Journal Article Analysis on ethics audit - Business Finance
Attached is the PDF for ethics audit. Please look at the attached document and write a 600 word document in APA format and include the references. The document should consist of the following:Key Term: ethics auditDEFINITION: a brief definition of the key term followed by the APA reference for the term; this does not count in the word requirement. SUMMARY: Summarize the article in your own words- this should be in the 150-200 word range. Be sure to note the articles author, note their credentials and why we should put any weight behind his/her opinions, research or findings regarding the key term. DISCUSSION: Using 300-350 words, write a brief discussion, in your own words of how the article relates to the selected chapter Key Term. A discussion is not rehashing what was already stated in the article, but the opportunity for you to add value by sharing your experiences, thoughts and opinions. This is the most important part of the assignment. REFERENCES: All references must be listed at the bottom of the submission--in APA format. Be sure to use the headers in your submission. journal_article_analysis_7.pdf Unformatted Attachment Preview Original Article Current status of standardized, quality and ethical oversight of clinical research in the country: An audit of the Central Drugs Standard Control Organization (registration of ethics committees) and national accreditation board for hospital and healthcare providers (accreditation) databases Tushar Bhimrao Nishandar, Amit Ravindra Birajdar, Nithya J. Gogtay, Urmila M. Thatte Department of Clinical Pharmacology, Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra, India Abstract Purpose: The Prof. Ranjit Roy Chaudhury committee report recommended the accreditation of Institutional Ethics Committees (IECs). Rule 122DD of the Drugs and Cosmetics Act (and Rules) mandates that only registered ECs can accord approval for regulatory studies. We evaluated the current status of registered, reregistered, and accredited ECs in the country to assess the impact of both the recommendation and rule. Materials and Methods: Websites of stakeholders‑the Central Drugs Standard Control Organization (CDSCO), National Accreditation Board for Hospitals and Healthcare Providers (NABH) were assessed. Information on registration status was then compared with regulatory clinical trials in the Clinical Trials Registry of India, population demographics of all states, and the Medical Council of India recognized postgraduate medical colleges in the various states. Results: A total of 1268 ECs were registered with CDSCO. Of these, 1008 (79.5\%) were institutional and 256 (20.18\%) independent ECs. A total of 499/1268 (39.4\%) ECs were reregistered. Of which 449/499 (90\%) were institutional and 50/499 (10\%) were independent. Institutional ECs were five times more likely to be reregistered with CDSCO relative to independent ECs (cOR 4.52 [3.12, 6.54], P < 0.0001). A total of 15/233 (7\%) applications to NABH had received accreditation. A wide skew was seen in the distribution of ECs across various states as also their oversight of regulatory clinical trials. Conclusions: Registration and reregistration of ECs along with accreditation is not commensurate with the needs of the country at this time and must be vigorously promoted. Keywords: Ethics committee accreditation, ethics committee registration, independent ethics committee, institutional ethics committee Address for correspondence: Dr. Urmila M. Thatte, Department of Clinical Pharmacology, 1st Floor, New MS Building, Seth G S Medical College and KEM Hospital, Parel, Mumbai ‑ 400 012, Maharashtra, India. E‑mail: urmilathatte@gmail.com This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Access this article online Quick Response Code: For reprints contact: reprints@medknow.com Website: www.picronline.org DOI: 10.4103/picr.PICR_93_18 84 How to cite this article: Nishandar TB, Birajdar AR, Gogtay NJ, Thatte UM. Current status of standardized, quality and ethical oversight of clinical research in the country: An audit of the Central Drugs Standard Control Organization (registration of ethics committees) and national accreditation board for hospital and healthcare providers (accreditation) databases. Perspect Clin Res 2019;10:84-90. © 2019 Perspectives in Clinical Research | Published by Wolters Kluwer - Medknow Nishandar, et al.: An audit of registered ECs in India INTRODUCTION Ethics committees (ECs) safeguard the rights, dignity, and well‑being of research participants by reviewing all aspects of clinical research, approving its initiation as well as providing continued oversight.