Explain consequences that a health care agency might encounter without internal and external assessment.
APA format, in-text citations, references include
Part 1: half page
A brief description of the types of internal and external assessments used by the agency ElderFirst Care for marketing new health programs. Then, explain consequences that a health care agency might encounter without internal and external assessment, and why ( See attachment).
Describe two examples of formative evaluation for health programs that you might use in your marketing plan.
Describe how you will include formative evaluation methods in designing your health care services marketing plan and explain why. See attachment
Do you find yourself thinking about medication use in your current employment differently? Why or why not?
No citations are required, and no specific formatting is needed. Utilize appropriate grammar and mechanics of writing.
Refer to the journal submission you completed in Unit 1 and reflect on the following:
Topic: The use of pharmacology in advanced practice.
1. How has your knowledge of pharmacology changed?
2. Do you find yourself thinking about medication use in your current employment differently? Why or why not?
3. Explain how your appreciation of the advanced practice role changed or did not change?
How do you envision using the knowledge from this course in your future advanced practice role?
Y
How do demographic factors such as gender, socioeconomic status, ethnicity and race affect intellectual development?
Instructions
Genetics and Intelligence
https://www.apa.org/monitor/feb03/intelligence
Given the videos you’ve just watched and the readings, please respond to both the following discussion questions thoughtfully:
How do demographic factors such as gender, socioeconomic status, ethnicity and race affect intellectual development?
With a variety of competing intelligence theories, how, if at all, can practitioners meaningfully make use of these theories?
Provide at least three ways you can apply practices supported by intelligence theories into the early childhood classroom. I would like you to address at least two different theories.
This assignment must be submitted in your own words and include references of your sources. If you must use a direct quote, APA format is required. Turnitin will be used for this assignment; plagiarism of any kind is not tolerated.
Create a sales promotion you think will attract a lot of students to your favorite fast food restaurant. Why do you think this sales promotion will be effective for this target market?
Create a sales promotion you think will attract a lot of students to your favorite fast food restaurant. Why do you think this sales promotion will be effective for this target market?
1) Be sure to name the restaurant and provide a thorough description including all the details of the sales promotion, including the media you will use to communicate your message.
2) Why do you think this sales promotion will be effective for this target market?
Please type your response, using course concepts and terminology as appropriate , Also, attach any images or other supporting documentation.
Nearly every student in the course was able to think of a time when they had personally been impacted by or had observed incivility in the workplace. In what ways does this impact your view of the nursing profession?
Guiding questions are provided or you may write about what you felt was most significant to you for the week.
You will need to post your reflection here before you are able to see other students’ posts.
Nearly every student in the course was able to think of a time when they had personally been impacted by or had observed incivility in the workplace. In what ways does this impact your view of the nursing profession?
If those outside of healthcare were aware, how might it impact their view?
As you move towards your role as an NP, what will you do to support healthful work environments for yourself and your colleagues?
Think about your personal use of social media. Are there changes you would like to make in how you use social media?
What self-care practices do you engage in to promote personal holistic health?
Describe the pharmacological actions of non-z sleep medications?
1. What screening tools can be used to affirm your initial diagnosis that a patient may meet the diagnostic criteria for a sleep disorder?
2. Describe the pharmacological actions of non-z sleep medications?
3. What problems can occur when benzodiazepines are used to help with sleep?
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the students position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
https://www.apa.org/monitor/2022/07/ce-sleep-disorders
CONTINUING EDUCATION
Diagnosing and treating sleep disorders
Psychologists have a leading role to play in treating insomnia and other common sleep disturbances
By
Kirsten Weir
Date created: July 1, 202214 min read
Vol. 53 No. 5
Print version: page 40
·
Sleep
9
CE credits: 1
Learning objectives: After reading this article, CE candidates will be able to:
1. Describe symptoms of common sleep disorders.
2. Understand and access tools available for screening clients for sleep disorders.
3. Describe evidence-based behavioral treatments for insomnia and other sleep disorders.
4. Know when to refer clients to sleep specialists.
For more information on earning CE credit for this article, go to
CE Corner
.
Psychologists have a leading role to play in treating insomnia and other common sleep disturbances.
