Medical Science for Pathogenesis and Diagnosis- myassignmenthelp

Question: Talk about theMedical Science for Pathogenesis and Diagnosis. Answer: History In the given contextual investigation, 52-year-old Emma Smith had a steady beginning of stomach torment and had been retching discontinuously and incapable to endure oral liquids. She can't restrict the torment and it began in the correct lower quadrant in here and there structure. The mid-region is inflexible, delicate on palpation and seemed flushed, diaphoretic. On addressing, her agony scored 9/10 on torment scale, be that as it may, there was no torment during her last pee. She was marginally disturbed, retching and skin showed up warm to contact. Her indispensable signs included heartbeat 120 and thready, low circulatory strain 90/60, sinus tachycardia with consistent torment in the stomach. The above condition might be an instance of a ruptured appendix as the torment started in the correct lower quadrant of the stomach (Shogilev et al., 2014). Temporary analysis Intense a ruptured appendix might be a crisis condition that requires prompt consideration and the board of the condition. The temporary conclusion is the impermanent finding that should be possible with the best data accessible in that circumstance which further requires affirmation. The crisis care administration would assist with giving the consideration during Emmas move from home to emergency clinic. The quick life sparing consideration gave by the specialist on call would give oxygen organization, mechanized outer defibrillator giving consideration least crisis administration, and settle her condition before rescue vehicle show up and help her to the emergency clinic . In differential analysis, a ruptured appendix can be precarious for finding until the normal side effects are searched for. The fundamental thought on a need premise is torment the board and checking of indispensable signs like stomach torment, ultrasound or CT filter) oxygen immersion levels, circulatory strain, beat rate and temperature (Ehrman Favot, 2017). Etiology The primary driver of an infected appendix is expected to appendiceal lumen that outcomes in check primarily by lymphoid hyperplasia brought about by some remote body or worms. There is irritation of addendum and this prompts augmentation of microorganisms inside the organ and discharge development. The obstacle may prompt bacterial abundance, distension, ischemia and stomach irritation. There is obstructing of index by stool or remote body that causes intense or constant torment. Succinctly, there are two fundamental driver of a ruptured appendix: stomach contamination that may have moved to supplement or a hard stool piece might be caught in index and microscopic organisms present in it might have tainted the informative supplement (Bowen, 2015). The study of disease transmission A ruptured appendix is one of the most well-known intense stomach crisis cases; nonetheless, the occurrence is low in the populace with 6.7% females and 8.6% guys. The lifetime hazard is 12% among guys and 23% among females. This condition happens in individuals matured early adolescents and late 40s. This demonstrates male to female power and is a worldwide malady. The pervasiveness is settled in most Western nations and proposes that the rate is increasing quickly. Among these, Europe has the most elevated occurrence and rate in Australia is practically identical to Western Europe. The yearly death rate in Australia because of an infected appendix has diminished by 42.7%, be that as it may, the frequency is heightening that is turning into a significant worldwide medical problem and weight of illness (Bhangu et al., 2015). Pathophysiology As the signs and side effects of Emmas wellbeing conditions, shows to the chance of a ruptured appendix, the pathophysiology of informative supplement will be talked about. Because of the deterrent in the lumen, it turns into a shut circle and turns out to be totally loaded up with mucus.This condition prompts intramural and intraluminal weight and distension. Movement of such condition drives the increase of inhabitant microscopic organisms in the addendum. A portion of the occupant microscopic organisms of informative supplement are Bacteroids fragilis and Escherichia coli(Flum, 2015).The explanation of Emmas retching and insufferable agony is the distension of the lumen of the