I copy this services in my assignment:

https://mismarapp.com

The idea for the marketing project that we will be developing throughout the semester. The project will be about creating an innovative technology company (through an application) that can be accessed on the phone or website. The company will provide customers with vehicle services. Offering reliability for the customers and great service especially for females, elderly, or someone who is not mechanically inclined. We will be offering variety of services such as but not limited to:

1. Accident services.

2. General mechanical services.

3. Emergency breakdown.

4. Maintenance.

5. Cosmetics and detailing services.

6. General checkup on the car.

7. Car renting services in case of accidents.

Develop a standardized set of procedure references

You have been hired at Dr. Liberty’s Medical facility. You will be working full- time, as part of the “MA team” for Dr. Liberty and three other physicians/providers. You are tasked with creating a resource manual that will help the MA team be able to assist all providers in minor office surgeries and office procedures easily.

The physician group has decided that they will be offering the following in minor office surgeries and office procedures:

Part One: Cards for procedures 1-5:

Due- 4/26

1.Cervical Biopsy

2.Suture In / Laceration Repair

3.Sebaceous Cyst Removal

4.Onychectomy

5.Incision & Drainage (I & D)

Tray cards: The providers have asked your team to develop a standardized tray set-up resource for each of the surgeries that may be scheduled. The document should include, at a minimum, the following information:

Identifying all the needed sterile and non-sterile items, ancillary supplies and equipment.

. Correctly identifying each item as either

. on the sterile tray or

.on the side/countertop (be specific)

. Specific pre-operative instructions

. Specific post-operative instructions

. Brief description of the procedure

1. Do you share the belief put forth in the article that our sexual desires are often challenging to communicate to our partner(s)? Please explain.
2. Findings from Lehmiller’s research suggest that only about 50% of people feel comfortable enough to share their sexual fantasies. What are your thoughts about this suggested statistic?
3. Another interesting finding from Lemiller’s data, nearly all 4,000 participants (97%) revealed similar sexual fantasies such as multipartner sex; rough sex; novelty and adventure; voyeurism and fetishes; non-monogamous sex; deeper emotional connection; and gender fluidity. Are our desires more alike than different? And if so, might it make it easier to communicate our sexual desires if many of us secretly desire the same? What are your thoughts?

Your paper must include the following components:

1) Statement as to why you chose the concert;

2) Description of the performance venue (Research this if not readily available);

3) Description of the size and age of the audience;

4) Description of the participation and attention of the audience;

5) Comments on each work on the program:*

*At a Jazz concert or musical theater event, you may choose five of the pieces/songs to comment on in detail. Choose two or three selections from each act or part of the performance. If an orchestra or choral concert has quite a few selections, do the same as mentioned above.

A) Which style period is it from? B) Was it a precise performance? C) Your musical enjoyment

6) Statement and details as to whether or not you enjoyed the concert (over all);

7) Details regarding how the music affected you;

8) Statement as to whether or not you would recommend a program like this to your friends (why or why not);

9) Any other insights or observations or anything that surprised you.

Please review the discussion question below and describe the steps you would take to

evaluate the situation. I am looking for steps, calculations, and for the reasoning behind

your approach as well.Your answer should clearly list out all steps and indicate your

answer. If there are any assumptions you are making, please list them as well. The

assignment should not be more than one typed page –single-spaced – no less than

10pt font size.

Discussion Questions:

Question A:

Your company is planning to procure a machine which is expected to be used for

several years, after which it will be replaced by another machine. How would you

determine *when* Is the right time for a replacement? What components/calculations

would you consider in coming up with a recommendation?

Question B:

A company is planning to purchase equipment for $500,000. The company expects the

machine to have a salvage value of $25,000 at the end of the useful life which is

expected to be 25 years. Create a depreciation schedule for this equipment based on

the Straight-Line method.

Question C:

How would the depreciation schedule be affected in Question B, if the actual annual

operating costs for the machine are higher than the expectations?

