Saturday, August 31, 2019

Did School Helped in Covering Up the Crime

In my assessment of the facts, I believe that Eastern Michigan University did not intentionally covered-up the death of Laura Dickinson. Though the Clery Act requires schools to report any crimes and other threats to safety to students, it ignores such law because it lacked clear decision as to what to do with the incident (Goldman). Aside from that, it is beyond doubt that the school failed in initiating investigation on the incident. The tragic incident may also have distracted the school administrator as to what really happened to Laura until the body cannot be revealed to the students. Apart from that, the school may have feared that announcing the death of Laura may disturb their investigation and may create fear among students that they cannot control. The incident may have been perceived by the school as a threat to the peace within the school. Furthermore, the incident may have happened the first time and it is not prepared and lacked the proper guidelines in responding to such incident. It would also be unfair to conclude that the incident was covered- up because the school did not hid the body. If it was the school’s intention to cover-up the incident, it could have done anything that would disallow anyone from discovering it. Besides, the school made a statement after ten days. Thereafter, informed Laura’s parents after ten weeks. Ten weeks may be considered to be unreasonable for the school to finally decide in revealing the truth but it may be considered only as a negligence and indecisiveness on their part. The school may have feared losing its reputation once the incident is fully made known in public and may have been confused about the privacy of the people concerned. Aside from failing to report the incident, there are no other circumstances that would strongly determine that the school tried to hide the incident from the students and the public as well. Furthermore, the school may have been ignorant about the consequences of its act. Hence, the school did not intentionally covered-up the incident.

Friday, August 30, 2019

European Factory Workers and Urban Artisans Essay

In the eighteenth century much of Europe was experiencing an industrial production, furthering toward a more industrial society. Many people were supporting the new society, while others were criticizing it. From 1845-1847 Europe was experiencing poor harvests, which caused the Irish famine. Irish peasants died from starvation, while others migrated. Artisans and factory workers were undergoing a process called proletarianization. It was where an owner would pay a wage and the worker would lose all ownership of production. If the factory ran smoothly, then it would be a better chance that the workers would have a safe workplace, but if that wasn’t the case then the workers may have to work in poor work conditions. Urban artisans experienced the process a little differently than the factory workers. Metal workers and craftsmen saw an increase in demand for their work. Artisans were working for masters, first as apprentices, then as journeymen. The master owned the equipment and the workers owned the small tools used. The journeymen would later become masters. The guild system allowed the factory to run smoothly. Liberals did not like the labor or guild systems and they tried to make them illegal. Masters were very competitive. They began to follow confection, which is where they make everything standard instead of individualistic. This made the artisan less valuable. Unskilled workers would come from the countryside to work. It became more difficult for journeymen to become masters, in turn artisans would become wage labors for life. Nineteenth-Century European Women Women in the Early Industrial Revolution The revolution had a great impact on the home and family life for women. Women could depend on the male’s wages. Children would follow the roles of their parents. This occurred within the middle and lower class families. Women were also allowed to work and make their own wages to support themselves if they had the desire to do so. The skills required to work were lowered when women started working. Textile production played a big role in the industrial revolution, so women were involved from the start. Women did the majority in the textile production until it was moved to factories, then the men replaced the women. In the 1820’s unmarried women rapidly became employed in factories. Most of the women working in factories were usually unmarried or widowed because it was less likely for them to become pregnant or get influenced by their husband to quit. At midcentury, the women accounted for less than half of all employment. In France, the working women continued to work on the land. In England, they were domestic servants. Women’s working conditions were almost always harsh and they were always exposed to exploitation. Social Disabilities Confronted by All Women During the early nineteenth century women suffered from social and legal property rights, family law, and education. By the end of the century improvements were being shown in those areas. Europeans were classified into ranks and women were inferior to men. In the late nineteenth century married women could finally own their own property in their own name. Women had no standing with the law. The reform of women’s property rights came slowly. By 1882 Great Britain allowed married women to own property. In France, a married woman could not even open a savings account in their name until 1895. In 1907, they were allowed to receive their own wages. In 1900 Germany allowed women to work without their husbands’ permission. Similar laws began to strike in Europe. The law also worked against women, for example legal codes made wives obey their husbands. The Napoleonic Code and the Roman law made women legal minors throughout Europe. Everything was more difficult for women including; divorce, keeping their children, contraception, and abortion. Women were controlled by men. Women had less access to education and they were only educated enough for the domestic careers that they were expected to follow. The percentage of illiterate women outnumbered that of women. The more professional education remained reserved for men until the third quarter of the century. Italian women had a better chance with education. Keeping women from school helped keep women out of social and economic events. School teaching became a profession for women. As things progressed women worked more and the jobs required little or no skill.