Sleep is a biological necessity. But for all its importance, it can be surprisingly hard to get enough. As many as 50 to 70 million U.S. adults have a sleep disorder, according to the American Sleep Association. Those disorders frequently go hand in hand with problems such as depression, anxiety, and posttraumatic stress disorder (PTSD). Sleep disorders are very common and are often comorbid with mental health conditions. But psychologists get very little training in sleep, said Jennifer Mundt, PhD, director of the Northwestern University Behavioral Sleep Medicine Training Program, who presented the continuing-education session Sleep and Its Disorders: A Primer for Mental Health Professionals for APA in 2021.
In a recent survey of clinical psychologists in the United States and Canada, practitioners reported a median of just 10 hours of sleep training across their education and career, and 95% reported no clinical sleep training during graduate school, internship, or fellowship (Zhou, E. S., et al.,
Behavioral Sleep Medicine
, Vol. 19, No. 6, 2021
). In medicine, psychology, and society as a whole, weve paid so little attention to sleep for so long, Mundt said.
It is time to start paying attention, Mundt and other sleep experts say. Sleep is critical to physical and emotional health, and when its disrupted, it cuts across both, said Susan Rubman, PhD, a behavioral sleep medicine specialist and assistant professor of psychiatry at the Yale School of Medicine. As a basic part of psychological assessment, its important to know what normal sleep is and what disordered sleep is so you can treat all aspects of an individuals concerns appropriately.
ADVERTISEMENT
Sleep facts and fictions
Sleep disorders come in all shapes and sizes. The most common is insomnia, which is characterized by difficulty falling or staying asleep. About 30% of adults in the United States have symptoms of insomnia, and about 10% have insomnia that is severe enough to cause daytime consequences, according to the American Academy of Sleep Medicine (AASM). And insomnia comes with a host of complications, including increased risk of accidents, poor performance at work or school, and elevated risk of conditions including high blood pressure, heart disease, depression, and substance use disorders. It is also associated with an increased risk of suicide as well as death from other causes.
Insomnia and other sleep disorders often coexist with other psychological complaints. Up to 90% of people with depression have sleep complaints, and two thirds of people undergoing a major depressive episode experience insomnia, according to a review by University of Pittsburgh researchers Peter Franzen, PhD, and Daniel Buysse, MD. Sleep disturbances often precede depressive symptoms, they found, and are associated with worse clinical and treatment outcomes among people with depression (
Dialogues in Clinical Neuroscience
, Vol. 10, No. 4, 2008
).
All that is to say that clinical psychologists are certain to treat patients who have trouble sleeping whether they know it or not. And there are three good reasons to address sleep in practice, said Michael Grandner, PhD, MTR, director of the Sleep and Health Research Program at the University of Arizona. First, we know that sleep affects health and functioning. Second, sleep is often a way into mental health issues. Asking how someone is sleeping is a great way to start talking about mental health, he said. And the third reason is that sleep problems are highly fixable, without medications. And psychologists are in a prime position to fix them.
Yet there are some common misconceptions about sleepamong the public as well as health care professionalsthat prevent people from getting the treatment they need for insomnia and other sleep disorders. One is the belief that good sleep hygiene can cure disordered sleep, Grandner said. Sleep hygiene includes practices like going to bed and waking up at a consistent time, removing electronic devices from the bedroom, and avoiding caffeine, alcohol, and heavy meals near bedtime. While these efforts can improve sleep, they are not a treatment for disordered sleep. A lot of people confuse sleep hygiene with behavioral sleep therapies. This is a huge misconception, Grandner said. Hygiene, by nature, is preventive. Washing your hands can prevent you from getting sick, but it wont cure an infection. And sleep hygiene can remove some barriers to good sleep, but its mostly useless for fixing insomnia, he added.
Another fallacy is that insomnia is a symptom of mental health disorders. While the two often coexist, they are best thought of as comorbid conditions, said Michael Perlis, PhD, director of the Behavioral Sleep Medicine Program at the University of Pennsylvania Perelman School of Medicine. When sleep disorders are viewed as a symptom of an illness, people believe theres no need for targeted action. They believe that by treating the PTSD, anxiety, or depression, insomnia will abate. The past 10 years of research shows us that doesnt happen, he said.
