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    [>Machine Learning homework help](https://www.sweetstudy.com/fields/computer-science-machine-learning) – a year ago **files (4)** – ## Project_Plan_Template3.doc – ## feedback52825.docx – ## annotated-ProjectplanV8926main12028129-1.docx.pdf – ProjectPlanGuideCapstoneFinal.pdf **## Project_Plan_T…

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    – a year ago

    **files (4)**

    – ## Project_Plan_Template3.doc

    – ## feedback52825.docx

    – ## annotated-ProjectplanV8926main12028129-1.docx.pdf

    – ProjectPlanGuideCapstoneFinal.pdf

    **## Project_Plan_Template3.doc**

    [removed]

    **## feedback52825.docx**

    Hi Brittany,

    Thank you for resubmitting your project plan. Your work continues to reflect a deep interest in organizational and behavioral responses to ransomware threats in healthcare settings. This topic is both timely and significant. However, to move your plan forward, several key revisions are still required.

    **Template Use Is Mandatory**

    I must emphasize that your project plan must be submitted using the official
    **Capella DIT Project Plan Template**. I have reminded you of this requirement on
    **at least ten occasions across this course and the previous one**. This is not a recommendation—it is a program requirement.

    Without the proper template, your submission:

    · Cannot be fully reviewed using the DIT rubric

    · Will not move forward to
    **secondary review**

    · Lacks the structural elements required by Capella and the academic review process

    Please ensure your next submission is formatted using the template available in the course room.

    **Specific Business Problem – Overloaded with Multiple Constructs**

    Your current version of the specific business problem includes
    **too many distinct and complex issues**, such as:

    · Underdeveloped training programs

    · Policy enforcement gaps

    · Insider threats

    · Employee noncompliance

    · Delayed recovery

    · Regulatory failure

    · Organizational culture

    · Cognitive biases

    Each of these is a separate organizational or technical challenge. Including them all makes it impossible to maintain alignment with your research question, framework, and methodology.

    **Recommended Narrowed Focus**

    To create alignment across your project, I recommend focusing on a more defined issue:

    **Revised Specific Business Problem**:

    _The specific business problem is that IT professionals in healthcare organizations face challenges addressing ransomware threats due to the combined influence of cognitive biases and inconsistent policy enforcement, resulting in delayed response and increased organizational risk (Vishwanath, 2020)._

    This version is:

    · Practice-based

    · Supported by literature

    · Feasible for qualitative inquiry

    · Aligns with human-centered cybersecurity frameworks

    **Revised Research Question (Aligned with GQI)**

    _How do IT professionals in healthcare organizations address the influence of organizational policies and cognitive biases when responding to ransomware threats?_

    This open-ended question avoids causal language, aligns with
    **generic qualitative inquiry**, and supports your intended exploration of organizational and behavioral factors.

    **Framework Misalignment**

    Your current framework references are vague and inconsistent with your constructs. To support your revised problem and question, I recommend selecting a framework that explicitly explains how behavior and decision-making are shaped by organizational or cognitive factors.

    Recommended frameworks include:

    ·
    **Cognitive Heuristics in Cybersecurity** (Vishwanath, 2020)

    ·
    **Protection Motivation Theory (PMT)** – Focused on how individuals assess and react to threats

    ·
    **Theory of Planned Behavior (TPB)** – Useful for understanding compliance-related actions

    Whichever framework you choose, it must:

    · Clearly align with your constructs (e.g., cognitive bias, organizational policy)

    · Inform your data collection and interpretation

    **Define Your Target Population**

    You reference "IT professionals" broadly, but your project plan lacks details on:

    ·
    **Who** qualifies as an IT professional (e.g., engineers, analysts, CISOs)?

    ·
    **Where** they work (e.g., mid-sized U.S. healthcare organizations)?

    ·
    **How** many participants you plan to include?

    **Suggested Language:**

    _The target population for this study consists of IT professionals—including engineers, analysts, and cybersecurity managers—working in U.S.-based healthcare organizations that have implemented ransomware response protocols._

    Clarifying your population now will help with recruitment planning and IRB preparation in Week 10.

    **Action Items for Revision**

    1.
    **Transfer your content into the official DIT Project Plan Template.**

    2. Revise your
    **specific business problem** to focus on one issue.

    3. Submit
    **one open-ended research question** that aligns with the problem.

    4. Select a
    **framework** that directly supports your constructs and research design.

    5. Clearly define your
    **target population**, including roles, setting, and scope.

    Once you’ve addressed these issues, I’ll be happy to re-review your plan for secondary submission to the DIT program reviewer. Please feel free to schedule a time to discuss if that would be helpful.

    Best regards,
    Dr. Marbury
    https://raymondmarbury.youcanbook.me

    **Reference**
    Vishwanath, A. (2020).
    _The weakest link: A psychological perspective on why employees fail to adhere to security policies_. Cyberpsychology, Behavior, and Social Networking, 23(5), 321–327.
    [10.4018/978-1-60566-036-3.ch004](http://dx.doi.org/10.4018/978-1-60566-036-3.ch004)

    **## annotated-ProjectplanV8926main12028129-1.docx.pdf**

    Britney Jackson

    Learner ID: 2658828

    Britneyjackson1920@gmail.com

    Capella University

    Information Technology

    Capstone

    Qualitative

    Spring 2025/ DIT-V8926

    [mailto:Britneyjackson1920@gmail.com](mailto:Britneyjackson1920@gmail.com)

    Project topic

    Enhancing Ransomware Mitigation Strategies Among IT Professionals: A Qualitative

    Exploration of Organizational Resilience and Response Frameworks.

    Alignment to the Program of Study

    By focusing on why and how systems and people resist ransomware attacks, the project helps

    develop skills important to cybersecurity. The study bases its analysis on what healthcare IT

    experts do and decide which links human aspects to the organizational requirements in

    information assurance and security compliance. The curriculum focuses on outcomes for incident

    response, protecting computer systems and managing risks in important sectors.

    Project Problem

    This research focuses on the issue that cybercriminals are rapidly evolving ransomware, and their

    attacks push mid-sized healthcare organizations to handle human factors and cognitive errors

    more efficiently. There are many technical ways to protect systems, but little is understood about

    how IT professionals’ approach, carry out or resist these rules. Because firms do not fully

    understand resilience, they keep experiencing similar weaknesses and recovery challenges.

    Problem to be Addressed

    Despite a rise in ransomware attacks on mid-sized healthcare companies, many have not fully

    developed training programs for staff, follow compliance or notice threats from staff actions. In

    these circumstances, IT specialists frequently lack understanding of how cognitive biases and

    company culture influence their ability to stick to the required safety steps. Due to this, security

    is regularly compromised, recovery takes time, and companies fail to meet regulations, posing

    different types of financial and functional risks in major service areas.

    Gap

    Very little has been written about linking technical, behavioral and organizational approaches to

    ransomware prevention. The present literature on the subject examines technical problems and

    compliance requirements without delving into how professionals working in IT understand and

    manage these practices. This research reviews the need to see how IT professionals decide and

    respond to various situations. With the speed of ransomware rising and more healthcare services

    being handled electronically, it is especially important to know several aspects of cybersecurity.

    Supporting Evidence

    Several academic publications have established core concepts regarding ransomware attacks and

    their defensive strategies.

    Lee and Choi (2022) apply the theoretical framework of cyber-routine activities to

    understand ransomware role in Bitcoin usage since terrorists employ this digital money for

    various mysterious reasons.

    Ryan (2021) inspects the economic aspects of ransomware, explaining how attackers

    build their ransom demands while examining the financial costs faced by organizations.

    The research provides essential economic and theoretical knowledge, yet fails to assess

    how organizations respond to real incidents in practice. Wang et al. (2021) conducted research

    establishing NIDS and EDR solutions as practical tools that enhance proactive defense

    capabilities (Wang et al., 2021). A lack of comprehensive research exists that evaluates how well

    cybersecurity training programs work in practice alongside AI technology when detecting and

    stopping ransomware attacks.

    Primary Orientation

    Experts believe that managing ransomware risks means combining technological approaches

    with changes in people’s and organizations’ behaviors. The main ways this research frames the

    exploration are the Technology Acceptance Model (TAM) and theories of information security

    compliance. Lee and Choi (2022) talk about how ransomware, financial motives and

    organizational actions are related and McConnell et al. (2024) describe how security compliance

    could be impacted by biased thinking. These views explain why it is important to approach

    online security through studies of human behavior.

    Efforts to Address the Problem

    The main approaches used earlier were putting in place technologies like intrusion detection and

    making sure all regulations are followed. Yet, according to Ryan (2021) and McConnell et al.

    (2024), these approaches are limited because they do not address behavioral drives such as bias,

    habit and organizational climate. The authors of this work suggest that using economics and

    game theory adds even more threats to the picture. There have been very few attempts to unite

    these views with qualitative analysis to see how ransomware affects IT professionals in real

    settings.

    Synthesis of the Evidence

    According to current research, threats from ransomware are rising in healthcare, but it is not

    clear how technical, behavioral and organizational aspects relate. They discuss how ransomware

    attacks are tied to digital currency, using routine activity theory, but their paper does not

    investigate how organizations decide on their response. Ryan (2021) offers good economic

    insights into ransom demands, even though he does not look at the consequences for people

    working in the IT field. In 2021, Wang et al. applied game theory to cybersecurity tools NIDS

    and EDR to support planning ahead, but they did not focus on human or cultural aspects.

    McConnell et al. (2024) fill part of the gap by investigating how different approaches to thinking

    affect policy compliance in the healthcare sector among Linux server administrators. According

    to their results, human factors should be incorporated into compliance more, yet what they

    review only applies to one platform and role. There is general agreement in the research that

    technology is not the sole solution. Despite this, studies exploring the way professionals think

    about and deal with security through words and stories are still rather uncommon. This project

    aims to fill that gap by analyzing the experiences of IT experts in digital health and seeing how

    attitudes, biases and company policies affect their strategies against ransomware attacks.

    Purpose of the Project and Project Questions

    1. How do IT professionals in healthcare organizations perceive and respond to

    organizational policies intended to mitigate ransomware threats?

    2. What role do cognitive heuristics and biases play in shaping IT professionals’ decisions

    related to ransomware response and compliance?

    3. How do organizational culture and structure influence the behavior of IT professionals in

    managing ransomware risks?

    Purpose of the Project

    The aim of this study is to learn about how IT workers in mid-sized U.S. healthcare

    organizations address ransomware threats, with attention to how mental biases, organizational

    traditions and behavioral actions relate to information security policies.

    Statement of Primary Question(s)

    1. What gaps do IT professionals identify in current incident response frameworks for

    ransomware attacks?

    2. How do organizational policies, employee training, and technological solutions

    collectively impact resilience against ransomware threats?

    3. What role do IT professionals see Artificial Intelligence playing in enhancing

    ransomware detection and response?

    Definition of Terms

    Ransomware: A type of malicious software that restricts access to data or systems and demands

    payment to restore functionality.

    Information Security Policy Compliance: The extent to which IT professionals follow

    organizational protocols to protect digital assets.

    Cognitive Heuristics and Biases: Mental shortcuts and distortions in thinking that affect how

    individuals process information and make decisions.

    Organizational Resilience: The ability of an organization to anticipate, adapt to, and recover

    from cybersecurity incidents.

    Qualitative Research: An approach focused on understanding human behavior and experiences

    through interviews, observations, and thematic analysis.

    References

    McConnell, John, et al. “The role of heuristics and biases in linux server administrators’

    Information Security Policy Compliance at healthcare organizations.” Proceedings of the

    10th International Conference on Information Systems Security and Privacy, 2024, pp.

    30–41, https://doi.org/10.5220/0012297000003648

    Lee, Hannarae, and Kyung-Shick Choi. “Interrelationship between Bitcoin, ransomware, and

    terrorist activities: Criminal Opportunity Assessment via cyber-routine activities

    theoretical framework.” The New Technology of Financial Crime, 10 May 2022, pp. 82–

    103, https://doi.org/10.4324/9781003258100-5.

    Ryan, M. (2021). Ransomware Economics. In Ransomware Revolution: The Rise of a

    Prodigious Cyber Threat (pp. 67–90). Springer. https://doi.org/10.1007/978-3-030-

    66583-8_4

    Wang, L., Guo, Y., & Lin, L. (2021). An analysis of ransomware defense strategies using

    game theory. Journal of Cybersecurity and Privacy, 1(3), 495–508.

    https://doi.org/10.3390/jcp1030025

    **ProjectPlanGuideCapstoneFinal.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/projectplanguidecapstonefinal-pdf)

    **ProjectPlanGuideCapstoneFinal.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/projectplanguidecapstonefinal-pdf)

    **## Project_Plan_Template3.doc**

    [removed]

    **## feedback52825.docx**

    Hi Brittany,

    Thank you for resubmitting your project plan. Your work continues to reflect a deep interest in organizational and behavioral responses to ransomware threats in healthcare settings. This topic is both timely and significant. However, to move your plan forward, several key revisions are still required.

    **Template Use Is Mandatory**

    I must emphasize that your project plan must be submitted using the official
    **Capella DIT Project Plan Template**. I have reminded you of this requirement on
    **at least ten occasions across this course and the previous one**. This is not a recommendation—it is a program requirement.

    Without the proper template, your submission:

    · Cannot be fully reviewed using the DIT rubric

    · Will not move forward to
    **secondary review**

    · Lacks the structural elements required by Capella and the academic review process

    Please ensure your next submission is formatted using the template available in the course room.

    **Specific Business Problem – Overloaded with Multiple Constructs**

    Your current version of the specific business problem includes
    **too many distinct and complex issues**, such as:

    · Underdeveloped training programs

    · Policy enforcement gaps

    · Insider threats

    · Employee noncompliance

    · Delayed recovery

    · Regulatory failure

    · Organizational culture

    · Cognitive biases

    Each of these is a separate organizational or technical challenge. Including them all makes it impossible to maintain alignment with your research question, framework, and methodology.

    **Recommended Narrowed Focus**

    To create alignment across your project, I recommend focusing on a more defined issue:

    **Revised Specific Business Problem**:

    _The specific business problem is that IT professionals in healthcare organizations face challenges addressing ransomware threats due to the combined influence of cognitive biases and inconsistent policy enforcement, resulting in delayed response and increased organizational risk (Vishwanath, 2020)._

    This version is:

    · Practice-based

    · Supported by literature

    · Feasible for qualitative inquiry

    · Aligns with human-centered cybersecurity frameworks

    **Revised Research Question (Aligned with GQI)**

    _How do IT professionals in healthcare organizations address the influence of organizational policies and cognitive biases when responding to ransomware threats?_

    This open-ended question avoids causal language, aligns with
    **generic qualitative inquiry**, and supports your intended exploration of organizational and behavioral factors.

    **Framework Misalignment**

    Your current framework references are vague and inconsistent with your constructs. To support your revised problem and question, I recommend selecting a framework that explicitly explains how behavior and decision-making are shaped by organizational or cognitive factors.