index. This condition causes reflex anorexia, spewing, gentle fever, sickness and serious stomach torment. The weight of the lumen of informative supplement continues expanding and surpasses the venous weight prompting the apoplexy of little venules and various vessels. Notwithstanding, in this condition als o the arterioles stays open and this makes the informative supplement blocked and engorged. Besides, aggravation in this area prompts serosa of the supplement and prompts parietal peritoneum, prompting the correct lower quadrant torment in the midsection district. At long last, the occupant microscopic organisms begin shaping discharge that hole out of the perishing dividers makes the illness progressively muddled (Wolfe Hanneman, 2013). Appraisal There are a few instrument to evaluate a ruptured appendix in patients. As the patient may be, griping about the stable cut off torment in her lower right mid-region and her mid-region is unbending, swollen and delicate. Subsequently, ultrasonography will be utilized to analyze the reason for tormenting. Ultrasonography is a simple and powerful path for essential finding of the torment and if the procedure gives negative outcome, CT sweep can be utilized to analyze further. Appendixdoes notappear for the most part in the ultrasonography strategy. In any case, after the addendum gets swollen and begin tormenting, the ultrasonography test gives an away from of 7 to 9 mm of swollen structure in the lower right quadrant of mid-region. Thus, it is a successful device to analyze reference section, if the patient is experiencing the infection (Kim et al., 2012). To identify the chance of an infected appendix, urinary 5-HIAA tests can be performed. The extent of HIAA in bloodincreases with the beginning of the sickness and during the putrefaction of the informative supplement turns out to be low in sum. Thus, from the urinary 5-HIAA test, the degree of HIAA in Emmas body can be recognized and a more clear image of infection can be achieved(Kim et al., 2012). Treatment Early treatment of Emma ought to incorporate medications to deal with her agony and to bring down the wellbeing outcomes due the indications. In the chance of reference section, the patient ought to be managed to crystalloid treatment. Emma is giving the indications of parchedness and she can't take any liquid inside her body henceforth crystalloid treatment will be compelling to manage her indications of lack of hydration and septicemia (Lacher et al., 2012). Sheshould be furnished with analgesics (parenteral and antiemetic) to comfort her stomach torment. This will assist with quieting her condition and her circulatory strain will improve (Lacher et al., 2012). Transport Transport of the patient to the medical clinic was minimal troublesome as she was experiencing extreme torment. A group of speedy activity group went with the ward young men in the rescue vehicle to move the patient from home to medical clinic and they do their temporary consideration procedures to quiet the patient in the emergency vehicle. References Bhangu, A., Sreide, K., Di Saverio, S., Assarsson, J. H., Drake, F. T. (2015). Intense a ruptured appendix: present day comprehension of pathogenesis, determination, and management.The Lancet,386(10000), 1278-1287. Bowen, W. H. (2015).Appendicitis. Cambridge University Press. Ehrman, R. R., Favot, M. J. (2017). Can Abdominal Ultrasonography Be Used to Accurately Diagnose Acute Appendicitis?.Annals of Emergency Medicine,70(4), 583-584. Flum, D. R. (2015). Intense appendicitisappendectomy or the anti-infection agents first strategy.New England Journal of Medicine,372(20), 1937-1943. Kim, K., Kim, Y. H., Kim, S. Y., Kim, S., Lee, Y. J., Kim, K. P., ... Tune, K. J. (2012). Low-portion stomach CT for assessing associated appendicitis.New England Journal with Medicine,366(17), 1596-1605. Lacher, M., Muensterer, O. J., Yannam, G. R., Aprahamian, C. J., Perger, L., Megison, M., ... Harmon, C. M. (2012). Practicality of single-cut pediatric endosurgery for treatment of an infected appendix in 415 children.Journal of Laparoendoscopic Advanced Surgical Techniques,22(6), 604-608. Shogilev, D. J., Duus, N., Odom, S. R., Shapiro, N. I. (2014). Diagnosing a ruptured appendix: proof based survey of the analytic methodology in 2014.Western Journal of Emergency Medicine,15(7), 859. Wolfe, J. M., Henneman, P. L. (2013). Intense appendicitis.women,1, 2.

