write an audit proposal that relates to the assessment of any group of patients with a specific condition or undergoing any medical procedure.

AUDIT PROPOSAL
Back ground
“Clinical audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria…Where indicated, changes are implemented…and further monitoring is used to confirm improvement in healthcare delivery.” Principles for Best Practice in Clinical Audit (2002, NICE/CHI) Clinical audit – audit against agreed standards of best practice.
The key messages being that:
1. Clinical audit is not just a data collection exercise:
• It involves measuring current patient care and outcomes against explicit audit criteria (also termed standards).
• There is an expectation from the outset that practice will be improved.
2. Further clinical audit may be required to confirm that practice has improved.
CLINICAL AUDIT & RESEARCH: WHAT IS THE DIFFERENCE? “Research is concerned with discovering the right thing to do; audit with ensuring that it is done right” Smith R. Audit & Research. BMJ 1992; 305: 905-6
http://www.uhbristol.nhs.uk/files/nhs-ubht/1%20What%20is%20Clinical%20Audit%20v3.pdf
What is required for this assignment?
Thinking about the clinical areas where you have worked as part of your practice placements, you need to write an audit proposal that relates to the assessment of any group of patients with a specific condition or undergoing any medical procedure. For example, patients with asthma, hyperglycaemia, patients undergoing endoscopy, etc.
In this proposal you should simply select the explicit criteria that related to the assessment of a specific condition or medical procedure and compare these criteria to the recommended standards of best practice to check if your team met the required standard or not.
How to structure your proposal:
Because it is a proposal it should be written in the future tense.
Title: Give your audit a precise title that describes what is being audited

Explore deflection due to wind loadings, on fixed structures, and strategies to resist wind loading

This is a written report/assignment. You are to submit calculations, diagrams, sketches and other material related to your solution. Written responses must be clearly presented on A4 sheets. Your completed solution must be clearly indicated.
Unit Learning Outcomes
LO1 Explore deflection due to wind loadings, on fixed structures, and strategies to resist wind loading. LO2 Determine bending, shear and deflection for complex support conditions.
LO3. Design complex columns and piled foundations based on calculations.
LO4Explore the design of tensile structures.
Assignment Brief and Guidance
SCENARIO
• The Client who is a private investor needs a three storey, framed college building. The building frame provides the structure for a series of high specification lecture rooms , exhibition hall and meeting rooms which are intended to be built in the south of England, around Heathrow Airport. The college block can be developed with steel or concrete or a combination o fboth. The college block has a plan dimension of 50m by 30m. Height of each storey is 3m. The span of the beams and columns can be chosen based on RC or steel frame. Outside the college building, there is a space to be used for
exhibitions which needs to be covered with a tensile structure.
Submission Format
HNC/HND Construction and the Built 3
Part 1 – Wind loading

Calculate the following wind loads for the above scenario. For the basic wind speed Vb choose a city name starting with your first initial. (If you can’t find any city named with your first initial use the second letter of your first name.). Please write all the formulas clearly and referring to the clause no, figure no or Table no of the standard you are using. Assume the wind blowing towards the longer direction of the building.
• Dynamic wind pressure (for the city starting with your first initial)
• Wind Load on the building long wall.
• Overall lateral load on the building due to wind
• Uplift load on the roof.
In addition, you are to:
• Discuss methods to resist/manage wind loads.
• Discuss the relationship between the building form and wind loads.
• Provide calculations for stiffening than may be required
Part 2 – Cantilever Design

• Design a cantilever beam of span 4m using 275 grade steel. The beam is carrying a Dead load of 10kN/m
and an imposed load of 15kN/m. Calculate the bending moment, Deflection and shear force.
• Design the same beam using Reinforced concrete. Calculate the bending shear and deflections.
• Evaluate the types of connection that will be required for the cantilever beam.
• Discuss the relationship between bending, shear and deflection.
• Critically evaluate steel and reinforced concrete and their structural efficiency in managing bending, shear and deflection.
Part 3- Column Design, Foundations types
• Design the columns with eccentric loading in grade 275 steel. The reactions from beam A and Beam B are
given in the figure below. Apply the moment on the column due to the eccentricity as stated in BS5950
HNC/HND Construction and the Built 4
• Prepare design information required for the given scenario, utilising piled foundations and steel columns.
Also calculate the loads on the piles and select a suitable diameter of reinforced concrete pile.
• Discuss the benefits of using Building Information Modelling in the design workflow.
• Assess the most effective foundation type for a given scenario in terms of ease and speed of construction, economics, safety and environmental factors.
Part 4- Tensile Structures

