Reflective Journal Order 784261 Name Institution   Reflective Journal Order 784261 Reflective Journal One significant event occurred during my clinical day that entailed a 52-year-old female client. The patient was present for Type 2 diabetes mellitus follow-up and prescription refill of Janumet 10mg and Lantus insulin. She was receiving medication assistance through Health Link, where she gets her Janumet for free. The preceptor was reluctant to handle the patient on Janumet because it causes impairment in renal function. Patient creatinine increased from 1.2 to 1.7, and GFR decreased from 65 to 59 since the last visit three months ago. I went over abnormalities in laboratory work alongside the effects of Janumet on renal function.  The patient was dismayed and wanted to continue Janumet based on its free medication. She could not afford to pay for her medication, an aspect that challenged her quitting from the Janumet. The preceptor and I looked online to find a savings card for a different medication with the same effectiveness as…

Reflective Journal One significant event occurred during my clinical day, a 52-year-old female present for Type 2 diabetes mellitus follow-up and prescription refill of Janumet 10mg and Lantus insulin. The patient is receiving medication assistance through Health Link, in which she gets her Janumet for free. The preceptor did not want to continue the patient on Janumet because it causes impairment in renal function. Patient creatinine increased from 1.2 to 1.7, and GFR decreased from 65 to 59 since the last visit three months ago. I went over abnormalities in lab work and the effects of Janumet on renal function.  The patient became very upset and wanted to continue Janumet because she was getting it for free. She couldn’t afford to pay for her medication and didn’t want to change to something different. The preceptor and I looked online to see if we could find a savings card for a different medication with the same effectiveness as Janumet. The preceptor decided to discontinue Janumet and place the patient on Glipizide and Victoza. The preceptor gave the patient a box of…

            Negotiation Student Name Institutional Affiliation                           Tsaoussi, A., & Feidakis, A. (2009). Competitiveness, gender, and ethics in legal negotiations: some empirical evidence. International Negotiation, 14(3), 537-570. This article discusses the role of gender legal in negotiations within competitive professions and their ethical implications. The research aimed to shed light on whether there is a significant relationship between gender and legal negotiations. The article argues that because of women’s gender socialization, they tend to be weaker negotiators than their counterparts, which makes them less effective in their pursuit of diverse bargains. According to Tsaoussi and Feidakis (2009), gender does not have a substantial impact when it comes to power and negotiation. The authors used a qualitative research design, which based their findings from a Greek setting. To arrive at a conclusion, the researchers used a survey (Questionnaire) and collected information from three groups based on occupation; therefore, a law, business, and private organization. It was found out that there was no much difference…

Colleges and other higher learning institutions are part of the service economy. The service sector is considered essential due to its involvement in globalization and current environmental changes (Chandramohan, 2019). These conditions create a demand for quality and unique services that can better cater to evolving consumers’consumers’ needs. They also emphasize the importance of service sector organizations to the growth and development of a country. As Aung and Ye (nd) note, the impacts of education service extend to the entire community, resulting in better health, political stability, and economic growth. Subsequently, colleges have to guarantee that their services will contribute to the improvement of society. College administrators must understand the dimensions of service quality to ensure that their activities and facilities meet these standards. With this knowledge, they will have the capacity to meet institutional goals such as students’students’ satisfaction and other stakeholders. Analyzing the dimensions and scope of service quality begins with an understanding of its definition. Generally, quality can be categorized into two: objective and perceived quality. The former uses objective criteria to identify the actual superiority or…

The world has experienced a change in many forms, and each century is different from the other. Social change is one of the tangible differences. It can be defined as moving forward by a society and through technology, religion, culture economy, and scientific forces. Different philosophers such as Emile Durkheim, Karl Marx, and Max Weber came up with different views to elaborate and define what propagates the social change. Durkheim states that societies are built on social facts. Karl Marx shows that social change is tied to capitalism, which shows the struggle between factors of production, division of labor, and class struggles. Max Weber, on the other hand, views the industrial revolution as the main factor that brings change. The contradiction between the three philosophers is that social change is tied to either economy, industrial revolution, or social facts. Hence none of them is synchrony with the other on the fundamental that mainly contributes to social change. According to the economy, Karl views it as a capitalistic one responsible for overwhelming poverty (Marx and Engels,1967). The capitalist class and the…

