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Unnecessary hospital visits by the patients increase the cost of managing diabetes. Implementing Dexcom can reduce costs incurred by doing away with unnecessary hospital visits. Dexcom implementation can help diabetes patients avoid severe dysglycemia, one of the factors associated with unplanned hospital readmission as well as hospitalization. Since diabetes is a chronic condition, knowing how to manage it is paramount as it improves patient outcomes and reduces the cost of care. Continuous glucose monitoring is critical in diabetes management.

CGM devices represent a significant advance because they give real-time information on blood glucose concentration and short-term feedback on the effectiveness of interventions used in managing diabetes. These devices give warnings when the concentration of glucose in the blood becomes dangerously low or high. When a patient has to monitor blood sugar by sticking fingers, it might cost $1-2 per stick times ten plus sticks per day with insurance. A study was carried out to assess the cost-effectiveness of continuous glucose monitoring. The results showed that for adults with type 1 diabetes, CGM is cost-effective when the patient is using multiple insulin injections and still experiencing suboptimal glycemic control (Wan et al., 2018). The study concluded that continuous glucose monitoring is effective than self-monitoring.

THE MAIN EFFECTS OF TERRORISM. help me with my history homework: help me with my history homework

Terrorism is a phenomenon that adversely impacts every aspect of society, socially, economically, and politically. Governments all over the world have been in pursuit of the affiliates of these groups. From hefty bounties and intensive military action, they have been at the forefront of eliminating these groups to restore peace and harmony within their respective regions. A common ideology from the government institutions is that the neutralization of these terrorist groups’ heads is the key to their eradication. A notable mention is Al-Qaeda, who are known for the 9/11 attacks that claimed hundreds of lives. The comparison of its leaders, Osama Bin Laden, and Ayman Al-Zawahiri, quantifies their contribution in terror-afflicted attacks by evaluating their approach to leadership and communication.

First, Osama Bin Laden had a high level of distrust compared to Ayman Al-Zawahiri. The attacks by the United States on the Taliban promoted bin Laden to flee the country to Pakistan. Despite having to cross the unstable border, he did not trust any of the local people. He was very suspicious of them as he feared betrayal from the criminals and drug traffickers due to the hefty bounty of 25 million dollars placed on his head. Instead, bin Laden chose to trust his close confidants and guards from whom he demanded utmost loyalty. He trusted this circle to secretly move him around, which was after verification of the destination’s safety, which ensured his safety during these movements. Furthermore, bin Laden stayed in highly fortified compounds to avoid identification by passersby and cut communications with the outside world. Instead, he opted for courier by hand, which ensured he was digitally untraceable, making him a hard target to pinpoint. This system enabled him to stay hidden and safe for an extended period before his assassination. In contrast, Al-Zawahiri has a low level of distrust with affiliates around him. He believed that media was an essential aspect in war and influenced the believers of the terror groups cause. He has appeared in numerous videos and audiotapes, intending to radicalize and recruit Muslims worldwide. He led the migration of shift from private conversations of on Salafist insurgency to social media. Also, through Al-Zawahiri, Al-Qaeda has become more decentralized with authority handed down to its affiliate heads. He has conceived several mergers with Islamist groups such as al-Shabab and created several affiliates in different regions to strengthen its influence.

Secondly, both leaders had a higher conceptual complexity than their self-confidence, making them more pragmatic and responsive. Conceptual complexity is the ability to distinguish people, policies, objects, and events in their environment. Bin Laden understood he could withstand the American military attack on the Taliban while in Afghanistan. He was open to this fact and agreed to flee. Also, his distrust of the locals at the border demonstrates a pristine prognosis of his environment. He understood that the inhabitants, mainly criminals and drug traffickers, would not pass the chance to hand him over to the authorities for the hefty bounty on his head and thus relied on his inner circle and close contacts. Moreover, bin Laden chose to become a sedentary jihadist due to several contextual factors. He understood that he was elderly, thus could not survive in the war field and the risk he was at in operating openly as an Al-Qaeda leader. His prognosis was the terrorist operations, and attacks would still take place without his presence. Also, Bin Laden understood that he was a high-value target for the American army, whose successful elimination of other Al-Qaeda leaders with drone strikes put him in harm’s way. Similarly, Al- Zawahiri has been seen as a pragmatic leader regarding his evaluation of his environment. Initially, he was much against Iran, with a lot of harsh words against them. However, over recent years, negative opinions have been strategically diluted. These renewed ties have allowed the extremist group to receive supplies from the Iranian territory, thus affirming its leadership grip in its local territories. Also, Al-Zawahiri created a merger with the Afghan Taliban to ensure continued support from the group despite dealings with the U.S government. His leadership has allowed the group to rebuild itself with minimal losses steadily.