Sherlock Holmes Essay Example for Free

Sherlock Holmes Essay Sherlock Holmes developed in 1893 as an anecdotal beginner criminologist. He had fathomed numerous cases and had the option to discover the lowlife utilizing logical proof. At the point when Sherlock Holmes came out away from any confining influence, Britain was a degenerate spot as the police power was futile and individuals used to murder and take only for it. Jack the Ripper is the most popular pen name date from that period. He used to slaughter ladies whores from the ghettos and cut out their throats. He at that point sent body portions of his casualties to the police demonstrating his predominance. Individuals thought of Sherlock Holmes as a legend since they figured he could shield them from pedophiles and killers despite the fact that he was an anecdotal character. The driving force to Sherlock Holmes was Sir Arthur Conan Doyle. He put together the super sleuth character with respect to his individual specialist, Dr Joseph Bell. He, similar to Holmes, had the option to utilize the intensity of reasoning to discover his patients occupation. Conan Doyle made this extraordinary character since he was baffled with other investigator stories. Hence he made an excessively human like analyst who utilized logical proof to comprehend his cases not at all like fortuitous event like the other investigator stories. This made Sherlock Holmes a gigantic example of overcoming adversity and when Doyle executed off the character, there was an open up thunder and passing dangers were sent to his home. Along these lines, Doyle brought back the character and his side kick Watson again from the shadows. Doyle figured out how to keep his crowds inspired by Sherlock Holmes by shrewdly making an immaculate thought. This was to discharge various stories consistently as opposed to keeping one story and conveying it one quite a long time after month. This was an astute and effective way of thinking on the grounds that Conan Doyle realized that on the off chance that he kept up with one account, at that point individuals would lose intrigue since individuals who missed an issue wouldnt purchase the following one though on the off chance that he made another story consistently, at that point individuals would even now purchase the issue each month as they didnt miss anything. This is the reason it got known as Sherlock Holmes experiences. Sherlock Holmes undertakings have a one of a kind structure. This is on the grounds that it makes a story with in the story. It begins with the casualty coming to Holmes about their problem(s). They at that point disclose to him their problem(s). This is the place Doyle makes a story inside the story. Next, Holmes explores and afterward sets out an arrangement. He in the end gets the miscreant. Portions of the structure can frequently differ. This is indicated plainly in the story The man with the contorted lip. Rather than the casualty coming to Holmes, they come to Dr Watson; Holmes right hand man. This gives us that Doyle is attempting to shift his structure. Something else is that the casualties for the most part consistently appear to be of high class. This is absent in the Red Headed League as Jabez Wilson (The person in question) is of lower class. Despite the fact that he is of lower class and his case is somewhat questionable (this is on the grounds that he out of nowhere quit getting à ¯Ã¢ ¿Ã¢ ½4 week by week from his auxiliary occupation as it just out of nowhere vanished) Holmes was as yet resolved to settle his case. This gives us that Holmes will take on any case regardless of who his customer is or how senseless the issue was. A decent citation to help the issue is the weirdest and the most one of a kind things are frequently associated not with the littler violations. The characters that the narratives rotate around change from story to story. There are just two characters that are available in all the 3 stories that I have perused (The Speckled Band, The Red Headed League and The man with the turned lip). These two characters are the sleuthhound Sherlock Holmes and the wannabe criminologist Dr Watson. Sir Arthur Conan Doyle utilizes characters as a decent gadget by indicating the peruser and crowd that he has utilized the six principles of a decent criminologist story. * The wrongdoing must be noteworthy * The investigator must be noteworthy * The criminal must be a commendable rival * The signs must be accessible to the crowd * The speculate must show up right off the bat in the story * The arrangement must be sensible and conceivable On account of these standards, Holmes seems, by all accounts, to be powerful to the unaided eye yet whenever took a gander at closer you would find that this staggering character has a peculiarity. This is on the grounds that he smokes all the time and ingests medications and so on. The way that he smokes is indicated unmistakably in the citation from the Red Headed League Watson, I ask of you leave me for 60 minutes. I accept this is a 3 funnel issue This underscores the sum that he smokes. 