Thursday, August 29, 2019

Sentimental Violence Essay Example | Topics and Well Written Essays - 1250 words

Sentimental Violence - Essay Example He insinuates to the fact that the violence and oppression of the superior is not acknowledged in a legal system that is constructed according the ideals of these superior people. Indeed for Wright violence of the superior or the dominant is not violence. Rather it is a kind of oppression, because it may underlie, in a disguised form, the existing social system. Such a system then is established only to serve the interest of the dominants and to deprive the dominated of their rights. It may prevail over the whole system visibly in the forms of law and punishment. Even if the convict appears to be a member of the dominant group, then he is characterized as a punisher. In both forms, either it is disguised or visible, the underlying dehumanization gives birth to the violence in a reflective form in the sense that they give the society what they receive from it. Wright notes that since the dominant white cannot but exploit the black, they need to instill the inferiority complex into a black’s sentiment in order to retain the access to the pool of cheap black labor. Mr. Dalton employs the black young people but he as well as his society build a â€Å"blank wall† between them and the black. As a real estate baron, Mr. Dalton conjures up his whiteness -before Bigger- terrifies, oppresses sentimentally and enrages him to muster his benefit of the black. The built-in construct of Mr. Dalton’s family is such that it forces Bigger to perpetually rethink about the propriety of his manner in the family. Playing as a black on the line of white-expectation is his only choice that the white society leaves for him. He dearly wants the job in Mr. Dalton’s house. Yet, he cannot but admonish himself for acting so subserviently and answering Dalton’s questions slavishly in â€Å"â€Å"yessuh† and â€Å"nawsuh†. Such dilemma makes his stay in Dalton’s terribly uncomfortable. Mrs. Dalton also similarly behaves with him. She implies that he should do

Wednesday, August 28, 2019

Wireless Networks Essay Example | Topics and Well Written Essays - 1250 words

Wireless Networks - Essay Example (B) Radio frequency is a term that refers to alternating current (AC) having characteristics such that, if the current is input to an antenna, an electromagnetic (EM) field is generated suitable for wireless broadcasting and/or communications. These frequencies cover a significant portion of the electromagnetic radiation spectrum, extending from nine kilohertz (9 kHz),the lowest allocated wireless communications frequency (it's within the range of human hearing), to thousands of gigahertz(GHz). When an RF current is supplied to an antenna, it gives rise to an electromagnetic field that propagates through space. This field is sometimes called an RF field; in less technical jargon it is a "radio wave." Any RF field has a wavelength that is inversely proportional to the frequency. In the atmosphere or in outer space, if f is the frequency in megahertz and sis the wavelength in meters, then The frequency of an RF signal is inversely proportional to the wavelength of the EM field to which it corresponds. At 9 kHz, the free-space wavelength is approximately 33 kilometers (km) or 21 miles (mi). At the highest radio frequencies, the EM wavelengths measure approximately one millimeter (1 mm). As the frequency is increased beyond that of the RF spectrum, EM energy takes the form of infrared (IR), visible, ultraviolet (UV), X rays, and gamma rays. Many types of wireless devices make use of RF fields. ... Many types of wireless devices make use of RF fields. Cordless and cellular telephone, radio and television broadcast stations, satellite communications systems, and two-way radio services all operate in the RF spectrum. Some wireless devices operate at IR or visible-light frequencies, whose electromagnetic wavelengths are shorter than those of RF fields. Examples include most television-set remote-control boxes, some cordless computer keyboards and mice, and a few wireless hi-fi stereo headsets. (SearchNetworking.com) 2. Wireless Architecture WAP Architecture is divided into several layers. This is often called the 'WAP Stack'. (Bharadwaj) The technical description of each layer of the wireless architecture is explained below. Wireless Application Environment (WAE) The goal of WAE is to establish an environment that allows users to build applications that can be used over a wide variety of wireless systems that can be implemented efficiently. In the WAP model, WAE would be the application environments that sends and receives requests from the Clients to the Gateway to the Origin Server. WAE is composed of user agents such as browsers, text editors, date book or phonebook. WAE is also composed of scripting, higher-lever programming languages and image formats. WAE uses languages such as WML Script (similar to JavaScript) and WML (similar to HTML). Wireless Session Protocol (WSP) The Wireless Session Protocol is the layer that deals with communication between client and proxy or server. The WSP provides dialog between client and server. Wireless Transaction Protocol (WTP) The Wireless Transaction Protocol, in a simple definition, deals with the transaction of data. WTP handles

Tuesday, August 27, 2019

Psychology of Training & Development - Essay Example | Topics and Well Written Essays - 1000 words