The supply chain profession entered the year leading the digitalization of ecosystems, delivering the
customer experience, managing trade uncertainty, and applying circular economy concepts.
Digital technologies have deeply changed the way societies exchange information and interact with
each other Technological novelties have altered how people communicate and share information.
Technology has driven enterprises to the next level by helping in many ways starting from
automating repetitive activities, eliminating errors, and last but not least to help in decision making.
The use of technology will surely bring down the challenges and issues, related to customer
expectations, managing their suppliers, maintaining the quality standards, and access to supply
chain data faced by Supply Chain leaders year-on-year.
The evolution of SCM is being driven by new information technologies, including Big Data, cloud
computing, the Internet of Things (IoT), radio frequency identification (RFID), 3-D printing, robotics,
global digital networks, artificial intelligence, and augmented reality. Global supply chain flows will
become increasingly digital and integrated, and end-to-end data will be driven in real-time,
exponentially increasing upstream information flows.” This new paradigm calls for a new
management culture. We call this management culture “Supply Chain Management 4.0.”
This novel technology will affect the logistics, supply chains, manufacturing, and transportation
industries. Therefore, the future of every industry will be open to innovation and technology. Every
industry is going through a rapid transformation that appeared with the fourth industrial revolution.
As a Project manager what measures are you going to take for your organization under below
mentioned critical questions:
| كلية العلوم الادارية والمالية
Below are the list of companies available which you need to select as a group activity and
attempt the critical questions mentioned below.
1. Almarai
2. Alibaba
3. Walmart
4. Dell Technologies
5. Pfizer
6. PepsiCo
7. Toyota Motors
8. DHL
9. Saudi Aramco
10. SABIC
Critical Question(s)
Ques-1-Looking ahead to 2023 and beyond, what does the future hold for the supply chain? (3-
Marks)
Ques-2-Discuss the role of present technology and its Impact on the Leanness of E-Procurement
Processes. (3- Marks)
Ques-3-Examine and Outline the major issues being faced by supply chain manager(s) and how it
affects the company they work for. (3- Marks)
| كلية العلوم الادارية والمالية
Ques-4- Information technology offers many valuable capabilities to the enterprise, especially in
E-Auction / Negotiation, Discuss. (3- Marks)
Ques-5- As an expert discuss, how supply chain experts should focus their attention this year to
improve the overall supply chain? (3- Marks)

The policy chosen for this discussion was the Hospital readmissions reduction program (HRRP). Working in the emergency department we see our share of people who are re-admitted into the hospital for distinct reasons. Finding ways to reduce this number can allow for a healthier community and a longer quality of living. It will also of course reduce the number of returns after discharge to the hospital, which will leave more room for unavoidable health concerns instead of preventable ones. This is why it is essential to determine its effectiveness and how social factors can impact this problem.

This program is organized by the Center of Medicare and Medicaid Services (CMS). To determine the effectiveness of this project they issue a payment reduction that depends on the hospital’s performance during a certain period. This reduction helps decrease hospital payments which gets applied to Medicare’s fee-for service base operating diagnosis-related group payments at a reduction payment that is capped at three percent. The way the achieve this is by monitoring and sending and annual report to the hospital. Giving the hospital a chance to question and review the report before getting paid (Hospital readmissions and reduction program, n.d.).

Plans and programs such as this one allows for hospital accountability. It also gives the facility a reason to ensure and educate patients in ways to decrease the chance for readmission. Society is entitled to understand the true meaning of becoming part of their rehabilitation process. This will give them tools and confidence that they need to be successful in their healthcare goals and outcomes. Once we understand how this affects our community, we can create better plans on how to resolve this ongoing issue.

Studies show that the group of people most affected by hospital readmissions are the elderly and those with other comorbidities such as chronic heart failure (Turrise et al., 2023). Research has also shown that factors such as elderly socioeconomics play a crucial role in the success of this circle of individuals. For example, family presence, risk for falls, nutrition and having other comorbidities are great determinants for these members of society to reach their goals and reduce readmission numbers (Cilla et al., 2023). Relying on this and other evidenced based research and studies is how we can ensure policies like this one can be utilized to their potential (Salcido, 2014). These can also make sure we are putting policies and regulations into practice and at same time keeping our communication

#Print your name at the top of the script. Include the prefix: “Plotting Basics:” such that it