    Recommended frameworks include:

    ·
    **Cognitive Heuristics in Cybersecurity** (Vishwanath, 2020)

    ·
    **Protection Motivation Theory (PMT)** – Focused on how individuals assess and react to threats

    ·
    **Theory of Planned Behavior (TPB)** – Useful for understanding compliance-related actions

    Whichever framework you choose, it must:

    · Clearly align with your constructs (e.g., cognitive bias, organizational policy)

    · Inform your data collection and interpretation

    **Define Your Target Population**

    You reference "IT professionals" broadly, but your project plan lacks details on:

    ·
    **Who** qualifies as an IT professional (e.g., engineers, analysts, CISOs)?

    ·
    **Where** they work (e.g., mid-sized U.S. healthcare organizations)?

    ·
    **How** many participants you plan to include?

    **Suggested Language:**

    _The target population for this study consists of IT professionals—including engineers, analysts, and cybersecurity managers—working in U.S.-based healthcare organizations that have implemented ransomware response protocols._

    Clarifying your population now will help with recruitment planning and IRB preparation in Week 10.

    **Action Items for Revision**

    1.
    **Transfer your content into the official DIT Project Plan Template.**

    2. Revise your
    **specific business problem** to focus on one issue.

    3. Submit
    **one open-ended research question** that aligns with the problem.

    4. Select a
    **framework** that directly supports your constructs and research design.

    5. Clearly define your
    **target population**, including roles, setting, and scope.

    Once you’ve addressed these issues, I’ll be happy to re-review your plan for secondary submission to the DIT program reviewer. Please feel free to schedule a time to discuss if that would be helpful.

    Best regards,
    Dr. Marbury
    https://raymondmarbury.youcanbook.me

    **Reference**
    Vishwanath, A. (2020).
    _The weakest link: A psychological perspective on why employees fail to adhere to security policies_. Cyberpsychology, Behavior, and Social Networking, 23(5), 321–327.
    [10.4018/978-1-60566-036-3.ch004](http://dx.doi.org/10.4018/978-1-60566-036-3.ch004)

    **## annotated-ProjectplanV8926main12028129-1.docx.pdf**

    Britney Jackson

    Learner ID: 2658828

    Britneyjackson1920@gmail.com

    Capella University

    Information Technology

    Capstone

    Qualitative

    Spring 2025/ DIT-V8926

    [mailto:Britneyjackson1920@gmail.com](mailto:Britneyjackson1920@gmail.com)

    Project topic

    Enhancing Ransomware Mitigation Strategies Among IT Professionals: A Qualitative

    Exploration of Organizational Resilience and Response Frameworks.

    Alignment to the Program of Study

    By focusing on why and how systems and people resist ransomware attacks, the project helps

    develop skills important to cybersecurity. The study bases its analysis on what healthcare IT

    experts do and decide which links human aspects to the organizational requirements in

    information assurance and security compliance. The curriculum focuses on outcomes for incident

    response, protecting computer systems and managing risks in important sectors.

    Project Problem

    This research focuses on the issue that cybercriminals are rapidly evolving ransomware, and their

    attacks push mid-sized healthcare organizations to handle human factors and cognitive errors

    more efficiently. There are many technical ways to protect systems, but little is understood about

    how IT professionals’ approach, carry out or resist these rules. Because firms do not fully

    understand resilience, they keep experiencing similar weaknesses and recovery challenges.

    Problem to be Addressed

    Despite a rise in ransomware attacks on mid-sized healthcare companies, many have not fully

    developed training programs for staff, follow compliance or notice threats from staff actions. In

    these circumstances, IT specialists frequently lack understanding of how cognitive biases and

    company culture influence their ability to stick to the required safety steps. Due to this, security

    is regularly compromised, recovery takes time, and companies fail to meet regulations, posing

    different types of financial and functional risks in major service areas.

    Gap

    Very little has been written about linking technical, behavioral and organizational approaches to

    ransomware prevention. The present literature on the subject examines technical problems and

    compliance requirements without delving into how professionals working in IT understand and

    manage these practices. This research reviews the need to see how IT professionals decide and

    respond to various situations. With the speed of ransomware rising and more healthcare services

    being handled electronically, it is especially important to know several aspects of cybersecurity.

    Supporting Evidence

    Several academic publications have established core concepts regarding ransomware attacks and

    their defensive strategies.

    Lee and Choi (2022) apply the theoretical framework of cyber-routine activities to

    understand ransomware role in Bitcoin usage since terrorists employ this digital money for

    various mysterious reasons.

    Ryan (2021) inspects the economic aspects of ransomware, explaining how attackers

    build their ransom demands while examining the financial costs faced by organizations.

    The research provides essential economic and theoretical knowledge, yet fails to assess

    how organizations respond to real incidents in practice. Wang et al. (2021) conducted research

    establishing NIDS and EDR solutions as practical tools that enhance proactive defense

    capabilities (Wang et al., 2021). A lack of comprehensive research exists that evaluates how well

    cybersecurity training programs work in practice alongside AI technology when detecting and

    stopping ransomware attacks.

    Primary Orientation

    Experts believe that managing ransomware risks means combining technological approaches

    with changes in people’s and organizations’ behaviors. The main ways this research frames the

    exploration are the Technology Acceptance Model (TAM) and theories of information security

    compliance. Lee and Choi (2022) talk about how ransomware, financial motives and

    organizational actions are related and McConnell et al. (2024) describe how security compliance

    could be impacted by biased thinking. These views explain why it is important to approach

    online security through studies of human behavior.

    Efforts to Address the Problem

    The main approaches used earlier were putting in place technologies like intrusion detection and

    making sure all regulations are followed. Yet, according to Ryan (2021) and McConnell et al.

    (2024), these approaches are limited because they do not address behavioral drives such as bias,

    habit and organizational climate. The authors of this work suggest that using economics and

    game theory adds even more threats to the picture. There have been very few attempts to unite

    these views with qualitative analysis to see how ransomware affects IT professionals in real

    settings.

    Synthesis of the Evidence

    According to current research, threats from ransomware are rising in healthcare, but it is not

    clear how technical, behavioral and organizational aspects relate. They discuss how ransomware

    attacks are tied to digital currency, using routine activity theory, but their paper does not

    investigate how organizations decide on their response. Ryan (2021) offers good economic

    insights into ransom demands, even though he does not look at the consequences for people

    working in the IT field. In 2021, Wang et al. applied game theory to cybersecurity tools NIDS

    and EDR to support planning ahead, but they did not focus on human or cultural aspects.

    McConnell et al. (2024) fill part of the gap by investigating how different approaches to thinking

    affect policy compliance in the healthcare sector among Linux server administrators. According

    to their results, human factors should be incorporated into compliance more, yet what they

    review only applies to one platform and role. There is general agreement in the research that

    technology is not the sole solution. Despite this, studies exploring the way professionals think

    about and deal with security through words and stories are still rather uncommon. This project

    aims to fill that gap by analyzing the experiences of IT experts in digital health and seeing how

    attitudes, biases and company policies affect their strategies against ransomware attacks.

    Purpose of the Project and Project Questions

    1. How do IT professionals in healthcare organizations perceive and respond to

    organizational policies intended to mitigate ransomware threats?

    2. What role do cognitive heuristics and biases play in shaping IT professionals’ decisions

    related to ransomware response and compliance?

    3. How do organizational culture and structure influence the behavior of IT professionals in

    managing ransomware risks?

    Purpose of the Project

    The aim of this study is to learn about how IT workers in mid-sized U.S. healthcare

    organizations address ransomware threats, with attention to how mental biases, organizational

    traditions and behavioral actions relate to information security policies.

    Statement of Primary Question(s)

    1. What gaps do IT professionals identify in current incident response frameworks for

    ransomware attacks?

    2. How do organizational policies, employee training, and technological solutions

    collectively impact resilience against ransomware threats?

    3. What role do IT professionals see Artificial Intelligence playing in enhancing

    ransomware detection and response?

    Definition of Terms

    Ransomware: A type of malicious software that restricts access to data or systems and demands

    payment to restore functionality.

    Information Security Policy Compliance: The extent to which IT professionals follow

    organizational protocols to protect digital assets.

    Cognitive Heuristics and Biases: Mental shortcuts and distortions in thinking that affect how

    individuals process information and make decisions.

    Organizational Resilience: The ability of an organization to anticipate, adapt to, and recover

    from cybersecurity incidents.

    Qualitative Research: An approach focused on understanding human behavior and experiences

    through interviews, observations, and thematic analysis.

    References

    McConnell, John, et al. “The role of heuristics and biases in linux server administrators’

    Information Security Policy Compliance at healthcare organizations.” Proceedings of the

    10th International Conference on Information Systems Security and Privacy, 2024, pp.

    30–41, https://doi.org/10.5220/0012297000003648

    Lee, Hannarae, and Kyung-Shick Choi. “Interrelationship between Bitcoin, ransomware, and

    terrorist activities: Criminal Opportunity Assessment via cyber-routine activities

    theoretical framework.” The New Technology of Financial Crime, 10 May 2022, pp. 82–

    103, https://doi.org/10.4324/9781003258100-5.

    Ryan, M. (2021). Ransomware Economics. In Ransomware Revolution: The Rise of a

    Prodigious Cyber Threat (pp. 67–90). Springer. https://doi.org/10.1007/978-3-030-

    66583-8_4

    Wang, L., Guo, Y., & Lin, L. (2021). An analysis of ransomware defense strategies using

    game theory. Journal of Cybersecurity and Privacy, 1(3), 495–508.

    https://doi.org/10.3390/jcp1030025

    **ProjectPlanGuideCapstoneFinal.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/projectplanguidecapstonefinal-pdf)

    **## Project_Plan_Template3.doc**

    [removed]

    **## feedback52825.docx**

    Hi Brittany,

    Thank you for resubmitting your project plan. Your work continues to reflect a deep interest in organizational and behavioral responses to ransomware threats in healthcare settings. This topic is both timely and significant. However, to move your plan forward, several key revisions are still required.

    **Template Use Is Mandatory**

    I must emphasize that your project plan must be submitted using the official
    **Capella DIT Project Plan Template**. I have reminded you of this requirement on
    **at least ten occasions across this course and the previous one**. This is not a recommendation—it is a program requirement.

    Without the proper template, your submission:

    · Cannot be fully reviewed using the DIT rubric

    · Will not move forward to
    **secondary review**

    · Lacks the structural elements required by Capella and the academic review process

    Please ensure your next submission is formatted using the template available in the course room.

    **Specific Business Problem – Overloaded with Multiple Constructs**

    Your current version of the specific business problem includes
    **too many distinct and complex issues**, such as:

    · Underdeveloped training programs

    · Policy enforcement gaps

    · Insider threats

    · Employee noncompliance

    · Delayed recovery

    · Regulatory failure

    · Organizational culture

    · Cognitive biases

    Each of these is a separate organizational or technical challenge. Including them all makes it impossible to maintain alignment with your research question, framework, and methodology.

    **Recommended Narrowed Focus**

    To create alignment across your project, I recommend focusing on a more defined issue:

    **Revised Specific Business Problem**:

    _The specific business problem is that IT professionals in healthcare organizations face challenges addressing ransomware threats due to the combined influence of cognitive biases and inconsistent policy enforcement, resulting in delayed response and increased organizational risk (Vishwanath, 2020)._

    This version is:

    · Practice-based

    · Supported by literature

    · Feasible for qualitative inquiry

    · Aligns with human-centered cybersecurity frameworks

    **Revised Research Question (Aligned with GQI)**

    _How do IT professionals in healthcare organizations address the influence of organizational policies and cognitive biases when responding to ransomware threats?_

    This open-ended question avoids causal language, aligns with
    **generic qualitative inquiry**, and supports your intended exploration of organizational and behavioral factors.

    **Framework Misalignment**

    Your current framework references are vague and inconsistent with your constructs. To support your revised problem and question, I recommend selecting a framework that explicitly explains how behavior and decision-making are shaped by organizational or cognitive factors.

    Recommended frameworks include:

    ·
    **Cognitive Heuristics in Cybersecurity** (Vishwanath, 2020)

    ·
    **Protection Motivation Theory (PMT)** – Focused on how individuals assess and react to threats

    ·
    **Theory of Planned Behavior (TPB)** – Useful for understanding compliance-related actions

    Whichever framework you choose, it must:

    · Clearly align with your constructs (e.g., cognitive bias, organizational policy)

    · Inform your data collection and interpretation

    **Define Your Target Population**

    You reference "IT professionals" broadly, but your project plan lacks details on:

    ·
    **Who** qualifies as an IT professional (e.g., engineers, analysts, CISOs)?

    ·
    **Where** they work (e.g., mid-sized U.S. healthcare organizations)?

    ·
    **How** many participants you plan to include?

    **Suggested Language:**

    _The target population for this study consists of IT professionals—including engineers, analysts, and cybersecurity managers—working in U.S.-based healthcare organizations that have implemented ransomware response protocols._

    Clarifying your population now will help with recruitment planning and IRB preparation in Week 10.

    **Action Items for Revision**

    1.
    **Transfer your content into the official DIT Project Plan Template.**

    2. Revise your
    **specific business problem** to focus on one issue.

    3. Submit
    **one open-ended research question** that aligns with the problem.

    4. Select a
    **framework** that directly supports your constructs and research design.

    5. Clearly define your
    **target population**, including roles, setting, and scope.

    Once you’ve addressed these issues, I’ll be happy to re-review your plan for secondary submission to the DIT program reviewer. Please feel free to schedule a time to discuss if that would be helpful.

    Best regards,
    Dr. Marbury
    https://raymondmarbury.youcanbook.me

    **Reference**
    Vishwanath, A. (2020).
    _The weakest link: A psychological perspective on why employees fail to adhere to security policies_. Cyberpsychology, Behavior, and Social Networking, 23(5), 321–327.
    [10.4018/978-1-60566-036-3.ch004](http://dx.doi.org/10.4018/978-1-60566-036-3.ch004)

    **## annotated-ProjectplanV8926main12028129-1.docx.pdf**

    Britney Jackson

    Learner ID: 2658828

    Britneyjackson1920@gmail.com

    Capella University

    Information Technology

    Capstone

    Qualitative

    Spring 2025/ DIT-V8926

    [mailto:Britneyjackson1920@gmail.com](mailto:Britneyjackson1920@gmail.com)

    Project topic

    Enhancing Ransomware Mitigation Strategies Among IT Professionals: A Qualitative

    Exploration of Organizational Resilience and Response Frameworks.

    Alignment to the Program of Study

    By focusing on why and how systems and people resist ransomware attacks, the project helps

    develop skills important to cybersecurity. The study bases its analysis on what healthcare IT

    experts do and decide which links human aspects to the organizational requirements in

    information assurance and security compliance. The curriculum focuses on outcomes for incident

    response, protecting computer systems and managing risks in important sectors.

    Project Problem

    This research focuses on the issue that cybercriminals are rapidly evolving ransomware, and their

    attacks push mid-sized healthcare organizations to handle human factors and cognitive errors

    more efficiently. There are many technical ways to protect systems, but little is understood about

    how IT professionals’ approach, carry out or resist these rules. Because firms do not fully

    understand resilience, they keep experiencing similar weaknesses and recovery challenges.

    Problem to be Addressed

    Despite a rise in ransomware attacks on mid-sized healthcare companies, many have not fully

    developed training programs for staff, follow compliance or notice threats from staff actions. In

    these circumstances, IT specialists frequently lack understanding of how cognitive biases and

    company culture influence their ability to stick to the required safety steps. Due to this, security

    is regularly compromised, recovery takes time, and companies fail to meet regulations, posing

    different types of financial and functional risks in major service areas.