• Give three examples of different types of tensile structures.
• Analyse and Design a truss in grade 275 steel to support the Dead load of 8kN/m and imposed load of 12kN/m. The span of the truss is 8m.
• Provide the general design criteria for tensile structures.
• Provide two different design solutions for the exhibition space roof in the given scenario.
• Compare the two tensile solutions to a given scenario.
• Choose one of the tensile structures suggested for the given scenario and justify your selection.

Identify and explain the main contributions of different theoretical perspectives to explain personality and life-span development

Human development is dynamic, multi linear, and highly plastic in nature. There are many factors that affect its progress. Theoretical perspective has contributed to the exploration of the study of personality and behaviour. Each developmental stages are marked with physical milestones that a
human body should achieve. Cognitive and intellectual milestones are achieved through the right balance between biological and environmental influences. As explored in this module, if the balance is disturbed, there are numerous developmental challenges which might need to be dealt with.
Completion of this assignment will address the following learning outcomes:
3 Discuss how individuals adjust to change and challenge across the life span
4 Assess the effect of social influences on developing or modifying behaviour.
5 Identify and explain the main contributions of different theoretical perspectives to explain personality and life-span development
6 Compare and contrast theories of lifespan development.Your essay should include:
Discuss how individuals adjust to change and challenge across the life span (LO3)
• Highlight with examples some key challenges faced by individuals during different stages of development and this can impact on a person’s behaviour.
Assess the effect of social influences on developing or modifying behaviour. (LO4)
• Assess the effects of various social and cultural influences on development For example- describe how our identity is influenced by historical time, culture, ethnicity, family background.
Identify and explain the main contributions of different theoretical perspectives to explain personality and life-span development. (LO5)
• Explain psychological (cognitive, behavioural, & psychodynamic) and biological perspectives of development. Also highlight the emerging key debates and issues arising from your discussion. For example- nature and nurture debate Compare and contrast theories of lifespan development. (LO6)
• Compare and contrast any 2 perspectives described in LO5.

Analyse and evaluate the impact of Covid-19 on Entrepreneurship globally.

Analyse and evaluate the impact of Covid-19 on Entrepreneurship globally. Your essay should focus on:
1. Post-pandemic entrepreneurial challenges and/or opportunities
2. Recommendations for the way forward
The pandemic has significantly affected the world’s economy including disruption to entrepreneurship, at different levels (SME’s, start-ups). Research, provide evidence, analyse the economic impact (growth downturn, etc), and provide recommendations based on the measures taken by governments and businesses to protect the ventures (change of business models, etc).
Specific instructions:
• The essay question chosen should form the title and be positioned at the top of the first page.
• Use Arial 11-point font, 1.5 line-spacing, and 2.5 cm margin all around.
• Number all pages of the assignment.
• Do not use footnotes.
• Coherent and logical structure.
• Critical and balanced view.
• Evidence of wide and recent research, use of examples, and application of theory.
• Academic writing style.
• Clear and relevant conclusion.
• Harvard Referencing to be applied.
Cite at least 5 ACADEMIC sources in total.

Assist Mark in understanding what kind of infrastructure he needs; how it would be configured; how it will change when his business grows into a much larger, multi-location operation; and how the various devices communicate with each other.