#appears “Plotting Basics: Firstname Lastname ”

print(“Plotting Basics : Tianyu Zhang”)

#Import libraries including: FSA, FSAdata, magrittr, dplyr, plotrix, ggplot2, and moments

#NOTE: You must use R version 3.6.3 to gain access to the FSA data set. If you installed a

#later version of R, you must uninstall Rstudio and R. Then reinstall R version 3.6.3; then

#reinstall Rstudio

install.packages(“FSA”)

install.packages(“FSAdata”)

install.packages(“magrittr”)

install.packages(“dplyr”)

install.packages(“plotrix”)

install.packages(“ggplot2”)

install.packages(“moments”)

library(FSA)

library(FSAdata)

library(magrittr)

library(dplyr)

library(plotrix)

library(ggplot2)

library(moments)

#Load the BullTroutRML2 dataset (BullTroutRML2.csv)

data(BullTroutRML2)

# Print the first 5 records

print(head(BullTroutRML2, 5))

# Print the last 5 records

print(tail(BullTroutRML2, 5))

#Remove all records except those from Harrison Lake (hint: use dplyr::filter() function)

#NOTE: From this point forward any reference to BullTroutRML2 always refers to the

#filtered dataset (Harrison Lake only data is used). You may choose to rename the

#dataset at this point.

BullTroutRML2_filtered <- dplyr::filter(BullTroutRML2, lake == “Harrison”)

#Display the first 4 and last 4 records from the filtered BullTroutRML2 dataset

# Display the first 4 records

print(head(BullTroutRML2_filtered, 4))

# Display the last 4 records

print(tail(BullTroutRML2_filtered, 4))

#Display the structure of the filtered BullTroutRML2 dataset

str(BullTroutRML2_filtered)

#Display the summary of the filtered BullTroutRML2 dataset

summary(BullTroutRML2_filtered)

#Create a scatterplot for “Age (yrs)” (y variable) and “Fork Length (mm)” (x variable)

#with the following specifications:

#• Limit of x axis is (0,500)

#• Limit of y axis is (0,15)

#• Title of graph is “Plot 1: Harrison Lake Trout”

#• Y axis label is “Age (yrs)”

#• X axis label is “Fork Length (mm)”

#• Use small solid circles for the plotted data points

plot(BullTroutRML2_filtered$fl, BullTroutRML2_filtered$age,

xlim = c(0,500), ylim = c(0,15),

main = “Plot 1 : Harrison Lake Trout”,

xlab = “Fork Length (mm))”, ylab = “Age(yrs)”,

pch = 21, cex = 0.5)

#Plot an “Age” histogram with the following specifications

#• Y axis label is “Frequency”

#• X axis label is “Age (yrs)”

#• Title of the histogram is “Plot 2: Harrison Fish Age Distribution”

#• The color of the frequency plots is “lightblue”

#• The color of the Title is “red”

hist(BullTroutRML2_filtered$age, xlab = “Age (yrs)”, ylab = “Frequency”,

main = “Plot 2: Harrison Fish Age Distribution”,

col = “lightblue”)

title(main = “Plot 2: Harrison Fish Age Distribution”, col.main = “red”)

#Create a plot using the same specifications as the previous scatterplot. But,

#• Title the plot “Plot 3: Harrison Density Shaded by Era”

#• Y axis label is “Age (yrs)”

#• Y axis limits are 0 to 15

#• X axis label is “Fork Length (mm)”

#• X axis limits are 0 to 500

#• include two levels of shading of blue for the data points based on era values.

#• Plot solid diamonds as data points

ggplot(BullTroutRML2_filtered, aes(x = fl, y = age, color = era)) +

geom_point(shape = 4, size = 3) +

ggtitle(“Plot 3: Harrison Density Shaded by Era”)+

xlab(“Fork Length (mm)”) +

ylab(“Age (yrs)”) +

scale_color_manual(values = c(“darkblue”,”lightblue”)) +

xlim(0,500) + ylim(0,15)

#Create a new object called “tmp” that includes the first 3 and last 3 records of the

#BullTroutRML2 dataset.

head(BullTroutRML2, 3)

tail(BullTroutRML2, 3)

tmp <- rbind(head(BullTroutRML2, 3), tail(BullTroutRML2, 3))

#Display the “era” column (variable) in the new “tmp” object

tmp$era

#Create a pchs vector with the argument values for + and x.

#Create a cols vector with the two elements “black” and “red”

pchs <- c(“+”, “x”)

cols <- c(“black”, “red”)

# Convert the tmp era values to numeric values.

# Initialize the pchs and cols vector conditional on the tmp era values

tmp$era <- as.numeric(tmp$era)

tmp$pch <- pchs[tmp$era]

tmp$col <- cols[tmp$era]

#Create a plot of “Age (yrs)” (y variable) versus “Fork Length (mm)” (x variable) with the

#following specifications:

# • Title of graph is “Plot 4: Symbol & Color by Era”

#• Limit of x axis is (0,500)

#• Limit of y axis is (0,15)

#• Y axis label is “Age (yrs)”

#• X axis label is “Fork Length (mm)”

#• Set pch equal to pchs era values

#• Set col equal to cols era values

ggplot(tmp, aes(x = fl, y = age, pch = pch, col = col)) +

geom_point() +

xlim(0, 500) +

ylim(0, 15) +

xlab(“Fork Length (mm)”) +

ylab(“Age (yrs)”) +

ggtitle(“Plot 4: Symbol & Color by Era”)

#Plot a regression line (blue color) overlay on Plot 4 and title the new graph “Plot 5:

#Regression Overlay”.

ggplot(tmp, aes(x = fl, y = age)) +

geom_point() +

geom_smooth(method = “lm”, se = FALSE, color = “blue”) +

xlim(0, 500) +

ylim(0, 15) +

xlab(“Fork Length (mm)”) +

ylab(“Age (yrs)”) +

ggtitle(“Plot 5: Regression Overlay”)

#Place a legend of on Plot 5 and call the new graph “Plot 6: Legend Overlay”

ggplot(tmp, aes(x = fl, y = age, pch = pch, col = col)) +

geom_point() +

geom_smooth(method = “lm”, se = FALSE, color = “blue”) +

xlim(0, 500) +

ylim(0, 15) +

xlab(“Fork Length (mm)”) +

ylab(“Age (yrs)”) +

ggtitle(“Plot 6: Legend Overlay”)

Here is the case for week 9 SOAP note. As with prior assignments, please answer the questions at the end of the SOAP note. Make sure to outline your specific plans in your SOAP note.

Marcia is a 28 year old female who comes in with a complaint of nipple drainage. She says that the discharge started about three months ago and it appears milky. She says that she has also felt tired, and has been constipated lately. Her periods have been very light. She is worried that she “might have cancer”.

1. What are the three classifications of nipple discharge?
2. Based on the above description, what classification does this fit into?
3. Aside from the above concerns, name three other things this woman may be experiencing.
4. Women with a strong family history of breast cancer may be candidates for genetic testing for __________ mutations.
5. You do a thorough breast examination on this pt. What are two important components of this exam on anyone with nipple drainage?
6. You do a complete medication history as well as elicit past medical history, including endocrine and reproductive history. What are four important parts of the exam on this pt and why?
7. Name five chemical agents that can cause nipple discharge and galactorrhea.
8. What should the nipple discharge be tested for?
9. Why are cytologic studies not recommended?
10. Should diagnostic mammography be performed?
11. Following diagnostic mammography, what other imaging study might be performed and why?
12. What are two important lab tests to obtain?
13. When would an MRI of the brain be indicated?
14. Name three possible diagnoses for this patient.
15. If galactorrhea is suspected due as a result of a chemical origin, what must be done?
16. Galactorrhea is more common in _____________ (premenopausal/postmenopausal) women.
17. All patients with spontaneous or unilateral nipple discharge regardless of color, should be referred for surgical evaluation.
18. Patients should be educated that most causes of breast discharge are malignant.
19. In women with galactorrhea, where the prolactin level is normal and menses are normal, women should be informed of the normal physiologic association with ______________________.
20. Why is nipple discharge so concerning to most women?