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3 Effectiveness Of Genetic Testing As Preventive Care In Breast Cancer Cases Ap Art History Homework Help

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Effectiveness of Genetic Testing as Preventive Care in Breast Cancer Cases

Student 1

University of Maryland Global Campus

WRTG 391: Advanced Research Writing

Professor Olubunmi Oguntolu

September 15, 2020

Evans, D. G., Howell, S. J., & Howell, A. (2018). Personalized prevention in high risk individuals: Managing hormones and beyond. Breast, 39, 139–147. https://doi.org/10.1016/j.breast.2018.03.009

The authors aim to personalize treatment plans to effectively help breast cancer patients based on the treatment results from ovarian cancer patients. They propose that performing an oophorectomy can result in decreased risk of cancer as results have shown in ovarian cancer cases. This type of treatment option is usually only recommended for women at an increased risk of ovarian cancer; however, numerous studies have proposed that it be used to help reduce the risk of breast cancer in the general population and in those specifically with mutations in BCRA1/2. A limitation of this study is that there doesn’t seem to be significant proof that this process would work, only that it could work. It also doesn’t specify an age group that this would be better proposed for. This article was included to provide a diverse option for those who are predisposed to cancer. It seems to have a decent prospect of information in regards to possible treatments for those at an increased risk of breast cancer; however, it possibly won’t have much effect on the part of how effective genetic testing is on those at high risk.

Evans, O., Gaba, F., & Manchanda, R. (2020). Population-based genetic testing for Women’s cancer prevention. Best Practice & Research Clinical Obstetrics & Gynaecology, 65, 139–153. https://doi.org/10.1016/j.bpobgyn.2020.02.007

The study conducted by the authors aimed to identify genes that are known to carry cancer mutations. They propose that by targeting these genes, screening and preventive care become much more effective in reducing the risk of cancer. This study determined that, given the current treatment standards, there have been many missed opportunities that would have been identified through genetic testing. Due to the current requirements to be considered for genetic testing, it is possible that up to 50% of CSG carriers are missed deeming the current clinical process ineffective. The authors aim to push the concept of genetic testing for the population, instead of just those who qualify. A limitation of this study was that it was conducted on the Ashkenazi-Jewish population. While that can still be helpful, it isn’t all encompassing to help determine if it could be effectual in the general population. This article and the study it encompassed seems to be a solid source of information as it hits most points needed with the only limitation being the population tested.

Kaldate, R., Huston, A., McCoy, H., Cardeiro, D., & Noyes, K. (2014). Cost effectiveness analysis of genetic testing for breast and ovarian cancer susceptibility genes: BRCA1 and BRCA2. Breast Journal, 20(3), 325–326. https://doi.org/10.1111/tbj.12269

This study aimed to determine if finding cost-effective means for genetic testing can help those without a family history of breast cancer. Countless studies referred to in this article all had similar results; genetic testing is a cost-effective strategy regardless of the genetic possibility of a BRCA. It has been a cost issue in the past, as most insurance companies won’t cover the cost for genetic testing if there is no significant (family history) need for it. Genetic testing should be a recommendation for all women, not just those with a family history. A limitation of this article and study is that it only focuses on the cost effectiveness, not the test effectiveness in genetics. This has some great information into the “behind the scenes” of cost analysis. Seeing a prospective cost analysis unfortunately puts the reality of wide-spread genetic testing lower on the totem pole while also helping to urge it forward. This would be a good transition into another aspect of genetic testing and what goes into it.

Li, Y., Arellano, A. R., Bare, L. A., Bender, R. A., Strom, C. M., & Devlin, J. J. (2017). A multigene test could cost-effectively help extend life expectancy for women at risk of hereditary breast cancer. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, 20(4), 547–555. https://doi.org/10.1016/j.jval.2017.01.006

The authors behind this article question the possibility and effectiveness of a multi-gene test. Utilizing a method that tests several types of genes instead of the standard few that genetic testing currently test, it could affect life expectancy and be cost effective. This suggested method would test seven genes that are commonly associated with breast cancer instead of the few common genes that are normally tested. By testing a wider margin, this increases the chance of detecting any cancer cells or gene mutations that could lead to cancer. The study determined that through this kind of testing, it would be a cost-effective means of preventive care and could increase life expectancy of those tested. A limitation of this study is that it tested 40 and 50-year-old women and focused on the life expectancy effectiveness of a seven-gene test. This could provide sufficient information into the research of effectiveness of genetic testing for hereditary breast cancer patients even though it focused on cost effectiveness and a specific age group.