3 funnel issue implies he should smoke three channels before he will find the solution which suggests that it is an extremely troublesome issue. This is on the grounds that a decided and scholarly individual like him doesnt battle with a lot. The citation in the section above likewise shows us the manner in which Holmes treats Watson. Holmes treats him like a kid who doesnt know a lot. Another statement to back up the issue is My dear specialist, this is a period for perception, not for talk. We are spies in an enemys nation. This is when Holmes answers to Watsons question with a hazy answer. It gives us how ill bred Holmes can be and that Holmes feels that Watson has a long way to go. Watson assumes the job of the storyteller and snares the peruser. Another job of his is the foil. He makes Sherlock Holmes look better. You reason it out wonderfully. I shouted in unfeigned profound respect. It is so long a chain, but every connection sounds valid. This concentrate cited from Watson, appreciates Holmes polished skill. It likewise features his deductive abilities and logical techniques. Something else Watson does is attract the crucial a palatable end. This is likewise appeared in the statement above. Watson consistently goes with Holmes on day and night excursions to offer assurance since he has a pistol. This shows his dauntlessness as he offers his life and appendages to ensure Holmes and himself. He frequently goes deliberately much after Holmes has revealed to him his life might be in danger. This strengthens his dauntlessness. Lowlifess in Sherlock Holmes stories are continually tricky and a decent counterpart for Sherlock Holmes. This makes the story all the more energizing and inebriating as we dont know whether the reprobate will pull off his wrongdoing. The reprobates are consistently of high class which makes them harder to find or suspect as a great many people wouldnt question them. The reprobates in Holmes stories shift from great scoundrels or casualties who are the miscreants. One great scoundrel is Dr Roylott. He is of high class and has probably the most seasoned family in Britain. Something else is that he is a specialist who has turned sour. This is reflected in the garments he wears. As he goes to stand up to Holmes, he wears a dark top-cap, a long gown coat, a couple of high gaiters with a chasing crop swinging in his grasp. This gives us that for a high class man, he has no confidence and has most likely lost his poise all the while. This certainly makes him an exemplary scoundrel as he has no other option yet to turn into a reprobate to keep what he has left. The entirety of this affects the peruser. It makes the peruser second look Dr Roylott as they dont might suspect he is a criminal from the start yet then it settles on them glance back at that choice and reevaluate the issue before making a determination that Dr Roylott is the reprobate. After this rushed period, the peruser is left as eager and anxious as ever to see whether he escapes or if Sherlock Holmes and his accessory catch him in the demonstration. It fabricates such a great amount of strain as they are an even match. It makes the peruser need to continue perusing to discover what occurs. Pressure begins to work when Dr Royllott strolls in through the entryway. It affects the peruser as they need to know who the unusual man is and why he came. Sir Arthur Conan Doyle figures out how to paint a truly flawless picture of the characters into our heads. Doyle does this by utilizing short yet incredible descriptive words to portray each one of a kind and basic component of their body. He gives the detail more than 1 or 2 lines to make it short and smart. Despite the fact that he does this, he can paint the image in our minds to the absolute last detail. An exceptionally bold flowery face older man of his word with blazing red hair This statement backs up the way that the essayist utilizes 1 or 2 lines of detail is as yet ready to cause you to envision what the character resembles. He utilizes words like red hot which are short and smart yet powerful. It is perfect to portray Mr Wilsons hair shading. Colorful is a decent word as it allows the sentence to sentence is as yet fit for utilizing it to greatest adequacy by depicting Jabez Wilsons face. Holmes assurance is likely the most significant piece of all Sherlock Holmes undertakings. It is appeared in all the accounts I have perused and has tackled every one of the 3 of the cases. This is on the grounds that he generally drives forward through the extreme and simple occasions. The most famous out of the 3 stories I read was presumably The man with the contorted lip This is on the grounds that it took him such a long time to make sense of who the criminal was. Rather than walking out on the case, he continued on and fathomed the case. He did this with sheer assurance. At long last, the criminal was the person in question (Neville St Clair). By and large, Sherlock Holmes is a superb character. This is on the grounds that numerous individuals thought he was a genuine individual. This shows how great Doyles composing was. Holmes additionally gave Victorian individuals trust the same number of murders and pedophiles hid the lanes. He even was a good example for the police power as student cops were advised to peruse them to tell them the best way to get hoodlums. Sherlock Holmes will be associated with numerous hundreds of years to come and his logical perspective has been embraced by police powers. He will consistently be eminent as the best anecdotal and non-anecdotal analyst the world has ever known. Cook Street additionally has a house where individuals present messages on Sherlock Holmes as that is the place he is accepted to have lived.