3D Printing Case Study

In late 2015, Mark Peterson acquired a 3D printer from Best Buy for $500. As he began to play around with it, he discovered that he could use designs he downloaded from the Internet to create a wide variety of objects. One day as he was exploring designs on the website MyMiniFactory.com (https://www.myminifactory.com/), he came across a category of accessibility items. He was very excited to discover such things as an umbrella holder for a wheelchair, because his brother Peter uses a wheelchair for mobility. He downloaded the umbrella holder design and made one for Peter. The first time Peter used the umbrella holder, several people came up and asked him where he had gotten it. Of course, he was proud to say his brother had made it, but he had no idea how much it would cost for Mark to make one for a customer. Peter took the names and phone numbers of two people he encountered and promised to get back to them. When Peter approached Mark with the requests, Mark knew that he had found the start of something good. He figured out what the time and material cost would be to make the holders, called the interested parties, and made his first two sales.
As he continued exploring, Mark ran across an article describing ten 3D printable assistive and accessibility devices (https://3dprint.com/126214/103dp-devices-for-the-disabled/). After investing in a heavy duty 3D printer, Mark used his Facebook page to advertise his growing business in 3D printing assistive and accessibility devices. He soon had many orders and his 3D printing hobby became his fulltime occupation.
Mark rented space in an industrial park, bought two more wireless 3D printers, and hired two part-time assistants. He brought his PC from home to control the 3D printers, and set up an Internet connection using Verizon FiOS. His PC is connected to a FiOS modem which has a built-in wireless router. Mark obtains his 3D printing designs from sources on the internet. He uses Google email and keeps track of his orders on a spreadsheet on his PC.
Mark’s Expansion Plan: Now, just three months later, he is ready to add seven more 3D printers and a 3D scanner, and hire five fulltime employees. Before he grows that much, he needs to set up his IT infrastructure to manage not only the additional 3D printers, but also to manage his business. He wants to implement a small business enterprise resource management (ERP) information system in his facility to help him manage his business (customer orders, invoices, supply ordering, employees, etc.) more effectively. He realizes he will also need a document printer to print invoices, etc. In addition, he wants each of his employees to have mobile access to the ERP system and the 3D design files and printers from anywhere in the facility, and he wants as much flexibility in which computers control which 3D printers as possible. He has a large collection of 3D print design files and has downloaded some training videos that he will use to train his new employees. Mark has already decided that he wants to store all of his 3D production files and his business management information locally in his facility, and to use cloud storage for his backup files.
Your assignment, which will be done in four stages, is to assist Mark in understanding what kind of infrastructure he needs; how it would be configured; how it will change when his business grows into a much larger, multi-location operation; and how the various devices communicate with each other.

Explain the circumstances under which cartels may either succeed or fail.

Suggested word count: 1,250 (for the purposes of the word count a single well-drawn diagram accounts for about 25-30 words).
Please provide your answer to the following question:
Explain the circumstances under which cartels may either succeed or fail.

a) What do I need to read to prepare for this task?
Other than the course reading, please refer to classroom discussion as well. Also, and more generally, please do remain aware of current and recent development news via resources such as the BBC, CNN, SKY News, quality newspapers, such as the FT, etc. Please do consider signing up for news-rich Twitter feeds from the ONS and others.
The FT is Britain’s premier daily newspaper with a strong focus on economics and trade matters. If you use a smartphone then please do consider downloading the app and ask the librarian about registering for your own access to this most valuable publication.
b) How will I be assessed on my assessments?
I make a judgment about the work you have submitted on the basis of the following criteria:
1. Has the question been set up and interpreted well?
2. Does the work have good content/structure?
3. Is the level of analysis appropriate to the question?
4. When necessary are there any relevant recommendations and/or conclusions or suggestions?
5. Is the bibliography and general referencing, plus word count, appropriate?

Identify one strength and one limitation your colleague may encounter when employing an individual-related theory and a structural/cultural-related theory to formulating interventions for structural issues or barriers that contribute to a client’s marginalization.

