Saturday, August 31, 2019

Accreditation Audit AFT Essay

A1. Compliance Status The ongoing survey readiness audits that are conducted in the hospital on a daily basis have identified areas we will focus on to ensure that our accreditation survey results are exceptional. Audits are performed on an ongoing basis with a focus on trends that are most commonly cited by the Joint Commission. Nightingale hospital has proven to have made great improvements over prior survey findings in Emergency Management, Human Resources, Leadership, Medical Staff, Nursing Care, Provision of Care, Treatment and Services, Information Management, Handoff Communication and critical value reporting. We have placed an abundance of resources and efforts into improvement in these categories and will continue to make strides to further improve every aspect of the care we provide to our patients. (The Joint Commission, 2013) A2. Noncompliant Trends The areas we have identified that are not in compliance with the Joint Commission standards are: 1) Environment of care findings with numerous smoke wall penetrations, interim life safely measures for construction projects, blocked fire extinguishers, lack of sufficient evidence of adequate fire drills, lack of testing for medical gas alarm panels, blocked sprinkler clearance as well as cluttered hallways. 2) Falls has continue to be a challenge for our organization and will continue to be a focus for every department in our hospital. 3) Moderate sedation is an area that has been identified that needs a hardwired process for not only the hospital but for the anesthesia providers. The Joint Commission standards for moderate sedation compliance will require teamwork from the hospital and anesthesia group. 4) Pain assessment and reassessment is an ongoing primary focus area that we have not mastered in our organization. We have developed performance improvement processes to work toward compliance. This standard is a focus for every inpatient and outpatient department of our hospital. 5) Authentication of verbal orders continues to be monitored, but remains a challenge for our hospital. 6) Prohibited abbreviations are used periodically throughout our organization and is a piece of our daily audits when performing open record reviews. 7) Medication Management is a  priority focus area for our hospital, which we continue to struggle with various elements of this standard. We are focusing in particular on range order compliance and labeling medications. A3a. Staffing Patterns The case study shows that on unit 4E has the most opportunity for improvement in the number of patient falls and hospital acquired pressure ulcers. The comparison of falls and nursing care hours appears to be inconclusive, however appears to be a trend developing. The data appears that the staffing nursing hours per patient day have increase during the fourth quarter. In October, the falls per 1000 patient days was around 9. During October, the nursing hours per patient day were approximately five. November shows an increase in falls per patient day to 11.5 with nursing hours per patient day of 15.5. December continues the trended increase to 15 falls per 1000 patient days and 15 nursing hours per patient day. The data shows that the more hours per patient day we have, the more falls per 1000 patient days we experience. The data for pressure ulcer prevention follows the same trends. A3b. Staffing Plan The study has shown that the number of staff available is not causing the increase in the patient falls. The staff are obviously not rounding effectively on their patients, and being proactive in fall prevention. The plan to decrease nosocomial pressure ulcers and prevent falls will be presented to all staff on 4E by 4/15/2014 and fully implemented immediately. The new action plan will be evaluated for the remaining second quarter and if successful, will be implemented throughout the organization. The plan will utilize 10 hours per patient day, which is the average of the last quarter. The plan will require the staff to be more efficient and round with purpose in order to stay focused on the needs of the patients. This increased focus should prove to decrease the number of falls per 1000 days. Action Plan: 1) Mandatory education by 4/15/2014 to all staff on 4E 2) All patients will be rounded on hourly beginning 4/16/2014 3) All hourly rounds will address the 4 P’s (Pain, potty, possessions and position) a. Pain i. Is patient experiencing pain at this time ii. If so, ask patient to rate their pain iii. Depending on pain level, offer medication or other intervention b. Potty i. Does the patient need to use the restroom, urinal or ambulate to bathroom and if so, assist them to prevent falls and stay with them until completed c. Possessions i. Is call light, phone, meals, etc†¦ within reach of patient? The patient having their possessions within reach will minimize their need to reach or ambulate without assistance to answer the phone, etc†¦ which will prevent falls d. Position i. Is it time to change the patient’s position (left to right, ambulate, etc†¦) the changing of position frequently will assist in the prevention of pressure ulcers. 4) Each staff member ta performs the hourly round will document each round on the rounding log that will be located in the patient room. Rounds can be done by either the nurse or nurse’s assistant, as long as all needs for medication or other special needs will be immediately addressed by the nurse. The action plan presented will ensure that the patients are seen and their needs are met on an hourly basis. The staff will anticipate the needs of all patients by addressing the areas that cause the majority of falls. The patients will know the staff will be returning within an hour and will no longer have a need to utilize their call light unless in an emergency. The call lights will decrease, which will create a more organized unit that is very focused on being proactive with all patients. The results will be evaluated and changes and update to the plan will be made where necessary to continue improving the fall and pressure ulcer rate on this unit. B. Sources NONE

Friday, August 30, 2019

The Good, the Bad, and ‘the Daily Show’ Reading Analysis

Analysis of The Good, The Bad, and The Daily Show In Jason Zinser’s â€Å"The Good, the Bad, and  The Daily Show† his purpose was to formulate a response to the uncertainty regarding the legitimacy and ethics of ‘fake’ news sources. Zinser begins by discussing if it is acceptable to obtain information from a humorous and often satirical news source (in this example,  The Daily Show), he points out that â€Å"the question isn’t whether Jon Stewart or the show’s producers and writers are morally corrupt people, but whether or not fake news is, on the whole, beneficial or damaging to society† (Zinser 363-364).In other words, he begs the question, can we really be an informed public that can contribute, comprehend, and function as a democracy through the projections of a ‘fake’ news source? Zinser then makes the claim that ‘fake’ news causes two vices, the first being deception due to the lack of valuing object ivity in their reports. The second is dilution, both in the quality of media from the variance of online sources as well as adding excessive news reports attracting more viewers to what is typically a hard news source.Zinser also reminds us of the beneficial aspects in ‘fake’ news. Empirical data suggests a trend that either viewers of The Daily Show  are better informed than those watching hard news because of its effectiveness, or, on the other hand that it attracts viewers who already know about the current events being discussed, evidence of its success.The ideal solution, he concludes, would be to merge the two, retaining the power and persuasion of  The Daily Show  as well as including â€Å"depth and insight† more apparent in hard news reports, helping viewers understand different sides of the arguments present (Zinser 371). When diving into Zinser’s writing, some similar aspects from George Orwell’s, Politics in the English Language ca me to mind. Orwell states, â€Å"foolish thoughts, being a result of language, language has become a result of foolish thoughts.Vagueness is the most evident characteristic of the English prose. There is a lack of imagery and the figurative language no longer gives a connection to images and concrete thoughts. † When comparing this to the satirical writing and language that Zinser speaks of in The Good, The Bad, and ‘The Daily Show’ it creates a perfect picture of how by exemplifying the two vices, (deception and dilution) misconceptions can easily happen, especially when your only news source is a satirical ‘fake’ ews source. When thinking about some of the other ‘fake’ news sources, one example that might be overlooked is The Onion: a very popular source from which the stories are based on fact but written in a humorous and satirical way. Being that The Onion makes fun of all different types of news events from health issues to sports, The Onion actually delves into multiple aspects of our culture in a comical way but still delivering facts and informing people about what is going on in the world.In this case it can be just as influential as real news. In fact an example of The Onions influential satirical news was captured when they published the world’s sexiest man and posted Kim Jong Un (the North Korean Dictator) as the sexiest man alive. North Korea took it serious and published it in their local paper and made a big deal out of it (news. yahoo. com). It is in this same sense that is described in Zinser’s analysis of this so called ‘fake’ news that you can get an idea of the actual influence this has on our culture.

Thursday, August 29, 2019

Causes of the Cuban Missile Crisis

Causes of the Cuban Missile Crisis Cuban Missile Crises Introduction Considered to be one of the most serious conflicts between the U.S and the Soviet Union during the Cold War, the Cuban missile crises brought the World a clash of democracy V.S communism with a deadly nuclear outcome. Known to the World as the Cuban Missile crises, to the Russians as the Caribbean Crises and to the Cubans and the October Crises it lasted sixteen days in October. The main characters involved were U.S President John F. Kennedy, Russian Premier Nikita Khrushchev and Cuban President Fidel Castro. The sixteen days in October 1962 was the closest time that a full out nuclear war was about to take place Background America USSR Free election No elections or fixed elections Democratic Autocratic / Dictatorship Capitalist Communist ‘Survival of the fittest’ Everybody helps everybody Richest world power Poor economic base Person al freedom Society controlled by the NKVD (secret police) Freedom of the media Total censorship The Cuban missile crises’ origins began at the end of the World War 2. After the war about to end the United States and the USSR started to disagree on the main ideas of how a post war Europe should look like. The American’s main aim of the war was to spread democracy and to spread their company’s economic opportunities into Europe. This was very different to what the USSR wanted, the USSR suffered a lot during the war, and they lost a lot of people and suffered a lot of economic and social problem directly resulting from the war, because of this the USSR main post war thoughts were to protect themselves from other wars that may happen and to spread communism across the globe.   These differences between the two countries were obviously great and were bound to cause tension and problems. Origins of Russian-American Tension Ideological: The United States and the Soviet Union represented two completely different forms of government. In the United States, the government is chosen by free elections. The people have the right to form political parties so that they can voice their political opinions. They also have the right of freedom of speech and freedom of the press. In the Soviet Union, the government is chosen by the Communist Party. The people do not have the right to form their own political parties; they do not enjoy the right freedom of speech and the freedom of the press. Since these two systems of government are completely different to one another, this is bound to cause friction between the United States and the Soviet Union. Economic: The United States wanted to encourage free trade throughout the world. The Soviet Union wanted to close off her itself from international trade. Russia was afraid that trade with the West would open up Russia to western influences which would have ruined the strength of the o ne-party communist regime. These differences led to much bad feeling between the United States and the Soviet Union. Power rivalry: After the Second World War, with the decline of Europe, power was shared between the Soviet Union and the United States. As one superpower wanted to dominate the other, conflicts were to be expected.

