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Reply to Hollie

Question 1—Postpartum Depression

Postpartum depression (PPD) is a major depressive disorder that occurs up to one year after birth (Hackley & Kriebs, 2017). Common symptoms of postpartum depression include: anhedonia; sleep disturbance; feelings of loneliness, isolation, or guilt; poor concentration; anxiety; and somatic complaints (Hackley & Kriebs, 2017). Mothers with postpartum depression are also less responsive to their infants and often need help caring for their infant (Hackley & Kriebs, 2017). Studies have shown that postpartum depression can impact child development, behaviors in childhood, and children’s cognitive function (Hackley & Kriebs, 2017).

The Edinburgh Postnatal Depression Scale (EPDS) is the screening tool used at my preceptor’s clinic to assess for postpartum depression. Hackley and Kriebs (2017) state that because postpartum depression has bimodal peaks at 2 and 6 months, the optimal time to screen for postpartum depression is between 2 weeks and 6 months postpartum. The American College of Obstetricians and Gynecologists (ACOG) recommends screening at the patient’s 6-week comprehensive postpartum visit (ACOG, 2018). However, because postpartum depression can occur at any time, studies and the American Academy of Pediatrics (AAP) are now supporting the use of EPDS screenings for mothers at the 2 month, 4 month, and 6 month well child visits (Emerson, Mathews, & Struwe, 2018).

The cutoff score for depression on the EPDS ranges from 9 to 13. The AAP (n.d.) recommends women with a score of 9 or more be further evaluated for depression. A score of more than 12 is considered likely for postpartum depression (Hackley and Kriebs, 2017). Women with these scores should be clinically evaluated, started on treatment, or referred to a a mental health clinician (Hackley and Kriebs, 2017). A score of less than 9 should not rule out depression if clinical suspicion of PPD is present. Any woman indicating suicidal thoughts on the EPDS or during the comprehensive clinical exam should be immediately assessed to determine if hospitalization is needed (Hackely & Kriebs, 2017). For those at high risk, the patient should be taken to the emergency room (Hackley & Kriebs, 2017).

References

AAP. (n.d.). Edinburgh postnatal depression scale. Retrieved from https:// (2018). Screening for perinatal depression. American College of Obstetricians and Gynecologists, 132(5), 208-212. Retrieved from https:// M., Mathews, T., & Struwe, L. (2018). Postpartum depression screening for new mothers at well child visits. American Journal of Maternal/Child Nursing, 43(3), 139-145. doi: 10.1097/NMC.0000000000000426

Hackley, B. K., & Kriebs, J. M. (2017). Primary care of women(2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Reply Angela

uestion 2: 6-Week Postpartum Visit

At the 6-week postpartum visit a full physical assessment is done including gynecological exam. Assessment for postpartum depression continues as well as infant bonding and parenthood and transitioning to regular gynecological care (ACOG. Org, 2018). If there were issues with preeclampsia and eclampsia or gestational diabetes these areas are addressed as well. Providing the patient’s primary care provider with the prenatal and post-natal history is recommended as well to help the patient receive care that is complete and collaborative. ACOG (2018) recommends an initial postpartum visit in three weeks which may just include a phone conversation but is not a complete physical exam and then a six week to twelve weeks visit that will include a comprehensive exam. It is recommended that the postpartum visit be no later than 12 weeks postpartum.

ICD-10 codes that are used for these visits are Z39.0 encounter for care and examination of mother immediately after delivery, Z39.1 encounter for care and examination of lactating mother, Z39.2 encounter for routine postpartum follow-up. There are other codes for postpartum encounters but are more disease related. The code that is used most generally is the Z9.2 code (ICD.codes, 2019). CPT codes can be used in the numerical range of 99211 through 99215 to reflect that a postpartum patient is an established patient and is in clinic for a routine exam. The higher the number use the more intensive the visit, or the more information and procedures were provided (supercoder.com, 2018).

References

ACOG. Com. (2018). Optimizing postpartum care. Retrieved from https:// (Links to an external site.)Links to an external site.

ICD10.codes. (2019). Code. Retrieved from https://icd.codes/icd10cm/Z712 (Links to an external site.)Links to an external site.

Supercoder.com. (2018). CPT code. Retrieved from https:// (Links to an external site.)Links to an external site. 