    Gap

    Very little has been written about linking technical, behavioral and organizational approaches to

    ransomware prevention. The present literature on the subject examines technical problems and

    compliance requirements without delving into how professionals working in IT understand and

    manage these practices. This research reviews the need to see how IT professionals decide and

    respond to various situations. With the speed of ransomware rising and more healthcare services

    being handled electronically, it is especially important to know several aspects of cybersecurity.

    Supporting Evidence

    Several academic publications have established core concepts regarding ransomware attacks and

    their defensive strategies.

    Lee and Choi (2022) apply the theoretical framework of cyber-routine activities to

    understand ransomware role in Bitcoin usage since terrorists employ this digital money for

    various mysterious reasons.

    Ryan (2021) inspects the economic aspects of ransomware, explaining how attackers

    build their ransom demands while examining the financial costs faced by organizations.

    The research provides essential economic and theoretical knowledge, yet fails to assess

    how organizations respond to real incidents in practice. Wang et al. (2021) conducted research

    establishing NIDS and EDR solutions as practical tools that enhance proactive defense

    capabilities (Wang et al., 2021). A lack of comprehensive research exists that evaluates how well

    cybersecurity training programs work in practice alongside AI technology when detecting and

    stopping ransomware attacks.

    Primary Orientation

    Experts believe that managing ransomware risks means combining technological approaches

    with changes in people’s and organizations’ behaviors. The main ways this research frames the

    exploration are the Technology Acceptance Model (TAM) and theories of information security

    compliance. Lee and Choi (2022) talk about how ransomware, financial motives and

    organizational actions are related and McConnell et al. (2024) describe how security compliance

    could be impacted by biased thinking. These views explain why it is important to approach

    online security through studies of human behavior.

    Efforts to Address the Problem

    The main approaches used earlier were putting in place technologies like intrusion detection and

    making sure all regulations are followed. Yet, according to Ryan (2021) and McConnell et al.

    (2024), these approaches are limited because they do not address behavioral drives such as bias,

    habit and organizational climate. The authors of this work suggest that using economics and

    game theory adds even more threats to the picture. There have been very few attempts to unite

    these views with qualitative analysis to see how ransomware affects IT professionals in real

    settings.

    Synthesis of the Evidence

    According to current research, threats from ransomware are rising in healthcare, but it is not

    clear how technical, behavioral and organizational aspects relate. They discuss how ransomware

    attacks are tied to digital currency, using routine activity theory, but their paper does not

    investigate how organizations decide on their response. Ryan (2021) offers good economic

    insights into ransom demands, even though he does not look at the consequences for people

    working in the IT field. In 2021, Wang et al. applied game theory to cybersecurity tools NIDS

    and EDR to support planning ahead, but they did not focus on human or cultural aspects.

    McConnell et al. (2024) fill part of the gap by investigating how different approaches to thinking

    affect policy compliance in the healthcare sector among Linux server administrators. According

    to their results, human factors should be incorporated into compliance more, yet what they

    review only applies to one platform and role. There is general agreement in the research that

    technology is not the sole solution. Despite this, studies exploring the way professionals think

    about and deal with security through words and stories are still rather uncommon. This project

    aims to fill that gap by analyzing the experiences of IT experts in digital health and seeing how

    attitudes, biases and company policies affect their strategies against ransomware attacks.

    Purpose of the Project and Project Questions

    1. How do IT professionals in healthcare organizations perceive and respond to

    organizational policies intended to mitigate ransomware threats?

    2. What role do cognitive heuristics and biases play in shaping IT professionals’ decisions

    related to ransomware response and compliance?

    3. How do organizational culture and structure influence the behavior of IT professionals in

    managing ransomware risks?

    Purpose of the Project

    The aim of this study is to learn about how IT workers in mid-sized U.S. healthcare

    organizations address ransomware threats, with attention to how mental biases, organizational

    traditions and behavioral actions relate to information security policies.

    Statement of Primary Question(s)

    1. What gaps do IT professionals identify in current incident response frameworks for

    ransomware attacks?

    2. How do organizational policies, employee training, and technological solutions

    collectively impact resilience against ransomware threats?

    3. What role do IT professionals see Artificial Intelligence playing in enhancing

    ransomware detection and response?

    Definition of Terms

    Ransomware: A type of malicious software that restricts access to data or systems and demands

    payment to restore functionality.

    Information Security Policy Compliance: The extent to which IT professionals follow

    organizational protocols to protect digital assets.

    Cognitive Heuristics and Biases: Mental shortcuts and distortions in thinking that affect how

    individuals process information and make decisions.

    Organizational Resilience: The ability of an organization to anticipate, adapt to, and recover

    from cybersecurity incidents.

    Qualitative Research: An approach focused on understanding human behavior and experiences

    through interviews, observations, and thematic analysis.

    References

    McConnell, John, et al. “The role of heuristics and biases in linux server administrators’

    Information Security Policy Compliance at healthcare organizations.” Proceedings of the

    10th International Conference on Information Systems Security and Privacy, 2024, pp.

    30–41, https://doi.org/10.5220/0012297000003648

    Lee, Hannarae, and Kyung-Shick Choi. “Interrelationship between Bitcoin, ransomware, and

    terrorist activities: Criminal Opportunity Assessment via cyber-routine activities

    theoretical framework.” The New Technology of Financial Crime, 10 May 2022, pp. 82–

    103, https://doi.org/10.4324/9781003258100-5.

    Ryan, M. (2021). Ransomware Economics. In Ransomware Revolution: The Rise of a

    Prodigious Cyber Threat (pp. 67–90). Springer. https://doi.org/10.1007/978-3-030-

    66583-8_4

    Wang, L., Guo, Y., & Lin, L. (2021). An analysis of ransomware defense strategies using

    game theory. Journal of Cybersecurity and Privacy, 1(3), 495–508.

    https://doi.org/10.3390/jcp1030025

    **ProjectPlanGuideCapstoneFinal.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/projectplanguidecapstonefinal-pdf)

  • [Solved] Business & Finance homework question

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    https://youtu.be/skvDuGk_7gs?si=9T1z3GnEC2UIrg60 ## Week 5 Discussion – Measuring Results The following video may help you answer this week's discussion question. – [How to Spend Lots of Money Demotivating Your Employees [Video]Links to an external site.](https://www.youtube.com/watch?v=skvDuGk_7…

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    https://youtu.be/skvDuGk_7gs?si=9T1z3GnEC2UIrg60

    ## Week 5 Discussion – Measuring Results

    The following video may help you answer this week's discussion question.

    – [How to Spend Lots of Money Demotivating Your Employees [Video]Links to an external site.](https://www.youtube.com/watch?v=skvDuGk_7gs). (4 mins, 54 secs)

    Respond to the following in your discussion post:

    – Does forced distribution motivate or demotivate employees? Why? How have forced distributions evolved over the years?

    Be sure to respond to at least one of your classmate's posts.

    **Reply**

    – a year ago

  • [Solved] Week 2 resper

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    [>Accounting homework help](https://www.sweetstudy.com/fields/business-finance-accounting) see attached – a year ago **files (1)** – ## WEEK2RESPER.docx **## WEEK2RESPER.docx** **PLEASE respond to the two peers discussion using APA FORMAT. Cite at 2 outside scholarly authors and the textbook** **Ple…

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    see attached

    – a year ago

    **files (1)**

    – ## WEEK2RESPER.docx

    **## WEEK2RESPER.docx**

    **PLEASE respond to the two peers discussion using APA FORMAT. Cite at 2 outside scholarly authors and the textbook**

    **Please use In-depth responses and cite scholar authors.**

    **1A****** In 2020, a major accounting scandal emerged involving Luckin Coffee Inc., a rapidly growing China-based coffee chain often referred to as the “Starbucks of China.” The company, which had been listed on Nasdaq in 2019, gained popularity for its tech-driven ordering model and rapid expansion. However, in April 2020, it was revealed that Luckin Coffee had fraudulently overstated its revenue by approximately $310 million, severely damaging investor confidence and leading to regulatory intervention (SEC, 2020a).

    Interestingly, the fraud was not initially detected by auditors or regulators. Instead, it was uncovered by anonymous whistleblowers who submitted a detailed report to Muddy Waters Research, a U.S. short-selling firm. The 89-page document contained receipts, video surveillance data, and transaction analyses showing that Luckin had fabricated a significant portion of its 2019 sales. This triggered widespread scrutiny and an internal investigation, which confirmed that the company’s COO and several employees had falsified transactions in an effort to meet growth expectations and inflate performance (SEC, 2020a).

    The fallout was immediate and severe. The company’s stock value collapsed by more than 80%, and it was delisted from the Nasdaq exchange in June 2020. In December 2020, Luckin Coffee agreed to pay a $180 million penalty to settle charges brought by the U.S. Securities and Exchange Commission (SEC, 2020b). Additionally, several top executives were dismissed, and Chinese regulators imposed their penalties, including barring key individuals from serving in leadership roles within public companies for multiple years (Reuters, 2020).

    This scandal highlights significant vulnerabilities in the global financial reporting system, particularly concerning foreign firms listed on U.S. exchanges. The fact that external whistleblowers, rather than internal auditors or board members, exposed the fraud points to a failure in corporate governance and internal controls. One of the primary lessons from the Luckin Coffee case is the need for strong, independent audit committees and enhanced regulatory cooperation between nations. Implementing more real-time auditing tools and better oversight of subsidiary operations may have prevented or detected the fraud earlier.

    Additionally, fostering a strong ethical culture and prioritizing transparency over rapid growth would have strengthened accountability within the organization. Incentivizing employees to report wrongdoing and ensuring those reports are taken seriously is also essential. Encouragingly, the case has renewed conversations about tightening auditing standards and increasing U.S. oversight of foreign companies trading on domestic exchanges.

    Ultimately, while Luckin Coffee has made efforts to restructure and regain public trust, the damage from the scandal remains a cautionary tale. It serves as a reminder that aggressive growth strategies, when not paired with proper internal controls and ethical leadership, can lead to systemic deception and lasting consequences.

    References:

    Reuters. (2020, December 16). Luckin Coffee to pay $180 million penalty to settle accounting fraud charges.
    [https://www.reuters.com/article/business/luckin-coffee-to-pay-180-million-penalty-to-settle-accounting-fraud-charges-u-idUSKBN28Q34O](https://www.reuters.com/article/business/luckin-coffee-to-pay-180-million-penalty-to-settle-accounting-fraud-charges-u-idUSKBN28Q34O)

    U.S. Securities and Exchange Commission. (2020a, April 2). SEC charges Luckin Coffee with defrauding investors.
    [https://www.sec.gov/news/press-release/2020-306](https://www.sec.gov/news/press-release/2020-306)

    U.S. Securities and Exchange Commission. (2020b, December 16). Luckin Coffee agrees to pay $180 million penalty to settle accounting fraud charges.
    [https://www.sec.gov/news/press-release/2020-319](https://www.sec.gov/news/press-release/2020-319)

    1B******A recent and noteworthy accounting scandal involves BF Borgers CPA PC, a public accounting firm based in Lakewood, Colorado, and its owner, Benjamin F. Borgers. On May 3, 2024, the U.S. Securities and Exchange Commission (SEC) announced charges against the firm and its principal for widespread and intentional violations of federal securities laws. According to the SEC, BF Borgers and Benjamin Borgers engaged in fraudulent conduct that impacted over 1,500 SEC filings from January 2021 through June 2023, affecting over 500 public companies (U.S. Securities and Exchange Commission [SEC], 2024).

    The nature of the misconduct was extensive and systematic. The SEC’s investigation revealed that the firm repeatedly failed to conduct audits under the standards the Public Company Accounting Oversight Board set forth despite certifying otherwise. The firm often fabricated audit documentation and falsely claimed compliance with professional auditing standards. This deceptive practice severely undermined the integrity of financial reporting and posed significant risks to investors, stakeholders, and the market at large (SEC, 2024).

    As a result of the SEC’s enforcement action, BF Borgers and Benjamin Borgers agreed to settle the charges without admitting or denying the allegations. The settlement included a $12 million civil penalty against the firm and a $2 million penalty against Benjamin Borgers. Additionally, the firm and its owner were permanently barred from appearing or practicing before the SEC as accountants, effectively ending their ability to provide audit services for public companies (SEC, 2024).

    This case underscores the importance of rigorous oversight and accountability in auditing. Earlier detection may have been possible through more frequent and thorough PCAOB inspections, enhanced due diligence by companies hiring auditors, and stronger whistleblower protections to encourage the internal reporting of unethical behavior. These preventive measures could have mitigated the damage and ensured greater transparency and trust in financial disclosures.

    Reference

    U.S. Securities and Exchange Commission. (2024, May 3). SEC charges audit firm BF Borgers and owner Benjamin Borgers with massive fraud.
    [https://www.sec.gov/newsroom/press-releases/2024-51](https://www.sec.gov/newsroom/press-releases/2024-51)

    Textbook : Williams, J., Bettner, M., & Smith, K. (2023). Financial & Managerial Accounting (eBook with Connect access). New York, NY: McGraw-Hill Education. ISBN: 9781266849985 Or Purchase directly from Saint Leo Bookstore: Williams, J., Bettner, M., & Smith, K. (2023). Financial & Managerial Accounting (eBook wit

    **## WEEK2RESPER.docx**

    **PLEASE respond to the two peers discussion using APA FORMAT. Cite at 2 outside scholarly authors and the textbook**

    **Please use In-depth responses and cite scholar authors.**

    **1A****** In 2020, a major accounting scandal emerged involving Luckin Coffee Inc., a rapidly growing China-based coffee chain often referred to as the “Starbucks of China.” The company, which had been listed on Nasdaq in 2019, gained popularity for its tech-driven ordering model and rapid expansion. However, in April 2020, it was revealed that Luckin Coffee had fraudulently overstated its revenue by approximately $310 million, severely damaging investor confidence and leading to regulatory intervention (SEC, 2020a).

    Interestingly, the fraud was not initially detected by auditors or regulators. Instead, it was uncovered by anonymous whistleblowers who submitted a detailed report to Muddy Waters Research, a U.S. short-selling firm. The 89-page document contained receipts, video surveillance data, and transaction analyses showing that Luckin had fabricated a significant portion of its 2019 sales. This triggered widespread scrutiny and an internal investigation, which confirmed that the company’s COO and several employees had falsified transactions in an effort to meet growth expectations and inflate performance (SEC, 2020a).

    The fallout was immediate and severe. The company’s stock value collapsed by more than 80%, and it was delisted from the Nasdaq exchange in June 2020. In December 2020, Luckin Coffee agreed to pay a $180 million penalty to settle charges brought by the U.S. Securities and Exchange Commission (SEC, 2020b). Additionally, several top executives were dismissed, and Chinese regulators imposed their penalties, including barring key individuals from serving in leadership roles within public companies for multiple years (Reuters, 2020).

    This scandal highlights significant vulnerabilities in the global financial reporting system, particularly concerning foreign firms listed on U.S. exchanges. The fact that external whistleblowers, rather than internal auditors or board members, exposed the fraud points to a failure in corporate governance and internal controls. One of the primary lessons from the Luckin Coffee case is the need for strong, independent audit committees and enhanced regulatory cooperation between nations. Implementing more real-time auditing tools and better oversight of subsidiary operations may have prevented or detected the fraud earlier.

    Additionally, fostering a strong ethical culture and prioritizing transparency over rapid growth would have strengthened accountability within the organization. Incentivizing employees to report wrongdoing and ensuring those reports are taken seriously is also essential. Encouragingly, the case has renewed conversations about tightening auditing standards and increasing U.S. oversight of foreign companies trading on domestic exchanges.

    Ultimately, while Luckin Coffee has made efforts to restructure and regain public trust, the damage from the scandal remains a cautionary tale. It serves as a reminder that aggressive growth strategies, when not paired with proper internal controls and ethical leadership, can lead to systemic deception and lasting consequences.

    References:

    Reuters. (2020, December 16). Luckin Coffee to pay $180 million penalty to settle accounting fraud charges.
    [https://www.reuters.com/article/business/luckin-coffee-to-pay-180-million-penalty-to-settle-accounting-fraud-charges-u-idUSKBN28Q34O](https://www.reuters.com/article/business/luckin-coffee-to-pay-180-million-penalty-to-settle-accounting-fraud-charges-u-idUSKBN28Q34O)

    U.S. Securities and Exchange Commission. (2020a, April 2). SEC charges Luckin Coffee with defrauding investors.
    [https://www.sec.gov/news/press-release/2020-306](https://www.sec.gov/news/press-release/2020-306)

    U.S. Securities and Exchange Commission. (2020b, December 16). Luckin Coffee agrees to pay $180 million penalty to settle accounting fraud charges.
    [https://www.sec.gov/news/press-release/2020-319](https://www.sec.gov/news/press-release/2020-319)

    1B******A recent and noteworthy accounting scandal involves BF Borgers CPA PC, a public accounting firm based in Lakewood, Colorado, and its owner, Benjamin F. Borgers. On May 3, 2024, the U.S. Securities and Exchange Commission (SEC) announced charges against the firm and its principal for widespread and intentional violations of federal securities laws. According to the SEC, BF Borgers and Benjamin Borgers engaged in fraudulent conduct that impacted over 1,500 SEC filings from January 2021 through June 2023, affecting over 500 public companies (U.S. Securities and Exchange Commission [SEC], 2024).

    The nature of the misconduct was extensive and systematic. The SEC’s investigation revealed that the firm repeatedly failed to conduct audits under the standards the Public Company Accounting Oversight Board set forth despite certifying otherwise. The firm often fabricated audit documentation and falsely claimed compliance with professional auditing standards. This deceptive practice severely undermined the integrity of financial reporting and posed significant risks to investors, stakeholders, and the market at large (SEC, 2024).

    As a result of the SEC’s enforcement action, BF Borgers and Benjamin Borgers agreed to settle the charges without admitting or denying the allegations. The settlement included a $12 million civil penalty against the firm and a $2 million penalty against Benjamin Borgers. Additionally, the firm and its owner were permanently barred from appearing or practicing before the SEC as accountants, effectively ending their ability to provide audit services for public companies (SEC, 2024).

    This case underscores the importance of rigorous oversight and accountability in auditing. Earlier detection may have been possible through more frequent and thorough PCAOB inspections, enhanced due diligence by companies hiring auditors, and stronger whistleblower protections to encourage the internal reporting of unethical behavior. These preventive measures could have mitigated the damage and ensured greater transparency and trust in financial disclosures.

    Reference

    U.S. Securities and Exchange Commission. (2024, May 3). SEC charges audit firm BF Borgers and owner Benjamin Borgers with massive fraud.
    [https://www.sec.gov/newsroom/press-releases/2024-51](https://www.sec.gov/newsroom/press-releases/2024-51)

    Textbook : Williams, J., Bettner, M., & Smith, K. (2023). Financial & Managerial Accounting (eBook with Connect access). New York, NY: McGraw-Hill Education. ISBN: 9781266849985 Or Purchase directly from Saint Leo Bookstore: Williams, J., Bettner, M., & Smith, K. (2023). Financial & Managerial Accounting (eBook wit

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  • [Solved] Veterinary Externship Skill 2

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    – a year ago **files (6)** – ## Encounter2025-05-144.pdf – ## Encounter2025-05-145.pdf – ## Encounter2025-05-142.pdf – ## Encounter2025-05-141.pdf – skill2.png – Encounter2025-05-14.pdf **## Encounter2025-05-144.pdf** DISCHARGE SUMMARY Provider: Dr. Eliza O'Callaghan Patient: Chessie Date Generated:…

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    **files (6)**

    – ## Encounter2025-05-144.pdf

    – ## Encounter2025-05-145.pdf

    – ## Encounter2025-05-142.pdf

    – ## Encounter2025-05-141.pdf

    – skill2.png
    – Encounter2025-05-14.pdf

    **## Encounter2025-05-144.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Chessie
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Samantha Hom
    1-(347) 860-5635
    samanthahom521@gmail.com

    PATIENT

    Chessie | 8.4 YO | Female (Spayed) | Domestic
    Short Hair Dsh | 3.97 kg
    Patient ID: 343814135 | Feline
    DOB: Jan 01, 2017 | Color: Tabby
    Microchip: 981020025046968
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am

    DISCHARGE INSTRUCTIONS

    Date: 03/27/2025

    Procedure
    Chessie presented for a professional dental cleaning and oral assessment, treatment, and plan (ATP).

    Post-anesthesia Care
    Because Chessie had general anesthesia today, she may be sleepy for the remainder of the day. Please take
    special care to protect her from falling down stairs, running into things, and exposure to hot or cold weather.

    Oral Surgery
    Chessie had one tooth extracted today—her lower left molar (309). This tooth was removed due to tooth
    resorption. There is a small tip of the tooth remaining in the bone of the mandible that could not be
    removed, but we do not anticipate this causing any issues since it is already resorting.
    It is normal to see blood-tinged saliva for the next few days. You may also notice some blood-tinged drool
    when Chessie is resting, which is completely normal.

    Nutrition
    Please feed half of Chessie's usual intake tonight. Transient GI upset can occur after general anesthesia,
    and it is not uncommon for patients to go a few days without a bowel movement after surgery. Please let
    us know if she is straining to defecate.

    Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 1 of 2

    Because Chessie had oral surgery today, her diet should be adjusted during the healing period. Please feed
    a canned diet for at least the next 14 days while the tissues heal. Ideally, she will eat a canned diet until her
    recheck visit.

    Exercise
    Please restrict Chessies activity for the next 1-2 days while she recovers from anesthesia. She may then
    resume normal activity.

    Pain Relief
    Chessie received a long-acting pain relief injection (Simbadol) that can last up to 72 hours. Due to this
    medication, she might seem unusually affectionate and extra smoochy. In rare cases, some cats may exhibit
    aggressive behavior. If you notice any concerning changes in her behavior, please contact us immediately.

    Medication to Go Home
    1) Onsior: Give 1 tablet by mouth every 24 hours for the next 3 days. Give with food. START TOMORROW
    EVENING. This is an anti-inflammatory medication.

    Follow-up
    Please schedule an appointment for a nurse visit for an oral examination in 14 days.

    Thank you for entrusting the Small Door team with Chessies care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan & The Small Door Medical Team

    Dr. Eliza O'Callaghan

    Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 2 of 2

    **## Encounter2025-05-145.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Percy
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Alexandra Oblak
    1-(917) 620-2716
    alexandraoblak@gmail.com

    PATIENT

    Percy | 1.1 YO | Male (Neutered) | Havanese |
    6.23 kg
    Patient ID: 275005718 | Canine
    DOB: Mar 18, 2024 | Color: Red Sable
    Microchip: 900235001332909
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY April 3, 2025 at 10:29 am

    DISCHARGE INSTRUCTIONS

    Date: 04/03/2025

    Procedure: Percy presented for a pre-scrotal castration (neuter).

    Because Percy had general anesthesia today, he may be sleepy for the remainder of the day. Special care
    must be taken to protect him from falling down stairs, running into things, and exposure to hot or cold
    weather.

    Incision Site Monitoring and Care:
    • Percy has an incision on his groin. Absorbable sutures were used under the skin. Please monitor the
    incision for any redness, bruising, discharge, or opening of the incision. If you are concerned, please do
    not hesitate to contact us and send a picture of the incision to medical@smalldoorvet.com.
    • The incision site does not require regular cleaning. If the incision becomes soiled or dirty, gently wipe the
    area with saline solution or warm water and a clean cloth. Do not bathe Percy until the incision is healed.
    • Percy must wear an e-collar or surgical suit at all times until the incision heals. If he can lick, bite, or scratch
    at the incision, it may become infected, fail to heal, and require further surgical intervention.
    • If Percy is wearing a surgical suit during recovery, please check the suit daily to ensure it has not become
    soiled, which can contaminate the incision. Be sure to unbutton the suit at least once a day to visually
    inspect the incision for any signs of bleeding, discharge, heat, or pulling apart at the edges.

    Dental Procedure:

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 1 of 3

    While under anesthesia, we also extracted four retained baby teeth: three incisors and one premolar. Small
    sutures were placed at the gum line where these teeth were removed. These sutures will dissolve and fall
    out on their own. No special care or change in food is needed for this area.

    Nutrition:
    Please feed half of Percys usual intake tonight. On occasion, transient GI upset will occur after general
    anesthesia. It is not uncommon for patients not to have a bowel movement for a few days after surgery.
    Please let me know if he is straining to defecate.

    Exercise:
    Please restrict Percys activity for the next 2 weeks while the incision heals. This means no running, jumping,
    or rough-housing. When you are not home or at night, you may need to place Percy in a crate or small room.

    Medications:
    1) Carprofen 25mg tablets: Give ½ tablet (12.5mg) by mouth every 12 hours for 5 days. This is a non-steroidal
    anti-inflammatory pain medication. Please give with food. The first dose is due tomorrow morning.
    2) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
    morning.
    3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Additional Procedures:
    – We placed a microchip during todays visit.
    – We also performed a nail trim.

    Follow-up:
    Please schedule an appointment for a nurse visit for an incision check in 10-14 days.

    Thank you for entrusting the Small Door team with Percys care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
    � West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
    www.smalldoorvet.com

    If you need to schedule an appointment, please use the Small Door app or email hi@smalldoorvet.com. In an
    emergency, contact us through the Small Door Urgent chat function on the app or reach out to your local
    emergency hospital.

    Dr. Eliza O'Callaghan

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 2 of 3

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 3 of 3

    **## Encounter2025-05-142.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Riesling
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Neil Corber
    1-(646) 880-7589
    ncorber@gmail.com

    PATIENT

    Riesling | 8 months old | Female (Spayed) |
    Labradoodle | 12.2 kg
    Patient ID: 323141146 | Canine
    DOB: Aug 29, 2024 | Color: Caramel
    Microchip: 981020057553364
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am

    DISCHARGE INSTRUCTIONS

    Date: 03/27/2025

    Procedure:
    Riesling presented for a surgical spay. She did excellently! You should be very proud of your girl!

    Because Riesling had general anesthesia, she may be sleepy for the remainder of the day. Special care must
    be taken to protect her from falling down stairs, running into things, and exposure to hot or cold weather.

    There is a possibility of seeing a small amount of blood in the urine over the next few days. This is caused
    by the surgery and should resolve within a few days.

    Incision Site Monitoring and Care:
    – Riesling has an incision on her abdomen. Absorbable sutures were used under the skin. Please monitor
    the incision for any redness, bruising, discharge, or opening. If you are concerned, please do not hesitate
    to contact us or send us a picture of the incision.
    – For the next 3 days, you may ice the incision for 10 minutes 3-4 times per day. If Riesling does not tolerate
    this, do not force her.
    – The incision site does NOT require regular cleaning. If the incision or abdomen becomes soiled or dirty,
    gently wipe the area with saline solution and a clean cloth. DO NOT bathe Riesling until the incision is
    healed.

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 1 of 3

    – Riesling MUST wear her surgical suit at ALL times until the incision heals. If Riesling is able to lick, bite, or
    scratch at the incision, she may introduce infection, or the incision may fail to heal, necessitating further
    surgical intervention.
    – Riesling may need an e-collar if she is able to lick at the incision site despite wearing the surgical suit.
    – Please be sure to check the surgical suit daily to make sure Riesling has not soiled it, which can contam-
    inate the incision.
    – Please be sure to unbutton the surgical suit at least once a day to check on the incision directly to ensure
    it is healing appropriately with no signs of bleeding, discharge, heat, or pulling apart of the edges of the
    incision.

    Nutrition:
    Please give Riesling half her usual diet this evening. You may resume normal feedings the day following
    surgery. Occasionally, transient gastrointestinal upset occurs following general anesthesia. It is not uncom-
    mon for patients not to have a bowel movement for a few days after surgery/anesthesia. Please let me know
    if she is straining to defecate.

    Exercise:
    Please restrict Riesling’s activity for the next two weeks while the incision heals. This means no running,
    jumping, or roughhousing. When you are not at home or at night, you may need to place Riesling in a crate
    or small room.

    Medications:
    1) Carprofen 25mg Tablets: Give 1 tablet every 12 hours for 5 days. This is a non-steroidal anti-inflammatory
    pain medication. Please give with food. The next dose is due tomorrow morning.
    2) You can give the previously prescribed Trazodone, as needed to help keep her calm, starting tomorrow
    morning.
    3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Follow-up:
    Please schedule an appointment for a nurse visit for an incision check in ~10-14 days.

    Thank you for entrusting the Small Door team with Riesling's care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    SEROLOGY (as of Mar 28, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 2 of 3

    Heartworm Antigen Negative –

    This test is not suitable for export. If testing is required for export, please select test codes marked "export".

    View your results in VetConnect PLUS for patient-specific interpretations that incorporate clinical signs.
    Further information on the diagnosis and management of tick/vector-borne diseases can be found at
    idexx.com/4DxGuide.

    Ehrlichia spp. Negative –

    This test is not suitable for export. If testing is required for export, please select test codes marked "export".

    Lyme (Borrelia burgdorferi) Negative –

    Anaplasma spp. Negative –

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    OTHER (as of Mar 28, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    More Information Needed Extra Lavender Top Tube received
    with no testing requested. Sam-
    ples will be held for 6 days from
    the date of receipt. Note that due
    to stability most hematology tests
    can only be added on up to 72
    hours from time of collection. Visit
    vetconnectplus.com to add testing
    to your sample.

    –

    Dr. Eliza O'Callaghan

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 3 of 3

    **## Encounter2025-05-141.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Peanut
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Chelsea Hart
    1-(917) 603-2987
    chelsea.eng.hart@gmail.com

    PATIENT

    Peanut | 6.9 YO | Male (Neutered) | Mixed Breed
    | 8.2 kg
    Patient ID: 137472789 | Canine
    DOB: Jul 23, 2018 | Color: Tan
    Microchip: 985141002005431
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:46 am

    DISCHARGE INSTRUCTIONS

    Discharge Summary for Peanut
    Procedure: Eyelid Mass Removal (Right Eye)
    Date: March 27, 2025
    Veterinarian: Dr. Eliza O'Callaghan

    Peanut did great today during his procedure to remove a small mass from his upper right eyelid. He was
    placed under anesthesia, and the mass was successfully removed. He woke up smoothly and has been
    comfortable throughout his recovery.
    The mass was sent for biopsy, and the results are expected in 7-10 days.

    At-Home Care Instructions:
    Activity & Incision Care:
    • Peanut should wear an e-collar (cone) at all times until his follow-up visit to prevent him from scratching
    the area.
    • Keep him calm and limit activity for the next 10-14 days to allow proper healing. Avoid rough play or
    rubbing his face on surfaces.
    • Check the incision daily for redness, swelling, discharge, or signs of discomfort. If you notice any of these,
    please contact us.

    Medications:

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 1 of 6

    1) Carprofen (pain relief): Give half (1/2) a tablet by mouth every 12 hours for 5 days with food. If he
    experiences vomiting, diarrhea, or dark stools, stop the medication and call us.
    2) Ofloxacin Eye Drops: Administer 1-2 drops to the right eye every 12 hours for 7 days. Start tomorrow
    morning.
    3) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
    morning.
    4) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Diet:
    Feed Peanut half of his regular dinner this evening and resume normal feeding tomorrow. It is not uncom-
    mon for pets to experience transient GI upset or a reduced appetite after anesthesia. Let us know if he won’t
    eat tomorrow, or if he is straining to defecate or has diarrhea. Some pets may not have a bowel movement
    for a few days after surgery—this is normal and usually resolves without intervention.

    Follow-Up:
    • Please schedule a recheck appointment in 10-14 days for an incision check. This will be a nurse visit.
    • We will reach out with the biopsy results as soon as we have them.

    Talk soon,
    Dr Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
    � West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
    www.smalldoorvet.com

    If you need to schedule an appointment, you may use the Small Door app or e-mail hi@smalldoorvet.com. In
    the event of an emergency, please reach out to us through the Small Door Urgent chat function on our app or
    to your local emergency practice.

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    PATHOLOGY (as of Mar 30, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    Biopsy Source: SKINSQ_MASS –

    Biopsy Type: EXCISIONAL –

    Clinical History: on medial portion of upper eyelid
    OD 3mm patch of mildly erythema-
    tous skin w/ slight hypotrichosis

    –

    Pathologist's Report INTERPRETATION:
    Haired skin upper eyelid region:
    Lymphohistiocytic nodule strongly

    –

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 2 of 6

    favoring a regressing cutaneous
    histiocytoma with rare foci of mild
    lymphocytic epitheliotropism (see
    comment)
    Surgical margins: Completely ex-
    cised

    COMMENTS:
    Histopathology of this mass re-
    veals a dome-shaped nodule con-
    sisting of admixed infiltrates of
    small mature lymphocytes and
    background populations of histi-
    ocytes. The favored interpretation
    for this lesion is a cutaneous his-
    tiocytoma in the late stages of
    regression. Extensive lymphocytic
    infiltrate is a key feature of re-
    gressing histiocytomas. There was
    a mildly atypical feature of multifo-
    cal lymphocytic epitheliotropism
    for the hair follicles in this tu-
    mor. Epitheliotropism can be a
    feature of cutaneous lymphomas
    however the epitheliotropism in
    this case was an inconsistent and
    relatively subtle finding. In com-
    bination with the concurrent his-
    tiocytic infiltrates the overall his-
    toarchitecture of this lesion and
    the minimal atypia or mitotic ac-
    tivity of the constituent lympho-
    cytes the likelihood of a cutaneous
    lymphoma is considered very low.
    Nonetheless if additional similar
    skin lesions are noted to emerge or
    this patient develops evidence of a
    regional lymphadenopathy further
    investigation into this differential
    diagnosis should be considered.

    Furthermore due to the admix-
    ed with histiocytic nature of

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 3 of 6

    this lesion other differentials for
    lymphohistiocytic inflammation of
    sterile or infectious (e.g. fungal
    infection mycobacterial infection)
    etiology also cannot be definitively
    excluded; however these etiologies
    are considered significantly less
    likely.

    Canine cutaneous histiocytomas
    are common and largely benign
    skin neoplasms of dogs derived
    from epidermal Langerhans den-
    dritic cells. Histiocytomas typically
    present as solitary lesions of young
    dogs most often under 3 years of
    age although older animals can
    also be affected. Frequently af-
    fected sites include the pinnae
    muzzle extremities and scrotum.
    Purebred dogs are predisposed
    and boxers and dachshunds are
    overrepresented. Multiple histio-
    cytomas occur in less than 1% of
    cases and are more common in the
    shar pei breed.

    Histiocytomas often grow rapidly
    and epidermal ulceration is com-
    mon. Lesions may regress sponta-
    neously and complete surgical ex-
    cision is typically curative. Local in-
    vasion and lymph node metastasis
    have been reported in rare cases
    of single cutaneous histiocytomas.
    Cutaneous histiocytomas in the ear
    canal of dogs may represent a par-
    ticularly aggressive variant with a
    case study reporting locally inva-
    sive behavior.

    References: Fernandez M et al.
    (2020) Vet Dermatol 31(4): 317-e80;
    Moore PF (2014) Vet Pathol 51(1):

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 4 of 6

    167-184.

    Internal Interpretation ID: IXD5.1

    HISTOPATHOLOGIC DESCRIP-
    TION:
    Haired skin eyelid region: This
    lesion is a focal moderately well
    demarcated raised dome-shaped
    mass of densely aggregated small
    mature lymphocytes with admix-
    ed superficial infiltrates of histio-
    cytic cells. The overlying epidermis
    is mildly hyperplastic and multi-
    focally extends short slender rete
    ridges into the underlying cellu-
    lar infiltrate. Along the superficial
    aspects of this mass with histio-
    cytic cells are most densely clus-
    tered there is frequent karyorrhec-
    tic and pyknotic cell debris. Very
    rarely dermis and epithelium dis-
    plays evidence of mild infiltration
    by small mature lymphocytes.

    PATHOLOGIST:
    Dr Cleide Sprӧhnle-Barrera DVM
    DVClinSc
    Diplomate American College of
    Veterinary Pathologists

    HOW TO CONTACT ME:
    Email (preferred): cleide-sprohn-
    le-barrera@idexx.com (veterinary
    consultation only)
    Phone (direct): ext. 80125 (veteri-
    nary consultation only)

    Veterinarians: To contact the
    pathologist regarding this report
    please either use email or call Cus-
    tomer Support and dial the exten-
    sion shown above. If the pathol-

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 5 of 6

    ogist is unavailable call Customer
    Support and request to speak to
    the Pathologist on Duty. Please ref-
    erence patient accession number
    2315732142.

    Pet owners: Please contact your
    veterinarian for advice to adhere to
    the legal veterinary-client-patient
    relationship.

    This pathology report may not
    be published via any distribution
    channel (including social media)
    without the pathologist's express
    permission.

    Dr. Eliza O'Callaghan

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 6 of 6

    **skill2.png**

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    **Encounter2025-05-14.pdf**

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    **Encounter2025-05-14.pdf**

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    **## Encounter2025-05-144.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Chessie
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Samantha Hom
    1-(347) 860-5635
    samanthahom521@gmail.com

    PATIENT

    Chessie | 8.4 YO | Female (Spayed) | Domestic
    Short Hair Dsh | 3.97 kg
    Patient ID: 343814135 | Feline
    DOB: Jan 01, 2017 | Color: Tabby
    Microchip: 981020025046968
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am

    DISCHARGE INSTRUCTIONS

    Date: 03/27/2025

    Procedure
    Chessie presented for a professional dental cleaning and oral assessment, treatment, and plan (ATP).

    Post-anesthesia Care
    Because Chessie had general anesthesia today, she may be sleepy for the remainder of the day. Please take
    special care to protect her from falling down stairs, running into things, and exposure to hot or cold weather.

    Oral Surgery
    Chessie had one tooth extracted today—her lower left molar (309). This tooth was removed due to tooth
    resorption. There is a small tip of the tooth remaining in the bone of the mandible that could not be
    removed, but we do not anticipate this causing any issues since it is already resorting.
    It is normal to see blood-tinged saliva for the next few days. You may also notice some blood-tinged drool
    when Chessie is resting, which is completely normal.

    Nutrition
    Please feed half of Chessie's usual intake tonight. Transient GI upset can occur after general anesthesia,
    and it is not uncommon for patients to go a few days without a bowel movement after surgery. Please let
    us know if she is straining to defecate.

    Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 1 of 2

    Because Chessie had oral surgery today, her diet should be adjusted during the healing period. Please feed
    a canned diet for at least the next 14 days while the tissues heal. Ideally, she will eat a canned diet until her
    recheck visit.

    Exercise
    Please restrict Chessies activity for the next 1-2 days while she recovers from anesthesia. She may then
    resume normal activity.

    Pain Relief
    Chessie received a long-acting pain relief injection (Simbadol) that can last up to 72 hours. Due to this
    medication, she might seem unusually affectionate and extra smoochy. In rare cases, some cats may exhibit
    aggressive behavior. If you notice any concerning changes in her behavior, please contact us immediately.

    Medication to Go Home
    1) Onsior: Give 1 tablet by mouth every 24 hours for the next 3 days. Give with food. START TOMORROW
    EVENING. This is an anti-inflammatory medication.

    Follow-up
    Please schedule an appointment for a nurse visit for an oral examination in 14 days.

    Thank you for entrusting the Small Door team with Chessies care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan & The Small Door Medical Team

    Dr. Eliza O'Callaghan

    Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 2 of 2

    **## Encounter2025-05-145.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Percy
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Alexandra Oblak
    1-(917) 620-2716
    alexandraoblak@gmail.com

    PATIENT

    Percy | 1.1 YO | Male (Neutered) | Havanese |
    6.23 kg
    Patient ID: 275005718 | Canine
    DOB: Mar 18, 2024 | Color: Red Sable
    Microchip: 900235001332909
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY April 3, 2025 at 10:29 am

    DISCHARGE INSTRUCTIONS

    Date: 04/03/2025

    Procedure: Percy presented for a pre-scrotal castration (neuter).

    Because Percy had general anesthesia today, he may be sleepy for the remainder of the day. Special care
    must be taken to protect him from falling down stairs, running into things, and exposure to hot or cold
    weather.

    Incision Site Monitoring and Care:
    • Percy has an incision on his groin. Absorbable sutures were used under the skin. Please monitor the
    incision for any redness, bruising, discharge, or opening of the incision. If you are concerned, please do
    not hesitate to contact us and send a picture of the incision to medical@smalldoorvet.com.
    • The incision site does not require regular cleaning. If the incision becomes soiled or dirty, gently wipe the
    area with saline solution or warm water and a clean cloth. Do not bathe Percy until the incision is healed.
    • Percy must wear an e-collar or surgical suit at all times until the incision heals. If he can lick, bite, or scratch
    at the incision, it may become infected, fail to heal, and require further surgical intervention.
    • If Percy is wearing a surgical suit during recovery, please check the suit daily to ensure it has not become
    soiled, which can contaminate the incision. Be sure to unbutton the suit at least once a day to visually
    inspect the incision for any signs of bleeding, discharge, heat, or pulling apart at the edges.

    Dental Procedure:

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 1 of 3

    While under anesthesia, we also extracted four retained baby teeth: three incisors and one premolar. Small
    sutures were placed at the gum line where these teeth were removed. These sutures will dissolve and fall
    out on their own. No special care or change in food is needed for this area.

    Nutrition:
    Please feed half of Percys usual intake tonight. On occasion, transient GI upset will occur after general
    anesthesia. It is not uncommon for patients not to have a bowel movement for a few days after surgery.
    Please let me know if he is straining to defecate.

    Exercise:
    Please restrict Percys activity for the next 2 weeks while the incision heals. This means no running, jumping,
    or rough-housing. When you are not home or at night, you may need to place Percy in a crate or small room.

    Medications:
    1) Carprofen 25mg tablets: Give ½ tablet (12.5mg) by mouth every 12 hours for 5 days. This is a non-steroidal
    anti-inflammatory pain medication. Please give with food. The first dose is due tomorrow morning.
    2) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
    morning.
    3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Additional Procedures:
    – We placed a microchip during todays visit.
    – We also performed a nail trim.

    Follow-up:
    Please schedule an appointment for a nurse visit for an incision check in 10-14 days.

    Thank you for entrusting the Small Door team with Percys care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
    � West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
    www.smalldoorvet.com

    If you need to schedule an appointment, please use the Small Door app or email hi@smalldoorvet.com. In an
    emergency, contact us through the Small Door Urgent chat function on the app or reach out to your local
    emergency hospital.

    Dr. Eliza O'Callaghan

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 2 of 3

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 3 of 3

    **## Encounter2025-05-142.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Riesling
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Neil Corber
    1-(646) 880-7589
    ncorber@gmail.com

    PATIENT

    Riesling | 8 months old | Female (Spayed) |
    Labradoodle | 12.2 kg
    Patient ID: 323141146 | Canine
    DOB: Aug 29, 2024 | Color: Caramel
    Microchip: 981020057553364
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am

    DISCHARGE INSTRUCTIONS

    Date: 03/27/2025

    Procedure:
    Riesling presented for a surgical spay. She did excellently! You should be very proud of your girl!

    Because Riesling had general anesthesia, she may be sleepy for the remainder of the day. Special care must
    be taken to protect her from falling down stairs, running into things, and exposure to hot or cold weather.

    There is a possibility of seeing a small amount of blood in the urine over the next few days. This is caused
    by the surgery and should resolve within a few days.

    Incision Site Monitoring and Care:
    – Riesling has an incision on her abdomen. Absorbable sutures were used under the skin. Please monitor
    the incision for any redness, bruising, discharge, or opening. If you are concerned, please do not hesitate
    to contact us or send us a picture of the incision.
    – For the next 3 days, you may ice the incision for 10 minutes 3-4 times per day. If Riesling does not tolerate
    this, do not force her.
    – The incision site does NOT require regular cleaning. If the incision or abdomen becomes soiled or dirty,
    gently wipe the area with saline solution and a clean cloth. DO NOT bathe Riesling until the incision is
    healed.

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 1 of 3

    – Riesling MUST wear her surgical suit at ALL times until the incision heals. If Riesling is able to lick, bite, or
    scratch at the incision, she may introduce infection, or the incision may fail to heal, necessitating further
    surgical intervention.
    – Riesling may need an e-collar if she is able to lick at the incision site despite wearing the surgical suit.
    – Please be sure to check the surgical suit daily to make sure Riesling has not soiled it, which can contam-
    inate the incision.
    – Please be sure to unbutton the surgical suit at least once a day to check on the incision directly to ensure
    it is healing appropriately with no signs of bleeding, discharge, heat, or pulling apart of the edges of the
    incision.

    Nutrition:
    Please give Riesling half her usual diet this evening. You may resume normal feedings the day following
    surgery. Occasionally, transient gastrointestinal upset occurs following general anesthesia. It is not uncom-
    mon for patients not to have a bowel movement for a few days after surgery/anesthesia. Please let me know
    if she is straining to defecate.

    Exercise:
    Please restrict Riesling’s activity for the next two weeks while the incision heals. This means no running,
    jumping, or roughhousing. When you are not at home or at night, you may need to place Riesling in a crate
    or small room.

    Medications:
    1) Carprofen 25mg Tablets: Give 1 tablet every 12 hours for 5 days. This is a non-steroidal anti-inflammatory
    pain medication. Please give with food. The next dose is due tomorrow morning.
    2) You can give the previously prescribed Trazodone, as needed to help keep her calm, starting tomorrow
    morning.
    3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Follow-up:
    Please schedule an appointment for a nurse visit for an incision check in ~10-14 days.

    Thank you for entrusting the Small Door team with Riesling's care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    SEROLOGY (as of Mar 28, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 2 of 3

    Heartworm Antigen Negative –

    This test is not suitable for export. If testing is required for export, please select test codes marked "export".

    View your results in VetConnect PLUS for patient-specific interpretations that incorporate clinical signs.
    Further information on the diagnosis and management of tick/vector-borne diseases can be found at
    idexx.com/4DxGuide.

    Ehrlichia spp. Negative –

    This test is not suitable for export. If testing is required for export, please select test codes marked "export".

    Lyme (Borrelia burgdorferi) Negative –

    Anaplasma spp. Negative –

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    OTHER (as of Mar 28, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    More Information Needed Extra Lavender Top Tube received
    with no testing requested. Sam-
    ples will be held for 6 days from
    the date of receipt. Note that due
    to stability most hematology tests
    can only be added on up to 72
    hours from time of collection. Visit
    vetconnectplus.com to add testing
    to your sample.

    –

    Dr. Eliza O'Callaghan

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 3 of 3

    **## Encounter2025-05-141.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Peanut
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Chelsea Hart
    1-(917) 603-2987
    chelsea.eng.hart@gmail.com

    PATIENT

    Peanut | 6.9 YO | Male (Neutered) | Mixed Breed
    | 8.2 kg
    Patient ID: 137472789 | Canine
    DOB: Jul 23, 2018 | Color: Tan
    Microchip: 985141002005431
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:46 am

    DISCHARGE INSTRUCTIONS

    Discharge Summary for Peanut
    Procedure: Eyelid Mass Removal (Right Eye)
    Date: March 27, 2025
    Veterinarian: Dr. Eliza O'Callaghan

    Peanut did great today during his procedure to remove a small mass from his upper right eyelid. He was
    placed under anesthesia, and the mass was successfully removed. He woke up smoothly and has been
    comfortable throughout his recovery.
    The mass was sent for biopsy, and the results are expected in 7-10 days.

    At-Home Care Instructions:
    Activity & Incision Care:
    • Peanut should wear an e-collar (cone) at all times until his follow-up visit to prevent him from scratching
    the area.
    • Keep him calm and limit activity for the next 10-14 days to allow proper healing. Avoid rough play or
    rubbing his face on surfaces.
    • Check the incision daily for redness, swelling, discharge, or signs of discomfort. If you notice any of these,
    please contact us.

    Medications:

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 1 of 6

    1) Carprofen (pain relief): Give half (1/2) a tablet by mouth every 12 hours for 5 days with food. If he
    experiences vomiting, diarrhea, or dark stools, stop the medication and call us.
    2) Ofloxacin Eye Drops: Administer 1-2 drops to the right eye every 12 hours for 7 days. Start tomorrow
    morning.
    3) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
    morning.
    4) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Diet:
    Feed Peanut half of his regular dinner this evening and resume normal feeding tomorrow. It is not uncom-
    mon for pets to experience transient GI upset or a reduced appetite after anesthesia. Let us know if he won’t
    eat tomorrow, or if he is straining to defecate or has diarrhea. Some pets may not have a bowel movement
    for a few days after surgery—this is normal and usually resolves without intervention.

    Follow-Up:
    • Please schedule a recheck appointment in 10-14 days for an incision check. This will be a nurse visit.
    • We will reach out with the biopsy results as soon as we have them.

    Talk soon,
    Dr Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
    � West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
    www.smalldoorvet.com

    If you need to schedule an appointment, you may use the Small Door app or e-mail hi@smalldoorvet.com. In
    the event of an emergency, please reach out to us through the Small Door Urgent chat function on our app or
    to your local emergency practice.

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    PATHOLOGY (as of Mar 30, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    Biopsy Source: SKINSQ_MASS –

    Biopsy Type: EXCISIONAL –

    Clinical History: on medial portion of upper eyelid
    OD 3mm patch of mildly erythema-
    tous skin w/ slight hypotrichosis

    –

    Pathologist's Report INTERPRETATION:
    Haired skin upper eyelid region:
    Lymphohistiocytic nodule strongly

    –

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 2 of 6

    favoring a regressing cutaneous
    histiocytoma with rare foci of mild
    lymphocytic epitheliotropism (see
    comment)
    Surgical margins: Completely ex-
    cised

    COMMENTS:
    Histopathology of this mass re-
    veals a dome-shaped nodule con-
    sisting of admixed infiltrates of
    small mature lymphocytes and
    background populations of histi-
    ocytes. The favored interpretation
    for this lesion is a cutaneous his-
    tiocytoma in the late stages of
    regression. Extensive lymphocytic
    infiltrate is a key feature of re-
    gressing histiocytomas. There was
    a mildly atypical feature of multifo-
    cal lymphocytic epitheliotropism
    for the hair follicles in this tu-
    mor. Epitheliotropism can be a
    feature of cutaneous lymphomas
    however the epitheliotropism in
    this case was an inconsistent and
    relatively subtle finding. In com-
    bination with the concurrent his-
    tiocytic infiltrates the overall his-
    toarchitecture of this lesion and
    the minimal atypia or mitotic ac-
    tivity of the constituent lympho-
    cytes the likelihood of a cutaneous
    lymphoma is considered very low.
    Nonetheless if additional similar
    skin lesions are noted to emerge or
    this patient develops evidence of a
    regional lymphadenopathy further
    investigation into this differential
    diagnosis should be considered.

    Furthermore due to the admix-
    ed with histiocytic nature of

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 3 of 6

    this lesion other differentials for
    lymphohistiocytic inflammation of
    sterile or infectious (e.g. fungal
    infection mycobacterial infection)
    etiology also cannot be definitively
    excluded; however these etiologies
    are considered significantly less
    likely.

    Canine cutaneous histiocytomas
    are common and largely benign
    skin neoplasms of dogs derived
    from epidermal Langerhans den-
    dritic cells. Histiocytomas typically
    present as solitary lesions of young
    dogs most often under 3 years of
    age although older animals can
    also be affected. Frequently af-
    fected sites include the pinnae
    muzzle extremities and scrotum.
    Purebred dogs are predisposed
    and boxers and dachshunds are
    overrepresented. Multiple histio-
    cytomas occur in less than 1% of
    cases and are more common in the
    shar pei breed.

    Histiocytomas often grow rapidly
    and epidermal ulceration is com-
    mon. Lesions may regress sponta-
    neously and complete surgical ex-
    cision is typically curative. Local in-
    vasion and lymph node metastasis
    have been reported in rare cases
    of single cutaneous histiocytomas.
    Cutaneous histiocytomas in the ear
    canal of dogs may represent a par-
    ticularly aggressive variant with a
    case study reporting locally inva-
    sive behavior.

    References: Fernandez M et al.
    (2020) Vet Dermatol 31(4): 317-e80;
    Moore PF (2014) Vet Pathol 51(1):

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 4 of 6

    167-184.

    Internal Interpretation ID: IXD5.1

    HISTOPATHOLOGIC DESCRIP-
    TION:
    Haired skin eyelid region: This
    lesion is a focal moderately well
    demarcated raised dome-shaped
    mass of densely aggregated small
    mature lymphocytes with admix-
    ed superficial infiltrates of histio-
    cytic cells. The overlying epidermis
    is mildly hyperplastic and multi-
    focally extends short slender rete
    ridges into the underlying cellu-
    lar infiltrate. Along the superficial
    aspects of this mass with histio-
    cytic cells are most densely clus-
    tered there is frequent karyorrhec-
    tic and pyknotic cell debris. Very
    rarely dermis and epithelium dis-
    plays evidence of mild infiltration
    by small mature lymphocytes.

    PATHOLOGIST:
    Dr Cleide Sprӧhnle-Barrera DVM
    DVClinSc
    Diplomate American College of
    Veterinary Pathologists

    HOW TO CONTACT ME:
    Email (preferred): cleide-sprohn-
    le-barrera@idexx.com (veterinary
    consultation only)
    Phone (direct): ext. 80125 (veteri-
    nary consultation only)

    Veterinarians: To contact the
    pathologist regarding this report
    please either use email or call Cus-
    tomer Support and dial the exten-
    sion shown above. If the pathol-

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 5 of 6

    ogist is unavailable call Customer
    Support and request to speak to
    the Pathologist on Duty. Please ref-
    erence patient accession number
    2315732142.

    Pet owners: Please contact your
    veterinarian for advice to adhere to
    the legal veterinary-client-patient
    relationship.

    This pathology report may not
    be published via any distribution
    channel (including social media)
    without the pathologist's express
    permission.

    Dr. Eliza O'Callaghan

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 6 of 6

    **skill2.png**

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    **Encounter2025-05-14.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/encounter2025-05-14-pdf)

    **## Encounter2025-05-144.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Chessie
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Samantha Hom
    1-(347) 860-5635
    samanthahom521@gmail.com

    PATIENT

    Chessie | 8.4 YO | Female (Spayed) | Domestic
    Short Hair Dsh | 3.97 kg
    Patient ID: 343814135 | Feline
    DOB: Jan 01, 2017 | Color: Tabby
    Microchip: 981020025046968
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am

    DISCHARGE INSTRUCTIONS

    Date: 03/27/2025

    Procedure
    Chessie presented for a professional dental cleaning and oral assessment, treatment, and plan (ATP).

    Post-anesthesia Care
    Because Chessie had general anesthesia today, she may be sleepy for the remainder of the day. Please take
    special care to protect her from falling down stairs, running into things, and exposure to hot or cold weather.

    Oral Surgery
    Chessie had one tooth extracted today—her lower left molar (309). This tooth was removed due to tooth
    resorption. There is a small tip of the tooth remaining in the bone of the mandible that could not be
    removed, but we do not anticipate this causing any issues since it is already resorting.
    It is normal to see blood-tinged saliva for the next few days. You may also notice some blood-tinged drool
    when Chessie is resting, which is completely normal.

    Nutrition
    Please feed half of Chessie's usual intake tonight. Transient GI upset can occur after general anesthesia,
    and it is not uncommon for patients to go a few days without a bowel movement after surgery. Please let
    us know if she is straining to defecate.

    Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 1 of 2

    Because Chessie had oral surgery today, her diet should be adjusted during the healing period. Please feed
    a canned diet for at least the next 14 days while the tissues heal. Ideally, she will eat a canned diet until her
    recheck visit.

    Exercise
    Please restrict Chessies activity for the next 1-2 days while she recovers from anesthesia. She may then
    resume normal activity.

    Pain Relief
    Chessie received a long-acting pain relief injection (Simbadol) that can last up to 72 hours. Due to this
    medication, she might seem unusually affectionate and extra smoochy. In rare cases, some cats may exhibit
    aggressive behavior. If you notice any concerning changes in her behavior, please contact us immediately.

    Medication to Go Home
    1) Onsior: Give 1 tablet by mouth every 24 hours for the next 3 days. Give with food. START TOMORROW
    EVENING. This is an anti-inflammatory medication.

    Follow-up
    Please schedule an appointment for a nurse visit for an oral examination in 14 days.

    Thank you for entrusting the Small Door team with Chessies care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan & The Small Door Medical Team

    Dr. Eliza O'Callaghan

    Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 2 of 2

    **## Encounter2025-05-145.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Percy
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Alexandra Oblak
    1-(917) 620-2716
    alexandraoblak@gmail.com

    PATIENT

    Percy | 1.1 YO | Male (Neutered) | Havanese |
    6.23 kg
    Patient ID: 275005718 | Canine
    DOB: Mar 18, 2024 | Color: Red Sable
    Microchip: 900235001332909
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY April 3, 2025 at 10:29 am

    DISCHARGE INSTRUCTIONS

    Date: 04/03/2025

    Procedure: Percy presented for a pre-scrotal castration (neuter).

    Because Percy had general anesthesia today, he may be sleepy for the remainder of the day. Special care
    must be taken to protect him from falling down stairs, running into things, and exposure to hot or cold
    weather.

    Incision Site Monitoring and Care:
    • Percy has an incision on his groin. Absorbable sutures were used under the skin. Please monitor the
    incision for any redness, bruising, discharge, or opening of the incision. If you are concerned, please do
    not hesitate to contact us and send a picture of the incision to medical@smalldoorvet.com.
    • The incision site does not require regular cleaning. If the incision becomes soiled or dirty, gently wipe the
    area with saline solution or warm water and a clean cloth. Do not bathe Percy until the incision is healed.
    • Percy must wear an e-collar or surgical suit at all times until the incision heals. If he can lick, bite, or scratch
    at the incision, it may become infected, fail to heal, and require further surgical intervention.
    • If Percy is wearing a surgical suit during recovery, please check the suit daily to ensure it has not become
    soiled, which can contaminate the incision. Be sure to unbutton the suit at least once a day to visually
    inspect the incision for any signs of bleeding, discharge, heat, or pulling apart at the edges.

    Dental Procedure:

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 1 of 3

    While under anesthesia, we also extracted four retained baby teeth: three incisors and one premolar. Small
    sutures were placed at the gum line where these teeth were removed. These sutures will dissolve and fall
    out on their own. No special care or change in food is needed for this area.

    Nutrition:
    Please feed half of Percys usual intake tonight. On occasion, transient GI upset will occur after general
    anesthesia. It is not uncommon for patients not to have a bowel movement for a few days after surgery.
    Please let me know if he is straining to defecate.

    Exercise:
    Please restrict Percys activity for the next 2 weeks while the incision heals. This means no running, jumping,
    or rough-housing. When you are not home or at night, you may need to place Percy in a crate or small room.

    Medications:
    1) Carprofen 25mg tablets: Give ½ tablet (12.5mg) by mouth every 12 hours for 5 days. This is a non-steroidal
    anti-inflammatory pain medication. Please give with food. The first dose is due tomorrow morning.
    2) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
    morning.
    3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Additional Procedures:
    – We placed a microchip during todays visit.
    – We also performed a nail trim.

    Follow-up:
    Please schedule an appointment for a nurse visit for an incision check in 10-14 days.

    Thank you for entrusting the Small Door team with Percys care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
    � West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
    www.smalldoorvet.com

    If you need to schedule an appointment, please use the Small Door app or email hi@smalldoorvet.com. In an
    emergency, contact us through the Small Door Urgent chat function on the app or reach out to your local
    emergency hospital.

    Dr. Eliza O'Callaghan

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 2 of 3

    Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 3 of 3

    **## Encounter2025-05-142.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Riesling
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Neil Corber
    1-(646) 880-7589
    ncorber@gmail.com

    PATIENT

    Riesling | 8 months old | Female (Spayed) |
    Labradoodle | 12.2 kg
    Patient ID: 323141146 | Canine
    DOB: Aug 29, 2024 | Color: Caramel
    Microchip: 981020057553364
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am

    DISCHARGE INSTRUCTIONS

    Date: 03/27/2025

    Procedure:
    Riesling presented for a surgical spay. She did excellently! You should be very proud of your girl!