Wednesday, August 28, 2019

IKEA- Furniture Retailer to the World Case Study

IKEA- Furniture Retailer to the World - Case Study Example It has a customer base of 583 million in 2007. Its customer base consists of mainly the middle class who are able to afford the furniture. It has had some significant changes in terms of their market and customer base. It dealt in various products when starting but changed to furniture which was very expensive in Sweden at the time. There was also a significant change in terms of their designs and manufacturing. These changes came about due to the pressure from their competitors. Their competitors were losing market to them due to their low prices and quality products (Dahlvig, 35). Ingvar Kamprad is the founder and head of the company. Like many other companies, IKEA started small by selling products from the family farm. The name IKEA came from an acronym where I and K were his initials; E stood for Elmtaryd which was the name given to the family farm and A was for Agunnaryd which was the Southern Sweden village where the farm was located. Their first employee was Gillis Lundgren, a 22 year old designer. The management at IKEA was informal and its founder led by example the low cost tradition. With Kamprad at the top, his management was non-hierarchical and informal. It was more of team based and his team would not spend extravagantly (Stenebo, 40). The management team comprised of young people who had not been employed by other enterprises before. This was because the more educated and elite could not adapt well with the work at IKEA. The business grew from a single store in Sweden to 285 stores in 35 countries. There were different challenges experienced in starting up these stores but they were overcome by the good team at IKEA. The employee base also grew from the founder who was joined by the designer and later the different managers at the different branches and other employees. The employee base stood at 127,800 in 2008 with a product range of 9500 products (Dahalvig, 45). As at 2008, IKEA had 1,380 suppliers in 54 countries. This

Tuesday, August 27, 2019

ESUS 3 assignment Essay Example | Topics and Well Written Essays - 1500 words

ESUS 3 assignment - Essay Example Similarly obesity adversely affects the health of an individual by increasing various cardiovascular diseases such as heart attacks, stroke etc, psychosocial problems, orthopaedic and respiratory difficulties. B. Obesity is measured as the main reason for damage of mitochondria required for metabolism and energy regulations (Bailer, 2015). Obesity is considered as the interaction of the social, cultural, genetic predisposition and environmental influences. C. The European court of justice suggests that Obesity should not be treated as the disability. The causes of obesity may demand for discrimination protection. The insurance department was of the opinion that people cannot claim insurance for receiving the disability benefit only because they are obese. The claim management is required to investigate various aspects and parameters of obesity and its impact on the morbidity psychosocial problems. The American Medical Association revealed in their research that obesity is considered as the illness and it can be considered as one of the factor contribution towards development of disability, but it cannot be regarded as the only factor. D. The European law does not discriminate on the ground of obesity, it may result in disability in future.ECJ judgment suggest that the symptoms of obesity may result in discrimination protection. But it cannot be regarded as the only element of disability, since the mental imbalance also results in disability of the person but it does not have any relation with obesity. A. Kartsen Kaltoft from Denmark was discharged from his job on the basis of obesity, but the Danish authority board and the union criticized against such discrimination made against the employee of the organization on the basis of obesity. The Union was on the behalf of the employee protesting against such rule of discharging out on the basis of

Monday, August 26, 2019

The Discrimination in Employment based on Age Essay

The Discrimination in Employment based on Age - Essay Example An important aspect of the political, economic and social programmes of the member states of the European Union is full citizenship for all citizens of the Union regardless of age, sex, ethnicity, religious beliefs or other potentially discriminatory factors. The effects of chronological age - defined in social terms in relation to an individual's chosen or forced behaviour on the grounds of age - has been an issue of political, economic and social relevance since the implementation of the First Action Programme on Ageing, and culminates provisionally with the European Employment Directive (2000/78/EC). Legislation outlawing age discrimination in employment and vocational training has will thus come into force by this year 2006.in the European Union come into force by 2006 at the latest. UK government policy aims to encourage older people to remain active within the workforce. This is in part recognition of the rise in longevity and the importance of living a healthy active contribut ory later life, but it is also to compensate for the potentially large take-up of pension benefits in the future. Saving throughout the life course and working later in life is also seen as a means of ensuring a satisfactory level of income in old age. Employers both directly and indirectly encourage however there is evidence that early withdrawal from the labour market through age discrimination. Age discrimination occurs when someone makes or sees a distinction on the basis of because of another person's age and uses this as a basis for prejudice against and unfair treatment of the person. Across the Europe there is thus evidence that age is taken into account in recruitment policies at both ends of the age range; i. iIncreasing numbers of workers are obliged or persuaded to leave the workplace 5-15 years before the state pension age; eii. Early exit is decided on the grounds of age rather than on performance and abilities and skills needsrequirements; iii. eEarly exit for persons aged over 50 years is equivalent to permanent exit; iv. tThere is widespread employers' practice of targeting older workers for job losses. The types of discrimination to be addressed are dDirect discrimination (less favourable treatment).

Sunday, August 25, 2019

Leisure of the basis of culture Essay Example | Topics and Well Written Essays - 1000 words

Leisure of the basis of culture - Essay Example I would therefore, recommend this book to all people who live to work and do not work to live. This will challenge them to take a break, and ponder on the beauty of life, which is not found in their work, but in meaningful leisure. I agree with all the claims made by Pieper in this book, as these are instances I experience every day, happening to me and to the people around me. Today, there is hardly time for leisure, as most people use every bit of their time in moneymaking activities, in order to live a comfortable life, which they have prioritized. Pieper does not condone this kind of lifestyle, but instead argues that people should find value in life by setting aside time for leisure, as it is also an important component of living. When talking about leisure and emphasizing its importance, Pieper was not portraying himself as a hedonist, as he talked about a different kind of leisure, and not what most people, especially the youth know about leisure. I agree with Pieper’s view of a different kind of leisure. Today, when someone mentions the word â€Å"leisure,† what rings in the minds of most young people is drinking, partying, dancing, watching television, and going for holidays, among other such entertainment. Pieper considers leisure to be that peaceful time a person has rest and finds time to pray, time to appreciate nature and all existence, time to make scientific discoveries, time to write music and literature, time to study a favourite topic, and time to produce art work. According to Pieper’s definition of leisure, one might understand that leisure is doing what a person loves doing most. However, these activities must add value to a person’s being. As opposed to entertainm ent, such as dancing, the real leisure does not lead to exhaustion or monotony. Pieper was right on this. From my personal experience, I can attest to this. I love reading educational and

Response Journal to the novel The Cashier by Gabrielle Roy Essay

Response Journal to the novel The Cashier by Gabrielle Roy - Essay Example People begin to anticipate and this anticipation, when added with a sprinkling of skepticism, results to overreaction. Overreaction is more than what Alexandre displayed. Even when he is supposed to be having a normal life, though not one that is grandeur, he reminds himself of the worse facets of life and disregards that he still lives and breathes. For him life is a constant reminder of how everyone in the world must be prepared in war. In fact, he has been informed through encyclopedias that the global community each has their own take on war and the armaments that go with it. Although this thought does not comfort him, he believes that everyone must feel the same—that everyone should have be prepared for the changes of life. The actor has the habit of spending most of his moments thinking about the most trivial things and then instantly shifts to another course that is entirely different. The randomness of his take on the things that are happening all over the world is a manifestation of the mantra that he believes has happened to him. As time goes by, life has taken the best of him. â€Å"During his life he had lost a great number of things, and almost always the best things – first his youth, and then his health, and now his sleep (Roy, 1954).† Obviously, this included his sanity. Although it cannot be said that he is becoming insane, it can be concluded that his inability to focus on a specific matter without drifting to another stream of thoughts completely unrelated marks the beginning of his insanity. His thoughts begin with trivial, common thoughts characteristic of someone who lacks enough sleep and is distraught by how life has shown its cruel side. He has been under the roughest conditions, without decent clothes to live by and a partner who cannot think about important things. Indeed some of his thoughts are very profound, considering that he

Saturday, August 24, 2019

Symbolism in The Red Convertible by Louise Erdrich Essay

Symbolism in The Red Convertible by Louise Erdrich - Essay Example The car becomes an integral part of the relationship between the brothers. They embark on a long trip, taking turns driving the car. On their return, Henry gets drafted into the Army where he becomes a marine. While leaving, he entrusts the car to Lyman’s care and hands over his keys. Once Henry returns home from the Vietnam War, he suffers stress disorders and, in a bid to divert Henry’s attention from the traumatic memories of war, Lyman whacks the car so Henry will focus his attention on fixing it. As expected, Henry commits himself to repairing the car. The brothers again take a trip to the Red River, where they fight, reconcile and then Henry commits suicide. The story’s main focus is the bondage between the brothers and Erdrich uses symbolism throughout the narrative to emphasize the strength of their relationship. Right at the beginning of the story, the author uses the color red as a symbol of bonding between the brothers. By deploying the â€Å"Red Convertible† as a fascination for the brothers, the author symbolizes the blood relationship between them. The car rather assumes the proportion of a living character rather than a non-living thing in the brothers’ lives when Lyman reminisces about it as being â€Å"reposed, calm and gleaming† instead of being parked in the place (McMahan et al. p†¦.).