While treating mental health conditions does not guarantee improvement of comorbid insomnia, the reverse is more likely: Treating insomnia can make mental health disorders more manageable. A meta-analysis of randomized controlled trials showed that poor sleep is causally related to mental health difficulties and that greater improvements in sleep quality lead to greater improvements in mental health (Scott, A. J., et al.,
Sleep Medicine Reviews
, Vol. 60, 2021
). For that reason, some sleep experts argue that insomnia should be treated even before other mental health problems, if the patient is not in crisis. When insomnia is left alive, it complicates the treatment of everything else, said Donn Posner, PhD, adjunct clinical associate professor at Stanford University School of Medicine and founder of Sleepwell Consultants, which offers sleep interventions for patients and workshops for providers. Every time you see chronic insomnia, you need to treat it.
CBT-I: Front-line insomnia treatment
Almost anything can trigger a night of tossing and turning, from stress to pain to stormy weather. There are a million causes of short-term insomnia. But there is one main culprit behind chronic insomniaconditioned arousal, said Grandner. When sleep becomes problematic, the bed becomes the war zone. And then the expectation that sleep will be stressful creates the very activation that makes sleep difficult.
The best treatment to address that conditioned arousal is cognitive behavioral therapy for insomnia (CBT-I), a targeted intervention that typically lasts four to eight sessions. In fact, CBT-I is one of psychologys best success stories. The treatment is so effective that it is recommended as a front-line treatment for insomnia by a variety of professional groups, including the Department of Veterans Affairs/Department of Defense Health Affairs, the American College of Physicians, and the AASM.
Even in cases of short-term insomnia, CBT-I is about as effective as sleeping pills. In a meta-analysis that included 21 studies, researchers concluded that behavioral therapy produces similar outcomes as pharmacotherapy for the acute treatment of primary insomnia (Smith, M. T., et al.,
The American Journal of Psychiatry
, Vol. 159, No. 1, 2002
). But for chronic insomnia, CBT-I is at a distinct advantage. A meta-analysis concluded that the intervention is an effective treatment for adults with chronic insomnia, with clinically meaningful effect sizes (Trauer, J. M., et al.,
Annals of Internal Medicine
, Vol. 163, No. 3, 2015
). In the long term, theres an advantage for CBT-I because it actually addresses the underlying behavioral and thought patterns that perpetuate the insomnia, Mundt said. And it has a high rate of success.
CBT-I is also a successful option for patients with insomnia and depression. In a study of internet-delivered CBT-I, Kerstin Blom, PhD, at the Karolinska Institutet in Sweden, and colleagues found that in patients with both diagnoses, CBT-I was more effective than CBT for depression when treating insomnia. More surprising, the two were equally effective for reducing depression severity. At a 3-year follow-up, both the CBT-I and CBT for depression groups continued to experience similar reductions in depression severity, but the insomnia treatment continued to have superior effects on sleep (
Sleep
, Vol. 38, No. 2, 2015
;
Sleep
, Vol. 40, No. 8, 2017
).
Other research also supports the idea that CBT-I can improve depression. A systematic review of 18 studies concluded that CBT-I is a promising treatment for depression in people who also have insomnia and produces effects of roughly the same magnitude as antidepressant medications. In-person therapy had the most evidence supporting its efficacy, while evidence for telehealth CBT-I was mixed. However, the authors concluded there is promise for a stepped-care approach in which telehealth progresses to in-person therapy for patients as needed (Cunningham, J. E. A., & Shapiro, C. M.,
Journal of Psychosomatic Research
, Vol. 106, 2018
).
Theres further evidence that treating insomnia might even prevent depression from developing in the first place. In a study by researchers at Henry Ford Health and the University of Oxford, participants with insomnia were randomized to receive either digital CBT-I or sleep education. In those with minimal to no depression at baseline, the incidence of moderate-to-severe depression one year later was reduced by half in the CBT-I group compared with the sleep education control condition (Cheng, P., et al.,
Sleep
, Vol. 42, No. 10, 2019
).
Research also supports the use of CBT-I in patients with insomnia and other mental health conditions. One randomized trial by Lisa Talbot, PhD, at the San Francisco VA Medical Center, and colleagues found that an eight-session CBT-I intervention improved sleep and overall psychosocial functioning in people with PTSD compared with participants in a waiting list control group. There was also some evidence that CBT-I may reduce the frequency of nightmares in people with PTSD (
Sleep
, Vol. 37, No. 2, 2014
).
Meanwhile, Grandner and colleagues explored the connection between COVID-19 pandemic-related stress and anxiety, suicidal ideation, and sleep. They found that COVID anxiety was correlated with suicidal ideationbut that association was fully accounted for by insomnia severity. Treating the insomnia, in other words, may help to reduce suicide risk in people with high stress or anxiety (
Psychiatry Research
, Vol. 290, No. 113124, 2020
).
Recognizing other sleep disorders
Insomnia, while common, is hardly the only sleep disorder that psychologists are likely to encounter in their practice. About 25 million adults in the United Statesmore than a quarter of adults ages 30 to 70have obstructive sleep apnea, according to the AASM. This disorder occurs when muscles in the throat relax, blocking the airway. People with obstructive sleep apnea repeatedly stop breathing for short periods during sleep, disrupting sleep continuity and causing daytime fatigue. Untreated, sleep apnea can increase the risk of serious conditions, including diabetes, heart disease, and mood and psychiatric disorders.
The front-line treatment for obstructive sleep apnea is positive airway pressure (PAP), a face mask device that pushes air into the airway to keep it open during sleep. While PAP treatment is effective, adherence can be an issue. Psychologists can help patients learn to tolerate the device. People who specialize in behavioral sleep medicine can help with adherence and anxiety for PAP. When patients are struggling to wear the mask or have anxiety or claustrophobia, we can use exposure treatments to help them get comfortable using the device, Mundt said.
Nightmares are another common complaint, especially in people who have been exposed to trauma. Counter to popular belief, nightmares are treatable. Imagery rehearsal therapy (IRT) is one of the most used and well-supported interventions for nightmares in people with PTSD, and several protocols are available. A meta-analysis of these cognitive behavioral interventions found IRT had large effects on the frequency of nightmares, sleep quality, and PTSD symptoms. Further, the combination of IRT and CBT-I resulted in even greater improvements in sleep quality (Casement, M. D., & Swanson, L. M.,
Clinical Psychology Review
, Vol. 32, No. 6, 2012
). Its helpful to ask patients about nightmares because they are so common, especially with trauma, Mundt said. And patients arent necessarily going to bring them up, because they dont even know that treatments are out there.
Another challenging condition is hypersomnia, which causes excessive sleepiness even after a full nights sleep. Examples of central disorders with hypersomnolence include conditions such as narcolepsy and Kleine-Levin syndrome, a rare disorder that causes excessive sleep, hunger, and behavioral changes. Hypersomnia can also be idiopathic, meaning it has no known cause. Secondary hypersomnia can be associated with certain medical disorders (such as epilepsy, hypothyroidism, or nervous system disorders), mood disorders such as depression and bipolar disorder, or other causes, such as side effects from medications. These disorders are less common, but they frequently go undiagnosed or misdiagnosed for years, Mundt said.
She and her colleagues are developing a cognitive behavioral therapy for hypersomnia (CBT-H). An initial pilot study suggested the treatment may reduce depressive symptoms and improve self-efficacy in people with hypersomnia and coexisting depression (Ong, J. C., et al.,
Journal of Clinical Sleep Medicine, Vol. 16, No. 12, 2020
). The main treatment for hypersomnia is medication to help with alertness. This is an adjunctive treatment to address the psychosocial impacts of hypersomnia, Mundt said.
Theres often comorbid depression and anxiety and issues with stigma and navigating work and relationships. CBT-H is designed to help people deal with those challenges.
Sleep training for psychologists
Given the frequency of sleep disruption in the general populationand among people with mental health disorders in particularit is important for clinicians to recognize the signs. Clinical psychologists should make a point to inquire about their patients sleep habits, Grandner said. Sleep problems are part of practically every diagnosis in the DSM, he said.
