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16 Jul 2023
Harnessing Social Media as a Double-Edged Sword
Leadership and Organizational Culture at Nitol Niloy Group: How Leaders Shape Shared Values and Drive Adaptability | 522 WORDS ESSAY
Leadership and Organizational Culture at Nitol Niloy Group
How Leaders Shape Shared Values and Drive Adaptability
Nitol Niloy Group PRODUCTS |
References
The Evolution of Language Teaching: From Audiolingual Methods to Learner-Centred Communicative Approaches | 400 essay
The nature of approaches and methods in language teaching
Keywords:
A brief history of language teaching | 300 words essay
A brief history of language teaching
8 Jul 2023
Atomic Structure and Radiation in Health Care: A Comprehensive Guide UNIT-14 | Readings
Learning Outcomes
LO 1: Understand atomic structure
–
AC 1.1: Describe the fundamental differences between protons, neutrons and electrons in terms of mass and charge
LO 2: Understand the nature of alpha, beta and gamma radiation, and x-rays
–
AC 2.1: Explain how the range in air and penetrating powers of alpha, beta, gamma and x-rays are related to their nature and properties
AC 2.2: Explain the safety procedures followed when using alpha, beta and gamma radiation and x-rays
LO 3: Understand the main uses of ionising radiation in monitoring and treatment
–
AC 3.1: Explain the use of the Barium meal for soft body imaging
AC 3.2: Explain the use of γ-rays in imaging
AC 3.3: Explain the use of internal sources of radiation in treatment procedures
LO 4: Understand how radio isotopes are used in health care
–
AC 4.1: Explain how technetium-99m is generated
AC 4.2: Explain the use of Iodine-131 in thyroid investigations
LO 5: Understand the health applications of a selected part of electromagnetic spectrum
–
AC 5.1: Explain medical uses of parts of the electromagnetic spectrum
LO 6: Understand how ultrasound is used in health care
–
AC 6.1: Explain the use of ultrasonics in medical imaging and treatment
3.1: Explain the use of the barium meal for soft body imaging
Lesson 5 of 11
The use of ionising radiation in medicine includes both monitoring and treatment of patients and falls into two broad categories; radiography and radiotherapy. Radiography involves the production of an image to monitor or diagnose medical conditions (‘graph’ = from the Greek ‘to draw’ or ‘describe’), whereas radiotherapy involves some form of treatment of a disorder (‘therapeia’ = Greek for ‘healing’).
Radiotherapy
–
Radiotherapy uses ionising radiation to destroy cancer cells, and around 40% of people diagnosed with cancer will have it as part of their treatment. It can also be used before surgery to shrink a tumour so it’s easier to remove, or after surgery to kill off any cancer cells that survived the operation.
As an external process, high energy x-rays are focussed onto the patient in a very specific target area. The radiation damages cancer cells, causing them to die or stop growing. Healthy cells nearby are also damaged, but these are usually able to repair themselves and recover.
The patient needs to be positioned very carefully on the table of the machine to ensure that only the affected area is treated with the radiation beam.
Radiotherapy may also be delivered to a patient internally, using radioactive liquids and implants to attack cancerous cells more directly. Implants maybe wires and tubes placed in the patient to release radiation near cancer cells, then left in the body for a period of time from a few minutes to maybe days, or sometimes permanently.
3.2: Explain the use of γ-rays in imaging
Lesson 6 of 11
We learnt earlier in this unit that x-rays are produced by controlled electron bombardment in an appropriately designed machine. Gamma rays are very similar to x-rays but are produced by radioactive decay inside the nucleus of an atom.
If it helps to think of the radioactive nucleus as a tiny x-ray machine, you may start to appreciate how useful this may be. Radioactive nuclei can be attached to substances that can be put into the human body, which then produce detectable radiation from wherever those substances end up. These radioactive ‘tracers’ can be delivered into the body, by injection, ingestion, or inhalation, and by choosing appropriate radionuclides and carrier molecules the tracers can be targeted to specific body systems, specific organs, or even specific types of cell.
Whereas x-rays are useful is providing us with an image of the body’s anatomy, i.e. what it looks like, gamma ray imaging provides us with a means to visualise what the body is doing. It provides a ‘functional’ image of the processes taking place in particular organs or development of tissues and bones.
Radioactive liquids to treat cancer are given either as a drink or by injection. Examples include:
⦁ Radioactive phosphorus – used for blood disorders
⦁ Radioactive radium – used for cancer that has spread to the bones
⦁ Radioactive strontium – used for secondary bone cancers
⦁ Radioactive iodine – used for benign thyroid conditions and thyroid cancer.