Friday, August 23, 2019

Nursing Care Plan Assignment Example | Topics and Well Written Essays - 2750 words

Nursing Care Plan - Assignment Example Discuss with the client the entries in the notebook and teach alternative responses to maladaptive behaviors. Ventilation of feelings provides a release of emotional tension. It will also facilitate the exploration of underlying reasons of committing suicide. Active listening and silence allows the client to verbalize feelings, anger and fear (Townsend 2003). Community resources and crisis centers provide adequate social support. Phone numbers of these agencies are helpful for the client especially when there is a sudden impulse to commit suicide (Videbect, p.365). Furthermore, client reported â€Å"having no suicidal ideation† and â€Å"desire to live life and correct mistakes†. She identified community resources and phone numbers to call at the first instance of impulse to harm self. The client gained independence in deciding to engage in individual psychotherapy and counseling. In addition, client kept a record of her emotions and developed insights as to the situations that cause her to think about committing suicide. With a non- judgmental attitude, provide feedback for each client attempts to interact with other people. Help the client identify her negative behaviors and practice by role- playing on alternative ways on communicating effectively. After learning to interact with the nurse, the client can be ready to engage in group interaction. Recognizing the client’s absence in each group activity reinforces the idea that the client is valued and her feelings are being considered (Townsend 2003). Client attempts of interaction need to be corrected as necessary to ensure that the client develops effective techniques of communication. Role- playing facilitates learning and strengthens therapeutic nurse- client relationship (Townsend 2003). Cognitive restructuring aims to replace negative thoughts with positive ones. Thought- stopping intends to halt the negative patterns of self- thought by

Thursday, August 22, 2019

Avon Rubber Diving Aggressively Into Rebreather Market Essay Example for Free

Avon Rubber Diving Aggressively Into Rebreather Market Essay Rebreathers, the subject of this article, are an exciting new technology. The background and chemistry of rebreathers is quite interesting in that they were largely improved upon and regularly used by a famous American cave diver, Bill Stone, who wanted to more deeply explore underwater cave passages. He demonstrated his rebreather in 1987 to the diving community. They allow a human to breathe for long periods of time either underwater or in a different atmosphere. Through a carefully controlled exothermic reaction in one partition of the device, they essentially â€Å"scrub† exhaled carbon dioxide in order to allow it to be â€Å"rebreathed† in a closed system, hence the name of the equipment (Tabor, 2010). This article, which was just published on June 18th of this year, cites an acquisition and expansion by a company, Avon Rubber P. L. C. , in order to manufacture rebreathing devices. The fact that this article exists highlights the fact that they are fast becoming more widely used and sought-after. One main focal point of the article is the fact that the US Navy has commissioned Avon Rubber for a rebreather device worth an initial estimated $30 million to the company. The article mentions their future uses in diving and military applications, and it’s of note that the company is expanding into several countries to further develop â€Å"respiratory protection system technology† (McNulty, 2013). This article leads this reviewer to think about the exciting future possibilities in exploration that the advancement of rebreather technology will lead to. However, the questions raised, in this reviewer’s eyes, largely have to do with the safety aspects of rebreathers and the social issues surrounding their military use. The knowledge that our military is spending huge sums on rebreathers leads to the questioning of the need for such technology in a military fashion (instead of in an exploratory manner by NASA, for example). The risk factors involved are also rather high, especially as the technology becomes more widely available. An inherent problem with rebreathers is the swift death that can occur from breathing in carbon dioxide that has not been sufficiently â€Å"scrubbed†. As stated in the book Blind Descent, the user has no warning that the air they are breathing is tainted with insufficiently scrubbed CO2. Hopefully, this will be further perfected in advanced versions. Even though there will always be risks involved in their use, the very fact that we have been able to manipulate the chemistry of respiration in such a way is exciting in terms of human scientific advancement.

Wednesday, August 21, 2019

Learning Foreign Language Are Brain Benefits English Language Essay

Learning Foreign Language Are Brain Benefits English Language Essay Based on my research on this topic, I found that learning a secondary language or foreign language does not cause language confusing, language delay, and cognitive deficit. Other than that, last updated by Susan Lang on 12th May 2009 on the webpage of Learning a second language is good childhood mind medicine stated that, in a study at Cornell Language Acquisition Lab (CLAL), children who learn a secondary language can maintain attention despite outside stimuli better than children who know only one language. Thesis/ Preview: The goal of my speech today is persuade you to learn foreign language because learning foreign language will bring a lot of benefits. The benefits of learning foreign language are brain benefits, make your work easier and make travelling more enjoyable. Transition: Now that we have clear understanding on what is foreign language, let me share with you how learning foreign language can bring along brain benefits to you. Body Main Point 1: First of all, learning foreign language can bring along brain benefits to the learner. According to a webpage of The benefits of learning a foreign language last updated by Alice Langholt, stated that the brain will form new neural connections and pathways to assimilate new information when we are learning a foreign language. The new symbols, new sounds and nuances of meaning have intellectual activities for the brain. Both right side and left side of the brain are stimulated while learning a foreign language. Train our brain to increase the learning capacity. The more part of our brain is involved in learning, the longer the learning is retained and the more the brain is taught to use the new information. It will enhance the ability of students in learning academic subjects. Transition: Lets say, your work requires you to communicate with the client of diverse nationalities and from the overseas. But, you are not able to communicate with your client effectively due to the language gap and it may make you to lose the client. Next, I will discuss with you that learning foreign language can make your work easier. Main Point 2:Â   The benefits of learning foreign language can make your work easier. According to the webpage of The advantages of learning a foreign language, last updated by James Dunn on 18th July 2007 stated that the boss will see you as a valuable employee if you are able to speak in different languages. You will get the chance to work in other countries and you may even get promoted to higher position. You can easily communicate with your client as you will not feel awkward while talking to others. According to the webpage of Advantages of learning a foreign language at an early age, last updated by Turgay Dincay on 25th November 2011 stated that learning more than one language can increase the opportunities for careers. Secondary or tertiary language that adds a new dimension to your resume will make you having advantage to be hired by the company. According to the webpage of The important and advantages of learning a second language, last updated by Rita Putatunda stated that the secondary language can become a valuable asset in your work. This contributes to your overall achievement of professional and personal career goals. Transition: Imagine that you are in beautiful foreign country, in which everything is new for you and you are walking along the street. The only thing that bothers you is you cannot understand what local people are talking about. Hence, I will share with you the benefits of learning foreign language during your travelling. Main Point 3: Learning foreign language can make your travelling more enjoyable. According to the webpage of The advantages of learning a foreign language, last updated by James Dunn on 18th July 2007 stated that you will enjoy the trip in which you are able to understand the language of the country you are visiting. You can communicate with the local residents and make new acquaintances. You will be able to read the sign board and menus in restaurants. You are able to understand the movies and culture of the country you are visiting. Conclusion Brakelight/Summary: In a nutshell, I would like to conclude that learning foreign language will bring a lot of benefits, which are the brain benefits, make your work easier and make travelling more enjoyable. Tie Back to Audience: A lot people think they may go everywhere by using English language alone and some people even think learning a foreign language has no advantage for their life. This perception is totally wrong because as the economy becomes more globalized, English will only become less and less of an option. Concluding Memorable Remarks: I would like to end my speech with a quotation, as Frank Smith said, One language sets you in a corridor for life. Two languages open every door along the way.