[1] An important amendment was made to the schedule Y of the drugs and cosmetics act (1940) and rules (1945) on February 8, 2013, with the introduction of rule 122DD issued by the ministry of health and family welfare, Government Of India. This rule states that “no ethics committee (EC) shall review and accord its approval to a clinical trial protocol without prior registration with the licensing authority i.e., the Central Drugs Standard Control Organization (CDSCO) in India.” The rule also states that the registration of an EC is valid for 3 years and needs to be renewed every 3 years.[2] The report of the Prof. Ranjit Roy Chaudhury Committee in July 2013 recommended the accreditation of institutional ECs (IECs), principal investigators (PIs) of clinical trials and centers desirous of carrying out clinical trials.[3] It was believed that the accreditation of ECs would play a pivotal role in improving the protection of research participants.[4,5] The CDSCO has tasked the National Accreditation Board For Hospitals And Healthcare Providers (NABH) to accredited ECs in India. With this background, we carried out the present study with the primary objective of assessing the current status of registered, reregistered and accreditated ECs in the country to evaluate the impact of both the rule and the recommendation. Our secondary objectives were to assess whether the numbers of ECs state wise was commensurate with the population of the state. Since it is mandatory to register clinical trials which are regulatory in nature at the Clinical Trials Registry of India (CTRI), we also evaluated the number of such trials per state vis à vis the population and registered ECs of that state. We also wanted to assess whether the Medical Council of India (MCI) recognized medical colleges (teaching postgraduate [PG] courses and therefore conducting clinical research) had ECs that were registered. MATERIALS AND METHODS Ethics Exemption from the review was received from the IECs since the information collected for this study is freely available in the public domain (EC/OA‑158/2017). Methodology All relevant data were collected from the following sites Perspectives in Clinical Research | Volume 10 | Issue 2 | April-June 2019 1. EC registration and reregistration http://www.cdsco. nic.in/forms/list.aspx?lid=1859andId=1 Apart from looking at the total numbers as portrayed on the website, the letter of approval for the EC registration of each EC was also downloaded and analyzed for the date of registration (to assess eligibility for reregistration) 2. NABH accreditation status of ECs http://www.nabh. co/ClinicalTrial.aspx 3. Registered regulatory clinical trials http://ctri.nic. in/Clinicaltrials/advancesearchmain.php. This was searched between January 1, 2013 to February 28, 2018 4. MCI recognized colleges for PG teaching https:// www.mciindia.org/CMS/infor mation‑desk/ indian‑medical‑register. [last accessed on June 27, 2018] 5 Population demographics of the country were obtained from http://censusindia.gov.in/Data collection was started after EC exempted the study on January 12, 2018 and all databases (except the website of the MCI) were last accessed on February 28, 2018. Outcome measures From the websites, we assessed: (a) the total number of independent and institutional ECs registered‑both initially and reregistered and their accreditation status, (b) The state‑wise distribution of all ECs, (c) Time (range) in days to registration of independent and institutional ECs, (d) Population of states versus number of registered ECs, (e) Number of regulatory trials registered in CTRI per state versus the number of ECs registered per state, and (f) Number of MCI recognized colleges versus number of colleges with registered ECs. Statistical analysis plan Both descriptive and inferential statistics were applied. Categorical data (Number of independent and institutional ECs registered and reregistered, the population of states, number of regulatory clinical trials in CTRI and number of MCI recognized medical colleges, number of NABH accredited ECs) are presented as proportions. Comparison of (a) Population of states versus number of registered ECs, (b) Number of regulatory trials registered in CTRI per state versus number of ECs registered per state, and (c) Number of MCI recognized colleges versus number of colleges with registered ECs was done using descriptive statistics. Quantitative data (time to initial registration of the ECs) are expressed as median (range) after assessing for normality. The difference between the time to registration between institutional and independent ECs was compared using the Mann–Whitney U‑test. Comparison of reregistration 85 Nishandar, et al.: An audit of registered ECs in India status of Institutional versus Independent ECs was done using Chi‑square