Psychology of Training & Development - - Essay Example That would be a measurable and statistically significant improvement achieved. (b) State the statistical test you would use to analyse the data from the experiment in order to test the hypotheses you have set out in part (a). Describe the purpose of this test and any conditions that should be observed in using it. (350 words) One should realize that there is only so much that one test can measure. â€Å"[M]easuring organizational culture, of itself, is only a means to an end† (Chmiel 2000, pp. 362). The statistical test that would be used to analyse the data from the experiment would be SPSS software. This would be able to measure the relative level of success or failure that the participants had with regard to using the computer model as well as the level of success using the 2-D floor plan. Luckily, this organization unfroze, realizing its necessity to change or face similar catastrophes in the future on the oil-platform. â€Å"‘[U]nfreezing’ involves showing t he organization that it needs to change and overcoming resistance to change† (Doyle 2003, pp. 66). Of course, conditions that should be observed in using such software include the actual environments in which the tests were conducted, not to mention the attitude of the managers who took tests as well which would analyse their attitudes towards their workers. There are â€Å"†¦managers†¦less concerned about the accuracy of ratings than†¦the organization† (Landy & Conte 2009, pp. 261). Obviously, the managers of the oil-platform should be given batteries of tests in order to evaluate how well they react to real-time emergencies. Managers who can keep their emotions in check during a disaster could save lives. â€Å"Emotion and emotion management are a prominent feature of organizational life†¦Ã¢â‚¬  (Briner 1999, pp. 347). Additionally, the work motivation that is demonstrated by everyone will hopefully be present in other tests that could be done on all workers. It is true that â€Å"†¦more journal space over the years has been devoted to work motivation than to any other area of organizational psychology† (Levy 2009, pp. 229). The purpose of the SPSS test would basically be to analyse the data provided with regard to how the workers performed in terms of being able to evacuate quickly as well as perform well on the computer modules. This would demonstrate workers’ competency or lack thereof in their respective areas of expertise as workers on this oil-platform. Such testing must be part of normal organizational practices. (c) Critically review the design of the experiment

Monday, August 26, 2019

Desert Exile Essay Example | Topics and Well Written Essays - 500 words

Desert Exile - Essay Example Since his father received a good salary while working at Mitsui, Uchida used to live a more decent life than most of his Japanese colleagues in the United States. The author also witnessed other Japanese families suffer in the United States; this is because Japanese Americans experienced immense difficulties than the aliens (Uchida 10). Uchida’s experiences before the war were pleasant; as he experienced unity and togetherness of Japanese Americans who lived in the United States. His father could invite guests who would come and play golf with him while Uchida’s mother took tea with her female friends (Uchida 14). From the experiences that Uchida had, it is apparent that life used to be enjoyable before the war broke out. The author seems to have lived happily with his friends and family. Uchida enjoyed life to the fullest since the family could take trips with a lot of ease because the father had a railroad pass that enabled him to visit various places without any restrictions. During the Second World War, the Japanese went through several experiences that brought immense problems into their lives. Following the outbreak of the war, Japanese-Americans in the military had to be ousted. This emanated from the attack on Pearl harbor, which angered the United States and created resentment towards the Japanese-Americans. The faced numerous problems; as the United States government kicked them out of their homes. The U.S. government also introduced camps, which the army guarded by the army in order to ensure that they did not escape. The Japanese experienced problems with sanitation and overcrowding in the camps; as many of them could be confined in small camps. It became difficult for the Japanese-Americans to mingle with people from other racial groups. The segregation of the Japanese-Americans made them experience problems with access to essential services, especially from the government that completely neglected them (Uchida 52). The

Sunday, August 25, 2019

Marketing Ethics and Marketing Success Assignment

Marketing Ethics and Marketing Success - Assignment Example Any such deficiency sooner or later is likely to have a rebound effect on the future success or failure of the business organization. Rigorous application of marketing ethics is therefore essential for any short or long-term success. ‘Ethics are the moral principles and values that govern the actions and decisions of an individual or group’- (www-rohan.sdsu.edu). Whenever a moral dilemma surfaces during the course of some action, ethics provide the guidelines for taking the appropriate decision. They are unlike the law in the pretext that the latter is enforceable in a court of justice while the former is to be practiced conscientiously. Ethical violations can either be intentional or inadvertent (Upshaw, 2005). Intentional violations include conspiracies to defraud, mismanagement for financial gain and cover-ups for illegal actions and the inadvertent violations include regulatory abuse due to ignorance, poor products due to inadequate quality controls and unintended environmental damage (Upshaw, 2005). Historically, in actual situations, however, it has been seen that ethics are sometimes neglected in order to attain short-term gains in the volatile consumer market. Ethical practices have frequently been ignored in order to make immediate profits but proved disastrous in the long term. One such example is that of Pfizer Pharmaceuticals Company which has a worldwide presence but has been known to violate business ethics on numerous occasions. The company is one of the giants in research and development on drugs and has come up with innovative products for human as well animal use. Healthcare ethics have a standard which is unparalleled in any other organization as it directly involves playing with human life. Pfizer has been blamed for launching new drugs without issuing warnings of the side effects associated with their use which could prove fatal in individuals prone to such side effects.  Ã‚  

Saturday, August 24, 2019

Interview of Health Care Leader Essay Example | Topics and Well Written Essays - 1250 words