Tuesday, August 20, 2019

Discovery Of Losartan Potassium Health And Social Care Essay

Discovery Of Losartan Potassium Health And Social Care Essay Losartan is the first angiotensin II receptor antagonist drug to be marketed for use mainly to treat high blood pressure (hypertension). Losartan was first discovered in March 1986 by scientists on their first assignments at a corporate research laboratory, in Du Pont, as DuP 753(Merck 954), a highly potent and orally active non-peptide Ang II receptor antagonist. At the time, DuPont as a company was rather new to pharmaceutical business. The company had previously been dealing in chemicals, but the in the 1970s when the demand for Petroleum and its related products natural gas drove prices high, management attempted to diversify the business by seeking other business avenues to reduce their dependency on chemicals in a hope of also increasing their profit. As a result of creating new business, DuPont had ventured into pharmaceuticals and other life sciences businesses by the 1980s. Losartan work was one of the compounds DuPont research labs worked on. The company being inexperience in this area of business, hired Robert I. Taber, a scientist with two decades of research experience with Schering, to head pharmaceutical research at DuPont.It was Taber who recognized the areas of potentials and encouraged the research team to delve further. However, DuPont being a fairly young company in these areas would lead to other weighty problems, and these issues were quickly settled by a collaboration with the more experienced Merck, who also recognised the Potential of Losartan and convinced DuPont that there was more to be gained by working on Losartan. Development of Losartan was done after a series of efforts. The final market product was Co-Developed with Scientists from both Merck DuPont. [BHARDWAJ, G., 2006] Losartan was approved by the FDA in April 1995, and it was then launched that month as the first non-peptide anti-hypertensive drug in the new class of Ang II receptor antagonists. Merck started selling losartan under the trade names CozaarT and HyzaarT with annual sales in excess of $3 Billion Dollars by 2005. Chemical Structure (IUPAC) nomenclature (2-butyl-4-chloro-1-{[2-(1H-tetrazol-5-yl) biphenyl-4-yl] methyl}-1H-imidazol-5-yl) methanol Chemical data Formula C22H23ClN6O Mol. mass 422.91 Action of Losartan Losartan selectively inhibits all Ang II responses that have been studied and lowered blood pressure in several animal models of renin-dependent hypertension. In animals, the antihypertensive efficacy of losartan has been found to be similar to that of the ACE Inhibitors (Angiotensin Converting Enzyme inhibitors) but, unlike ACE inhibitors, losartan is a more selective inhibitor of the renin-angiotensin system since it does not affect the metabolism of kinins. Compared with peptide Ang II antagonists (e.g. saralasin), losartan has significant advantages, including a long duration of action, effective oral absorption and no Ang II agonist activity. [SIEGL, P.K., 1993] Indications Hypertension Losartan tablets is indicated for the treatment of hypertension. Losartan can be used alone or used in combination with other antihypertensive agents, including diuretics. [Rx LIST THE INTERNET DRUG INDEX., 2009] Hypertensive Patients with Left Ventricular Hypertrophy Losartan is also indicated in patients with hypertension and left ventricular hypertrophy to reduce the risk of stroke, but there has been a study to suggest that Losartan is not beneficial with Black patients in reducing the risk of stroke. [Rx LIST THE INTERNET DRUG INDEX.,2009] In the LIFE study, it was found out that Black patients with conditions of hypertension and left ventricular hypertrophy had a lower risk of stroke on atenolol than on Losartan. However, there was some shortcomings of the LIFE study, as it did not provide evidence that the benefits of Losartan in hypertensive patients with left ventricular hypertrophy by reducing the risk of cardiovascular events applied to Black patients. [Rx LIST THE INTERNET DRUG INDEX.,2009] Nephropathy in Type 2 Diabetic Patients Losartan is also very useful in the treatment of patients with diabetic nephropathy, where there is an elevation of serum creatinine and proteinuria (urinary albumin to creatinine ratio à ¢Ã¢â‚¬ °Ã‚ ¥ 300 mg/g) in patients that have type 2 diabetes and a history of hypertension. In this group, Losartan has been shown to reduce the rate of progression of the nephropathy. This is measured by the occurrence of doubling of serum creatinine or end stage renal disease where there is need for dialysis or renal transplantation. [Rx LIST THE INTERNET DRUG INDEX.,2009] SPECIFIC PRODUCTS ( CONTAINING THIS DRUG) AVAILABLE FOR USE IN GIVEN CONDITION Combination therapy: A combination therapy is used if losartan monotherapy alone is not sufficient to control hypertension. Hence, losartan is available in combination with hydrochlorothiazide in different strengths as follows:[BRITISH NATIONAL FORMULARY., 2009] Losartan 50mg + Hydrochlorothiazide 12.5mg Losartan 100mg + Hydrochlorothiazide 12.5mg Losartan 100mg + Hydrochlorothiazide 25mg. The above combination is used for treatment of high blood pressure and stroke in patients with heart disease. It is a prescription only medicine. [MEDICINES AND HEALTH CARE PRODUCTS REGULATORY AGENCY., 2009] EVIDENCE FOR EFFICACY FOR THIS TREATMENT. Clinical trials have shown a better efficiency of losartan as an antihypertensive by itself and a further higher efficiency in a combined state with hydrochlorothiazide. For example : a double-blind, multicenter, randomized, parallel group study performed on African Americans (who are generally less responsive to monotherapy from any hypertensive class), with severe hypertension have shown a significant reduction in sitting diastolic and systolic blood pressure with losartan monotherapy (45.8%) when compared with placebo (27.2%) . In the same study, the combination losartan/ hydrochlorothiazide regimen showed significant higher reductions (62.7%) in blood pressure compared with losartan monotherapy or placebo. More over, both the regimens i.e losartan monotherapy and the losartan/hydrochlorothiazide were as well tolerated as the placebo[FLACK, et al., 2001]. Other studies were performed on hypertensive patients who had discontinued treatment with calcium channel blockers and angiote nsin converting enzyme inhibitors due to side effects like peripheral edema or dry cough respectively. These patients when treated with losartan have shown as much reduction and control over blood pressure as they use to with previous therapies.[GIOVANNETTI, et al., 1997]. And quite interestingly it has also been observed that the clinical side effects were minimal with losartan treatment and the haematologic and biochemical profiles were also not disturbed. [GIOVANNETTI, et al., 1997] Studies performed on the pharmacokinetics and pharmacodynamic parameters of losartan on healthy male volunteers and also on special patient groups like elderly patients with renal impairment and those having liver disease, suggest that losartan is orally active and its effect lasts for over 24 hours. None of the patient groups showed any significant pharmacokinetic interactions[McINTYRE, et al., 1997]. Losartan 50mg appears to be a safe starting and maintenance dose in most patient populations. However, when an additive effect is required, it can be easily combined with thiazide diuretics to achieve the target blood pressure. Losartan has low discontinuation rate and it has also been observed that it was not associated with cough even in patients who experience this side effect with to ACE inhibitors [McINTYRE, et al., 1997]. A BRIEF COMPARISON WITH OTHER MEDICINAL PRODUCT USED TO TREAT THE SAME AILMENT Losartan potassium, is an angiotensin receptor antagonist (AT1) used in the treatment of hypertension and other cardiovascular diseases. However, a comparison with other ARB(e.g. valsartan and candesartan) shows that, these drugs have the same mechanism of action, though, their differences in pharmacokinetic profile may be responsible for their differences in efficacy in the treatment of hypertension. Losartan and valsartan when compared, exhibited a similar reduction in blood pressure at a lower concentration ,however, valsartan has a higher response rate and more effective 24hours blood pressure control rate at the dose of 160mg and 80mg respectively than losartan at 100mg and 50mg respectively.[BURNIER BRUNNER 2000]. Candesartan 8mg and 16mg has also demonstrated a more lasting antihypertensive effect than losartan 50mg and 100mg in ambulatory BP monitoring.[LACOURCIERE ASMAR 1999] A brief comparison with other medicinal products from the other class like B- adrenergic blocker(e.g. atenolol), ACEI(e.g. enerlapril), calcium channel blocker(e.g. felodipine) and diuretics were based on the efficacy, tolerability and safety in the treatment of essential hypertension. Losartan , when compared with amilodipine has been shown to exhibit a similar clinically relevant reduction in patients with systolic blood pressure, however, losartan was better tolerated as evidenced by fewer clinically adverse effect(CAE)and discontinuation compare with amlodipine [VOLPE, et al., 2003]. Meanwhile, in the contrasting effect of losartan, nifedipine GIT, and fosinopril on the ambulatory blood pressure, cardiac structure and function, and protective function of the endothelium in patients with essential hypertension, nifedipine GIT is superior to others in plate- granule membrane protein (GMP), while fosinopril and losartan had a preffered action to nifedipine GIT in reversing ventricul ar hypertrophy, however, losartan was better tolerated than the other drugs [QI XIURONG 2001]. Losartan potassium has been known to exhibit a fewer drug related adverse effect in contrast to other medicinal products in the other classes used in the treatment of hypertension. [GOLDBERG, et al., 1995] In summary, losartan potassium has an excellent tolerability profile in patient with essential hypertension and, in a demographic sub group of elderly versus young, women versus men and black versus non black; it has been shown to have an excellent safety profile. ADVANTAGES OF LOSARTAN POTASSIUM. Side effect; In the treatment of hypertension, losartan has exhibited fewer drug related side effect when it was compared with other class of antihypertensive agents .[GOLDBERG, et al., 1995] Tolerance; when compared in patients with essential hypertension, losartan was better tolerated than other agents from the other class and hence an excellent tolerability profile. Safety profile; It has a good safety profile in a demographic sub groups. It doesnt produce rebound high blood pressure when it is withdrawn. DISADVANTAGES OF LOSARTAN POTASSIUM. 1 Losartan has been associated with some damaging effect on the foetus which may include reduced body weight, death and kidney injuries hence it is contraindicated in pregnancy. [GOLDBERG, et al., 1995] Analysis of the market potential for the development of new drug candidates to treat the given condition Development of new drug products has always been a challenging task. Growth in technology resulted in an evolution in pharmaceutical world and has paved way for research and development to meet demands for more efficient products. About one billion people have been affected by hypertension world wide and reports also says that in US alone 65 millions people are affected by high blood pressure.[SMITH ASHIYA 2007]. This indicates the level of demand of antihypertensives world wide. Efforts have been made and many potential drugs have been developed till date. However the expiry of patents of angiotensin receptor blockers (ARB) opened doors for arrival of cheap generic products which resulted in a threat to the global pharmaceutical market. Data monitoring of the sales of antihypertensives in seven major global markets (i.e UK, France, US, Italy, Spain, Germany and Japan ) predicted sales of upto $ 29.5 billions by 2018, which would be a drop of $6 billion when compared to that of 2008. Considering above threats, the big pharmaceutical companies are under an impression that it is not worth to spend on research and development of novel therapies and they appear to be moving away from investing in research and development to develop more efficient antihypertensive therapies. [THE MEDICAL NEWS., 2009] Product Name Patent Number Patent Expiration Mercks COZAAR (losartan potassium) 5,138,069*PED  Ã‚   11 Feb,2010 Mercks COZAAR (losartan potassium) 5,153,197*PED   06 Apr, 2010 Mercks COZAAR (losartan potassium) 5,210,079*PED  Ã‚   11 Nov,2010 Table showing the expiry of patent of COZAAR (losartan potassium) Angiotensin receptor blocker. [DRUG PATENT WATCH., 2010] Short comings of the existing treatment to justify new drug development Though antihypertensive agents were able to achieve significant control over hypertension induced morbidity and mortality, still there is much to be done. For example: disappointments associated with coronary artery disease, risk of cardiovascular events even after treatment with antiphyertensive agents and comparatively higher possibility of cardiovascular events in hypertensive patients compared to normotensive patients. These effects are thought to be due to inability of existing antihypertensives to reverse other associated factors like left ventricular hypertrophy, negative metabolic effects and risk associated with overtreatment.[HANSSON, L., 1991]. Hence there is a need for an ideal hypertensive agent which may be able to control blood pressure to normotensive levels whilst being free of negative metabolic effects. Moreover, it should also be able to reverss cardiovascular changes like cardiac hypertrophy and control tissue damage in case of possible vascular complications. [H ANSSON, L., 1991]. Analysis of data available on search engines indicates the promising role of upcoming gene therapy and nano-technology to produce new drug candidates. For example: Exploring areas like gene transcripton, molecular genetic regulation of blood pressure ( targeting genetic risk factors as in cases of essential hypertension) appears to be a new hope for future developments of antihypertensives.[KURTZ GARDNER 1998] Possible potential for new therapy. Research is currently being carried out to explore the potential of upcoming gene therapy and nano-technology to produce new drug candidates. For example: Areas like gene transcripton, molecular genetic regulation of blood pressure ( targeting genetic risk factors as in case of essential hypertension) appears to be a new hope for future developments of antihypertensives.[KURTZ GARDNER 1998]. However alternatively, combination products containing antihypertensives and statins could be a new hope for future developments. à ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦

Monday, August 19, 2019

A Clash of Cultures in A Passage To India Essay -- A Passage To India E

     Ã‚  Ã‚   A Passage To India is a classic example of how different cultures, when forced to intermix, misunderstand each other, and what consequences stem from those misunderstandings. All of Forster's greatest works deal with the failure of humans being able to communicate satisfactorily, and their failure to eliminate prejudice to establish possible relationships. A Passage To India is no exception. (Riley, Moore 107) To understand Forster's motive, it must be established that he is a humanistic writer. Harry T. Moore states "Of all imaginative works in English in this century, Forster's stand highest among those which may properly be called humanistic." (Riley, Moore 107) His main belief is that individual human beings fail to connect because the humanistic virtues, tolerance, good temper, and sympathy are ineffective in this world of religious and racial persecution. However, he also believes that personal relationships aan succeed, provided they are not publicly exposed, because values and noble impulses do exist within human nature. "Life is not a failure but a tragedy principally because it is difficult to translate private decencies into public ones." (Riley, McDowell 108) Forster is conscious of the evil that exists in human nature. Forster feels men do not know enough to control that evil, and he takes on the humanistic responsibility to secure internal and external order by utilizing reason. f orster depended on the individual's conscience and sense of identification with others as equal components of the human race as his basis for maintaining that order. He also gives the individual social, political and metaphysical worth, and favors the individual when in conflict with society. (Riley, McDowell 108) It is fo... ...ia University Press, 1979. Riley, Carolyn, ed., Contemporary Literary Criticism. 4. Detroit, Michigan: Gale Research, 1975. Bradbury, Malcolm, "E. M. Forster as Victorian And Modern: 'Howard's End' and 'A Passage To India',"     Possibilities: Essays on the State of the Novel (1973 by Malcolm Bradbury; reprinted by permission of   Oxford University Press), Oxford University Press, 1973. Riley, Carolyn, ed., Contemporary Literary Criticism. 3. Detroit, Michigan: Gale Research, 1975. Johnstone, J. K., "E. M. Forster (1879-1970)"" The Politics of Twentieth Century Novelists, edited by George      A. Panichas (reprinted by permission of Hawthorn Books; 1971 by the University of Maryland;)   Hawthorn, 1971. Riley, Carolyn, ed., Contemporary Literary Criticism. 1. Detroit, Michigan: Gale Research, 1973.   McDowell, E. M. Forster, Twayne, 1969.   

Achilles in The Illiad is not a Hero Essay -- Argumentative Persuasive

Achilles in The Illiad is not a Hero   Ã‚  Ã‚  Ã‚  Ã‚  In the introduction of the Essential Illiad given by Sheila Murnaghan, Achilles is labeled as â€Å"the greatest of the Greek heroes†. In classic mythology a hero is a person of great strength and courage celebrated for bold exploits and is often the offspring of a mortal and a god. Achilles was the greatest fighter among the Greeks or Trojans and feared no man in battle. He was also the offspring of a mortal and a god so by classic mythology definition, Achilles was indeed a hero. A hero is defined by the present day Websters Dictionary as: â€Å"one who inspires through manners and actions; an individual who leads through personal example and accomplishments requiring bravery, skill, determination, and other admirable qualities.† Achilles, in no manner, fits this definition. By contemporary standards, he is instead a pathetic villain. Aside from being a kidnapper, rapist and murderer, Achilles proves to be emotionally weak, selfish, and malicious. Many times throughout the Illiad, Achilles is also referred to as â€Å"godlike†. The gods of Greek mythology were subject to the same emotions and character flaws as humans, and though privileged to some foresight, the gods had similar mental capacities as humans. What really set the gods apart were their powers (controlling the elements, changing their appearance, etc.), great strength, and immortality. Because of his great strength and apparent invincibility, it is easy to see why Achilles would...

Sunday, August 18, 2019

Robert Altmans The Long Goodbye As A Genre Revisionist Film Essay

"Robert Altman's The Long Goodbye attempts to do a very interesting thing. It tries to be all genre and no story†¦ It makes no serious effort to reproduce the Raymond Chandler detective novel†¦ it just takes all the characters out of that novel and lets them stew together in something that feels like a private-eye movie." ---ROGER EBERT (REVIEW) The period of American cinema between 1965 and 1975 produced many films that almost completely restructured classical Hollywood’s accepted genre conventions. A fine example of this would be Robert Altman's iconoclastic take on Raymond Chandler's Philip Marlowe in The Long Goodbye (1973), a detective film based on the final book in Chandler’s Philip Marlowe series. Altman, who is known for turning around traditional genre conventions, revises and reinvents the film-noir style made popular by Dick Powell in Murder, My Sweet (1944), Humphrey Bogart in The Big Sleep (1946), and Robert Montgomery in Lady in the Lake (1947). The actors and the films in the 1940’s film-noir period conformed to genre conventions, and it wasn’t until Robert Altman directed Elliot Gould’s Philip Marlowe in The Long Goodbye that the detective genre had changed. It is very interesting to note how the conventions of 1940’s hardboiled private eye fiction translate into the 1970’s. The low-rent drabness of the genre loses much of its allure. The dark shadows and long nights of urban Los Angeles become the bright lights and warm sunshine of Malibu beaches. The detective’s normally snappy dialogue turns into joking asides. Marlowe’s hardboiled narration becomes the self-conscious mutterings of a lonely man talking to himself. The romantic myth of a man set apart from the city is turned on its head as a pathetic man living alone with his cat. Elliot Gould plays private investigator Philip Marlowe, who uses his smart-aleck detachment carried along by a natural wave of 1970’s California that Altman exercises for both humour and social commentary. Rich drunks, drugged out youth, multicultural gangsters in touch with their heritage and their feelings, people more than willing to use their friends, all indicate a self-obsessed society, a force as relevant in the 1970’s as the ever-present title song. Originally, Hollywood backed Altman, the eccentric director of M.A.S.H and Nashville, in the hopes that a gritty detective film would cash-in on the... ...grab glimpses of the character's true nature. In The Long Goodbye, these foreground strokes, intended to lay a foundation for audience sympathy with the lead character, are made as prominent as the climax, as well as the end. This is because Marlowe wanders through the action of the film meeting and reacquainting himself with unrelated characters, such as the gatekeeper-impressionist in Terry Lennox’s neighbourhood, and the grocery store clerk, who Marlowe meets again in prison. The time between The Big Sleep and The Long Goodbye signifies a significant evolution of American, or at least Hollywood, culture, from the country's post-WWII optimism to the alarm of Vietnam. The character of Marlowe, it appears, has one foot in each book-end of history. Bibliography Kagan, Norman. American skeptic: Robert Altman's genre-commentary films. Ann Arbor, Mich., Pieran P. 1982. Karp, Alan. The Films of Robert Altman. Metuchen, N.J., Scarecrow P. 1981. McGilligan, Patrick. Robert Altman: jumping off the cliff; a biography of the great American director. New York, St. Martin's P. 1989. Wexman,Virginia Wright. Robert Altman; a guide to references and resources. Boston, Mass, Hall. P. 1984.

Saturday, August 17, 2019

Life as a Mom Essay

Although the media depict most women as housewives and stay-at-home mothers, in reality many women work full time and put their children in daycare. Stay at home moms and working moms have their own advantages and disadvantages. However, a stay at home mom is able to give greater attention to the family while working moms are able to provide financial stability although they are not able to assure greater care to their children. I experienced both, being at home and working outside the home. I personally believe having my husband and me working has made my family happier. According to a recent study by the American Psychological Association of over 1,300 moms the happiest moms are, perhaps unsurprisingly, those who work part-time (Bindley 1). Comparing and contrasting being a stay at home mom vs. a working mom along with the modern economic and social reality has led to the emergence of various social changes and one such social change is the emergences of two kinds of mothers namely stay at home mothers and working mothers (Bindley 1). In this essay, an attempt is made to study the similarities and differences between the working mothers and stay at home mothers; also the term `stay at home moms ‘ refers to those mothers who do not work outside their homes. They prefer to stay at home. This is due to their care for their children and family, also these stay at home moms before they became mothers were working women. Gradually there is transition of working women to becoming stay at home moms. However, after they became mothers, it was very difficult to manage both house and work. Consequently, they decide to quit their jobs and stayed at home for the sake of their family. Leaving the financial stress on their husbands. Stay at home moms usually enjoy their status as being house wives and do not crib at the fact that they are staying at home. The children of such stay at home moms are also happy that their mom is staying with them. In the modern society this is a very difficult decision for the mother to leave her job as it put stress on families financially. Thus only when single income parents could manage with their limited income, the mothers could leave their jobs. Currently there are many work at home jobs which are tailor made to serve the stay at home moms so that they also could obtain extra income and they could make use of their spare time. These jobs are usually telecommuting in nature which means that mothers are not expected to go their work place (Bindley 1). As for why they might be happier, the authors theorized, â€Å"a mother’s participation in employment provides her with support and resources that a mother who spends full time at home does not receive.† (Bindley 1) The main advantage with stay at home moms is that they are able to take perfect care of their family. The main disadvantage with this system is that such families need to depend on single income which then can put a lot of strain on a relationship between husband and wife. As I grew up my mom was a single parent, until I turned 13 when she met my step-father Grant. She worked, went to nursing school full time, and still managed to find time to make it to all of my sporting games. She also was gone a lot too. This then made me have to raise myself a little bit. My mom never let me go without; I always had what I needed when I needed it. I always said that when I was a parent someday, that I would make sure I could provide for them like she did for me. â€Å"There is nothing I would change about how I did things when you were a child; I made sure you had everything you needed.† (Shumaker) â€Å"Things did get much easier when I met Grant and we put our finances together.† (Shumaker). Now as an adult not only do I make sure my children are taken care of day and night, I also attend school, work part-time, and I find time to spend with my husband. Having a husband is such a big help. Not only for our family financially, but also for my children to have a father, and he helps do things for them when I’m not able to. I was a stay at home mom at one point in my life with our oldest daughter when she was a newborn. It was nice, although I felt like I had no adult interaction. I feel that interaction with other adults is critical to say â€Å"sane†. I never felt pretty because I was always wearing sweatpants, and no make-up. Even if I went out to do grocery shopping and run errands it wasn’t enough adult interaction. Because my husband worked all day he wanted to get things done around the house, and I wanted him to watch the kids so I could go do something by myself. We also didn’t have enough money to do anything, he solely paid the bills. That put a lot of stress on our relationship. I would want to go out to dinner, but we didn’t have the extra money. I realized quickly how much more important it was to work. I know that being there for my children is priority. However, interacting with other adults is also very important. Now that I work and my husband works we have enough money to do fun things with our children when we are not working. We bought a brand new camper to take them camping. It also gives us enough money to go out by ourselves and hire a babysitter for the night. Our lives are much more enjoyable for our children, my husband, and me. Having me work instead of staying at home. I still find time to make healthy dinners, and take care of our children. It has made my marriage stronger and it has made me feel better about myself because I contribute to our bills.