statistics. All analyses were performed at 5\% significance using Microsoft Excel® 2016. RESULTS Number of registered, reregistered and accredited ethics committees A total of n = 1268 ECs were registered with CDSCO. Of these n = 1008 (79.5\%) were Institutional ECs, n = 256 (20.18\%) were independent ECs and four applications were rejected. A total of 499/1268 (39.4\%) ECs were reregistered of which 449/499 (90\%) were institutional and 50/499 (10\%) were independent. Of the 1268 ECs, data contained in 167/1268 (13.1\%) documents could not be analyzed for dates of reregistration because of various reasons, as summarized in Figure 1. Thus, a total of 1101 documents were available for further analysis related to reregistration and the distribution between institutional and independent ECs is also summarized in Figure 1. Institutional ECs were five times more likely to be reregistered with CDSCO relative to independent ECs (cOR 4.52 [3.12, 6.54], P < 0.0001). A total number of 233 applications were received by NABH for accreditation. Of these, 15 ECs are accredited as of now. State‑wise distribution of registered and reregistered ethics committees The state‑wise distribution of initially registered ECs is shown in Figure 2a. The state of Maharashtra had the Figure 1: Schematic representation of initially registered and reregistered Ethics Committees 86 Perspectives in Clinical Research | Volume 10 | Issue 2 | April-June 2019 Nishandar, et al.: An audit of registered ECs in India a b Figure 2: (a) State-wise distribution of initially registered ethics committees. (b) State wise distribution of re-registered ethics committees highest number of registered ECs at 290/1268 (22.9\%) while the states of the northeast region (14/1268; 1.1\%) Perspectives in Clinical Research | Volume 10 | Issue 2 | April-June 2019 and Andaman and Nicobar Islands (1/1268; 0.07\%) have the least number of registered ECs. 87 Nishandar, et al.: An audit of registered ECs in India The state‑wise distribution of reregistered ECs is shown in Figure 2b. Maharashtra leads the list of states in the number of ECs reregistered at 130/499 (26.1\%), whereas out of the five eligible ECs in the North East region only two are reregistered. The EC in Andaman and Nicobar Islands is not yet eligible for reregistration. Time and range to initial registration of ethics committees The median time (range) required for registration for institutional ECs was 66.5 (2–1269) days while Independent ECs required 153 (22–822) days for initial registration (P < 0.0001). The time required for reregistration could not be measured as majority of the approval letters of reregistration of ECs did not provide the date of application. State population versus number of registered ethics committees The state of Maharashtra with 9.28\% of the country’s population had 28.8\% of registered ECs in the country. The state of Bihar that has a similar population proportion (8.5\%) but has only 0.7\% of the registered ECs. The population (percentage) of representative states (highly populated) and registered ECs (percentage) is depicted in Figure 3. Registered clinical trials versus registered ethics committees The total number of regulatory studies registered in the CTRI between January 2013 and February 28 2018 were 3689 of which Maharashtra had the highest number (n = 772/3689; 20.9\%). In states like Delhi and Bihar, ten and nine regulatory clinical trials, respectively, were overseen by each EC, whereas this ratio was two to four in states such as Maharashtra, Kerala, and Madhya Pradesh. The comparison of number of regulatory trials to registered Institutional ECs in major states across the country is shown in Table 1. Medical Council of India recognized medical colleges versus registered ethics committees A total of n = 494 medical colleges are currently recognized by the MCI in the country for PG education. In Sikkim, Meghalaya, and Goa all the MCI recognized medical colleges have registered ECs (n = 1 each). However, the states of Karnataka, Maharashtra, Bihar, UP, Assam, and Haryana have far fewer medical college ECs registered (for example, in Bihar which has 13 recognized medical colleges only one medical college EC is registered). Table 2 summarizes the numbers of MCI recognized medical colleges and the number of medical colleges with registered ECs across the states in India. DISCUSSION The study on the registration and accreditation status of ECs in India found that 80\% of registered ECs are institutional (who are permitted to oversee the regulatory clinical research along with academic studies of an institute) whereas the remaining 20\% are IECs (which are allowed to only oversee bioavailability/bioequivalence (BA/BE) studies) with a mere 