Interview of Health Care Leader - Essay Example In healthcare institutions, for instance, leadership plays important roles at any management level. That is, effectiveness of healthcare providers depends on how leaders within the institutions perform their leadership roles. While assessing efficiency of a leader, Gunderman (2008) recommends that it is important to, first, understand true leadership qualities. This paper presents a report of an interview of a healthcare leader about leadership-related issues. The report is given using various subheadings. General Description of a Leader As noted by Mason et al. (2011), leadership styles adopted by various organizations vary from one organization to another. Ledlow & Coppola (2010), nevertheless, observe that certain traits are universally possessed by leaders in all organizations. One universal trait is ability to have a clear vision. A leader has a clear and vivid picture of where his/her firm is and where it is moving towards. That is, a leader not only has a firm grip on firmâ₠¬â„¢s success, but also focuses on implementing suitable ways of achieving a success. Good communication skills also, collectively, form a general description of a leader. In heath centers, all leaders invoke others to follow them through a clear language intertwined with passion. Self discipline and discipline towards others is also an important aspect of leadership. All healthcare leaders have discipline while solving various issues, either single-mindedly or with his/her colleague. Specific Leadership Qualities Integrity is one quality that leaders in health centers posses. Integrity, according to Finkelman (2006), entails matching inner values and outward actions. In other words, an individual of high integrity possess firm principles, which results to consistency in the inner or outer personalities. Dedication and commitment are also essential leadership qualities. A dedicated leader exhausts all available resource and sometimes takes risks just to accomplish a task. Magnanimit y, which requires leaders to give credit where it is due, is a leadership quality that improves morale of workers. However, while recognizing efforts of colleagues and junior workers, health institution leaders should be humble. A humble leader, as explained by Finkelman (2006), does not self-efface but tries to elevate all workers. Openness, as another quality, enables leaders to learn new ideas and methods of executing various roles. Openness and humility, therefore, makes leaders to be fair, which is another quality. Fairness, as a quality, compels leaders to humbly accept ideas, criticisms, and equally treat his/her colleagues. While giving others room to air out their views, leaders should be creative. Creativity enables leaders to think outside a box that hamper apt solutions. Other qualities include assertiveness, having a sense of humor, and being honest in all dealings. Personal Philosophy of Leadership Leadership is a quality that is best understood by supervisors, adminis trators, or generally, an overseer (Yoder-Wise, 2010). A leader, in any organization, leads a crowd to a right path where organizational goals are easily accomplished. While walking in this path, a leader acknowledges problems and finds suitable solutions. Finding suitable solutions involves discussions and sharing of ideas, especially with individuals with whom they share common goals. During discussion sessions, a leader organizes a large crowd into small groups and allocates them

Friday, August 23, 2019

The conservation management of Coquerel's sifaka (Propithecus Essay

The conservation management of Coquerel's sifaka (Propithecus coquereli) in Madagascar. Is conservation action carried out for Coquerel's sifaka successful - Essay Example This has been attributed to depreciation in its natural habitat due to invasion of man in the forests. Fires caused by nature and man are a menace to the animal since it derives its upkeep from the very vegetation and forest that is destroyed in the process. Hunting is another threat that is posed to the species as the human populations continue to rise. The government in the island has several Nature Reserves and special reserves in place so as to conserve the most endangered ecological habitats. The two significant National Parks where these primates can be found are the Ankarafantsika National Park and the Bora Special Reserve (Wallis, 1997). Communities have also been involved in the task of trying to protect the lemurs. They have been educated on the special needs and behaviors of Coquerels Sifaka and how to coexist peacefully with them. There are various proposals by the Malagasy government that are aimed at putting structures in place to help identify the most viable and practical ways of conservation. This has led to the establishment of data pools containing information on various species, their habitats, and behaviors. In addition, the public is made aware of various development strategies instigated for those animals that may be caught. Key collaborations have been instrumental in ensuring that conservation efforts are sustained on a long term basis. This was evident in the1986 Government Conference that focused on the conservation of the diverse ecosystems present in Madagascar by devising new and effective management systems. In addition, there was a project plan in 1986 to investigate the protected areas, and come up with ways of better enhancing their rich biodiversity (Richard, 1978). The Coquerels Sifaka can be said to survive longer with the passing of generations if the above efforts continue. However, it has been reported that hunting has been in the extreme in Ankarafantsika for this

Mining Site Risk Management Research Paper Example | Topics and Well Written Essays - 1750 words

Mining Site Risk Management - Research Paper Example Before conducting an analysis of the risk management system, it is important to understand the types of risks involved herein. In this context, the risks can be categorized into three layers. The first is organization-specific risks, and these are the risk factors directly affecting or arising from the inside of the organization. They can be financial, construction, labor, material, equipment, management, or estimator-related. The second layer is what can be termed as acts of God. These are mainly naturally-occurring events, and which man cannot predict or even control. These include tsunami, flood, earthquake, volcano eruption, or landslide occurrences to mention but a few. The final layer is that of global risks. These are the global trends of events which affect the international level of organizations. They may include project designs, political factors, competition, and economic factors to mention but a few.There exist several techniques or methods of analyzing risk management s ystems. The first one is the probabilistic analysis technique which bases its analysis on human judgment, assumptions, and prior experience. The second technique is the certainty theory which on its part bases its analysis of factual statements or the level of belief that one has towards given evidence. These are the major techniques of conducting the analyses, and the most appropriate for the mining context. They may differ in their execution of the analyses, but all in all, they give almost-similar findings and conclusions.

Thursday, August 22, 2019

The Right Stuff by Tom Wolfe Essay Example for Free

The Right Stuff by Tom Wolfe Essay Tom Wolfe’s book, The Right Stuff, is about the lives of several pilots and astronauts who were involved in tests and experiments conducted by the United States after the Cold War. These experiments were in line with the space race between the United States and the then Union of Soviet Socialists Republic. These pilots were subjected to several experiments using experimental high speed aircrafts which are all rocket powered. Because of the complexity of the program, the pilots were tested and screened, and not all would pass these tests. The extensive nature of the research led to several effects on the pilots, their lives, and their families. In order to be chosen, or even to be just a part of the project, all of these people should possess one important aspect, which is known by many as â€Å"the right stuff†.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Because of tough competition with the USSR, the United States chose only the best of the best for their experimental projects like the Project Mercury. Many people tried out for several experiments, but eventually, some of them would have to go home, as some would be able to continue with the experiments. It is a very extensive project, as well has a very demanding endeavor. There are a lot of requirements, and if the people involved fail to have one of these requirements, they will more or less be out of the project. As Tom Wolfe puts it, the people who can only continue would be those who possess the â€Å"right stuff† (Wolfe).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Tom Wolfe’s book defines the right stuff as having all the requirements and passing all the necessary tests in order to be a pilot or a spaceman. But that is not all; the right stuff would also have to include a strong heart, perseverance, and courage. It is through the mixture of all these trains that one would be able to attain the â€Å"right stuff† that the project calls for.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One important aspect of the right stuff is about bravery. Being in the project, one must be brave in order to remain there. It is now just man vs. other man in competing for a spot in the project, but also man vs. himself. He is responsible to his actions as well as his decisions, which is why he needs to be firm enough not to be swayed away by his fears. Also, it is not bravery wherein you just have to risk your life, as anyone could easily do that. Instead, he should be willing to be literally a lab rat, wherein anything can happen to him. Afterwards, he should be able to keep his cool, as well as retain his reflexes and the experience in order to do it again for the next day, then again the next day, until the research calls for it to stop.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There were various tests that these pilots and astronauts would have to undergo over and over again – an infinite set of mind and body exhausting activities that would really put anyone to their limits. The whole process is compared to a stepped pyramid or a ziggurat, wherein one has to move along the high and steep steps in order to go up. Through this way, that person can prove that as he goes up, he really does deserve to be one of those who were elected to do the job, because they were the right ones and because they had the right stuff to begin with. Everyone aims for the top, no matter how steep it is, though everyone gets only one chance to prove that they really have the right stuff. It was something that not all man can do, and the ones who do it are really the best.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Tom Wolfe defines the right stuff as the culmination of every skill and every talent that a person has, provided that he passes every test that was set for him in order to qualify for the experiment. It is not pure brawns, or pure brains, but instead, it offers the best of everything. People possessing the right stuff really have to be good at many things, especially those which are greatly needed in the experiment. Works Cited: Wolfe, Tom. The Right Stuff. Farrar, Straus, and Giroux, 1979.

Wednesday, August 21, 2019

The Importance Of Having Good Communication Skills English Language Essay

The Importance Of Having Good Communication Skills English Language Essay Introduction Most of us know the importance of having a good communication skill if we want to have a successful career and enjoy a harmonious interpersonal relationship with people. But it is quite another story for us to practice it appropriately in our daily life. In this paper we focus on some necessary steps of acquiring a good communication skill which includes how to reduce communication noise, non-verbal communication, and suggestions to practice communication skill properly. I shall first present a communication event at the beginning. This event happened in a clinic between a dentist and a patient. Due to the dentists good understanding of verbal communication, and well-acquired non-verbal communication technique, he finally succeed in persuading his patient to accept dental treatment. Details on the analysis and related communication theories based on the event will be discussed in later sections. Mr Smith was an experienced dentist. Many of his previously satisfied patients became his loyal customers due to his excellent medical skill and thoughtful service. One day, a man dragged a little girl into his clinic. The girl was about 7 years old. An anxious expression was wearing on her small tearstained face. Her frightened eyes told Smith that she did really scare of being taken to see a dentist and her stiffed body showed that she would never be willing to accept any dental treatments. The girls father was at a loss for what to do to coax his daughter to accept treatment. Mr Smith smiled at the girl and approached to her, spoke to the girl in a gentle tone Darling, what makes you so scary? People hate dentist, so do I. Seeing a dentist hurts a lot, the girl answered with tearful eyes. Mr Smith knew it clearly that many children can not endure dental treatment due to fear. But he is experienced enough to cope with such problem. He explained the process of treatment in details i n a way that a child can understand in a mild tone. Mr Smith noticed that she has stopped shedding tears. He added If you behaved well during the treatment, you can choose a small toy to reward yourself for your great courage. Mr Smith smiled at her with a toy box waving in his hand. Thanks to the patience and kindness of Mr Smith, the girl finally accepted the treatment readily. Again he built a new good relationship with his patient. When we consider why and how Mr Smith wins his patients trust and loyalty, it is obvious that his success is inseparable from his distinguished communication skills. For supporting my viewpoint I will analyze Mr Smiths effective communication with related theories and authoritative opinions from authorities and books. Communication noise is an obstacle blocks the way of receivers receive our messages. Communication noise includes mechanical noise, semantic noise and psychological noise. Communication noise is something refers to have a profound impact on effective communication which influences the interpretation of conversations (http://en.wikipedia.org/wiki/Communication_noise December 2009). The basis of communication is the interaction between people. However the barriers built by communication noise prevent us from properly percepting others intentions during the interaction of a communication. How did Mr Smith deal with these noises? Firstly is the trouble brought by mechanical noise. Mechanical noise is actual physical interference with the signal (Mohan et al. 1997, p. 7). In dentist Mr Smiths clinic the main mechanical noise is the noise generated by the dental drill. As Mr Smith is a thoughtful man he offers a separated waiting room especially designed for his patients which decorated wi th lovely ornaments, so that the noise from the consulting room can be isolated. Thus, the quite environment made by Mr Smith can enable him to make a more effective communication with his patients. Secondly is the Semantic noise. Semantic noise is the study of meaning. (Mohan et al. 1997, p. 7) For our receivers can understand our messages fully. We should choose words carefully. The words should be chosen within the understanding ability of receivers that is simple but concise to the point. We must take our receivers age, gender, religion, education, career, culture, and cognition into consideration. Carl Rogers, based on his experience as a psychotherapist, contends that the major barrier to interpersonal empathy is our very natural tendency to judge, to evaluate, to approve (or disapprove) the statement of the other person or the other group (Nebell, 1991, P. 217) That is our interpretation of some words and phrases are tend to distort the meaning of the communication by nature. For avoiding distortion and misunderstanding, Mr Smith chose his words mainly according to his patients age. Mr Smith tried to use simple and short words to communicate with his little patient. We can infer that long and complex words can only confused the little girl. What is worse it may make her distorts the meaning. Since the girl has bias toward dental treatment. Mr Smith also avoided to describe the oral surgery in a professional way with terminology instead he use interesting and vivid analogy to let the girl understand that the surgery is good to her health and easy. Then on the basis of the girls cognition, he simply told what should the girl to do during the treatment. He use proper words wisely simplified the concept of dental treatment in her mind. Those words have made a great contribution to diminish the fear inside of the girl. Thirdly is the psychological noise. Psychological noise is use of language or other communication symbols can set up emotional barriers betwe en people. (Mohan et al. 1997, p. 7) Mr Smith judged according to a kids psychological interest and preference, he gave the little girl a small toy as a reward. In this way Mr Smith collapsed his patients emotional barriers. Moreover the lovely ornaments on the wall is also a kind of communication. They use their cute out-looking, vivid colors telling the patients that here is a warm cozy place. Theres nothing to be afraid of, thus calms nerves inside of the patients. In his little patients fathers eyes Mr Smith has offered her daughter considerate service. From the above analysis, we can reach to the conclusion that only when we minimize or reduce the three kind noise of mechanical noise, semantic noise and psychological noise, can we offer a clear access to send our messages to others and get matchable feedback from our receivers. Non-verbal communication involves a transmission of information via sigh language, gestures, facial expression or other forms of body language. (Mohan et al. 1997 P. 7). Most people understand the importance of communication skills in the social life. But when they practice it, they usually neglect their facial expression, tone, body language in non-verbal communication unconsciously. As a mater of fact, ones facial expression gestures and body language is really important, it can imply others his attitude. For express ourselves better, we need to lay emphasis on the way to achieve success in non-verbal communication. The following are some suggestions. First, putting yourself in others shoes is a good way to sense others feelings on the condition that youve been well observed others facial expression, gesture, tone and body language. Prophet Muhammad is related to have said that any one of us is not considered to be a believing person, until he/she does unto others what he/she wishe s they do unto him/hertheytheydountohim/( July 2008). In the event, Mr Smith judged from the facial expression and body language of his patient, such as tearstained face, stiffed body, frightened look. Those body language reveals lots of information to him, thus help him gets to know what do his patient worries about so that he can adjust his language, facial expression, body language and paralanguage accordingly to cater to the psychology needs and wants of his patient. Second, use your own facial expression gesture, tone and body language and some other paralanguage properly. Never take it for granted that people can always fully understand you at ease. Combine your paralanguage and body language with your words is crucial. In this aspect Mr Smith has made a good example for us. He used a series of facial expression tone, body language and words to communicate with his stubborn patient to talk her into accept dental treatment readily. Mr Smith uses his gentle tone and smile to relax the little girls mind at ease and with the words he selected he successfully convinced his little patient that the process of treatment is painless. Combine proper paralanguage with selected words can make Mr Smiths words sounds more acceptable and credible in the girls ear. Many research studies have been carried out on this point: Non-verbal communication has been extensively studied in the psychology and psychotherapy disciplines and has been shown to have a central effect on participants perceptions of an event. (Mark Gillian 2003 pp. 384 398). That is if you well used your eye movement and gestures and body languages in a non-verbal communication that can help you to yield the twice result with half effort! So I can say with sure that without Mr Smiths paralanguage and facial expression or other body language the outcome will be much worse, or even end up in failure. That kind of communication starts from the heart which can be more effective in achieving a satisfied outcome of communication. His smile, his friendly manner, and his gentle tone reinforced the effectiveness of sending his sincerity to others. In conclusion to this, if we want to express ourselves more clearly to dissolve others hostility and misunderstanding to the greatest degree. It is essential for us to sense others feelings. In other words the way to achieve success in non-verbal communication is not only rely on to have a better understanding through others body language facial expression and paralanguage, but also important for ourselves to properly used our sign language, facial expressions, gestures and body language to enable others feel easier or even comfortable in receiving our messages. Conclusion It goes without saying that communication is playing an important roll in keeping a good relationship with people and improving efficiency in our work. After all have been discussed, acquire a good communication skill is identified as you are able to put yourself into others shoes, to sense others feeling. To collapse the communication barriers which build by mechanical noise, semantic noise, psychological noise. Whats more, well used your facial expression, gesture, and body language will definitely enhance your chance of sending your message to your receiver correctly.