Yet it is also important to recognize that treating insomnia and other sleep disorders requires specialized training. For psychologists who are trained in CBT, learning CBT-I is not especially difficult, Grandner said. The treatment is highly manualized, and you dont need to be board certified in behavioral sleep medicine to become competent in CBT-I. However, being competent in CBT-I does require training in principles of sleep medicine that go beyond the traditional behavioral and cognitive tools, and various training options are available online and in person at institutions such as the University of Pennsylvania, University of Oxford, University of Arizona, and others. (See
Screening tools and other resources
.)
Perlis and Posner, who lead training courses in CBT-I and are coauthors of a treatment manual on the intervention, argue that many more psychologists would benefit from these trainingsand so would their patients. Currently, most of the participants in Perliss training courses come from allied fields such as social work and occupational therapy, he said. We clinical psychologists designed CBT-I. We produced the evidence base. Why are we not the ones delivering it? he asked. We need more people in clinical psychology to come aboard and start seeking training.
Addressing sleep hygiene is something all clinicians can do with their patients. But sleep hygiene alone is not sufficient for treating clinically significant insomnia, Rubman said. If sleep problems persist for more than a few weeks, it is important to refer patients to a physician or psychologist who is certified in behavioral sleep medicine or has training in CBT-I. Too often, patients receive sleep education but do not improve, and then they mistakenly conclude that behavioral interventions didnt work for them and may turn to sleeping pills instead. That is a missed opportunity, since their insomnia is likely to improve or resolve if they are treated with CBT-I. Clinicians need a good understanding of variations in normal sleep and the limits of sleep hygiene, and they need to recognize when to refer someone to a specialist, she said. The goal is to intervene to prevent an acute problem from becoming a chronic problem.
Screening tools and other resources
Epworth sleepiness scale
(Johns, M. W.,
Sleep, Vol. 14, No. 6, 1991)
Insomnia Severity Index
(Morin, C. M., et al.,
Sleep, Vol. 34, No. 5, 2011)
Sleep Disorders Symptom Checklist-25
(Klingman, K. J., et al.,
Sleep Medicine Research, Vol. 8, No. 1, 2017)
STOP-Bang questionnaire for sleep apnea
(Tan, A., et al.,
Sleep Medicine, Vol. 2728, 2016)
Society of Behavioral Sleep Medicine
(resources, education, and provider directory)
International Directory of CBT-I Providers
Web-based course in CBT-I
Further reading
Cognitive behavioral treatment of insomnia
Perlis, M. L., et al., Springer, 2005
Principles and practice of sleep medicine, 7th edition
Kryger, M. H., et al., Elsevier, 2022
Behavioral treatments for sleep disorders
Perlis, M., et al. (Eds.), Elsevier, 2011
Treatment plans and interventions for insomnia: A case formulation approach
Manber, R., & Carney, C. E., Guilford Press, 2015
Emily Grace and the what-ifs: A story for children about nighttime fears
Gehring, L. B., Magination Press, 2016
1. What screening tools can be used to affirm your initial diagnosis that a patient may meet
the diagnostic criteria for a sleep disorder?
Having a sleep disorder can be crippling to a persons life and relationships. Research has
expressed that it can exacerbated, or quality of life can be decreased, and fatigue and sleepiness
can have very bad consequences. The screening tool that I would use for distinguishing insomnia
would be the Athens Insomnia Screening (AIS). The consistency and reliability of the AIS
determines for me to be invaluable tool in the clinical practice. this tool helps determine the
factors that affect the inability to sleep. The AIS has 8 items that are used for screening insomnia.
The first 5 items pertain to sleep induction, awakening during the night, final awakening, total
sleep duration, and sleep quality. The last three refer to wellbeing, functioning capacity, and
sleepiness during the day
2. Describe the pharmacological actions of non-z sleep medications?
Zolpidem, Zaleplon, and Eszopiclone are examples of non-z sleep medications. Nonbenzodiazepines work by enhancing a very important neurotransmitter called GABA at the
GABA A receptor. The nonbenzodiazepine hypnotics facilitate GABA A transmission by
preferential binding to the 1a receptor subunits.