As with the radioactive tracers used in PET scans described earlier, the radioactive part of the liquid may be attached to another substance, which is designed to take the isotope into the tumour.
Radioactive implants
Internal radiotherapy implants are radioactive metal wires, seeds, or tubes put into your body, inside or close to a tumour. In temporary brachytherapy, a highly radioactive material is placed inside a catheter or slender tube for a specific amount of time – often just a few minutes, sometimes a few days – and then withdrawn. The radiation dose is determined by the activity of the radioisotope and the duration of the treatment.
In some types of cancer, small metal implants, or seeds, are left in the body permanently – this is known as permanent brachytherapy. These implants may be made of radioactive gold or contain radioactive iodine or another appropriate radioisotope. They give a very high dose of radiation to the area of the cancer cells. The radiation dose in this case is determined by the activity of the radioisotope and its half-life (see below).
4.1: Explain how technetium-99m is generated
Lesson 8 of 11
Sources of radiation that are administered to humans internally have to be chosen carefully. By injection, ingestion or inhalation, a patient is given a low dosage radioisotope that is targeted to reach a specific organ. The radioisotope needs to produce radioactive emissions of sufficient strength to impact the organ to be treated, or to be detected by the sensors. We do not want to cause danger to the patient’s health, however, by prolonging their exposure to the radiation longer than is necessary.
Isotopes
As we discovered earlier, the number of protons in an atom determines what element it is, e.g.
One proton = hydrogen
Two protons = helium
Six protons = carbon
79 protons = gold
…and so on.
Different number of protons = Different element
If the number of protons in the nucleus changes, it becomes a different element. But if the number of neutrons changes, we have the same element but with a greater or lesser atomic mass, and which is potentially unstable.
An isotope is an atom with the same number of protons, but a different number of neutrons. For example, the most common form of Hydrogen has just one proton and a single orbiting electron. If it had an extra proton it would become Helium, a different element. But if it has an extra neutron or more, it just gains mass and becomes more unstable. If an atom is unstable, it is likely to break down and emit radiation. This is radioactive decay.
Barium sulphate, as used in a ‘barium meal’ procedure described earlier, has a half-life of only 10 days. That means that after 10 days half the radioactive atoms have decayed; and after 50 days (five half-lives) 90% of the radioactive atoms have decayed to a stable product. Though in fact most of it will have been removed from the body by ‘natural biological functions’.
By contrast, carbon-14, as used in ‘carbon dating’ processes, has a radioactive half-life of around 5700 years. That means that something excavated from the Bronze Age, circa 3300BC, will contain around half the number of carbon-14 atoms that it had when it was buried.
Technetium-99m is a radioactive tracer that is used in twenty million medical diagnostic procedures per year. It is used for imaging and studying organs such as the brain, heart muscle, thyroid, lungs, liver, gallbladder and kidneys, as well as the skeleton and blood and for the investigation of tumours.
It does not occur naturally, so let’s have a look at its ancestral line of isotopes.
6.1: Explain the use of ultrasonics in medical imaging and treatment
Lesson 11 of 11
What is a sound wave?
A sound wave is a sequence of vibrations in the air or other medium. They are ‘pulses’ that travel through materials as the particles are compressed together and stretched apart. The vibrations travel through air at a speed of 340 metres per second; in solids the vibrations travel much faster. At higher altitudes, where the air is thinner and the molecules are spaced further apart, sound travels much slower. In a vacuum (like space), sound cannot travel through at all. This is because there are no molecules to transfer the vibrations.
Piezoelectric crystals vibrate in response to an alternating voltage, and when placed against a patient’s skin and driven at high frequencies produce ultrasound pulses that travel through the body. As they travel outwards and encounter different layers within the body the ultrasound waves are reflected back towards the source.
The returning signal drives the crystals in reverse and produces an electronic signal that is processed to construct the image.
Here’s a ‘60 seconds of science’ explanation that covers the ultrasound scanner.
Applications of ultrasound imaging
Ultrasound is used to help physicians investigate symptoms such as pain, swelling and infection, and can help to diagnose a variety of conditions in most of the organs of the body including the heart and blood vessels, the liver, kidneys, brain, and eyes. Ultrasound of the heart is commonly called an “echocardiogram” or “echo” for short. It can scan for abnormalities and tumours in the breasts, testicles, and thyroid. It is frequently used to scan the foetus in pregnant patients, and to examine the hips and spine in young infants.
Ultrasound is also used to guide procedures such as needle biopsies, in which needles are used to sample cells from an abnormal area for laboratory testing, and to guide radiotherapy implants such as used to treat prostate cancer.
A variation on the standard ultrasound scan is ‘Doppler ultrasound’, which can provide important information on blood flow.
To study the health effects of Hanford's iodine-131, researchers investigated a group of people with a wide range of radiation doses to the thyroid. In this way, researchers could compare groups of people with similar characteristics (such as lifestyle and diet) but different levels of exposure.
Other studies suggest that young children may be the most susceptible to the effects of radiation on the thyroid gland. Therefore, the HTDS selected participants who were young children when Hanford releases of iodine-131 were highest. Scientists also ensured that the HTDS participants included many people who lived in areas around Hanford where the highest thyroid radiation doses occurred.
From a sampling of 5,199 birth records, scientists were able to locate 3,440 people who were both willing to participate and able to provide the necessary data for evaluation of thyroid disease.
Participants underwent complete evaluations for thyroid disease, and provided detailed information about the places they lived and the quantities and sources of the food and milk they consumed.
For each type of thyroid disease, the research team examined how the rates of disease varied in relation to participants' estimated radiation doses from Hanford's iodine-131.
Pre-Master’s Programme Science and Technology question paper
Pre-Master’s Programme Science and Technology
Examination August 2021 Duration 2 hours
Section A
Answer ALL the question
Section B
Answer ANY four 4 questions only.
How to Improve Quality of Care in a Care Setting | BUS6004 | Assignment Brief ||
BUS6004
Quality Management in a Care Setting
Essay
Date for Submission: Please refer to the timetable on ilearn
(The submission portal on ilearn will close at 14:00 UK time on the date of submission)
Page of 6
Assignment Brief
As part of the formal assessment for the programme you are required to submit a Quality Management in a Care Setting essay. Please refer to your Student Handbook for full details of the programme assessment scheme and general information on preparing and submitting assignments.
Learning Outcomes:
1. Critically analyse the need for their care setting to achieve the best possible outcomes for the service user.
2. Critically discuss the performance of teams.
3. Critically discuss the management of continuous quality improvement.
4. Reflect upon strategies that develop, maintain and evaluate systems and structures to promote the rights, responsibilities and diversity of service users in their setting.
Graduate attributes: Discipline Expertise
Knowledge and understanding of chosen field. Possess a range of skills to operate within this sector, have a keen awareness of current developments in working practice being well positioned to respond to change.
Maximum word count: 4,000 words
Please note that exceeding the word count by over 10% will result in a reduction in grade by the same percentage that the word count is exceeded.
You must not include your name in your submission because Arden University operates anonymous marking, which means that markers should not be aware of the identity of the student. However, please do not forget to include your STU number.
Assessment Task - Essay
This assessment is worth 100% of the total marks for the module.
Question 1
Using specific examples from own practice to support your discussion, make a case for why care settings must achieve the best possible outcome for users off service in their care.
Note: Also consider the advantages of outcome-based care, challenges experienced in implementing it in your practice. Are there success stories or case studies to share?
(40 marks)
(1500 words)
(LO 1)
Question 2
With reference to a relevant team development and motivation theory, critically discuss the performance of teams in managing Continuous Quality Improvement (CQI) in care settings.
Note: Consider using CQI tools and frameworks to support your critical debate.
(40 marks)
(1500 words)
(LO 2 & 3)
Question 3
Using a recognised reflective model or tool, evaluate strategies, systems and structures used in health and social care practices to promote the rights, responsibilities and diversity of service users.
Note: Consider the role of critical reflection in evaluating strategies, systems, structures and policies in supporting the principles of support for working in Health and Social Care.
(20 marks)
(1000 words)
(LO 4)
Page of 6
Formative Feedback
You have the opportunity to submit a draft assignment to receive formative feedback.
The feedback is designed to help you develop areas of your work and it helps you develop your skills as an independent learner.
If you are a distance learning student, you should submit your work, by email, to your tutor, no later than 2 weeks before the actual submission deadline. If you are a blended learning student, your tutor will give you a deadline for formative feedback and further details.
Formative feedback will not be given to work submitted after the above date or the date specified by your tutor - if a blended learning student.
Student Guidelines
You MUST underpin your analysis and evaluation of the key issues with appropriate and wide ranging academic research and ensure this is referenced using the AU Harvard system.
The My Study Skills Area on iLearn contains useful resources relating to referencing.
You must use the AU Harvard Referencing method in your assignment.
Additional notes:
Students are required to indicate the exact word count on the title page of the assessment.
The word count excludes the title page, tables, figures, diagrams, footnotes, reference list and appendices. Where assessment questions have been reprinted from the assessment brief these will also be excluded from the word count. ALL other printed words ARE included in the word count. See ‘Word Count Policy’ on the homepage of this module for more information.
Page 4 of 6
[1515]
Submission Guidance
Assignments submitted late will not be accepted and will be marked as a 0% fail.
Your assessment should be submitted as a single Word (MS Word) or PDF file. For more information please see the “Guide to Submitting an Assignment” document available on the module page on iLearn.
You must ensure that the submitted assignment is all your own work and that all sources used are correctly attributed. Penalties apply to assignments which show evidence of academic unfair practice. (See the Student Handbook which is on the homepage of your module and also in the Induction Area).
Assessment Criteria (Learning objectives covered - all)
Level 6 study represents the student’s increasing autonomy and independence in relation to their knowledge, understanding and skills. At Level 6, students are expected to demonstrate problem solving skills in both practical and theoretical contexts. This should be supported by an understanding of appropriate theory, creativity in expression and thought based on independent but informed judgments. Students should demonstrate the ability to seek out, invoke, analyse and evaluate competing theories and claims to knowledge and work in a critically constructive manner. Work at this level is articulate, coherent and skilled. |
||
Grade |
Mark Bands |
Generic Assessment Criteria |
First (1) |
80%+
|
An exceptional knowledge base exploring and analysing the discipline, its theory and any associated ethical considerations. The work demonstrates extraordinary independence of thought and originality. There is exceptional management of learning resources and a high degree of autonomy is demonstrated which goes above and beyond the brief. The work demonstrates intellectual originality and creativity. Writing is exceptionally well structured and accurately referenced throughout. Where appropriate, outstanding professional skills are demonstrated. The work is original and with some additional effort could be considered for internal publication. |
7079%
|
An excellent information base within which the discipline is explored and analysed. There is considerable originality in the approach and the work demonstrates confidence and autonomy and extends to consider ethical issues. Learning resources have been managed with exceptional confidence and the work exceeds the assessment brief. Writing is exceptionally well structured and accurately referenced throughout. Where appropriate, an excellent level of professional skills are demonstrated and the work demonstrates a high level of intellectual and academic skills. |
|
Upper second (2:1) |
6069%
|
A very good knowledge base which explores and analyses the discipline, its theory and any associated ethical issues. There is evidence of some originality and independence of thought. A very good range of learning resources underpin the work and there is clear evidence of self-directed research. The work demonstrates the ability to analyse the subject and apply theory with good academic and intellectual skills. Academic writing skills are good, expression is accurate overall and the work is consistently referenced throughout. |
Lower second (2:2) |
5059%
|
A satisfactory understanding of the discipline which supports some analysis, evaluation and problem-solving within the discipline. There may be reference to some of the ethical considerations. The work shows a sound level of competence in managing basic sources and materials. Academic writing skills are good and accurate overall and the work is planned and structured with some thought. Professional skills are satisfactory (where appropriate). The work may lack originality but academic and intellectual skills are moving into the critical domain. The work is referenced throughout. |
Third (3) |
4049%
|
Basic level of performance in which there are some omissions in the understanding of the subject, its underpinning theory and ethical considerations. There is little evidence of independent thought and the work shows a basic use of sources and materials. Academic and intellectual skills are limited. The work may lack structure overall. There are some difficulties in developing professional skills (where appropriate). There is an attempt to reference the work. |
Marginal Fail |
3039%
|
A limited piece of work in which there are clear gaps in understanding the subject, its underpinning theory and ethical considerations. The work shows a limited use of sources and materials. Academic and intellectual skills are weak and there are errors in expression and the work may lack structure overall. There are difficulties in developing professional skills (where appropriate). The work lacks original thought and is largely imitative. |
|
29% and below |
A poor performance in which there are substantial gaps in knowledge and understanding, underpinning theory and ethical considerations. The work shows little evidence in the use of appropriate sources and materials. Academic writing skills are very weak and there are numerous errors in expression. The work lacks structure overall. Professional skills (where appropriate) are not developed. The work is imitative. |