Finally, Osama bin Laden had a higher affinity for power compared to Ayman Al-Zawahiri. His perceived threat influenced bin Laden’s high affinity for power in situations of conflict. Since the United States government wanted him for the 1998 bombings in Africa and other terror attacks, Bin Ladens’ communication and negation channels were paralyzed. The only access to contextual information he had was the media and his affiliates. This factor led him to misinterpretations the U. S. response to the embassy bombings as the president ordered airstrikes on Afghanistan and Sudan instead of invading with the military aide. Thus, Bin laden felt the need to execute the initial World Trade Centre attack’s objective by launching jets into the Twin Towers, the Pentagon, and a Pennsylvanian field. The change in the operational environment shows a high need for power. However, Al-Zawahiri takes on a different approach. In 2015, he pledged allegiance to the Afghan Taliban leader, Mullah Mansour(Gohel, 2017), instead of usurping the coveted title of Commander of the Faithful for himself. This allegiance was a strategic move, as Alqaeda required a safe base from the Islamic State’s Afghan affiliate, which was also a competing faction for the Afghan Taliban. Additionally, this close Taliban connection strengthens Al-Qaeda’s Indian Subcontinent (AQIS) affiliate. The AQIS required the border through Quetta, which is Taliban-based, to transfer funds, fighters, and messages to Afghanistan’s provinces, thus revitalize the Al-Qaeda for the local wars. Also, Zawahiri, under his leadership, has decentralized the group, delegating authority to the Al-Qaeda affiliate leaders. With this game in play, he sanctioned the creation of other affiliates such as AQIS to promote the group’s brand in the plight of ISIS increase in influence.

To sum up, both leaders of the Al-Qaeda, Osama bin Laden and Ayman Al-Zawahiri, have been very instrumental in the successful operation and actualization of terrorist attacks. Both of them are sharp in evaluating their environment and derive the appropriate situation for their survival and the group’s successful operation. However, they differ in their affinity for per and level of trust in their environment. Substantially, this difference has served both of them equally well as they require alternate solutions with different situations. Moreover, the two leaders have different agendas: Al-Zawahiri looked to unite the affiliates of Al-Qaeda, whereas bin Laden wanted to make an impact as an extremist group. In evaluating their leadership skills and communication techniques, it is clear that their profound leadership has been a significant factor in Al-Qaeda functioning.

REKATIONSHIP BETWEEN TOYS AND GENDER history assignment help writing services

Toys and Gender

Each society is made up of males and females. However, females are usually limited in their roles. The problem has existed for centuries, though there has been considerable progress in empowering women. The problem can be seen in the production of toys for boys and girls. While boys’ toys are diverse, girls’ toys are limited to specific roles, and this can be linked to the lack of women in senior management positions in companies.

I remember playing with different types of toys as I grew up. I had a ball, a toy car, building blocks, and toy guns, among other diverse playing materials. However, girls mostly played with Barbie dolls. They played housekeeping roles with the toys. Therefore, they could not explore as much as boys.

Gender diversity at the management level in toy companies can help a firm strategically. Diversity helps improve decision-making because there would be multiple perspectives that women can bring to enable more robust business practices and equity in production (Glass and Cook 823). They can enable a company to understand girls’ viewpoints and interests. Thus, there can be effective production of ideal toys for girls.

The idea that women have been marginalized for centuries explains why few women are in executive positions in toy companies and other organizations. Men have always occupied positions of power while women play subordinate roles. Though women have begun getting into these positions, men are the majority and control most operations.

Toy companies can improve gender diversity in their management teams by empowering women to occupy positions. It is essential to provide equal recruitment and training opportunities. A person should get to a position by merit instead of gender definitions.

To summarize, gender disparity can be seen in the production of toys. While boys have diverse toys to play with, girls’ toys are limited. The problem can be linked to the lack of women in key decision-making positions. Toy companies need to encourage women to occupy some of the positions.

Improving your memory, reading, and vocabulary. a level history essay help: a level history essay help

The greatest strength I have in memory, reading, and vocabulary is that I love reading. I am a bookworm. This enables me to read a lot of content at a time. The greatest undoing of this is that I only end up cramming most of the content instead of understanding them. Another weakness is that I have always been reading in areas full of distractions and noise from peripheral media like music and television. I also have a problem with memorizing long words.