For a healthy living among the 2020 generations, a focus on promoting health through the consumption of balanced dietary meals is significant in achieving healthful body weights and a life free of chronic diseases. Nutrition and weight status is a health issue presenting health inequalities among different communities across the global world. As such, comparing the nutrition and weight status of the population of America and that of the African community is significant in explaining the disparity in their health and recommending possible remedies to reduce the disparity. The socioeconomic and the environmental factors have been regarded as key in explaining the inequality differences in the national and weight choices of the American and the African communities. This difference is seen the dietary intake as well as dietary quality and patterns among these communities. This reflects on the overweight, undernutrition and obesity outcomes varying across these communities. The increased poverty levels among the African communities is to be blamed for the burden of malnutrition prevalent in the African communities as compared to the American community (Fleischhacker-Parakh et al., 2020). The…

I thought it would be interesting. I think that in a way, that performance, fellowship, residency kind of program at The Graham on the one hand, it evolved out of … In some ways … The work we do with Lampo and inviting another discipline in to inhabit the house with us. Use the house, think about what is The Graham on the ground, where there’s a Graham in the world, there’s a Graham on the ground. I think we’ve all talked about this a little bit. And thinking about that architecture and design is the lens to think about some of these other disciplines. But inviting is kind of really inviting everybody in and finding ways to intersect with this sort of framework or lens of architecture and design. And in a way, the performance residency was sort of an accident. It was a kind of like, “Hey, we have a ballroom in Amara, you need some space?” It was this kind of weird broker thing, but that project itself didn’t have so much to do with design. It…

The family siboglinidae, also known as Pogonophora or merely the tube or the beard worms, is a unique type of marine worms comprised of various kinds of worms. Pogonophora is sedentary, non-colonial, tuberculous marine coelomates with an elongate, bilaterally symmetrical, cylindrical body divided into segments. These types of worms live sedentary lives, spending most of their time on the seafloor. Their name originates from the beard-looking mass of pinnate tentacles (numbering between one and three hundred) at the anterior end of most species. The species in this family are unique and distinctive in various ways. These tentacles of almost all species bear a feathery appearance, with the tentacles bearing two very fine hairlines. These feathery tentacles bear microvilli, which give a suggestion of the absorption of amino acids from the surrounding seawater. However, there is little information that has been documented about this family, which lacks significant data. Research is going on about the mystery that surrounds this family of organisms. These organisms are of great interest to marine biologists and astrobiologists as they do not depend on the energy…

Different scholars have given their views regarding people’s behavior during pandemic attacks. Communities tend to unite, and discard previously held barriers before the pandemic. Usually, the “we” slogan becomes the defining factor that sees people beyond the epidemic. For instance, a world pandemic like Covid-19 does not discriminate against gender, race, or origin. Therefore, any successful fight against the epidemic will require a unified effort nationally and internationally. It is time that existing cross-border conflicts are solved, and nations raise for one another. It is time when state members need to grow for the welfare of societies. However, it is more critical than local citizens to adopt the “mutual aid” slogan and support each other. Most pandemics are unpredicted and unprecedented response is needed to deracinate them. It is thus vital for all stakeholders to join efforts and make the bold step of fighting the mystery. Rebecca Solnit is the greatest advocate of unity during pandemic attacks. Her “mutual aid” trademark has significantly been used to promote unity and unified effort, especially during pandemic attacks. In her book “A Paradise…

Contract Law Anchor 2020 Limited v Midas Construction Limited [2019] EWHC 435(TCC) has provided a legal test on the principles that guide contracts’ formation. Ideally, a legally binding contract comprises critical elements that include an offer, acceptance, capacity to contract, consideration, an agreement (consensus ad idem), the Latin word for the meeting of minds, and the intention to create legal relationships. All these are aspects to be met if a contract has to be legally binding and enforceable in a court of law. However, the English Technology and Construction Court held a binding contract between the two parties despite one of the parties not signing the contract. Facts of the Case The Employer, Anchor 2020 Limited, had contracted Midas Construction Limited to design and develop in Hampshire, United Kingdom, a retirement community. After their preliminary agreement, Midas Construction Limited brought back a signed account of the contract they had with the employer for their countersigning. However, the employer could not sign the document, despite the Contractor having begun the development assignment, and substantial completion of the project was already achieved.…