More on the Application Essays COLUMBIA UNIVERSITY - SIPA Admissions Blog

More on the Application Essays COLUMBIA UNIVERSITY - SIPA Admissions Blog With our Early Action deadline behind us and our January 5 (deadline with fellowship consideration) and February 5 (final deadline) deadlines approaching, we’d like to provide some more information on our application essays. For general essay tips, we recommend checking out our blog entry on writing a strong essay. For the MIA/MPA program applications, the following essays are required: Personal Statement Describe future self to future employer, or current self to future employer Optional Essay A quick tip on the Personal Statement In addition to sharing your personal story, this is an opportunity to indicate a clear trajectory for your professional and personal development. This is the chance to share how SIPA can fit into your path for moving forward. We encourage you to be as detailed as possible when writing this essay. What to include on the Future Career Essay The purpose of this essay is to provide a space for prospective applicants to identify their professional strengths and establish a ‘personal pitch.’ Imagine writing a short cover letter to your ideal employer. What skills would you want to highlight? What previous experience makes you an exceptional candidate? What professional qualities do you bring to the table? More on the Optional Essay Please keep in mind that this is an optional essay. If you feel that you do not need this additional space, then do not feel obligated to fill in this space. However, if there is something you feel you could not express in other areas of the application, please use the optional essay to share this with the Admissions Committee. This is your opportunity to highlight what makes you unique as an applicant, or to offer greater detail into a part of your application that you feel you should address. We’re looking for the whole picture on our applicants, so the more information you provide, the better. Our SIPA community prides itself in having a diverse student population, made of a myriad of personal and professional stories. We look forward to reading your essays and learning more about YOU!

Account Management Internship Summer 2015 Essay - 921 Words

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British Literature Final Exam - 1301 Words

British Literature II - Final Exam British Literature is filled with diverse and talented writers who through each period has brought something new to the table. Over the course of the term we have covered the Romantic period, the Victorian Age and the Modern period. Each period has had a hand in developing literature through to the modern age and each writer has influenced the next generation. To best examine each period of literature the paper will be split amongst the three major periods the course has covered. Each period had it’s own style, stories and ways of telling each story as such the paper will explore the writers of each time and their effect on the later generations. Literature in general has grown from the impact the past generations have had on the current writers. Thus British literature in particular has developed over each period a great deal and has ultimately lead us into the modern twenty-first century literature that we read today. 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Social: very connected with society, both people and organisations which are beneficial. They also tend to share the same values and views with those they are connected too. Cultural: cultural experiences gained through literat ure, the theatre, museums and local events. Lastly, symbolic: this is a person’s status symbol, how they show themselves through material items such as technology, clothes, and their living conditions. (Humes, W. 2016) This brings about a great socialRead MoreAnecdotal Evidence On The Classroom Engagement1679 Words   |  7 Pagesplace in the second semester of the 2011-2012 school year, following Johnson’s (2013) use of the teaching method in the prior semester. Study participants consisted of 63 students, from Johnson’s (2013) flipped math classrooms, at a high school in British Columbia, Canada. Johnson (2013) states, both The National Council of Teachers of Mathematics (NCTM) and the National Research Council (NRC) â€Å"have identified aspects of math classroom instruction that must be changed to improve math education and

Binary Relation and Woman Free Essays