 

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November 27, 2021by

write my assignment 28306

Telecommunications

Case Assignment

The Acme Corporation is a new startup that wishes to sale their new phone to the public called Acmephone, a more secure version of the phone to business organizations, called the Acmephone B+, and highly secure version of the phone, called the Acmephone G+, to the government. Due to the fear of corporate espionage and government security requirements, there are many security concerns that must be addressed.  As a security professional, you have been employed to design a network infrastructure for their two campuses located in Atlanta and Cincinnati based upon the following specifications: 

1.      There needs to be a constant connection between the two locations that can carry at least 50 Mbps of data.

2.      Each facility has three floors. The buildings are rectangular with each floor being 350’x350’.

3.      There will be 200 network connections on each floor with an additional 100 network connections in the data centers located on the third floor of each building.

4.      The primary data center will be located at the Atlanta location.

5.      There will be a failover data center at the Cincinnati location.

6.      Each location should be protected from intrusions that are not limited to state change attacks.

7.      The Atlanta location will house the two secure development teams. As such, it will need the most security. To further complicate the design, there will be database servers and the corporate Web servers housed at that location as well. 

8.      There will be database servers located at the Cincinnati site.

9.      The servers must have redundancy.

10.  The solution must have a plan to verify security measures.

Your job is to develop a network design to meet the requirements above.

1.      You should submit a network drawing listing the network’s topology including any necessary hardware.

2.      You should list any recommended cable.

3.      You can recommend wiring closets wherever you need them.

4.      You should recommend ways to assure that you are not getting attacked.

5.      You should build traps to stop attackers.

6.      You should recommend any WAN or wireless technologies.

7.      You should recommend any technology needed in the data center for high availability.

8.     Justify your recommendations

9.      Use APA format

◦Abstract: Describe the problem and the solution you presenting (few lines)

◦Introduction:  In this section, you will introduce the project and the objectives of the project including executive summary.

◦Requirement Analysis: In this section, you will discuss the requirement

◦Design:  You need diagrams, charts, pics, etc..

◦Implementation: diagrams, charts, and possibly screen shots

◦Testing (optional):  You can present your data testing in this section

◦Cost analysis:  Estimated cost (you can use the internet to get pricing).  Make sure to include labor cost in your analysis.

◦Conclusion: Summary, lesson learned, future work, etc..

◦References

NO plagiarism 

 

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November 27, 2021by

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M1 Assignment 3 Submission

Instructions

Assignment 3: Application of International Law

Monarch Associates, a U.S. computer parts manufacturer, entered into a joint venture with a Russian computer technology company, Vladir Unlimited. The joint venture agreement was signed by both parties but created by Vladir and had an arbitration clause that called for all legal and nonlegal disputes, to be arbitrated in Russia. Vladir could also choose arbitrators from a panel maintained by the Russia Arbitration Institution. The panel members live in Russia.

Monarch now contends that a legal dispute with Vladir should be handled in the United States. Vladir insists that the dispute should be handled in Russia.

Using your textbook, the Argosy University online library resources, and the Internet, research international law and its application to companies such as these. Write a five-page paper in Word format. Apply APA standards for writing style to your work.

Use the following file naming convention: LastnameFirstInitial_M1_A3.doc.

Respond to the following questions in your essay:

  • What laws govern arbitration in the U.S.?  In Russia?
  • In your opinion, in which country should the dispute be handled?
  • What are the advantages and disadvantages for Monarch Associates under the arbitration arrangement?
  • If you were Monarch Associates’ in-house counsel, what advice would you give them on negotiating future joint ventures with Russian businesses?
  • What other considerations should Monarch Associates keep in mind in the formation of any future contracts with foreign companies?

Submit your assignment to the Submissions Area by the due date assigned.

 

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November 27, 2021by

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Many companies have moved employee retirement plans to ones based on 401(k) savings. In fact, most large mutual fund companies, like Vanguard, offer 401(k) options.According to US News and World Report, the amount in an average plan depends not only on the age of the participant but also on the person’s salary range. For someone in his or her 50s making between $60,000 and $80,000, the 401(k) plan would contain $226,266. A local investment advisor, seeing this figure, thinks those using her managed fund have more than the reported amount. She selects a random sample of 55 in that income range and finds a sample average of $241,387.a. If the standard deviation for the amount in the investors’ accounts is $1,734.23, determine if the investment advisor is correct in her assumption that those she is advising have more than the reported average amount. Use a significance level of 0.025 and discuss any assumptions you made to answer this question.b. Determine the largest plausible average balance for the accounts of those using her managed fund in which you could have 90% confidence.

 

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