Tuesday, August 20, 2019

Defining Np Scope Of Practice Nursing Essay

Defining Np Scope Of Practice Nursing Essay This original research was conducted in a large teaching hospital in the North West of England that examined ward-based Advanced Nurse Practitioners (ANPs) and aimed to clarify their roles and expectations in patient care and how they impact the clinical practice. Study participants (which consist of five ANPs, 14 ward-based nurses, and five patients) were observed and invited to participate in interviews. The roles and skills of ANPs were observed and gathered from the interviews. ANPs were described as pivotal in the management of patient care and served as an invaluable link between the medical and nursing team. They frequently translated medical information for nurses, patients and other allied healthcare professional to make sure that the plan of care was well understood and provide further explanations if necessary. ANPs were observed to be confident practitioners, good information resource and by using their technical knowledge and skills served as a role model to support the nurses and junior doctors to enable them to be more efficient in providing care. In addition, ANPs were found to be less intimidating than doctors and more approachable in resolving care issues. Meanwhile, ANPs were faced with a number of challenges and have to ove rcome skepticism from other health professionals who have different views on the ANP role expectation and scope of practice. ANPs perceived that their education had not adequately prepared them for their clinical role. ANPs have great impact in nursing practice and patient care. Although the study strives to clarify the role of the ANPs, the findings regarding the role of ANPs are not clearly defined and lack consistency that may lead to role conflict and overload. Running Head: How are acute care nurse practitioners enacting their roles in healthcare teams? A descriptive multiple-case study This multiple-case study conducted in two-university affiliated teachings hospitals in Quebec, Canada aimed to understand how cardiology acute Care nurse practitioners (ACNPs) enacted their roles in healthcare teams. Data were collected from interviews, field notes, documents and time and motion study of NP activities. The work activity pace was faster before noon due to patient care demands. Participants in one hospital believed that NP role was not an integrated role of medical and nursing components but an expanded role because they assumed more expanded nursing role components than the medical role. In addition, NPs needed to consult with physicians for patient care decision making that were within their scope of practice. They did not have that much authority in regards to decision making due to lack of structures to formalize the organizational role. There were also inconsistent messages about the role expectations to attempt to formalize the prescriptive authority of NPs which had not been approved by the medical advisory board. On the other hand, participants in the other hospital believed that NPs enacted their role more in the medical component since the medical directives and prescriptive privileges had been approved by the medical advisory board. NPs had greater autonomy in their role and prescriptive authority. It was also noted that NPs participated very little in nursing activities such as implementing nursing care plans or use of clinical care pathways. In both hospitals, the largest role component was the clinical role. The transfer of prescriptive and decision-making authority must be addressed to enable NPs to work their full scope of role to optimize patient outcomes. Clarifying role structures were expected to enable the NPs enact their role in healthcare team and prevent role confusion. Running Head: Defining NP scope of practice and associated regulations: Focus on acute care This review of literature was conducted to define the NP scope of practice (SOP) with emphasis on NPs in acute care setting. Documents were gathered from different resources including National Council of State Board of Nursing (NCSBN), individual state board of nursing, and NP scope and standards of practice. According to Federation of State Medical Boards (2005) and NCSBN (2009), à ¢Ã¢â€š ¬Ã…“SOP is a set of rules, regulations and boundaries within which a fully qualified NP may practiceà ¢Ã¢â€š ¬Ã‚ . It defines what activities a profession can undertake. Both practice acts (state regulatory board form of statutes approved by legislators) and its rules and regulations define NP SOP and require approval from legislators to become law. The Consensus Model for Advanced Practice Registered Nurses (APRN) Regulation was developed to resolve different issues concerning inconsistent APRN education and licensure requirement across jurisdiction and issues in certification. It helps stand ardize regulations for APRNs. Professional regulators are working together in implementing a consistent SOP for NPs in all jurisdictions. According to American Academy of Nurse Practitioners (AANP), NPs are licensed independent practitioners that provide nursing and medical services emphasizing on health promotion and disease prevention. In addition, NPs have a collaborative practice agreement with the physicians. However, regulations are different from state to state NP SOP are not clearly defined and further clarifications are needed especially as it pertains to NPs working in acute care to ensure that NPs are practicing according to their education, training and competency as evidenced by the certifications they hold. Running Head: NURSE-DIRECTED INTERVENTIONS TO REDUCE CATHETER-ASSOCIATED URINARY TRACT INFECTION This research focuses on the evidence-based practice guidelines conducted at the University of Colorado Hospital as a quality improvement project to initiate a nursing-driven approach to reduce the incidence of catheter-associated urinary tract infection and improve patient outcomes. A catheter-associated urinary tract infection (CAUTI) is the most common cause of healthcare-associated infection. It is a major health concern leading to prolonged hospital stay and increased healthcare cost. Evidence-based use of indwelling urinary catheter (IUC) must be enforced to reduce the prevalence of CAUTI. In this project, an intervention design was implemented to evaluate the nurse-driven intervention incorporating evidence-based guidelines. The goal is to decrease the prevalence CAUTI by emphasizing health education on specific unit-based nursing practice. Improving the nursing care by educating the nurses regarding insertion, management and early removal of IUC to ensure the best practice and expanding this education to ancillary services (eg. rehabilitation and transport staffs) were found to positively impact the CAUTI rates. Focused unit interventions such as providing education on postoperative catheterization, use of bladder scanner to check for urinary retention to minimize IUC reinsertion, and encouraging early removal of the urinary catheter were found to decrease the catheter days and prevent infection. Providing education by infusing the best evidence into current practice are important interventions to raise awareness. Incorporating evidence-based guidelines and strategie s by focusing of nursing-driven interventions can improve patient outcomes.