The movement for the emancipation of woman has gained ground all the over. In some western countries woman have more rights than in India. But still every where even In the most advanced countries of the world, they suffer from a number of disabilities and are regarded a social inferiors of man. We will write a custom essay sample on Binary Relation and Woman or any similar topic only for you Order Now It is a man-made society and man continues to dominate and exploit woman. There should be a better and fuller understanding of the problems peculiar to woman, to make a olution of those problems possible. As these problems centre round the basic problem of Inequality, steps should be taken to promote equality of treatment and the full Integration of woman In the total development efforts of the country. Woman should get equal pay for the same work, and she be treated as an equal partner in the task of strengthening world peace. Suitable steps should be taken to secure these ends. These are near unanimity on the urgency and signifi rise of democracy, the movement for the emancipation of oman has gained ground all the over. In some western countries woman have more rights than In India. But still every where even In the most advanced countries of the world, they suffer from a number of disabllltles and are regarded a social inferiors of man. It is a man-made society and man continues to dominate and exploit woman. There should be a better and fuller understanding of the problems peculiar to woman, to make a solution of those problems possible. As these problems centre round the basic problem of inequality, steps should be aken to promote equality of treatment and the full Integration of woman in the total the urgency and signifl India. But still every where even in the most advanced countries of the world, they taken to promote equality of treatment and the full integration of woman in the total rights than in India. But still every where even in the most advanced countries of the world, they suffer from a number of disabilities and are regarded a social inferiors of the urgency and signifi How to cite Binary Relation and Woman, Papers

Information Technology Strategic Alignment -Myassignmenthelp.Com

Question: Discuss About The Information Technology Strategic Alignment? Answer: Introducation The key non-functional system requirements for the Headspace project include functionality, usability, reliability, performance, and supportability. Functionality is the range of operations that can be run by an IT system. It comprises of several aspects including security, capability, and reusability (Chung, 2012). The IT solution required by the organization should have the general features that serve its needs, is compatible with other systems, is easily portable, and has various security features that mitigate the risks of exploitation or safety threats. A system with high functionality is secure against various security threats, connects with necessary external systems, and offers features that aligned with the organization needs. Usability is ease of use of a human-designed object such as a device, website, etc. In system development, usability implies the extent to which the system is used by target audience to achieve specific goals with efficiency and satisfaction. Usability involves several factors which include human factors, aesthetics, responsiveness, and consistency (Albert, 2013). Balancing these aspects is key to achieving high usability which is significant for the Headspace project. A highly usable system is essential in the foundation to ensure it can be effectively used by the staff to provide patient-centered care. Reliability is the probability of a system performing a specific operation under specified conditions without failure within a given timeframe (Lyu, 2007). System reliability is an important requirement that has to be considered when implementing a new system. It is defined by several aspects which include availability, failure extent, predictability, and accuracy. Reliability of the proposed solution is essential to the Headspace foundation as it carries out sensitive tasks that require real-time information. High system reliability enhances the effectiveness and efficiency of the organization in providing care. Performance is a key non-functional requirement for any system. Firms running systems seek high performance which quick execution of tasks. Performance involves the speed, capacity, efficiency, throughput, resource consumption, and scalability (Liu, 2011). The organization needs a system with high performance which rapidly processes information and produces the expected output. A system with high performance has high speed, scales operations based on need, effectively uses resources available, and enhances the efficiency of operations. With a system that has high performance, Headspace can easily access information and utilize the system to provide care to the patients. Supportability refers to the ease of installing, configuring, and monitoring a system, identifying errors, debugging, and providing maintenance to restore the system into service (Pecht, 2009). Any firm wants a system that is easy to install and maintain. A highly supportable system can be easily set up, configured as per the organizations needs, and can be easily debugged to identify and resolve faults. Such a system is vital for Headspace foundation as it needs a system that can be easily maintained to support healthcare operations at the organization. Some of the key functional system requirements include business rules, administrative functions, user authentication, access levels, data analysis, and reporting. In contrast to the non-functional system requirements defined, these requirements specify a function that the system should execute (Pohl, 2010). For example, the system is expected to generate medical reports for each patient. On