Manchanda, R., Sun, L., Patel, S., Evans, O., Wilschut, J., De Freitas Lopes, A. C., Gaba, F., Brentnall, A., Duffy, S., Cui, B., Coelho De Soarez, P., Husain, Z., Hopper, J., Sadique, Z., Mukhopadhyay, A., Yang, L., Berkhof, J., & Legood, R. (2020). Economic evaluation of population-based BRCA1/BRCA2 mutation testing across multiple countries and health systems. Cancers, 12(7), 1929. https://doi.org/10.3390/cancers12071929

The authors of this study and article focused on finding a cost-effective BRCA testing for women around the world, not just those who have a family history. This study found that this population-based BRCA genetic testing is overall cost effective and could prevent thousands of ovarian and breast cancer cases compared to the current clinical methods. A limitation with this article is that it focuses on the cost of the testing and very little on the effectiveness and importance of genetic testing in general. It tested populations around the world, revealed an estimated cost savings, and included to what degree this cost-effectiveness would be. Further research would need to be conducted to include the significance of genetic testing in preventive care, not just the cost effectiveness. It is understood that cost effective testing measures will help push this further into being a normal test is conducted at the doctor’s office, but knowing the significance of the testing itself can really help current patients and hopefully help those who are at higher risk of developing ovarian or breast cancer.

The Music Culture Essay Paper Essay Help Site:edu

Topic of your Essay: Your Mus111 course investigates a wide variety of introductory level topics in music – principles of design, complexities of the listening experience, and the cultural significance of a variety of music from the Western classical tradition dated from the ancient world to today. In addition, we examine how the cultural significance of represented works may directly represent the experience of the musician and/or composer and portray a general cultural experience. In this essay assignment you are to describe in detail your musical culture and the role music has played in your life. Your 500 to 800-word essay must include the following information:
1) A brief biographical sketch that includes your birthplace, any ethnic affiliation, early childhood, places of residence, education, and family life.
2) A detailed description of the role of music in your life. This may include early childhood exposure to music, various styles that have influenced your cultural identity, present listening tastes, and the various contexts in which you listen actively or passively to music.
3) A self-analysis of how you express yourself through music. This may include why you listen to specific artists or specific songs, why you identify with particular styles and/or lifestyles of the music scene, how specific music reflects your cultural values, and why you choose not to identify with other types of music and/or music lifestyles.
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LASA 2— Corporate Compliance law essay helpAssignment 1: LASA 2— Corporate Compliance
 
You are a corporate compliance officer for a hospital.  You are also a feature writer for The Medical Reporter, an online health magazine.  The editor asks you to write an 8-10 page feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your “hotline” regarding a potential fraud and abuse issue.  The caller indicated that Dr. Greedy was billing for services that had not been provided.  You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped.   Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues.  Your research should include the following aspects:
 
I.            How to conduct an investigation.  It should include the following elements:
 
a.            Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?
b.            Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?
c.            Obtaining additional information as necessary and developing a plan for the investigation:  What other items are important to the investigation?
d.            Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.
e.            Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.
 
II.            How to develop a correction action plan. The plan may suggest:
 
a.            A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.
b.            A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.
 
By Saturday, August 24, 2013, deliver your assignment to the M5: Assignment 1 Dropbox.
Use the following file naming convention: LastnameFirstInitial_M5_A1.doc.
 