Friday, August 16, 2019

Lebanon War 2006 Essay

The Lebanon War of 2006 began on July 12th, when Hezbollah launched a rocket attack on Israeli military positions stationed near the border between Lebanon and Israel. In the minutes during the ensuing chaos, Hezbollah militants crossed the border into Israel, and kidnapped two Israeli soldiers who they intended to use as collateral in a prisoner exchange with Israel. The war lasted until August 13, 2006, at which point the United Nations intervened. During the war, both sides targeted civilian areas, resulting in the deaths of over one thousand civilians and the displacement of thousands more. In an account of the 2006 Lebanese War published by the Anti-Defamation League, Hezbollah militants are accused of launching rockets into Israel with the intention of harming civilians. Conversely, it is explained that the Israeli military targeted Lebanese civilian areas because Hezbollah has been known to operate out and live amongst civilian homes and stores. In addition, it appears that the author of the account places the blame upon Hezbollah for igniting the war against Israel by launching rockets across the border in the years following the departure of Israeli forces from Lebanon, after the Lebanese Civil War and the Israeli siege on Beirut. The ADL reports that there were over twenty occurrences of attacks launched by Hezbollah militants on Israel between 2000 and 2006. The ADL, however, does not conclude its account of the events without addressing errors made by Israel. Many Israelis allegedly held their own government accountable for the destruction of parts of the country, not because the government retaliated against Hezbollah’s attack, but because â€Å"the military and country had been ill-prepared for the conflict and its soldiers ill-equipped† (ADL). Such accusations prompted the Israeli Prime Minister to order a commission of inquiry to address the accusations. In 2007 and 2008, the Winograd Commission announced that questionable decision making had taken place during the war by Israeli government officials. Rasha Salti’s personal account of the 2006 war from the perspective of a citizen living in Beirut makes no mention of Israel’s self-proclaimed guilt, however. Her compilation of notes written during the war instead portray the violent attacks and practical demolition of Lebanon – a country that had only recently managed to rebuild itself after the conclusion of the fifteen year civil war in 1990. Her frustration about the situation and her devastating accounts of civilian casualties during the 2006 war blame only the Israeli military and government because of the brutal force and destruction used against Lebanon. Salti even makes reference to the abduction of the Israeli soldiers, and criticizes the Israeli government for overreacting and launching a war against Lebanon in retaliation. The ADL’s description provides factual data that is not included in Salti’s â€Å"siege notes†, and alternately the â€Å"siege notes† provide a personal account of the war that any reader would be able to relate to and identify with. Despite reporting upon Israel’s Winograd Commission, the ADL clearly maintains the perspective that Hezbollah functions as a terrorist organization and was at fault for the 2006 Lebanon War. Salti, on the other hand, conveys a clear message about Israel’s vicious military and menacing government. The comparison of documents such as the ADL and Salti accounts of the 2006 Lebanon War illuminates the importance of collecting multiple sources of information before drawing conclusions about any historical event. References: http://www.mepc.org/ http://www.google.com

Thursday, August 15, 2019

Review for psychology pavlovs theory Essay

IDENTIFYING THE COMPONENTS OF A CLASSICALLY CONDITIONED RESPONSE: For each of the following identify the UCS, UCR, CS and CR. 1.Alexander is four years old. One night his parents decided to light a fire in the family room fireplace. A burning ember jumped out of the fireplace and landed on Alexander’s leg, creating a nasty burn. He cried because the burn hurt. A week later, when Alexander’s parents start to light another fire in the fireplace, Alexander begins to cry. (UCS: burn; UCR: crying; CS: fire in the fireplace; CR: crying) 2.Emily is driving to work during a heavy snowstorm when the brake lights on the car ahead of her come on. She hits her brakes but is unable to avoid hitting the car. She is badly shaken up in the accident. The next time she is driving in the snow she notices that she tenses up every time she sees brake lights come on ahead of her. (UCS: accident; UCR: shaken up; CS: driving in the snow; CR: tensing up) 3.Bill’s mom followed the same routine before serving dinner–she would put ice in the glasses and then call â€Å"come and get it, dinner’s ready†. Immediately upon hearing those words, Bill would quickly run down the stairs. After awhile, Bill would come running down the stairs when he heard the ice hitting the glasses. (UCS: mom calling â€Å"come and get it, dinner’s ready†; UCR: running down the stairs; CS: ice hitting the glasses; CR: running down the stairs) 4.Gary is the client relations officer at his firm. The phone in his office has â€Å"caller id† so that the client can be identified before he answers the phone. After receiving a call with a rude client, Gary would be very annoyed and agitated. He began to notice that the rude calls tended to come from clients that were identified by a â€Å"1-800† number on the caller id. Therefore, whenever a â€Å"1-800† number appeared, he would become annoyed. (UCS: call from a rude client; UCR: annoyance and agitation; CS: â€Å"1-800† number on the caller ID; CR: annoyance) 5.When Ann was a college freshman, she was assigned to live in a very old dormitory. The old plumbing system produced a problem when one person was taking a shower and one person need to flush the toilet–shortly after a person flushed the toilet, all of the cold water left the shower leaving only the hot water. The first time this happened, Ann was scalded by the hot water. She yelped and jumped back. The next day, as soon as she heard the toilet  flush she jumped back. (UCS: hot water on body; UCR: jumping back; CS: toilet flushing; CR: jumping back) IDENTIFYING OUTCOMES IN OPERANT CONDITIONING: Indicate whether each situation involves positive punishment, negative punishment, positive reinforcement or negative reinforcement. 1.Fred gets a speeding ticket. (positive punishment) NOTE: This example can be used to demonstrate one of the limitations of punishment–suppressing behavior but not eliminating it. Students will usually indicate that getting a speeding ticket leads some people to buy a radar detector! 2.Emily’s professor compliments her writing ability. (positive reinforcement) 3.Zachary is expelled from school for cheating on an exam. (negative punishment) NOTE: This example can be used to demonstrate that one person’s punishment is another person’s reinforcement. Expulsion from school is intended to be negative punishment–removing the privilege of attending school, presumably a pleasant stimulus. However, students could view it as negative reinforcement–removing the annoying constraint of being forced to attend school, known (at least to some students) to be an unpleasant stimulus! 4.Leon goes to the health club for a rare workout and pushes himself so hard that his entire body aches and he throws up. (positive punishment) 5.Linda buys her daughter a candy bar so that she will not be embarrassed by her daughter’s temper tantrum. (negative reinforcement for Linda, positive reinforcement for the daughter) NOTE: This example can be used to demonstrate that parents can unintentionally reinforce a child’s behavior–a nice warning for the students in class who may some day be parents. 6.George shoots up heroin to ward off the symptoms associated with heroin withdrawal. (negative reinforcement) NOTE: Some students will misidentify this as an example of positive reinforcement. They will indicate that shooting up heroin is pleasurable and presentation of a pleasant stimulus is the definition of positive reinforcement. Tell students that a situation can be viewed as either positive or negative reinforcement depending on how it is viewed. Shooting up heroin could be considered positive reinforcement if it is viewed from the perspective of producing a pleasurable â€Å"high† feeling.  However, if it is viewed from the perspective of avoiding the aversive stimulus of withdrawal symptoms then it is an example of avoidance conditioning–a type of negative reinforcement. 7.Edna constantly complains about her husband to colleagues at work. Her co-workers get tired of her and no longer provide her with sympathy. (negative punishment) TYPES OF FORGETTING: For each of the following indicate which type of forgetting is responsible for each situation: Alexander is having trouble using his new computer program because he keeps entering commands from the program he used to use. (proactive interference) Carolyn is in a serious boating accident. Afterwards, she cannot remember her name or where she lives. (retrograde amnesia) Although Scott used to drive a stick shift car, he can not remember much about how to shift gears manually since lately he has been driving an automatic car. (retroactive interference) Jerry is unable to remember the name of a restaurant when his friend, George, comes by and says, â€Å"I feel like I have died and gone to heaven because Joan has finally agreed to go out with me†. Suddenly, Jerry remembers the name of the restaurant–Taco Heaven. (lack of an appropriate retrieval cue) Robert was the passenger in a car involved in a head-on collision. He has been unable to remember anythi ng that has happened since the day of the accident. (anterograde amnesia)