the other hand, non-functional system requirements specific criteria for assessing system operations (Glinz, 2007). For example, system performance defines how to determine how quickly the system executes a specific task. Some of the types of cloud solutions suitable for Headspace project are public, private, and hybrid cloud. Public cloud is simply the internet. Cloud providers use the internet to avail computing resources such as applications and storage to the users. Examples of public cloud solutions include Blue cloud, Windows Azure, Amazon Elastic Compute Cloud, etc. The providers offer convenience as its easy to set up and use. Many developers prefer the public cloud due to its ease of access. Typically, public cloud has fast speed and attracts enterprises. It operates on a cost-effective pay-per-use model hence users only pay for the resources they use. Public cloud is flexible as it allows users to increase or reduce capacity and can be accessed from any device that is connected to the internet. The public cloud has various risks which undermine its effectiveness in some situations. It is operated by a third party implies that it isnt specific to any business and is designed to have shared resources. Public cloud outages are common which can affect operations. Outages may adversely affect Headspace which relies on the cloud solution for real-time information to provide care. Also, public cloud has a lower level of security and can be vulnerable to attacks (Ren, 2012). This is a major threat to Headspace which handles personal information that has to be safeguarded as required by the law. Private cloud is a data architecture owned and managed by a single enterprise. The private cloud aims to gain benefits of cloud computing while maintaining control of the data center. It is appropriate for the Headspace as it is concerned about the data it stores and wants to have complete control and access to the cloud. As a healthcare organization, Headspace is subject to various data privacy regulations and legislation. Private cloud may be the best position for the organization as it fits its security and data needs. Private cloud is organization-specific implying that is developed specifically for Headspace needs and is not shared among many users. With a private cloud, a business has more control over the cloud services and infrastructure (Dillon, 2010). Private cloud allows robust service level agreements which enhances reliability. Additionally, an IT team can customize the cloud components to ensure the cloud service is the right fit for the organization. The private cloud has various drawbacks which can limit is adoption especially by cash-strapped organizations. It is more costly than public cloud computing. It increases costs due to increased management responsibilities (Grossman, 2009). Hence, it is important for businesses to weight the risks and costs of the solution. The private cloud also requires an IT team with experience in cloud computing. Firms without the infrastructure to build a private cloud incur a lot of costs in outsourcing the work to IT experts. Also, firms need IT professionals to maintain the private cloud. Hybrid cloud supports a mixed approach whereby businesses can pick some elements of either public or private cloud or combine both in a manner that aligns with their needs (Li, 2015). For example, a retail company can deploy its e-commerce website on a private cloud but can also host its non-sensitive information on the public cloud. Hybrid cloud balances security and convenience. This has led to the rise in the number of businesses adopting hybrid cloud services. Since hybrid cloud incorporates both private and public cloud elements, businesses can mix the components that offer them a balance between security and cost. Hybrid cloud services are also cost-effective as enterprises enjoy the cheap costs of public cloud and the security offered by the private cloud. Despite its apparent benefits, hybrid cloud also has several drawbacks that limit its implementation. It requires tools and skills to build and manage hybrid cloud solution. Not every enterprise has the capital and expertise to adopt the solution. Often, it might be necessary for a company to outsource the cloud installation process to outside talent. Furthermore, the IT team implementing the solution has to undergo additional training which incurs costs. While public cloud is relatively flexible and low-cost, building a private cloud can incur a lot of costs due to the hardware required. Heavy use of public cloud may lead to high usage bills. Compatibility is another challenges when executing a hybrid cloud strategy. Given that a company runs a private cloud that it controls and public cloud run by third-party owners, the two may have different stacks that are incompatible. Also, integration of data and applications is a challenge when developing a hybrid cloud. The two depend on each other so when they are stored in different cloud architectures, they may raise technical issues. Private cloud is the most suitable cloud solution for Headspace foundation. While it is costly to implement, it offers a high level of security. Since the foundation deals with sensitive personal health information, it requires a secure solution that can safeguard the privacy and confidentiality of its patients information. The private cloud can secure this information in a manner that aligns with legislation protecting user information. Predictive SDLC Predictive SDLC is a traditional approach to system development that involves several stages which include project planning, analysis, design, implementation, and support (Sakul-Ung, 2017). In project planning, a project is initiated, a feasibility study is conducted, the project schedule is created, and project approval is obtained. In the analysis phase, the stakeholders assess the project to gain an insight into business needs. The design phase focuses on defining the solution based on the requirements identified in the previous phase. In the implementation phase, the system is developed and tested, and users are trained. Support is the last phase which involves providing user and system support to keep the system functioning as expected and improve its efficiency. The key advantage of predictive SDLC is having a clear plan before implementing the project. Since the approach requires extensive planning, developers can estimate schedule and budget accurately. The approach also tends to be secure as it is plan-centered hence a software can be easily created. However, predictive SDLC is rigid and flexible which creates challenges when change arises during the project. Changing the project at any stage is nearly impossible. Adaptive SDLC Adaptive SDLC is based on the spiral model. Under this model, there are project cycles in which development activities are done over and over until the project is completed (Qureshi, 2008). At the end of each cycle, a prototype is developed. In each cycle, emphasis is placed on mitigating risk. Iterations are a key component of this approach. Work activities are repeated with emphasis placed on refining the previous prototype in each iteration. The approach assumes that the system cannot be developed right for the first time hence there are several mini-projects in each iteration aimed at improving the prototype until stakeholders are satisfied with the deliverable. Adaptive SDLC is an incredibly flexible system development approach which supports changes throughout the system development life cycle (Naderuzzaman, 2011). Customer feedback that occurs during the project progress can be incorporated in the development process. Thus, the prototype is refined to respond to changing requirements. It is beneficial in situations where projects requirements can change. However, while it is highly flexible, it is hard to predict the project schedule and budget. Also, adaptive SLC requires intense collaboration which can be problematic. Headspace Foundation should adopt adaptive SDLC when developing the proposed solution. Adaptive SDLC is more appropriate than predictive SDLC as it is flexible and focuses on refining a prototype until the requirements are met. With this approach, the organization can incorporate new requirements that arise into the system development process. References Albert, W., Tullis, T. (2013).Measuring the user experience: collecting, analyzing, and presenting usability metrics. Newnes. Chung, L., Nixon, B. A., Yu, E., Mylopoulos, J. (2012).Non-functional requirements in software engineering(Vol. 5). Springer Science Business Media. Dillon, T., Wu, C., Chang, E. (2010, April). Cloud computing: issues and challenges. InAdvanced Information Networking and Applications (AINA), 2010 24th IEEE International Conference on(pp. 27-33). Ieee. Glinz, M. (2007, October). On non-functional requirements. InRequirements Engineering Conference, 2007. RE'07. 15th IEEE International(pp. 21-26). IEEE. Grossman, R. L. (2009). The case for cloud computing.IT professional,11(2), 23-27. Li, J., Li, Y. K., Chen, X., Lee, P. P., Lou, W. (2015). A hybrid cloud approach for secure authorized deduplication.IEEE Transactions on Parallel and Distributed Systems,26(5), 1206-1216. Liu, H. H. (2011).Software performance and scalability: a quantitative approach(Vol. 7). John Wiley Sons. Lyu, M. R. (2007, May). Software reliability engineering: A roadmap. In2007 Future of Software Engineering(pp. 153-170). IEEE Computer Society. Naderuzzaman, M., Rabbi, F., Beg, A. H. (2011). An improved adaptive software development methodology.Computer Engineering and Intelligent Systems,2(3), 35-40. Pecht, M. (Ed.). (2009).Product reliability, maintainability, and supportability handbook. CRC Press. Pohl, K. (2010).Requirements engineering: fundamentals, principles, and techniques. Springer Publishing Company, Incorporated. Ren, K., Wang, C., Wang, Q. (2012). Security challenges for the public cloud.IEEE Internet Computing,16(1), 69-73. Sakul-Ung, P., Chutimaskul, W. (2017, February). A predictive model for successful software development projects with information technology strategic alignment. InProceedings of the 6th International Conference on Software and Computer Applications(pp. 39-45). ACM. Qureshi,M. R. J., Hussain, S. A. (2008). An adaptive software development process model.Advances in Engineering Software,39(8), 654-658.