Planning with Electron-Beam Computed Tomography (EBCT)

Planning with Electron-Beam Computed Tomography (EBCT)

Choose one (1) of the three (3) reading selections from the list of topic choices below. The focus is on brief but important primary source material written by major authors. Read the selections as identified with each topic below. Write a three to four (3-4) paragraph essay (250 words minimum) which analyzes the “surprise ending” of the reading selection.

Topic Choices Johnathan Swift Reading selection of Swift’s A Modest Proposal. It is essential to recognize the genre of this work, as discussed in our class text, which you should consult and cite. Swift promotes a radical solution, but subtle options are mentioned. You are looking for surprise and a point of realization. Read and focus on A Modest Proposal located at http://www.victorianweb.org/previctorian/swift/modest.html. For this reading selection: Define the term “satire”. How does Swift use satire to change the perception that the wealthy class has toward the poor? Identify two alternatives that Swift offers to his “modest” proposal? Use at least two (2) good quality academic sources, with one (1) source being the class text. Note: Wikipedia and other similar Websites do not qualify as academic resources. You are highly encouraged to use the Resource Center tab at the top of your Blackboard page.

Voltaire Two (2) reading selections from Voltaire’s Candide. Consider how these readings start and end in terms of the action and the beliefs of the characters. Voltaire is critical of both religion and philosophy in his work Candide. Students should be able identify this criticism within the reading.These selections can be found on pp. 840-841 in the textbook. In addition, consult the class text at pp. 824-825.

For this reading selection: Identify two of the negative interactions Dr. Pangloss has with the religious beliefs of other characters. What conclusion does Pangloss make about his entire ordeal since Lisbon at the end of the story? Why might Voltaire be critical of his philosophical outlook? Use at least two (2) good quality academic sources, with one (1) source being the class text. Note: Wikipedia and other similar Websites do not qualify as academic resources. You are highly encouraged to use the Resource Center tab at the top of your Blackboard page.

Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA Style format. Check with your professor for any additional instructions. (Note: Students can find APA style materials located in the course shell for reference) Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. Use the source(s) identified above for the topic you choose, focusing on the main primary source of that author. You may use additional sources also if they are of good academic quality for college papers (Wikipedia and similar websites do not qualify). Use proper APA style in-text citing and also a matching APA style References list at the end.

The specific course learning outcomes associated with this assignment are: Explain how key social, cultural, and artistic contributions contribute to historical changes. Explain the importance of situating a society’s cultural and artistic expressions within a historical context. Examine the influences of intellectual, religious, political, and socio-economic forces on social, cultural, and artistic expressions. Identify major historical developments in world cultures from the Renaissance to the contemporary period. Use technology and information resources to research issues in the study of world cultures. Write clearly and concisely about world cultures using proper writing mechanics.

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The use of electron-beam computed tomography (EBCT) for screening of asymptomatic high risk cardiac population to assess for developing coronary heart disease is a new low risk alternative to the traditional invasive heart catheterization. The cardiac CT is recommended by the American College of Cardiology (ACC) as a secondary prevention test to screen prior to a myocardial infarction and death. Garcia (2005) cites that 1 in 20 emergency department (ED) patients present with chest pain and 3-5% of heart attacks have been missed by ED physicians. Another 20-40% of patients who have an invasive heart catheterization are negative. He recommends the cardiac CT as a method to solve some of these issues; however, continued validation is needed. The CT is not an answer for all patients, such as the obese, where visualization is difficult, or those with irregular heart rhythms. Hospitals and clinics across the nation are now purchasing the EBCT scanners. This case study will discuss the screening ability and healthcare planning challenges when bringing in new technology to the healthcare market. A recent purchase of an EBCT scanner was installed in a central U.S. clinic which serves a 300-bed tertiary hospital. The hospital and clinic took great care in training all staff in its use and patient preparation methods, including running a pilot on several local volunteers. Three months post pilot Case Questions: Answer the case questions, with research from your book, CDC, NIH and other quality sources to determine answers and solutions. You are to write a 2-3 page paper in APA formatting that addresses the following questions. Note: A minimum of two references should be used, which should include your textbook and the CDC, and others that support your responses in your paper. This is a paper, so your answer should not be numbered, but rather it should use titles and subtitles. 1. What are the sensitivity, specificity, and predictive values of EBCT? 2. Compare Valanis’s criteria for a good screening program with the eight criteria which the ACC/American Heart Association (AHA) panel proposed for selection of a screening procedure. 3. Provide descriptive epidemiology of this IL region to support the need to purchase a cardiac CT 4. (Health care planning) What should be done at this point to encourage use of this screening/diagnostic test for coronary heart disease?