Wednesday, August 14, 2019

Belong Speech †As You Like It and The Kite Runner Essay

John O’Donohue once said ‘the hunger to belong is not merely a desire to be attached to something. It is rather sensing that great transformation and discovery become possible when belonging is sheltered and true. ’ Many individuals desire to belong and so forge connections with others through a variety of different vehicles, be it filial relationships or friendships. Shakespeare’s play As You Like It and Khaled Hosseini’s novel The Kite Runner explore the developing of one’s sense of self, by establishing meaningful relationships, which are a conduit for one to find a sense of belonging. Familial relationships contribute towards one’s sense of belonging, as they shape a person’s identity and can result in personal fulfilment and growth. Conversely, disconnection between family relationships can cause confusion and isolation. Shakespeare’s play, As You Like It, analyses the ramifications of dysfunctional family relationships on one’s sense of belonging. Through animalistic imagery and hyperbole, Orlando describes his brother’s treatment of him as differing not from the â€Å"stalling of an ox† deeming it an assault on his identity. His disjointed syntax and truncated sentence structures, â€Å"it was upon this fashion bequeathed me by will but poor a thousand crowns†, further convey his confusion and frustration, which stem from severed familial relationships, thus highlighting how severed familial relationships stimulate a lack of belonging. In contrast to the antagonism brewing between the brothers at outset of the novel, they are reunited when Orlando asserts their filial connection, saving Oliver from a lion at his own risk. Oliver’s use of past and present tense, â€Å"was I, but tis not I†, conveys his personal transformation as a result of their connection. The humble tone of this dialogue reinforces the restoration of their relationship due the brother’s reconciliation, resulting in a strong connection and sense of belonging. The restoration of Orlando and Oliver’s relationships broadened my understanding of belonging in that there is often a profound compulsion to belong, even when one may resist it. The radical transformation in Oliver, exemplifies the notion that family relationships have a profound impact on one’s sense of belonging and identity, by affecting their ability to connect with others. Like in As You Like It, the main character in Hosseini’s novel, The Kite Runner, experiences isolation as a result of the breakdown of family relationships. The silent animosity between father and son, resulting from their strong differences, highlights the tension that exists between them. Like Orlando and Oliver, constant conflict is intertwined within their relationship, as Baba does not approve of Amir’s interest in reading and writing. Baba’s short sentences and hesitant tone, â€Å"(He)†¦ gave a thin smile (of)†¦ feigned interest† illustrates the disconnection between Baba and Amir. This is furthered through Baba’s use of tag questions, â€Å"’Well, that’s very good, isn’t it? ‘ he said†, which reinforces his lack of interest in his son. While Amir expresses a profound sense of respect towards his father, he often describes his father as viewing the world as ‘black and white’. The binary opposition and colour symbolism of black and white symbolically reflects the tension between the two characters, and their inability to relate to one another, resulting in disconnection and a lack of belonging. Amir concludes with ‘you can’t love a person who lives that way without fearing him†¦ even hating him a little’. The use of first person narration, combined with colloquial language evokes feelings of empathy from the reader towards Amir, as they it allows them a deeper understanding of the emotional ramifications of the strained relationship on Amir. Amir’s emotional tone and body language, combined with the vivid imagery in the simile, â€Å"I flinched, like I’d been slapped. My heart sank†¦Ã¢â‚¬  effectively highlights his strong desire to belong with his father. The constant yearning for affection in the book was very insightful as demonstrated to me the extent of the innate human desire to belong. It can thus be concluded that filial relationships are an important factor in determining a person’s sense of belonging as one’s self-esteem and identity can only be cultivated within the close emotional bondage that only family offers. Relationships between friends are another factor that contributes towards one’s sense of belonging as such relationships aid in fulfilling the innate human desire to connect with others and be a part of something greater than one’s self. In ‘As You Like It’ there is a strong connection between Rosalind and Celia despite the conflicts that exists between their families. Celia’s affectionate tone and repetition, â€Å"my sweet Rose, my dear Rose†, coupled with her use of the possessive adjective â€Å"my† epitomizes the strong connection between them. Their immutable connection is affirmed through classical allusions and asyndeton, â€Å"We still have slept together,.. learned, played, eaten together†¦ like Juno’s swans coupled and inseparable,† The visual imagery of unity as well as virtuous symbolism is significant and challenges the notion of sexual promiscuity as suggested by the Dukeâ€Å"thus do all traitors. The strength of their connection is also conveyed in Celia’s insistence that her father â€Å"pronounce (Rosalind’s) sentence on me†¦ I cannot live out of her company†. The hyperbole and high modality language highlights Celia’s allegiance and loyalty towards Rosalind. Though exiled form the court, Rosalind’s stable and supportive relationship with Celia enables her to maintain her sense of identity and confidence, regardless of her circumstances and external environment. Because of this, it is clear that strong friendships act as a conduit to finding a strong sense of belonging and confidence, allowing individuals to experience security and fulfilment even within adverse circumstances. Similarly, in ‘The Kite Runner’, symbols and metaphors are used to visually represent Amir and Hassan’s friendship, and to present the message of true and loyal friendship in an impacting way. Kites are used as a motif to represent the freedom of and strong bond between the two boys, both at the beginning and end of the novel. Under the Taliban regime, kite flying was banned, symbolically representing the lack of freedom in Kabul, which paralleled Amir and Hassan’s disintegrating relationship due to a loss of innocence. Kites also symbolise the brotherhood and friendship between the two of them, particularly as they would often build kites together ‘sav(ing) (their) weekly allowance in the fall’. This simplifies the innocence and love between the two of them, increasing the impact of their bond. Symbolism allows for a deeper understanding of Amir and Hassan’s friendship, which shows that they belong to each other. The use of kite flying and kite running is also used to show the class distinction between Amir and Hassan and to show how minute and irrelevant hierarchy is compared to the bond of friendship. Even though Hassan is constantly referred to as the â€Å"slave†, Amir holds enough respect to forge and connect with Hassan. The demeaning value of the colloquial term, in turn demonstrates the depth and strength of their friendship. Through the use of metaphors and symbolism, the notion of unbiased friendship, is shown throughout the play which contributes towards the boys sense of belonging. Amir’s exclamation â€Å"You’re the brother I never had†, which, due to Hassan’s â€Å"slave† status would have been affront to the ropriety of the time, highlights how relationships can break down socially constructed barriers, enabling a strong sense of belonging and fulfilment. Overall, all both texts highlight the vital role that relationships play in terms of belonging and not belonging. As demonstrated through the relationships of Amir and his father, and Orlando and Oliver, it is clear that dysfunctional familial relationships and broken friendships can cause conflict and isolation. On the other hand, as seen in Celia and Rosalind and Amir and Hassan, a strong connection between individuals can lead to fulfilment, contentment, and a strong sense of belonging.

Tuesday, August 13, 2019

Personal Developement - Essay Example | Topics and Well Written Essays - 1750 words

Personal Developement - - Essay Example It should be result oriented and goal driven. The success in time management is measured by the quantity of productive work attained and the persons’ private life. I attained this by developing a personal sense of time, identified long term goals, medium term goals, planned for the day, made the best use of my best time, managed meetings, delegated effectively, made use of committed time, and finally managed my health. This view is supported in the work of (Adair, 1990:24). Personal development plan Purpose in life: born to ensure that I live a purposeful and fulfilling life. Dreams: to effectively get along with others Short term goal: to be decisive and determined person Long term goal: to achieve leadership and team building skills. Beliefs and values: make effort while keep on striving Success and milestones: can identify needs, can overcome challenges, and act friendly. Task 2 Skills are the learned capacity or having that ability to carry out pre-determined results with minimum outlay of both time and energy. Therefore, these are abilities that one possesses. Skills can be categorized as domain general or domain specific skills. This view is supoorted in the work of (Lussier, 2011:56). Unlike some of the general skills in the work environment comprise of time management, team work, and leadership, and self motivation, the domain specific skills would be useful for a certain job or activity. Moreover, skills need a certain environmental stimuli and the situations to assess the skill level being shown and used. Some of the skills include labor skills, life skills, people’s skills, social skills, soft skills, and communication skills. Skills assessment helps you to learn about the strengths and weaknesses of your skills. People are more likely to be contented with career choices that are consistent with values, interest and skills. Skills assessment helps you identify the useful skills that you may possess. Skills development is the adding valu e to the skills that you have and also learning about new skills through training and development programs. Teaching of a new skill is attained through verbal instruction, demonstration, video, diagram, and photo sequence. Some of the skills that I possess with other students include cognitive skills, perceptual, motor, and perceptual motor. Many organizations require a person who is team player, has leadership skills, and has personal integrity. Integrity is the building block of peoples’ skills. This means there basic honesty and truthfulness when dealing with others. Therefore, skills like openness, determination, resourcefulness, and being realistic is paramount in any professional set-up and as an individual because most of the times you are meeting people (Lussier, 2011). By personally taking the initiative to develop my skills I worked on my character and skill development by choosing to design a life that honors our values and purpose. The possession of soft skills ha s much of an impact on your success as your

Analyse the report by answering the four requirements Assignment

Analyse the report by answering the four requirements - Assignment Example This report, also points out issues related to the environment, safety and health, in addition to how the corporation engages people and the community. Further, the 2011 report is structured in a way that details GRI reporting and provides information on previous reports that is essential in making comparison on the corporation’s sustainability development (Orica Report, 2011). Orica, indicated their 2011 sustainability report, reflected on application level B in relation to GRI reporting among organizations. According to the standards set by the GRI reporting guidelines, application level B, is suitable for intermediate reporters who, already have an existing policy of implementing sustainability performance. This involves reporting on profile disclosures, reporting on the approach embraced by the management and reporting on not less than 20 performance indicators. The performance indicators focus on Labor practices, human rights, product stewardship, community or society, ec onomic and the environment. As indicated in page 134 that reports on the corporations GRI Index for the year, 2011, Orica achieved level B by reporting on all the parameters required for this level. However, this is not the appropriate level for Orica; the corporation should meet the application of level A since, reporting on Orica’s sustainability, is advanced and it requires consultation with stakeholders. ... The terms that describe the process of independent assurance vary and may include external assurance, verification, assurance and certification (Manetti and Toccafondi, 2012). Further, independent reviews may vary, and similarly, the information provided by organization also varies in terms of scope related to information intended for assurance. The assurance process reviews, the data quality, how the data was collected, with an intent of improving the final disclosure. In essence, information considered to be of high quality is regarded as trustworthy, and relied on by organizations and others interested in the information. Organizations often seek out assurance for various reasons aimed at improving confidence and trust in areas related to governance, maintaining stable shareholder relations and management process. Other benefits related to assurance include improving an organization’s reputation or recognition, and instill confidence among stakeholders (Manetti and Toccafon di, 2012). Further, assurance serves to limit risks for an organization, in addition to improving value. Assurance, also aids in improving the engagement between organizations CEOs and the board, as a result of the need to work together to achieve credible sustainability disclosures. In addition, assurance improves internal reporting and various management systems within an organization. On the same note, external assurance, assists in affirming the robustness of systems responsible for internal controls and provide recommendations for further improvements. The process of assurance also plays a role in enhancing stakeholder communication since, the sustainability report are relied on for

