptake inhibitors, bupropion and mirtazipine. The selection of treatment is based on individual patient characteristics. The second step involves augmentation for patients with partial response to antidepressant monotherapy. This increases the chances for the achievement of remission without the loss of clinical improvements. Recommended augmentation strategies include addition of mirtazipine, buropion,or SSRI (Suehs et al, 2008).

The third step is for patients who do not respond to the first and second step. It involves the same medications offered in the previous stages, although a different class of antidepressants should be tried. The fourth step involves combined treatment and it is for patients who do not respond to medications prescribed in the second stage. The fifth stage is an alternative to the fourth step, with different combinations of medications. The sixth step is for patients who do not respond to the previous step. This treatment recommends the use of ECT, or vagus nerve stimulation in combination with antidepressant treatment. In the seventh stage, there is barely any evidence to guide treatment. The medications for this stage are based on expert opinion and the consensus of the TMAP panel (Suehs et al, 2008).

The algorithm requires the individualization of frequency of physician offices visits for each patient. Generally, an adequate medication trial for antidepressants need to last 8-12 weeks. Where a patient fails to respond to medication, a switch in antidepressant medication may be necessary.
Evaluation of the strengths and limitations of the algorithm

The strength of this treatment algorithm is that it is evidence-based to the extent that evidence is available for purposes of guiding treatment decisions. In cases of missing clinical data, treatment recommendations are driven by expert consensus opinion. However, this algorithm does not serve as a substitute for clinical judgment and it only provides a systematic approach to pharmacological treatment of major depression disorder (Aronson & Ayres, 2009).

References

Aronson, S. C. & Ayres, V. E. (2009). Depression: A Treatment Algorithm for the Family Physician. Clinical Review Article. Retrieved from: http://www.turner-white.com/pdf/hp_jul00_depress.pdf

Suehs, B., Argo, T. R., Bendele, S. D. et al. (2008). Texas Medication Algorithm Project Procedural Manual: Major Depressive Disorder Algorithms. Texas Department of State Health Services. Retrieved from: http://www.jpshealthnet.org/sites/default/files/tmap_depression_2010.pdf

Trivedi, M. H., & Kleiber, B. A. (2001). Algorithm for the treatment of chronic depression. Journal of Clinical Psychiatry.

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Mini-Case Study at East Coast Yachts

Mini-Case Study at East Coast Yachts
Mini-Case Study at East Coast Yachts

Mini-Case Study at East Coast Yachts

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For this paper, I will send the file that contains the case study to be use for this paper via the files upload. it is important to respond to the questions mentioned detail.

Mini-Case Study: Your 401(k) Account at East Coast Yachts

This case study, found on page 472 of your course text, is a continuation of the one you began last week. After carefully reading the new information presented, briefly respond to the three questions at the end (4 to 6 sentences each).

SAMPLE ANSWER

Mini-Case Study at East Coast Yachts

What implications do you draw from the graph for mutual funds?

According to Bruce (2003), mutual funds help investors to save for their retirements and other financial goals due to huge benefits that come from investment diversification and professional management. The initial implication from the graph is that different funds perform differently over time and the investor has the option of choosing the best fund in accordance with his own analysis. From the graph, it is evident that the performance of mutual funds increases with time based on the level of investment. From the date of inception, a considerable growth is realized in mutual funds over time. In the above graph, the performance of the equity mutual funds is higher than the Vanguard 500 Fund. With this regard, an investor is likely to reap huge for investing in equity mutual fund than Vanguard 500 Fund. However, an investor who invests in the Vanguard 500 Fund is still able to realize considerable level of growth for despite it being relatively lower than the equity mutual fund.

Is the graph consistent or inconsistent with the market efficiency?

When the money is put in the market, the aim is to generate more profits in return for the capital invested (Bailey & Lopez-de-Prado, 2013). In addition to making profitable returns, the investors in the market also try to outshine other markets. If the markets became less efficiency there would then be fewer returns on average and very high volatility when it comes to investment (Wilmott, 2007). The liquidity would not be able to impend the market approach and this would end up changing efficiency in terms of production of goods and services (Ross & Westerfield, 2013). On the other side, if US market became less efficient, then there would be no accurate information on market issues and there benefit in the market would be very low. When the market is not efficient, the market would become very unpredictable for investment and this is likely to affect the rate of investment. This graph is in consistent with the market efficiency curve since different investment portfolios compete efficiently in the market. Due to high returns on the equity mutual fund, the markets seem very efficient since such returns can only be achieved by less market volatility. A graph that is inconsistent with the market forces portrays irregular lines that have are can hardly be predicted by the investors.

What investment decision would you make for the equity portion of your 401(k) account?

In my opinion, the best investment decision to roll over some portion of the 401(K) so that it can be invested in individual stocks. Since the investor has a sizeable amount tied to the company’s 401(K), there is high likelihood that such investment will gain good benefits in return. According the historic performance, the funds are doing reasonably well and it is somehow safe for the investor to take a portion and gamble with some portfolio investment. In this arrangement, the investor can roll over more funds to the equity mutual fund that allows him to invest in high yielding portfolio. On the other hand, I would avoid investing in the Vanguard 500 Fund since it gives less return in the long run when compared to equity mutual funds. Despite having high fees, the equity mutual funds are profitable since the anticipated returns will cater for the high fees involved.

References

Bailey, D. &Lopez-de-Prado, M. (2013): “The Strategy Approval Decision: A Sharpe Ratio Indifference Curve approach”, Algorithmic Finance 2 (1): 99-109

Bruce J. F. (2003). Investment Performance Measurement. New York: Wiley

Ross, S. R., Westerfield, R. W., & Jaffe, J. (2013). Corporate finance (10th ed.). NY: McGraw-Hill.

Wilmott, P. (2007). Paul Wilmott introduces Quantitative Finance (Second Ed.). Wiley

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