Scholarship

Summative Assessment

11 May, 2016

the development of psychological issues (non compensable most likely) such as depression and anxiety post injury and how this impacts an individuals ability to Return to work and their participation with Rehab counsellors in the Return to work process.

11 May, 2016

Advocating for children rights

11 May, 2016

Tourist resort in Australia - Great Barrier Reef

11 May, 2016

: Intrapreneurship Plan

11 May, 2016

Gender Neutral Parenting

11 May, 2016

organisational theory

11 May, 2016

Nursing Leadership and Vision Paper

11 May, 2016

infantcy developement and psychology

11 May, 2016

US Foreign Policy and Gulf War (1991).

11 May, 2016

Critical appraisal essay (how effective are diet and exercise in managing type2 diabetes)

11 May, 2016

Private and Public Criminal Investigation Comparison Paper

11 May, 2016

sources of media power

11 May, 2016

qualitative Research Designs -Phenomenology)

11 May, 2016

: personal statment

11 May, 2016

Coco pops

11 May, 2016

Manage budgets and financial plans

11 May, 2016

fear of crime

11 May, 2016

Destination marketing strategy

11 May, 2016

Criminal Investigation Plan

11 May, 2016

Adolescent development

11 May, 2016

Can we measure intelligence?

11 May, 2016

The Systematic Evaluation of Alogliptin’s (Nesina) Cost-Effectiveness in Treating Type 2 Diabetes

11 May, 2016

Gullivers Travels

11 May, 2016

Motivation Behind Employee’s Circumvention of the Chain of Command

11 May, 2016

The Federal Reserve

11 May, 2016

Analysis

11 May, 2016

Regional Vice President of Sales

11 May, 2016

LPN-RN Transitions

11 May, 2016

Best Fall Culinary Trips

11 May, 2016

Leadership

11 May, 2016

Community Oriented Policing Essay

11 May, 2016

Monetary Policy

11 May, 2016

"An At Risk Population Assessment Resources & Community Teaching Plan

11 May, 2016

Reflective essay

11 May, 2016

Analysing the global marketing environment

11 May, 2016

Describe a challenging situation you’ve faced. Briefly state the situation, how you responded and why, would you have done anything differently, has it affected or shaped who you are today?

11 May, 2016

Islam and Military in Pakistan

11 May, 2016

U3D2

11 May, 2016

Day of Nonviolence Exercise

11 May, 2016

Business Ethics

11 May, 2016

Observation of adolescents at the mall

11 May, 2016

Epidemiology Critical appraisal

11 May, 2016

Nursing SMART Goal

11 May, 2016

International Business: Entering Foreign Markets

11 May, 2016

Book review

11 May, 2016

essay

11 May, 2016

trustee in a large UK structured finance transaction

11 May, 2016

Policy Evaluation ( Electronic-Health policy in kingdom of Saudi Arabia )

11 May, 2016

Philosophy of Nursing Paper

11 May, 2016

Ethno cultural groups

11 May, 2016

ArtNiva Gallery: During Crisis

11 May, 2016

VacayAway Work Breakdown Structure and Project Plan/Network

11 May, 2016

Bach Cantata 140

11 May, 2016

Evidence-Based Practice Proposal Final Pape

11 May, 2016

REEL BAD ARABS: How Hollywood Vilifies a People (watch the video)

11 May, 2016

Module 2

11 May, 2016

Laudato Si - Pope Francis

11 May, 2016

Anthropology

11 May, 2016

Business Ethics - Goldman Sachs

11 May, 2016

Novel pollutants such as pharmaceuticals and personal care products (PPCP’s) constantly emerge and present new challenges

11 May, 2016

A sustainable leadership in arts

11 May, 2016

Zheng He

11 May, 2016

Private Prisons in America

11 May, 2016

Booking Agencies in the Music Industry

11 May, 2016

audit, assurance and compliance

11 May, 2016

Cardiovascular disease & Lisinopril

11 May, 2016

Ford Motor and Target

11 May, 2016

The chapter used a percent of labor cost to assign factory overhead to jobs.

11 May, 2016

Grand nursing theory

11 May, 2016

The God Image of the Hispanic Immigrants in the United in the United States. Study on the Example of the States of New Jersey and New York

11 May, 2016

Detailed Outline of the Cross Cultural Training

11 May, 2016

Diversity focus topic

11 May, 2016

project strategy

11 May, 2016

Oncology case report

11 May, 2016

Organizational Diagnostic Models

11 May, 2016

VacayAway Work Breakdown Structure and Project Plan/Network

11 May, 2016

Opportunity Discovery Report (1500 - 1800 Words)