Discussion: Individual vs. Structural-Cultural Theories
Theories help frame more than presenting problems—they also frame social problems, and both types of problems can be linked in relation to client issues. For example, many scholars and social workers have attempted to understand the social problem of poverty. Turner and Lehning (2007) classified various psychological theories to explain poverty under two headings: (1) individual-related theories or (2) structural/cultural-related theories. In other words, think of these two headings as lenses in viewing poverty. In this Discussion, you apply lenses through which to understand a client’s problem in relation to social problems.
This is what professor is asking.
1. Give an example how you might approach a client to better understanding his or her role or roles a situation present.
Respond to at least two colleagues:
• Identify one strength and one limitation your colleague may encounter when employing an individual-related theory and a structural/cultural-related theory to formulating interventions for structural issues or barriers that contribute to a client’s marginalization.

Reflection on both potential personal and professional development and growth, using examples from clinical practice supported by academic research

Description of Essay

1. 2000 words.
2. Harvard style reference (in-text reference after every statement made from studies).
3. 10-12 references (10 years and newer).
4. Undergraduate Level 5 Critical Analysis.

5. Critical analysis of a journey of a Nutrition student.
6. Reflection on both potential personal and professional development and growth, using examples from clinical practice supported by academic research (USE GIBBS REFLECTIVE STYLE).

7. Include different knowledge, skills, attitudes and beliefs about nutrition and health at the beginning of the studies and how they could have changed throughout the learning process of nutrition and at the end of the course:

• consider how this knowledge could have been limited.
• consider how the skills may have been developed.
• consider how a student’s attitudes may have been judgmental.
• consider what beliefs about health and nutrition could have changed.

What is the difference between expenses and expenditures and why do they (only) sometimes equal each other?

Question 1: Governmental Reporting

You have recently graduated from an accounting program and been hired for a position in the administrative office of the City of East Chester. The city has just elected a new mayor who was a local football hero and is fond of saying he is “not good with numbers.” However, he is interested in learning about the city’s financial situation because he made a lot of expensive campaign promises and needs to figure out whether he can keep them.

He has been given four statements – the government-wide statement of net assets, the government-wide statement of activities, the balance sheet for the General Fund, and the statement of revenues, expenditures and changes in the fund balances of the General Fund. He needs help with the following:
1. He has noticed that sometimes the expenses on one statement equal the expenditures on another. What is the difference between expenses and expenditures and why do they (only) sometimes equal each other?
2. He has also noticed that assets minus liabilities equals net assets on one statement but assets minus liabilities equals the fund balance on the other. How can this be? Shouldn’t they be the same? What is the difference between the two? Please explain.
3. The total fund balance seems to have increased in the past year, but total net assets decreased. How could this happen?
4. He decides he doesn’t want to look at all four statements and wants to know which one he should look at to figure out how much he can spend on his campaign promises. What is your response?

Note: The mayor has never taken an accounting class and does not understand journal entries, so please do not include any in your memo.

Question 2. Foreign Currency Translation and Remeasurement

You have been recently hired as a staff accountant at Global Design, Inc., a small chain of retail home furnishing stores. You report directly to the Chief Financial Officer (CFO). The company specializes in home products with high-quality “European” design, but reasonable prices. Most of their products are manufactured in foreign countries but purchased from domestic wholesalers; these transactions are therefore denominated in U.S. dollars. However, the company’s president is entertaining the idea of acquiring subsidiaries in several foreign countries to ensure a reliable supply chain. He also believes that the exchange rates of some foreign currencies will rise about 10% in the next year and he is keen on reporting a gain in Global Design’s income statement when it does.

The president has asked you to prepare a memo outlining the effects of his plan, including 1) the financial reporting effects of acquiring a foreign subsidiary; 2) how changes in the foreign currency exchange rate will affect Global Design’s financial statements; and 3) under what circumstances Global Design could record a gain from a foreign subsidiary. The president has also asked you to make a clear recommendation on whether he should proceed with his plan.

Note: The company president has never taken an accounting class and does not understand journal entries, so please do not include any in your memo.

Determine how you control where information goes?

Determine how you control where information goes, how information is handled, and the best way to represent the information e.g. graphics, narrative, hyperlink, etc. then create an answer as a group answering the learning activity. Your submission should show your thoughts on how you would solve the practical exercise.