7\% (all institutional ECs) accredited Figure 3: Population of the state (percentage) versus registered ethics committees (percentage) 88 Perspectives in Clinical Research | Volume 10 | Issue 2 | April-June 2019 Nishandar, et al.: An audit of registered ECs in India Table 1: Comparison of regulatory clinical trials to registered institutional ethics committees State Number of regulatory clinical trials (A) Number of registered ECs (B) Ratio of A and B 772 529 56 162 667 659 465 547 359 343 45 209 50 6 66 100 105 105 101 60 48 16 3.69 10.58 9.33 2.45 6.67 6.28 4.43 5.42 5.98 7.15 2.81 Maharashtra Delhi Bihar Kerala Gujarat Karnataka Andhra Pradesh Tamil Nadu Uttar Pradesh West Bengal Madhya Pradesh ECs=Ethics committees Table 2: Comparison between Medical Council of India recognized medical colleges and registered institutional ethics committees State Meghalaya Goa Sikkim Pudduchery Karnataka Odisha Uttarakhand Kerala Rajasthan Maharashtra Punjab Gujarat Madhya Pradesh Delhi Jammu and Kashmir Andhra Pradesh West Bengal Chattisgarh Jharkhand TamilNadu Assam Himachal Pradesh Uttar Pradesh Haryana Bihar Number of MCI recognised colleges Number of MCI recognised colleges with registered institutional ECs 1 1 1 9 63 13 7 36 18 47 11 26 19 22 4 32 28 10 5 56 8 7 45 12 13 1 1 1 8 39 8 4 20 10 26 6 14 10 11 2 15 13 4 2 22 3 2 10 1 1 ECs=Ethics committees, MCI=Medical Council of India with the NABH. Along with regulatory clinical trials the total responsibility of overseeing academic clinical trials now lies only with institutional ECs without co‑supervision by the regulator. This further highlights the need for registration of institutional ECs – and a total of 1008 registered institutional ECs does not reflect the total number of ECs that exist in the country. Interestingly, we found as many as 167/1268 registration documents could not be assessed for the date of registration due to which we were unable to assess eligibility for reregistration, for various reasons including majorly Perspectives in Clinical Research | Volume 10 | Issue 2 | April-June 2019 an inability to download these documents. This suggests an incompleteness of the database and implies a need for a timely update of the database to allow for complete transparency of the process. More (63\%) of the institutional ECs, which were eligible for reregistration was actually reregistered, whereas only 27\% of the eligible independent ECs were reregistered. This may be because of the tremendous documentation required (which needs an investment of time and money as well as training) and lack of fair incentives to do so. Accreditation of only 7\% ECs with the NABH over a period of 10 months points toward a slow process of accreditation along with probably a lack of motivation of ECs toward getting this done. This could be attributed to a lack of workforce, the fact that accreditation is a voluntary self‑improvement process and a large study overload with most ECs. In view of this, the CDSCO should conduct inspections of ECs that oversee regulatory trials as well as others (that oversee academic trials) to ensure greater adherence to regulations and maintenance of a uniform standard of functioning. The skewed distribution of initially as well as reregistered ECs across the various states of the country suggests just like a skewed distribution of access to health care facilities[6] and medical teaching institutes,[7] the concentration of registered ECs in certain states suggests an improper distribution of clinical trials in the country. This has great ethical implications as access to research is as important as access to health care particularly for orphan diseases.[8] The licensing authority appears to favor IECs based on the finding of a statistically significantly greater time to registration for an independent EC compared to an institutional EC. This is possibly also due to the greater efforts and time needed to check the independent EC documentation as they do not have an institutional oversight. However, IECs could play an important role in protecting the rights of participants in BA/BE studies which carry with them several ethical challenges including participant recruitment strategies and informed consent procedures.[9] Independent ECs also oversee nonregulatory studies conducted in smaller clinics and nursing homes which are not BA/BE in nature and their registration with the CDSCO is also desired to happen as fast as institutional committees to promote such type of clinical research important for the population of India. There was a skewed distribution of the number of ECs with respect to the population in states. This is in coherence 89 Nishandar, et al.: An audit of registered ECs in India with the finding by Bhide et al.