Monday, August 12, 2019

Marketing Assignment 2 BENG Essay Example | Topics and Well Written Essays - 1000 words

Marketing Assignment 2 BENG - Essay Example does it offer sufficient growth rate to warrant investment, and how strong the company vis-Ã  -vis its competitors in the industry i.e. how much market share it command in the industry. Estelami2 stated that BCG matrix can also be employed under product elimination decisions (55-56). Thus using this model, the company can plot all of the its businesses or products in the matrix and identify the best strategies for businesses (product) in various categories. Thus, the model gives clear guidance to a company as to how it should go about its investment decisions. The concept of product life cycle is based on the concept of human life cycle. According to Kotler & Keller (2007)3 products passes through various stages of their lives. At each stage the position of the product in the market is different and thus it have to respond accordingly. To help that marketers can use various strategies suggested for the various stages. Drive Thru – This is in the growth stage marked by recent surge in the number of drive thrus that are witnessed. There life cycle will stretched, given the busy life styles; people would love to have them. Cart and Kiosks - It have been the earliest form of coffee shops, though earlier mostly managed by unorganized nondescript market players. Then the sophisticated organized players taked it up and have introducing a lot of innovative features in to it. So I would say the organized players resuscitated this product form. Currently the product will in maturity stage given the kind of competition we see. Growth stage - Marked by the entry of competition, the stage witness a segmented approach to marketing and separate marketing mix to various segments. The firm may go for skimming by lowering the price; the product will have new features and improved versions; the advertising would shift from product awareness to preference building. Maturity Stage – This stage witness heavy price discounts and trade promotion.

Sunday, August 11, 2019

The Impacts of Fast Foods on Obesity and Weight of College Students Assignment

The Impacts of Fast Foods on Obesity and Weight of College Students - Assignment Example These types of foods have been strongly criticized particularly due to issues of health. Many studies have, in fact, attributed the high level of overweight and obesity to these foods. This paper intends to look into the impact of fast foods on obesity and overweight because these are health concerns that have originated very many diseases nowadays. Obesity is a medical condition whereby the body of an individual contains very high level of body fats to a level of occasioning adverse health impacts. When the body mass index (BMI) is greater than 30 kg/m2, a person is said to be suffering from obesity. Such a person is highly susceptible to diseases such as type II diabetes, heart diseases, osteoarthritis and certain types of cancers, among many others (Haslam and James, 2005). The fast spread of fast foods in restaurants has generated a lot of debate especially regarding the impact of such foods on the health of people. In fact, many nutritionists and health professionals have cautioned their clients against overconsumption of such foods as they claim their health risk can be massive (Abdollah, 2007; Mcbride, 2008; Mair et al. 2005). However, it is notable that the evidence that links fast food to obesity and gain in weight is not very convincing. Most of those who claim that it fast foods is responsible for obesity have conducted their research on very small samples hence narrowing the validity of their generalization. A recent study by Rosenheck (2008), on the relationship between fast foods and obesity, it was found that the results from observational studies have not been able to establish a link between obesity and fast foods. A couple of recent studies have paid attention to fast foods restaurant as possible contribute avenues of gaining weight (Philipson and Posner, 2008). Anderson and Matsa (2009) concentrate on the connection between obesity and feeding habits, whereby the related the presence of many restaurants around the highway in a  rural area and the eating habits. However, they found no credible link between obesity and restaurants.  Ã‚  

Saturday, August 10, 2019

Critical thinking why guns wont make us safer Essay

Critical thinking why guns wont make us safer - Essay Example there are suggestions from the public that guns enable citizens to protect themselves, this is not the case because, guns continue to be used in domestic violence across the American society. To further prove the need for gun control, studies shows that countries implementing laws related to gun control have realized success in terms of reducing homicides, suicides, domestic violence and other gun related violence or crimes (Trotter 26). Sean Faircloth is correct in his argument that guns will not make the society safer. The infiltration of guns into the hands of the citizens in America, has done more harm than good. Statistics shows that gun ownership has resulted to an increase in homicide which often occur because of domestic violence. In addition guns are used to commit suicide and mentally or psychologically disturbed teenagers are using guns to kill fellow students. In essence, this statistics is an evident that there is need for gun control in the American society to protect c itizens from harm. As argued by Faircloth, it is true that most homicide committed in American homes is mainly contributed by ownership of guns by citizens. Citizens normally acquire guns for safety purposes; however, these guns pose a danger particularly in a spate of anger, either spouse can use a gun in case of an incidence of domestic violence. On the same note, it is true that domestic violence go hand in hand with gun violence and in most cases, it is women who are the victims of gun violence especially in American homes. Most people who own gun in the American society are not insane, the citizens who own guns are stable and their prior intention is to improve the safety of their homes (Faircloth). As reiterated by Faircloth: â€Å"Most citizens who own guns normally do not have an intention to turn against their wives or girlfriends, but in a spate of anger guns can become a tool of lashing out. Shooting another person only takes seconds and one only realizes after the damage

Friday, August 9, 2019

Atermath of Katrina, Returning to a Workplace Essay

Atermath of Katrina, Returning to a Workplace - Essay Example My primary concern as an Industrial Hygienist deputed to clean up the hospital in the aftermath of Hurricane Katrina would be to prevent or control the spread of infectious diseases such as diarrhea, flu, cold and TB. Because as evidence from similar natural catastrophes suggests, the people returning to New Orleans are likely to suffer from these diseases in the immediate aftermath of Katrina. Gastroenteritis is also likely to be prevalent. Hence I would order my team and also avail of services from other disaster relief personnel and design an basic hygiene awareness program for the hospital. For example, proper hand-washing techniques will be demonstrated to all concerned. Along with practical demonstrations, I would make posters, fliers and email postings to reiterate the proper technique of hand washing. I would place bottles of Gel hand sanitizers at important access points within the hospital. Other infectious diseases that I would try to prevent or control include rashes and skin infections. Once any of these diseases is identified in the surrounding population, it is imperative that diseased individuals are separated from the crowd so as to stop further spread. All the beds and chairs within the hospital will be scanned for fomites. It is advisable to remove soiled cots, mattresses and bed spreads from the premises. (Chew, et. al, 2006) I would also be concerned about the mold and endotoxin levels in the hospital environment. I will involve the two technicians in my team to bring samples and perform tests for ascertaining mold and endotoxin levels. It is imperative that they wear Personal Protective Equipment (PPE) such as respirators. The advice would be to wear elastomeric respirators. Alongside mold and endotoxin level measurement, I would implement the process of deconstruction, which entails removal of soiled and muddied carpets, removal of

Thursday, August 8, 2019

Pursasive speech on why woman in the united states Navy should be on Essay

Pursasive speech on why woman in the united states Navy should be on birth control - Essay Example Women that have been enlisted are being trained in the same facilities as men and record almost similar scores in areas such as military intelligence and sharp-shooting. With the Navy’s positive stand on the use of oral contraceptives, the link between effective female personnel; at par with their male counterparts; and use of contraceptives cannot be understated. A survey conducted in September 2010 interviewed women deployed in the Navy and Marine Corps on how they dealt with the challenges associated with menstruation during deployment. A common theme noted was increased pain experienced, and many cited the difficulty of complying with the pill; with only 21% on the pill (Skouby p.32). The reasons as to why women in the Navy use birth control pills vary. Some refuse to use birth control pills for fear of mood swings and weight gain while others counter the menstrual cycle with contraceptives. Most of the women interviewed preferred using the contraceptives. The use of the birth control pill causes biological and chemical changes in women’s bodies. When they are on the pill, there is no ovulation and therefore the uterine wall is not as inflamed as usual (Cassaza p.11). This result in less bleeding attributed to the decline in hormonal levels where the uterine lining breaks down in response to the changes. The effects of the use of pills such as Seasonique are that there is little or no cramping, lighter menstrual flow and reduction in the menstrual periods. Women in the U.S. Navy are increasingly being deployed in combat zones and the DOD’s estimates that 15% of military personnel on active duty are women. The use of the pill is, therefore, advisable in enabling them to conduct their duties even during the menstrual period (Armstrong p.57). According to Thomas et al., (p. 20), human nature is tied with a need for companionship and emotional connection regardless of the situations at hand. Men and women in the Navy cohabit for long periods of time

Extra credit Assignment Example | Topics and Well Written Essays - 250 words - 5

Extra credit - Assignment Example entioned it clearly in the policy statement that it was â€Å"necessary and desirable that areas of unusual natural significance be set aside and preserved for the benefit of present and future generations†¦Once the areas have been destroyed, the areas cannot be wholly restored† (The Nature Conservancy, 2015). Development of the Mounds Lake Reservoir would also put the natural lands at risk, that the state has invested years of effort and money to build and protect for environmental beauty, health, and safety. There is possibility of development of a state water plan while it is established whether development of the Mounds Lake Reservoir is avoidable or unavoidable for being a public necessity. The water plan would yield information about the state’s water needs along with protecting the sustainability of the water sources. The material presented relates to a range of course topics in general and to the topics of biodiversity; population and community ecology; eco systems; and water quality, solid waste, and agriculture in