    Because Riesling had general anesthesia, she may be sleepy for the remainder of the day. Special care must
    be taken to protect her from falling down stairs, running into things, and exposure to hot or cold weather.

    There is a possibility of seeing a small amount of blood in the urine over the next few days. This is caused
    by the surgery and should resolve within a few days.

    Incision Site Monitoring and Care:
    – Riesling has an incision on her abdomen. Absorbable sutures were used under the skin. Please monitor
    the incision for any redness, bruising, discharge, or opening. If you are concerned, please do not hesitate
    to contact us or send us a picture of the incision.
    – For the next 3 days, you may ice the incision for 10 minutes 3-4 times per day. If Riesling does not tolerate
    this, do not force her.
    – The incision site does NOT require regular cleaning. If the incision or abdomen becomes soiled or dirty,
    gently wipe the area with saline solution and a clean cloth. DO NOT bathe Riesling until the incision is
    healed.

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 1 of 3

    – Riesling MUST wear her surgical suit at ALL times until the incision heals. If Riesling is able to lick, bite, or
    scratch at the incision, she may introduce infection, or the incision may fail to heal, necessitating further
    surgical intervention.
    – Riesling may need an e-collar if she is able to lick at the incision site despite wearing the surgical suit.
    – Please be sure to check the surgical suit daily to make sure Riesling has not soiled it, which can contam-
    inate the incision.
    – Please be sure to unbutton the surgical suit at least once a day to check on the incision directly to ensure
    it is healing appropriately with no signs of bleeding, discharge, heat, or pulling apart of the edges of the
    incision.

    Nutrition:
    Please give Riesling half her usual diet this evening. You may resume normal feedings the day following
    surgery. Occasionally, transient gastrointestinal upset occurs following general anesthesia. It is not uncom-
    mon for patients not to have a bowel movement for a few days after surgery/anesthesia. Please let me know
    if she is straining to defecate.

    Exercise:
    Please restrict Riesling’s activity for the next two weeks while the incision heals. This means no running,
    jumping, or roughhousing. When you are not at home or at night, you may need to place Riesling in a crate
    or small room.

    Medications:
    1) Carprofen 25mg Tablets: Give 1 tablet every 12 hours for 5 days. This is a non-steroidal anti-inflammatory
    pain medication. Please give with food. The next dose is due tomorrow morning.
    2) You can give the previously prescribed Trazodone, as needed to help keep her calm, starting tomorrow
    morning.
    3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Follow-up:
    Please schedule an appointment for a nurse visit for an incision check in ~10-14 days.

    Thank you for entrusting the Small Door team with Riesling's care. If you have any questions or concerns,
    please do not hesitate to contact us.

    Talk soon,
    Dr. Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    SEROLOGY (as of Mar 28, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 2 of 3

    Heartworm Antigen Negative –

    This test is not suitable for export. If testing is required for export, please select test codes marked "export".

    View your results in VetConnect PLUS for patient-specific interpretations that incorporate clinical signs.
    Further information on the diagnosis and management of tick/vector-borne diseases can be found at
    idexx.com/4DxGuide.

    Ehrlichia spp. Negative –

    This test is not suitable for export. If testing is required for export, please select test codes marked "export".

    Lyme (Borrelia burgdorferi) Negative –

    Anaplasma spp. Negative –

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    OTHER (as of Mar 28, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    More Information Needed Extra Lavender Top Tube received
    with no testing requested. Sam-
    ples will be held for 6 days from
    the date of receipt. Note that due
    to stability most hematology tests
    can only be added on up to 72
    hours from time of collection. Visit
    vetconnectplus.com to add testing
    to your sample.

    –

    Dr. Eliza O'Callaghan

    Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 3 of 3

    **## Encounter2025-05-141.pdf**

    DISCHARGE SUMMARY
    Provider: Dr. Eliza O'Callaghan
    Patient: Peanut
    Date Generated: May 15, 2025 Small Door Gramercy

    380 Second Ave New York, NY 10010
    (212) 933-9044

    OWNER

    Chelsea Hart
    1-(917) 603-2987
    chelsea.eng.hart@gmail.com

    PATIENT

    Peanut | 6.9 YO | Male (Neutered) | Mixed Breed
    | 8.2 kg
    Patient ID: 137472789 | Canine
    DOB: Jul 23, 2018 | Color: Tan
    Microchip: 985141002005431
    Allergies: None Recorded

    EXAM with Dr. Eliza O'Callaghan
    SMALL DOOR GRAMERCY March 27, 2025 at 8:46 am

    DISCHARGE INSTRUCTIONS

    Discharge Summary for Peanut
    Procedure: Eyelid Mass Removal (Right Eye)
    Date: March 27, 2025
    Veterinarian: Dr. Eliza O'Callaghan

    Peanut did great today during his procedure to remove a small mass from his upper right eyelid. He was
    placed under anesthesia, and the mass was successfully removed. He woke up smoothly and has been
    comfortable throughout his recovery.
    The mass was sent for biopsy, and the results are expected in 7-10 days.

    At-Home Care Instructions:
    Activity & Incision Care:
    • Peanut should wear an e-collar (cone) at all times until his follow-up visit to prevent him from scratching
    the area.
    • Keep him calm and limit activity for the next 10-14 days to allow proper healing. Avoid rough play or
    rubbing his face on surfaces.
    • Check the incision daily for redness, swelling, discharge, or signs of discomfort. If you notice any of these,
    please contact us.

    Medications:

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 1 of 6

    1) Carprofen (pain relief): Give half (1/2) a tablet by mouth every 12 hours for 5 days with food. If he
    experiences vomiting, diarrhea, or dark stools, stop the medication and call us.
    2) Ofloxacin Eye Drops: Administer 1-2 drops to the right eye every 12 hours for 7 days. Start tomorrow
    morning.
    3) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
    morning.
    4) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
    tonight.

    Diet:
    Feed Peanut half of his regular dinner this evening and resume normal feeding tomorrow. It is not uncom-
    mon for pets to experience transient GI upset or a reduced appetite after anesthesia. Let us know if he won’t
    eat tomorrow, or if he is straining to defecate or has diarrhea. Some pets may not have a bowel movement
    for a few days after surgery—this is normal and usually resolves without intervention.

    Follow-Up:
    • Please schedule a recheck appointment in 10-14 days for an incision check. This will be a nurse visit.
    • We will reach out with the biopsy results as soon as we have them.

    Talk soon,
    Dr Eliza O'Callaghan, DVM (she/her)
    Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
    � West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
    www.smalldoorvet.com

    If you need to schedule an appointment, you may use the Small Door app or e-mail hi@smalldoorvet.com. In
    the event of an emergency, please reach out to us through the Small Door Urgent chat function on our app or
    to your local emergency practice.

    LAB RESULTS – Ordered by Dr. Eliza O'Callaghan

    PATHOLOGY (as of Mar 30, 2025)

    TEST RESULT REFERENCE RANGE/COMMENTS

    Biopsy Source: SKINSQ_MASS –

    Biopsy Type: EXCISIONAL –

    Clinical History: on medial portion of upper eyelid
    OD 3mm patch of mildly erythema-
    tous skin w/ slight hypotrichosis

    –

    Pathologist's Report INTERPRETATION:
    Haired skin upper eyelid region:
    Lymphohistiocytic nodule strongly

    –

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 2 of 6

    favoring a regressing cutaneous
    histiocytoma with rare foci of mild
    lymphocytic epitheliotropism (see
    comment)
    Surgical margins: Completely ex-
    cised

    COMMENTS:
    Histopathology of this mass re-
    veals a dome-shaped nodule con-
    sisting of admixed infiltrates of
    small mature lymphocytes and
    background populations of histi-
    ocytes. The favored interpretation
    for this lesion is a cutaneous his-
    tiocytoma in the late stages of
    regression. Extensive lymphocytic
    infiltrate is a key feature of re-
    gressing histiocytomas. There was
    a mildly atypical feature of multifo-
    cal lymphocytic epitheliotropism
    for the hair follicles in this tu-
    mor. Epitheliotropism can be a
    feature of cutaneous lymphomas
    however the epitheliotropism in
    this case was an inconsistent and
    relatively subtle finding. In com-
    bination with the concurrent his-
    tiocytic infiltrates the overall his-
    toarchitecture of this lesion and
    the minimal atypia or mitotic ac-
    tivity of the constituent lympho-
    cytes the likelihood of a cutaneous
    lymphoma is considered very low.
    Nonetheless if additional similar
    skin lesions are noted to emerge or
    this patient develops evidence of a
    regional lymphadenopathy further
    investigation into this differential
    diagnosis should be considered.

    Furthermore due to the admix-
    ed with histiocytic nature of

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 3 of 6

    this lesion other differentials for
    lymphohistiocytic inflammation of
    sterile or infectious (e.g. fungal
    infection mycobacterial infection)
    etiology also cannot be definitively
    excluded; however these etiologies
    are considered significantly less
    likely.

    Canine cutaneous histiocytomas
    are common and largely benign
    skin neoplasms of dogs derived
    from epidermal Langerhans den-
    dritic cells. Histiocytomas typically
    present as solitary lesions of young
    dogs most often under 3 years of
    age although older animals can
    also be affected. Frequently af-
    fected sites include the pinnae
    muzzle extremities and scrotum.
    Purebred dogs are predisposed
    and boxers and dachshunds are
    overrepresented. Multiple histio-
    cytomas occur in less than 1% of
    cases and are more common in the
    shar pei breed.

    Histiocytomas often grow rapidly
    and epidermal ulceration is com-
    mon. Lesions may regress sponta-
    neously and complete surgical ex-
    cision is typically curative. Local in-
    vasion and lymph node metastasis
    have been reported in rare cases
    of single cutaneous histiocytomas.
    Cutaneous histiocytomas in the ear
    canal of dogs may represent a par-
    ticularly aggressive variant with a
    case study reporting locally inva-
    sive behavior.

    References: Fernandez M et al.
    (2020) Vet Dermatol 31(4): 317-e80;
    Moore PF (2014) Vet Pathol 51(1):

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 4 of 6

    167-184.

    Internal Interpretation ID: IXD5.1

    HISTOPATHOLOGIC DESCRIP-
    TION:
    Haired skin eyelid region: This
    lesion is a focal moderately well
    demarcated raised dome-shaped
    mass of densely aggregated small
    mature lymphocytes with admix-
    ed superficial infiltrates of histio-
    cytic cells. The overlying epidermis
    is mildly hyperplastic and multi-
    focally extends short slender rete
    ridges into the underlying cellu-
    lar infiltrate. Along the superficial
    aspects of this mass with histio-
    cytic cells are most densely clus-
    tered there is frequent karyorrhec-
    tic and pyknotic cell debris. Very
    rarely dermis and epithelium dis-
    plays evidence of mild infiltration
    by small mature lymphocytes.

    PATHOLOGIST:
    Dr Cleide Sprӧhnle-Barrera DVM
    DVClinSc
    Diplomate American College of
    Veterinary Pathologists

    HOW TO CONTACT ME:
    Email (preferred): cleide-sprohn-
    le-barrera@idexx.com (veterinary
    consultation only)
    Phone (direct): ext. 80125 (veteri-
    nary consultation only)

    Veterinarians: To contact the
    pathologist regarding this report
    please either use email or call Cus-
    tomer Support and dial the exten-
    sion shown above. If the pathol-

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 5 of 6

    ogist is unavailable call Customer
    Support and request to speak to
    the Pathologist on Duty. Please ref-
    erence patient accession number
    2315732142.

    Pet owners: Please contact your
    veterinarian for advice to adhere to
    the legal veterinary-client-patient
    relationship.

    This pathology report may not
    be published via any distribution
    channel (including social media)
    without the pathologist's express
    permission.

    Dr. Eliza O'Callaghan

    Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 6 of 6

    **skill2.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/skill2-png)

    **Encounter2025-05-14.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/encounter2025-05-14-pdf)

  • [Solved] Vaccines as a Prophylactic Measure

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – **Go to the CDC's** [**Recommended Vaccines by Age**](https://www.cdc.gov/vaccines/by-age/?CDC_AAref_Val=https://www.cdc.gov/vaccines/vpd/vaccines-age.html) **web page and review the vaccination protocols recommended by the U.S. government.** – **Analyze three different types of children's vaccina…

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    Assignment Prompt & Instructions

    – **Go to the CDC's** [**Recommended Vaccines by Age**](https://www.cdc.gov/vaccines/by-age/?CDC_AAref_Val=https://www.cdc.gov/vaccines/vpd/vaccines-age.html) **web page and review the vaccination protocols recommended by the U.S. government.**
    – **Analyze three different types of children's vaccinations in terms of the economic cost to the United States. Based on your analysis, recommend at least three measures to better disseminate vaccinations to the public, and provide a rationale for your recommendations.**
    – **Be sure to respond to at least one of your classmates' posts.**

    – [\
    \
    IMG_3249.png](https://www.sweetstudy.com/files/img-3249-png-10291531 "IMG_3249.png")
    – [\
    \
    IMG_3250.png](https://www.sweetstudy.com/files/img-3250-png-10291533 "IMG_3250.png")

    – a year ago

  • [Solved] Unit V DB

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    [>Marketing homework help](https://www.sweetstudy.com/fields/business-finance-marketing) See attached – a year ago **files (2)** – ## UnitVDB.docx – UnitVStudyGuide.pdf **## UnitVDB.docx** Unit V DB Please note that there are three posts needed to successfully complete the discussion board assignmen…

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    [>Marketing homework help](https://www.sweetstudy.com/fields/business-finance-marketing)

    See attached

    – a year ago

    **files (2)**

    – ## UnitVDB.docx

    – UnitVStudyGuide.pdf

    **## UnitVDB.docx**

    Unit V DB

    Please note that there are three posts needed to successfully complete the discussion board assignment.

    Post 1: Initial post addressing the discussion board topic is due by the end of day on Saturday.

    • Your initial post should be at least 300 words in length.

    • Your initial post should include at least one APA-formatted scholarly, professional, or textbook reference with accompanying in-text citation to support any paraphrased, summarized, or quoted material.

    Describe a dilemma you are currently facing, and the variables involved. Would this dilemma be best resolved by using a correlational analytical approach or a causal-comparative analytical approach?

    Then, choose a peer(s) response and make a case for using the opposite analytical approach (e.g., If your peer(s) advocates using a test of relationships, such as simple regression analysis, to address their dilemma, make a case for using a test of differences, such as the t-test).

    Reply 1: Muhammad Watto

    As I am working in a petrochemical organization and we are facing a dilemma of Carbon dioxide handling in our plant. As CO2 is producing as a by product by the exothermic catalytic reaction of Oxygen, Ethylene and acetic acid. A major dilemma in our organization is balancing CO2 emission reduction with economic feasibility and technological constraints. As global and local  regulations tighten on greenhouse gas emissions, companies face increasing pressure to reduce their carbon footprint while maintaining competitiveness and profitability. However, implementing carbon capture and storage (CCS) technologies or transitioning to low-carbon processes involves substantial capital investment, technical challenges and potential disruptions in operations.

    Below are the key variables involved in the dilemma of CO2 handling in petrochemical units.