[10] In places with less number of registered ECs, participants may have less protection. There is a need for more ECs in states with a larger population sush as Bihar and UP, to safeguard their rights, safety, dignity, and well‑being. As we have mentioned above, this has great ethical implications as access to research is as important as access to health care, especially for diseases relevant to that state, for example, Leishmaniasis in Bihar and Encephalitis in the state of Uttar Pradesh.[11,12] From observations of the present study, it is evident that ECs in certain states are overburdened with the number of regulatory clinical trials they oversee. This might be due to more number of clinical trials being registered in certain states owing to the availability of good quality of healthcare and trained investigators in those states such as Maharashtra, Karnataka, New Delhi, and Gujarat. However, there is a need for registered and hence empowered ECs appropriate to the number of clinical trials permitted in the state. MCI sets uniform standards of higher education in medicine and recognition of medical qualification in India and abroad.[7] MCI recognized PG medical colleges need to be registered ECs to oversee PG theses apart from clinical trials and other academic research. The current scenario in Bihar with only 1 out of 13 of MCI recognized medical college having a registered EC, puts academic research on the radar. In the world’s most populated democracy, with increasing clinical research, empowered ECs are the need of the hour. ECs play a great role in the quality of clinical research.[4] Timely reregistration of both institutional as well 90 as independent EC should be encouraged. To strengthen the functioning of EC ... Purchase answer to see full attachment
CATEGORIES
Economics Nursing Applied Sciences Psychology Science Management Computer Science Human Resource Management Accounting Information Systems English Anatomy Operations Management Sociology Literature Education Business & Finance Marketing Engineering Statistics Biology Political Science Reading History Financial markets Philosophy Mathematics Law Criminal Architecture and Design Government Social Science World history Chemistry Humanities Business Finance Writing Programming Telecommunications Engineering Geography Physics Spanish ach e. Embedded Entrepreneurship f. Three Social Entrepreneurship Models g. Social-Founder Identity h. Micros-enterprise Development Outcomes Subset 2. Indigenous Entrepreneurship Approaches (Outside of Canada) a. Indigenous Australian Entrepreneurs Exami Calculus (people influence of  others) processes that you perceived occurs in this specific Institution Select one of the forms of stratification highlighted (focus on inter the intersectionalities  of these three) to reflect and analyze the potential ways these ( American history Pharmacology Ancient history . Also Numerical analysis Environmental science Electrical Engineering Precalculus Physiology Civil Engineering Electronic Engineering ness Horizons Algebra Geology Physical chemistry nt When considering both O lassrooms Civil Probability ions Identify a specific consumer product that you or your family have used for quite some time. This might be a branded smartphone (if you have used several versions over the years) or the court to consider in its deliberations. Locard’s exchange principle argues that during the commission of a crime Chemical Engineering Ecology aragraphs (meaning 25 sentences or more). Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages). Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3 pages): Provide a description of an existing intervention in Canada making the appropriate buying decisions in an ethical and professional manner. Topic: Purchasing and Technology You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.         https://youtu.be/fRym_jyuBc0 Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo evidence-based primary care curriculum. Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle From a similar but larger point of view 4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open When seeking to identify a patient’s health condition After viewing the you tube videos on prayer Your paper must be at least two pages in length (not counting the title and reference pages) The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough Data collection Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte I think knowing more about you will allow you to be able to choose the right resources Be 4 pages in length soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test g One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti 3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident