A proposed leadership

1) Create a 350- to 700-word proposal of a team to present to your manager. See the sample proposal
template document as an option. You may use the template I have provided or one that you are familiar with. 2)
Write a summary of the additional information 3)Then create a specific and detailed agenda for the meeting.
This should be one document.Include the following in the summary: Content 140 Points. Do research on each
of the items. BE SPECIFIC in the assignment. Give data such as by how much or by when. How will we know if
the goal or objectives are achieved?
3A description of what type of group/team this will be. (20 points)
A description of the specific goals of the group/team and how many team members will be needed. (20 points).
This should be specific, measurable, timely and realistic. For example, increase sales in the athletic
department by 20% on or before May 7, 2021.
Summary: of a plan for how this group/team will be effective, including the following:
A proposed leadership style (5 points)
The specific characteristics that you are looking for in team members (5 points)
The specific roles that each team member will take on (5 points)
Specific Methods for enhancing group cohesion (5 points)
Specific Strategies for managing conflict (5 points)
Specific Strategies for decision making and problem solving (5 points)
Include a DETAILED proposed team agenda for the first meeting(70 points) ( Do research to identify what
creates a successful agenda). Include who, what, when, where, and the specific desired outcome. Make sure
to add start and stop times for each topic. This helps people understand how to prepare for each topic.What
time does each topic begin such as 8:00 AM-8:45 AM, continue to write the times. Avoid writing the amount of
time for each topic such as 5 minutes etc.

Sample Solution

Look for dysmorphic features that would suggest a genetic syndrome. Cushingoid facies, hyperpigmented stretch striae and hypertension suggest cushing’s or exogenous steroid exposure. A hump on the back of neck and stretch striae may also be present in children with simple obesity. Dry skin or enlarged thyroid gland may suggest hypothyroidism and presence of acanthosis nigricans is an indicator of insulin resistance. Acne and hirsutism in girls could be due to PCOD. Shortening of 4th and 5th metacarpal should raise the suspicion of pseudohypoparathyroidism.
Look for gynecomastia in males. Genital examination for Tanner staging & evaluation of early puberty should be done. Undescended testes in males could be associated with syndromic obesity.

4) Laboratory Investigations:
Initial investigations include evaluation for cause and consequences of obesity. Specific testing for the endocrine disorders is done only if there is strong clinical suspicion. These are mentioned in Table 3. Genetic testing should be considered in children with early onset severe obesity, voracious appetites, family history of severe obesity and in those where a clinical suspicion of genetic obesity syndromes is present. Lab investigations currently available in India for monogenic obesity are; MC4R, Leptin and FTO gene. Leptin deficiency is rare and resistance is more common. TSH levels are often mildly elevated in obese children and are a major cause for referral.

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