11 May, 2016

Business law questions based on IRAC METHOD

11 May, 2016

Police Organizational chart

11 May, 2016

Final question

11 May, 2016

Topic: Ectopic pregnancy and ultrasound requests: quality assurance study Order Description a research grant proposal written for the following draft please. I will need my referencing in numbered APA, I am happy to supply the endnote code for it if needed. Title: Quality assurance and ultrasound requests for ectopic pregnancy: A retrospective pilot study of the referral information from junior doctors to sonographers in a regional Victorian hospital. Key words: Ectopic Pregnancy, bHCG, Ultrasound, Quality Assurance, Referral patterns Ectopic pregnancy is a common reproductive problem with an occurrence of 1:1000 pregnancies.1 Despite mortality dropping to almost 90% in the last 30 years, it is still the number 1 cause of maternal mortality in the first trimester.2 Clinical presentation can vary from asymptomatic to hypovolemic shock, with general presentation of amenorrhea, pelvic pain and per vaginal bleeding.3 With such a varied list of symptoms, careful evaluation must be undertaken. In a normal intrauterine pregnancy (IUP), bHCG levels double every 48 hours and then plateau at weeks 9-112. Generally, women with ectopic pregnancies tend have a lower bHCG level. Barnhart et al. 4 developed a discriminatory level for bHCG at which an IUP could be detected on TVS. They found that levels between 1500-2500mIU/mL were reliable in the earliest detection on a sonogram4. If a IUP was not detected these levels, there would be a cause for concern and most likely alluded to an abnormal implantation. Levels lower than this with no confirmed IUP could simply mean a pregnancy that was too early to visualise and would result in follow up assessment of bHCG in the following days and a repeat ultrasound in the coming weeks.2 A review of the literature demonstrated that transvaginal ultrasound in conjunction with serum bHCG is a necessary clinical step to exclude an ectopic pregnancy 5. In a clinical setting, evidence based guidelines, which includes the use of TVS and bHCG to assess and diagnose ectopic, IUP or a pregnancy of unknown location (PUL).5 Junior doctors at North East Med often request ultrasound assessment to exclude an ectopic pregnancy, often, without confirming that the patient is pregnant. Upon request for further information by the sonographer, it can be confirmed that the patient has a negative pregnancy test or has previously had a confirmed IUP via ultrasound at a previous practice. This leads to inefficiencies within the department and frustration that the junior doctor did not collect vital information at the initial consultation with the patient. This is a quality practice study with the results of the study suggesting changes in practice. The aim of this study is to: • Retrospectively assess referrals for ectopic pregnancy to a public hospital radiology department to determine if the recommended BHCG level is supplied prior to the scan • Assess the referrals and see if serum BHCG has been noted. • Of the referrals that did not have a recorded BHCG, assess how many were actually pregnant. • Assess the number of confirmed Ectopic pregnancies were confirmed. • Approximately 150 participants with included variables such as gestational age, quantitative BHCG, PV bleeding and pain. • This is a retrospective cross-sectional descriptive quantitative study. Variables will be coded numerically eg BHG Y/N (yes=1, no=0) • With referrals querying ectopic pregnancy it needs to known how many have the BHG information included. If yes, it will look at the number of these that had an ectopic. If no, it will be looking at the number who are pregnant and the number of those who had an ectopic. • Equipment needed will be PACS system to access data and excel to collate information. • This is considered a low risk study as it is retrospective and there will be no participants actively sourced. ***This basic lit review I have used can be expanded upon if need be. 1. Kirk, E., Papageorghio, A.T., Condus, G., Tan, L., Shabana, B., Bourne, T. (2007). The diagnostic effectiveness of an initial transvaginal scan in detecting ectopic pregnancy. Human Reproduction, 22(11), 2824-2828. doi: doi:10.1093/humrep/dem283 2. Raatz Stephenson, S. (2012). Diagnostic Medical Sonography Obstetrics and Gynaecology (3 ed.). Baltimore, MD: Lippencott Williams and Wilkins. 3. Lin, E. P., Bhatt, S., Dogra, V.S. . (2008). Diagnostic clues to ectopic pregnancy. Radiographics, 28(6), 1661-1671. 4. Barnhart, K., Mennuti, M.T., Benjamin, I., Jacobson, S., GOodman, D., Coutifaris, C. (1994). Prompt diagnosis of ectopic pregnancy in an emergency department setting. Obstetrics and Gynaecology, 84(6), 1010-1015. 5. Mol, F., van den Boogaard, E., van Mello, N.M., van der Veen, F., Mol, B.W., Ankum, W.M., van Zonneveld, P., Dijkman, A.B., Verhoeve, H.R., Mozes, A., Goddijn, M., Hajenius, P.J. . (2011). Guideline adherence in ectopic pregnancy management. Human Reproduction, 26(2), 307-315. doi: doi:10.1093/humrep/deq329

11 May, 2016

Examining the Potential of Non-Statutory Benefits in Compensation Packages to Stimulate Long-Term Employee Retention

10 May, 2016

Ubisoft

10 May, 2016

Landscape function analysis

10 May, 2016

Isis attack on the French capital Paris where at least 90 people were killed at Bataclan, what is the effect on other society of this attact and happen.

10 May, 2016

Write an academic essay of 1500 words.

10 May, 2016

Ectopic pregnancy and ultrasound requests: quality assurance study

10 May, 2016

1. A Phenomenological study of the Psychological effects of Post–Conflict Justice and Peacebuilding in the Contemporary World.

10 May, 2016

in term of motivation money satisfy all employee needs

10 May, 2016

Laparoscopic Cholecystectomy

10 May, 2016

Twentieth Century Top Element

10 May, 2016

Performance and bonus Systems: How well do they relate?

10 May, 2016

The old man and the sea by Ernest Hemingway

10 May, 2016

Excel Editing

10 May, 2016

Corrosion

10 May, 2016

International Classification of Diseases 10th Revision ICD 10

10 May, 2016

Intrustion Prevention

10 May, 2016

How UK’s Companies will be affected if the UK exited from the EU. The title is vast and I want narrow like a sales for company or revenue for company , UK's manufacturer companies, or the market London because is big,

10 May, 2016

WILL DEPEND ON TOPIC CHOSEN ON FIRTS ASSIGNMENT

10 May, 2016