Identify at least three goals you have for improving your memory, reading, and vocabulary.

The goals I have for improving my memory, reading, and vocabulary include, being able to read and memorize very long words. I am only able to memorize short words easily. Focusing my attention is the other goal I am setting for this purpose. My concentration has been affected by peripheral factors as distractive sounds like television. I am making a conscientious effort to study in a calm environment to improve my concentration. Thirdly, I am trying the much I can to avoid cramming. I have the problem of skimming and fast reading. I am making an effort to understand as opposed to cramming.


Identify which strategies presented in this module you already use.

Some of the strategies I have been using to improve my memory, reading, and vocabulary include; paying more attention to difficult information. The serial position effect has it that I have been trying to relate new information to things I already know. An article reviewed by Amy Morin, LCSW in September more you rehearse on a particular content, the easier for you it becomes to remember it. 2019 cites that this strategy has a way of helping one memorize new information easily. Lastly, I have been trying to read aloud. Research shows that reading aloud affects memory retention positively; this is according to (Rosenthal, Julie, and Linnea C. Ehri.921-950.)


Identify at least two specific strategies presented in this module you would like to try.

I would love to try the use of word cards and association with pictures. These are the two strategies I would like to try towards improving my memory, reading, and vocabulary.


Explain how the strategies you would like to try will help you meet the three goals you

identified for improving your memory, reading, and vocabulary.

(Pérez, Libia Maritza, and Roberto Alvira, 103-116.), suggests that the use of word cards together with association with pictures is effective in deliberate vocabulary learning. They argue that it is useful for learners who are visually oriented. Using the cards would help me learn longer words and memorize them, while associating them with pictures would allow me to concentrate and avoid distractions.

The cognitive style of Brazilian’s Symbols. history assignment help in canada

Cognitive Style

The cognitive style of Brazilian’s is more holistic. Their holistic cognition symbolizes that their thinking is associated with Confucian and collectivism (de Oliveira & Nisbett, 2017). Brazilian’s are also optimistic in the way they judge their future. Brazilian’s emotion expressivity varies more by the context in question.

The methods of organizing and processing information in Brazil are done in a broader sense. This method, organizes and processes information using location, alphabet, time, category, and hierarchy. The method helps Brazilian’s to eliminate the anxiety that comes with information and narrow it down to the main points. Brazilian’s also uses the mind mapping method of information organization and processing to capture information in a visual way. This kind of information organization and processing helps them think the longer term, for instance, what they would do with the future information.

Brazilians view information through associative thinking, encouraging them to find the link between ideas (Heller, 2012). Associative thinking makes them practice information meta-awareness, appreciate harmony in information, increase tolerance for ambiguity and connect ideas.

Universalism is the type of thinking is practiced in Brazil. Brazilian’s believe that practices and ideas are applied all over without modification (Heller, 2012). Through Universalist thinking, they place importance on obligations, values, rules, and laws. They treat people fairly well based on the rules.

Brazil’s negotiation style is accommodative since they spend most of their time building and maintaining a relationship (Pearson & Stephan, 1998). They are sensitive or value body language, relationships, and emotions because they believe that work cannot be completed with an impaired relationship.

Brazilians are also adaptive in their negotiation because they take quite a long time figuring out a business deal since they value relationships over time. They are open, honest, and trustworthy since their traditions encourage loyalty.

Brazilian’s find truth through coherence, consistency, and congruence. They believe in the truth that is coherent with the established knowledge, truth with no contradictions, and fits into facts (Pearson & Stephan, 1998). They arrive at the truth on the basis of facts on the ground.

In Brazil, personal values are vital. In families and relationships, individuals appreciate respect, honesty, patience, trust, and respect (Kowaltowski & Granja, 2011). Compassion and warmth are also valued among families.

Decision-making in Brazil is driven by several factors, including historical context, interactions between people, escalation of commitment, age, and individual differences, and cognitive biases.

Brazilian’s address anxiety by taking time out to relax, practice yoga, or listen to music. They also address anxiety through daily exercise, getting enough sleep when stressed, and talking to someone, including friends or family members (Kowaltowski & Granja, 2011). They also try maintaining a positive attitude to release the anxiety.

Equality in Brazil makes people more tolerant and less fearful hence improving education and economic investments. Inequality in Brazil gives entrepreneurs rewards since they take risks of setting new businesses to sustain themselves. Inequality in Brazil also reduces the educational performance of the deprived.