3. What problems can occur when benzodiazepines are used to help with sleep?
Benzodiazepines can be used for a short term for insomnia, however there are side effects from
the use of benzodiazepines such as addiction. There are additional medications to explore for
long term use for insomnia they are associated with residual daytime sedation, rebound
insomnia, and anterograde amnesia that can be controlled by their pharmacokinetic properties.
There is a low abuse potential for these classes of drugs when taken for an extended period,
withdrawal and tolerance to the hypnotic effects can become prevalent, and long-term use has
not been studied systematically.
image1.jpeg
Develop your hypothetical e-commerce company’s background information. Describe the key elements of your chosen e-commerce company’s information systems infrastructure.
This is the first of a series of five sequential assignments (the course project) in which you will act as the Chief Technology Officer (CTO) of a hypothetical, e-commerce start-up company of your design. A venture capital group has funded this innovative start-up.
The CEO has given you 90 days to deliver an information technology project plan in anticipation of the company relocating to a new facility. Since this is a start-up company, currently no building or technology infrastructure exists to support the business. All information technology (hardware and software) must be implemented in a hosted solution, an on-site solution, or a hybrid model. The CEO expects you to integrate different technologies from a variety of partners and incorporate industry best practices to develop the company’s technological systems.
Additional background on the hypothetical company
Company InformationCurrent StatusGrowth Projections (over next two years)Facility TypeNew facility is a two-story standalone building–Number of Employees1030Revenue$5 million$30 million
This assignment consists of two parts:
Part 1: Project Plan Inception
You will write a 5-7 page document outlining the project specifics, such as company background information, company business, and an overview of the company’s information systems infrastructure.
Part 2: Supporting Gantt Chart
You will use Microsoft Project to create a Gantt chart for your e-commerce company project.
Note:
You are to create or assume all necessary assumptions to successfully complete this assignment.
You must submit both parts as separate files to the assignment area. Label each file name according to the appropriate part.
Instructions
Part 1: Project Plan Inception
Develop your hypothetical e-commerce company’s background information. (Refer to this article, Top 10 Largest Ecommerce Companies in the US in 2020Links to an external site., when developing your company’s background information, which outlines the major types of e-commerce companies in existence. Use this as a guide when deciding what background information to include about your hypothetical e-commerce company in your project plan inception document.)
Document your chosen e-commerce company’s business type, customers, and demographic information.
Describe the key elements of your chosen e-commerce company’s information systems infrastructure.
Develop a high-level block diagram of your e-commerce company’s information systems infrastructure.
Use three sources to support your writing. (Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. Access the library or review library guides for help with research, writing, and citation.)
Part 2: Supporting Gantt Chart
Use Microsoft Project to create a Gantt chart in which you:
Identify the major and minor tasks, illustrating dependency relationships between activities.
How can you effectively deal with rude or inconsiderate customers?
Service providers can deal with rude or inconsiderate customers by making sure that they remain professional. Just because the customer is rude does not mean that the service provider should also be rude. Service providers should avoid retaliation when dealing with rude customers.
How can you effectively deal with rude or inconsiderate customers?
What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?
Describe the advantages and disadvantages of the traditional or e-learning methods for teaching/learning of Anatomy and Physiology.
Human Anatomy teaching methods have evolved as the medical undergraduate curriculum has modernized. Traditional teaching methods of dissection (cadaveric, animal models), tutorials, and lectures are now supplemented by anatomical models and e-learning. Despite these changes, the preferences of medical students and anatomy faculty towards both traditional and contemporary teaching methods and tools are largely unknown.
You should write an essay (Microsoft Word document) describing the advantages and disadvantages of the traditional or e-learning methods for teaching/learning of Anatomy and Physiology.
The essay is going to be evaluated as follows (RUBRIC):
Title: Concise, precise, only one line.
Name of the file: LastName_FirstName_EC.docx (Title + Name of the File 5 points)
Sources: 10 points. Only scientific journals or scientific publications.
NO WIKIPEDIA
.
Format: 10 points. MLA format. Times New Roman 12, double space, 1-inch margins, 500-700 words.
Content: 25 points. Be specific, concise, precise. Your ideas MUST be properly organized.
Important Note: Your work MUST be original. Turnitin will be used in order to avoid plagiarism.