    · CO2 Emission (dependent variable)

    · Production Output (as CO2 may scale with production)

    · Technology Type Used ( e.g. conventional vs. CCS-enabled processes)

    · Operational Costs (energy use, maintenance)

    · Capital investment (upfront infrastructure changes)

    · Regulatory Pressure (carbon pricing, emission limits)

    · Market Demand (driving production levels)

    · Energy Source (fossil vs. renewable)

    Basically A correlational approach examines the relationship between variables e.g. CO" emissions and productions output) without determining cause and effect. it can identify patterns, such as whether plants using renewable energy correlate with lower emissions. On the other hand A causal-comparative analytical approach compares different groups (e.g. plants using CCS vs, those not using it) to determine if a specific factor (e.g. technology type) causes a difference in outcomes .

    The best approach for resolving the dilemma of CO2 handling is causal-comparative analytical approach, because industry needs to understand which interventions cause significant emission reductions. By comparing facilities with and without CCS or other low-carbon technologies stakeholders can identify which practices lead to lower CO2 levels and at what cost.  CCS is central to the current dilemma because its one of the few viable pathways for deep decarbonization in high emission sectors. It helps in policy formulation and investment decision-making by showing causal impacts rather than  mere associations.

    Creswell, J. W., & Creswell, J. D. (2022). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE.
    [https://online.vitalsource.com/#/books/9781071817964](https://online.vitalsource.com/#/books/9781071817964)

    Reply 2: Chris Burt

    A current dilemma I am exploring a solution for is what is the best path forward after turning a small company from a location known for recordable injuries per day to a company that is a recognized leader in safety on both at the state and on the federal level. I have spent nearly a decade building up this safety program but at this point I have reached a plateau and where to go in the future.

    Others I have seen are at the start of the path of life, however I am heading into twilight, and I know that if I go these people I work with and for will still have a corporate leadership that believes 5S is the pinnacle of safety and it encompasses sweeping the floor (it’s a laugh or cry moment for me every time I hear it) deciding the safety practices yet I know they need to grow wings and fly on their own.

    This leads me to the question of which path forward is the best, or at minimum the least worst option. To reach this point I am going to use the correlation approach. Removing emotion and placing factors of which of the opportunities are going to be more enriching for me and my family (Foucreault, Ménard, Houlfort, Trépanier, & Lavigne2023). I have several options, all in the EHS field, yet the staggering amount of variables that are involved vary on local vs. relocation, long vs. short distance, pay vs. hours spent at work, remote vs. on site, team or single, and these are changing weekly. I love my work and my field so that is a constant not a variable.

    Creswell, J. W., & Creswell, J. D. (2022). Research Design (6th ed.). SAGE Publications, Inc. (US).
    [https://online.vitalsource.com/books/9781071817964](https://online.vitalsource.com/books/9781071817964)

    [Foucreault, A., Ménard, J., Houlfort, N., Trépanier, S.-G., & Lavigne, G. L. (2023](https://ultra.content.blackboardcdn.com/ultra/uiv3900.116.0-rel.23_475c9ba)). How Work-Family Guilt, Involvement with Children and Spouse’s Support Influence Parents’ Life Satisfaction in a Context of Work-Family Conflict.
    _Journal of Child & Family Studies_,
    _32_(4), 1065–1077. https://doi-org.libraryresources.columbiasouthern.edu/10.1007/s10826-022-02443-6

    **UnitVStudyGuide.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/unitvstudyguide-pdf-10291941)

    **UnitVStudyGuide.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/unitvstudyguide-pdf-10291941)

    **## UnitVDB.docx**

    Unit V DB

    Please note that there are three posts needed to successfully complete the discussion board assignment.

    Post 1: Initial post addressing the discussion board topic is due by the end of day on Saturday.

    • Your initial post should be at least 300 words in length.

    • Your initial post should include at least one APA-formatted scholarly, professional, or textbook reference with accompanying in-text citation to support any paraphrased, summarized, or quoted material.

    Describe a dilemma you are currently facing, and the variables involved. Would this dilemma be best resolved by using a correlational analytical approach or a causal-comparative analytical approach?

    Then, choose a peer(s) response and make a case for using the opposite analytical approach (e.g., If your peer(s) advocates using a test of relationships, such as simple regression analysis, to address their dilemma, make a case for using a test of differences, such as the t-test).

    Reply 1: Muhammad Watto

    As I am working in a petrochemical organization and we are facing a dilemma of Carbon dioxide handling in our plant. As CO2 is producing as a by product by the exothermic catalytic reaction of Oxygen, Ethylene and acetic acid. A major dilemma in our organization is balancing CO2 emission reduction with economic feasibility and technological constraints. As global and local  regulations tighten on greenhouse gas emissions, companies face increasing pressure to reduce their carbon footprint while maintaining competitiveness and profitability. However, implementing carbon capture and storage (CCS) technologies or transitioning to low-carbon processes involves substantial capital investment, technical challenges and potential disruptions in operations.

    Below are the key variables involved in the dilemma of CO2 handling in petrochemical units.

    · CO2 Emission (dependent variable)

    · Production Output (as CO2 may scale with production)

    · Technology Type Used ( e.g. conventional vs. CCS-enabled processes)

    · Operational Costs (energy use, maintenance)

    · Capital investment (upfront infrastructure changes)

    · Regulatory Pressure (carbon pricing, emission limits)

    · Market Demand (driving production levels)

    · Energy Source (fossil vs. renewable)

    Basically A correlational approach examines the relationship between variables e.g. CO" emissions and productions output) without determining cause and effect. it can identify patterns, such as whether plants using renewable energy correlate with lower emissions. On the other hand A causal-comparative analytical approach compares different groups (e.g. plants using CCS vs, those not using it) to determine if a specific factor (e.g. technology type) causes a difference in outcomes .

    The best approach for resolving the dilemma of CO2 handling is causal-comparative analytical approach, because industry needs to understand which interventions cause significant emission reductions. By comparing facilities with and without CCS or other low-carbon technologies stakeholders can identify which practices lead to lower CO2 levels and at what cost.  CCS is central to the current dilemma because its one of the few viable pathways for deep decarbonization in high emission sectors. It helps in policy formulation and investment decision-making by showing causal impacts rather than  mere associations.

    Creswell, J. W., & Creswell, J. D. (2022). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE.
    [https://online.vitalsource.com/#/books/9781071817964](https://online.vitalsource.com/#/books/9781071817964)

    Reply 2: Chris Burt

    A current dilemma I am exploring a solution for is what is the best path forward after turning a small company from a location known for recordable injuries per day to a company that is a recognized leader in safety on both at the state and on the federal level. I have spent nearly a decade building up this safety program but at this point I have reached a plateau and where to go in the future.

    Others I have seen are at the start of the path of life, however I am heading into twilight, and I know that if I go these people I work with and for will still have a corporate leadership that believes 5S is the pinnacle of safety and it encompasses sweeping the floor (it’s a laugh or cry moment for me every time I hear it) deciding the safety practices yet I know they need to grow wings and fly on their own.

    This leads me to the question of which path forward is the best, or at minimum the least worst option. To reach this point I am going to use the correlation approach. Removing emotion and placing factors of which of the opportunities are going to be more enriching for me and my family (Foucreault, Ménard, Houlfort, Trépanier, & Lavigne2023). I have several options, all in the EHS field, yet the staggering amount of variables that are involved vary on local vs. relocation, long vs. short distance, pay vs. hours spent at work, remote vs. on site, team or single, and these are changing weekly. I love my work and my field so that is a constant not a variable.

    Creswell, J. W., & Creswell, J. D. (2022). Research Design (6th ed.). SAGE Publications, Inc. (US).
    [https://online.vitalsource.com/books/9781071817964](https://online.vitalsource.com/books/9781071817964)

    [Foucreault, A., Ménard, J., Houlfort, N., Trépanier, S.-G., & Lavigne, G. L. (2023](https://ultra.content.blackboardcdn.com/ultra/uiv3900.116.0-rel.23_475c9ba)). How Work-Family Guilt, Involvement with Children and Spouse’s Support Influence Parents’ Life Satisfaction in a Context of Work-Family Conflict.
    _Journal of Child & Family Studies_,
    _32_(4), 1065–1077. https://doi-org.libraryresources.columbiasouthern.edu/10.1007/s10826-022-02443-6

    **UnitVStudyGuide.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/unitvstudyguide-pdf-10291941)

    **## UnitVDB.docx**

    Unit V DB

    Please note that there are three posts needed to successfully complete the discussion board assignment.

    Post 1: Initial post addressing the discussion board topic is due by the end of day on Saturday.

    • Your initial post should be at least 300 words in length.

    • Your initial post should include at least one APA-formatted scholarly, professional, or textbook reference with accompanying in-text citation to support any paraphrased, summarized, or quoted material.

    Describe a dilemma you are currently facing, and the variables involved. Would this dilemma be best resolved by using a correlational analytical approach or a causal-comparative analytical approach?

    Then, choose a peer(s) response and make a case for using the opposite analytical approach (e.g., If your peer(s) advocates using a test of relationships, such as simple regression analysis, to address their dilemma, make a case for using a test of differences, such as the t-test).

    Reply 1: Muhammad Watto

    As I am working in a petrochemical organization and we are facing a dilemma of Carbon dioxide handling in our plant. As CO2 is producing as a by product by the exothermic catalytic reaction of Oxygen, Ethylene and acetic acid. A major dilemma in our organization is balancing CO2 emission reduction with economic feasibility and technological constraints. As global and local  regulations tighten on greenhouse gas emissions, companies face increasing pressure to reduce their carbon footprint while maintaining competitiveness and profitability. However, implementing carbon capture and storage (CCS) technologies or transitioning to low-carbon processes involves substantial capital investment, technical challenges and potential disruptions in operations.

    Below are the key variables involved in the dilemma of CO2 handling in petrochemical units.

    · CO2 Emission (dependent variable)

    · Production Output (as CO2 may scale with production)

    · Technology Type Used ( e.g. conventional vs. CCS-enabled processes)

    · Operational Costs (energy use, maintenance)

    · Capital investment (upfront infrastructure changes)

    · Regulatory Pressure (carbon pricing, emission limits)

    · Market Demand (driving production levels)

    · Energy Source (fossil vs. renewable)

    Basically A correlational approach examines the relationship between variables e.g. CO" emissions and productions output) without determining cause and effect. it can identify patterns, such as whether plants using renewable energy correlate with lower emissions. On the other hand A causal-comparative analytical approach compares different groups (e.g. plants using CCS vs, those not using it) to determine if a specific factor (e.g. technology type) causes a difference in outcomes .

    The best approach for resolving the dilemma of CO2 handling is causal-comparative analytical approach, because industry needs to understand which interventions cause significant emission reductions. By comparing facilities with and without CCS or other low-carbon technologies stakeholders can identify which practices lead to lower CO2 levels and at what cost.  CCS is central to the current dilemma because its one of the few viable pathways for deep decarbonization in high emission sectors. It helps in policy formulation and investment decision-making by showing causal impacts rather than  mere associations.

    Creswell, J. W., & Creswell, J. D. (2022). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE.
    [https://online.vitalsource.com/#/books/9781071817964](https://online.vitalsource.com/#/books/9781071817964)

    Reply 2: Chris Burt

    A current dilemma I am exploring a solution for is what is the best path forward after turning a small company from a location known for recordable injuries per day to a company that is a recognized leader in safety on both at the state and on the federal level. I have spent nearly a decade building up this safety program but at this point I have reached a plateau and where to go in the future.

    Others I have seen are at the start of the path of life, however I am heading into twilight, and I know that if I go these people I work with and for will still have a corporate leadership that believes 5S is the pinnacle of safety and it encompasses sweeping the floor (it’s a laugh or cry moment for me every time I hear it) deciding the safety practices yet I know they need to grow wings and fly on their own.

    This leads me to the question of which path forward is the best, or at minimum the least worst option. To reach this point I am going to use the correlation approach. Removing emotion and placing factors of which of the opportunities are going to be more enriching for me and my family (Foucreault, Ménard, Houlfort, Trépanier, & Lavigne2023). I have several options, all in the EHS field, yet the staggering amount of variables that are involved vary on local vs. relocation, long vs. short distance, pay vs. hours spent at work, remote vs. on site, team or single, and these are changing weekly. I love my work and my field so that is a constant not a variable.

    Creswell, J. W., & Creswell, J. D. (2022). Research Design (6th ed.). SAGE Publications, Inc. (US).
    [https://online.vitalsource.com/books/9781071817964](https://online.vitalsource.com/books/9781071817964)

    [Foucreault, A., Ménard, J., Houlfort, N., Trépanier, S.-G., & Lavigne, G. L. (2023](https://ultra.content.blackboardcdn.com/ultra/uiv3900.116.0-rel.23_475c9ba)). How Work-Family Guilt, Involvement with Children and Spouse’s Support Influence Parents’ Life Satisfaction in a Context of Work-Family Conflict.
    _Journal of Child & Family Studies_,
    _32_(4), 1065–1077. https://doi-org.libraryresources.columbiasouthern.edu/10.1007/s10826-022-02443-6

    **UnitVStudyGuide.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/unitvstudyguide-pdf-10291941)

  • [Solved] The Challenge of Staying Neutral in Public Profiles

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    When representing someone publicly, especially online, it's easy to slip into biased language. I recently took on the challenge of helping a client build a balanced online presence. Neutrality, verifiable sources, and tone were tough to get right. That’s when we looked into <a href="https://www.eter…

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    Assignment Prompt & Instructions

    When representing someone publicly, especially online, it's easy to slip into biased language. I recently took on the challenge of helping a client build a balanced online presence. Neutrality, verifiable sources, and tone were tough to get right. That’s when we looked into <a href="https://www.eternalwikipublishers.com/"> **wikipedia page creation services** </a> to ensure compliance with guidelines and community standards. It’s surprising how rigorous the editorial process can be. Every sentence was scrutinized. I gained a new appreciation for how reputations are built—or ruined—by a few words. Have you ever tried writing something where neutrality wasn’t optional?

    – a year ago

  • [Solved] tasha powerpoint

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    topic Vygotsky’s Social Cultural Theory highlight the important points of a theory that you will pick from this week’s reading and research. The selected theory should be one that has a significant influence in explaining development. An example of one such theory may be: Piaget’s theory of Cognitiv…

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    Assignment Prompt & Instructions

    topic  Vygotsky’s Social Cultural Theory

    highlight  the important points of a theory that you will pick from this week’s  reading and research. The selected theory should be one that has a  significant influence in explaining development. An example of one such  theory may be: Piaget’s theory of Cognitive Development, Erikson’s  theory of Psychosocial Development, Vygotsky’s theory of Sociocultural  Development etc.

    You  will want to expand on your points from the discussion with greater  detail in this assignment. The presentation will start with a short  introduction of the theory, present some background information on the  theorist/psychologist behind the creation of the theory, share  additional interesting details about the theory such as the main focus  of the theory, steps or stages within the theory and so forth and  conclude by briefly explaining why you selected this theory as the best  theory in explaining development. You will want to have a minimum of a  seven slide PPT or Prezi. All references will be listed in APA format.  Remember to cite your references to support the information shared  within your slides.

    – a year ago