 
 
 

Assignment 1 Grading Criteria
Maximum Points

Discussed the process for reviewing the initial healthcare fraud and abuse complaint and the items to look for to determine validity.
36

Explained the steps to take to determine who is involved in the complaint.
32

Discussed how to obtain additional information to develop a plan for the investigation and the items, which would be important to the investigation.
32

Explained how to conduct interviews with staff, residents and/or management and the types of questions to ask in the interview.
32

Identified the criteria to determine if the allegations are substantiated or unsubstantiated.
32

Explained how to determine when a recommendation for a subsequent audit or follow-up to the complaint is necessary.
36

Discussed the best course of action when a recommendation to refund any overpayments to federal government, insurance company or individual payer is warranted.
36

Written Components:
Style (8 points): Tone, audience, and word choice
Organization (16 points): Introduction, transitions, and conclusion
Usage and Mechanics (16 points): Grammar, spelling, and sentence structure
APA Elements (24 points): In text citations and references, paraphrasing, and appropriate use of quotations and other elements of style
64

Total:
300

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Climate Change Response personal essay help: personal essay helpSome people you know say they don’t believe that the climate is changing.  After this week’s readings, how would you respond?
 
Write a 525- to 700-word response including:
·         How scientists learn about past global temperatures and climates.
·         The greenhouse effect.
·         Greenhouse gases and their role in current climate change.
·         One piece of data scientists offer to show that the climate is changing globally (see this NASA website:http:/ /climate. nasa.gov/evidence/).
 
·         Expected impacts of climate change in your area (this EPA website is very helpful: www3.epa.gov/climatechange/impacts/).
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Environmental Analysis Presentation medical school essay helpPerform an analysis of an environmental issue. Prepare a 5- to 8-slide PowerPoint® presentation with detailed speaker notes. If you first discuss options with your faculty member, you are also welcome to use a tool such as “Voice Thread” to add audio to your presentation.
Include the following:
o A description of an environmental issue including the cause of the issue and its effects on the environment and people.
o An explanation of how economics and personal lifestyle choice are involved in this issue.
o An explanation of how individuals, communities, and/or governments are working to address the environmental issue.
o Your opinion as to whether the issue is being adequately addressed and suggestions of ways it could be better addressed.
Include at least 2 outside resources for your presentation. Format your presentation according to APA guidelines.
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The Effects of Means-Tested Social Programs essay help fairfax: essay help fairfaxDiscussion 1: The Effects of Means-Tested Social Programs
What is welfare? When you hear the word “welfare,” do you picture images of individuals who are facing hard times? While there is more than one type of social program available in the United States to those who need it, social welfare programs like TANF provide assistance to families in need through government tax revenues. Programs like these are often referred to as “public assistance” or “means-tested programs.” These programs have eligibility criteria that are based on the individual’s or the family’s household income and assets. Do these types of programs exist in your state or region? If so, what are the criteria? If you encountered a client like Eboni Logan, from the Logan Family video, who soon will become a mother, how might you best assist her in obtaining benefits from these types of programs?
 
For this Discussion, review this week’s resources, including the Logan Family video case. Consider the means-tested programs that might be available to her in your state or region. Then, think about the likely long-term outcomes for Eboni and her child, if she chooses to parent. Finally, reflect on the state welfare policies that might help her manage the responsibilities of parenthood.
 
Post by WEDNESDAY 9PM NEW YORK TIME a brief explanation of the means-tested programs that might be available to Eboni. Be sure your answer is specific to the means-tested programs available in the state/region of The U.S. State of Connecticut. Then, explain the potential long-term outcomes for Eboni and her child, if she chooses to parent. Finally, explain the state public assistance policies that might help Eboni manage the responsibilities of parenthood.
 
References/Resources
Laureate Education (Producer). (2013). Sessions: Logan family Episode 4 of 42) [Video file]. Retrieved from https://class.waldenu.edu
U.S. Department of Health & Human Services. (n.d.). Office of Planning, Research & Evaluation. Retrieved November 14, 2013, from http://www.acf.hhs.gov/programs/opre/research
 

Popple, P. R., & Leighninger, L. (2015). The policy-based profession: An introduction to social welfare policy analysis for social workers.(6th ed.). Upper Saddle River, NJ: Pearson Education.

Chapter 6, “Fighting poverty: Temporary Assistance to Needy Families” (pp. 101-138)

[removed]Bentele, K. G., & Nicoli, L. T. (2012). Ending access as we know it: State welfare benefit coverage in the TANF era. Social Service Review, 86(2), 223–268.
Retrieved from the Walden Library databases.
[removed]Posiniewski, L. (2011). A unique approach to meeting the employment and training needs of food stamp recipients. Policy & Practice, 69(2), 14–15.
Retrieved from the Walden Library databases.
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Moral Issues in Film Paper melbourne essay help: melbourne essay helpMoral Issues in Film Paper
For this assignment, you will select a film that deals with a moral concern. You will briefly summarize this film (250 words). Then, you will analyze how the film treats this moral issue. Use the text to support your analysis (about 500 words). The paper will be due at the end of Module 5 and should employ an APA title page, in-text citations and a References page.
 
Use;
 
Rosenstand, N. (2013) The Moral Of the Story. New York, NY: McGraw-Hill Companies
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Multicultural Counseling Video Analysis my assignment essay help

Watch the “Multicultural Counseling and Psychotherapy” video found in this week’s Electronic Reserve Readings.
 
Write a 1,000 word paper that addresses the following:

How do the counselors help clients become aware of their own expression of cultural identity? Provide some examples.
What are some multicultural issues affecting the clients and their situations?
What strategies are the counselors using to identify areas where multicultural issues are playing a role in the clients’ concerns or problems? How do the counselors help clients realize the positive attributes of their cultural identity?
Using reflections from the video, how do you view culture in your own life and in the shaping of your own identity? How does it affect your values and belief systems? What do you appreciate about your own identity, cultural or otherwise?

Format your paper consistent with APA guidelines.
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Summarizing the treatment plan persuasive essay help: persuasive essay helpReview the case study scenario you selected from the Case Study
Scenarios in Week 2.
Complete the Treatment or Goal Service Plan. Each Learning Team member must complete the plan individually.
Discuss the results of your Treatment or Goal Service Plan.
Complete a Treatment or Goal Service plan as a team after discussing the results of the individual plans.
Write, as a team, a 700- to 1,050-word paper summarizing the treatment plan. Include the following in your paper:

A description of the treatment plan
A minimum of three strategies to motivate the client to follow the treatment plan
An implementation strategy for the treatment plan

Format your paper consistent with APA guidelines.
 
Belinda is an 18-year-old woman and is pregnant with her second child. Belinda believes she is 8.5 months pregnant, but she is not really sure. She has not seen a doctor since her initial doctor visit when she took the pregnancy test. She has not had any prenatal care during her pregnancy. Belinda’s first child, Benny, was delivered by cesarean section and is now 16 months old.
 
Belinda is an American Indian and has a Certificate of Degree of Indian Blood (CDIB) for both Muscogee Creek Nation and Cheyenne and Arapaho Tribes. Belinda is currently living in an apartment with her children’s father, but she suspects that they will be evicted soon for not paying rent. Neither Belinda nor the children’s father has a job, and both have been unemployed for several months. Belinda and her boyfriend do not have transportation. Additionally, neither has any personal identification documents—such as a social security card, birth certificate, or driver’s license—other than a CDIB card.
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Internet Resources on Family Policy essay help app

Click through 10-12 Internet Resources on Family Policy provided for this class.  Using the criteria in the article below,   evaluate 3 of the websites listed for accuracy and credibility, placing your comments in the table provided. Then choose a website on your own that illustrates poor credibility and explain why you find it disreputable, in the final column of the table.  Post your table in the Forum.
Evaluating Print vs. Internet Sources
https://owl.english.purdue.edu/owl/resource/553/04/
 
Forum 3: WEBSITE CREDIBILITY TABLE (also attached, below)
 

 
Website #1
Website #2
Website #3
Website#4 (disreputable)

Publication process
 
 
 
 

Authorship and affiliations
 
 
 
 

Sources and quotations
 
 
 
 

Bias and special interests
 
 
 
 

Author qualifications
 
 
 
 

Publication information
 
 
 
 

400 Level Forum Grading Rubric
 
Possible points
Student points

Met initial post deadline (Wednesday)
 10
 

Initial post is substantive
 10
 

Initial post is at least 400 words
 10
 

Initial post employs at least two citations; one can be text; other must be from an academic source
 10
 

 

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