Monday, August 19, 2019

Graduation Speech -- Graduation Speech, Commencement Address

I'd like to start by thanking a few of the teachers who have made the greatest impression on me throughout my education here in Jones. Over the years, I have come to realize that the district's greatest asset is its teachers. I have been thoroughly impressed with the energy and dedication of every teacher I have had, and for this I would like to say, "Thank You." I regret that I can't take the time to speak in detail about all of them, but I would like to say a few things about some of the teachers who have made the biggest impact on me. The first is Mr. Stone. He is in Poland right now as part of a teacher exchange, but last year I had the pleasure of having him for physics and AP calculus. He is one of the most energetic teachers I have ever had. His true love of teaching is evident during every minute spent in his classroom. Not to mention the fact that he didn't collect homework in his calculus class. What more can you ask for? Next is Mr. Sanchez, who was my chemistry teacher for two years. He is willing to do whatever it takes to make sure his students understand the subj...

Sunday, August 18, 2019

Censorship Essay -- Argumentative Persuasive Essays

Censorship The Columbia Encyclopedia defines censorship as the "official prohibition or restriction of any type of expression believed to threaten the political, social, or moral order". It is necessarily broad definition. 'Any type of expression' in fact, covers just about everything from clothing to print to movements and even to simply being. George Bernard Shaw described assassination as an "extreme form of censorship". It is now omnipresent in society and has been as long as society has existed. If one were to consider the course of an idea (and it is essentially ideas that are being censored) as its natural evolution, censorship takes this evolutionary course and disrupts and changes it, often until it is no longer the same substance as before. Why do states (in truth any group of people) feel the need to censor? Moreover, can it be done effectively in the first place? It is human nature to prevent propagation and evolution of stories or is it human nature gone awry? What is our attachment to the status quo and what does privilege have to with this attachment? How do those without privilege subvert the systems of censorship in either information (media, literature, etc.) or other cultural memes? Although it is not a popular notion, censorship in the eastern liberal democracies is alive and well. As American children, we learn the evils of McCarthyism and the Red Scare and similar instances as simply shadows of past evils- long banished to history. While we learn the facts of the period, the truth/ compelling force behind these periods of extreme censorship is never examined closely enough. The truth is that in out pseudo-western politically correct haze, the fear and prejudice that underlies all attempts at censor... ...s gene line, those elements of society and culture that have been deemed undesirable are prevented from being heard and thus spread. The subject of censorship is expansive and therefore cannot be dealt with definitively in this space. It is, however, a subject that should be considered by everyone more in-depth. While the mechanisms within our society and indeed our world seek to silence the stories of which do not do them glory, one must strive to resist the "breeding" of ideas. Our stories are far from being absurd and worthless show poodles. They must not be weakened because of a lack of expression and audience or from a lack of original inspiration. In the face of a potentially shrinking 'gene pool' of ideas, even the fresh consideration of the devices of censorship is a subversive act which will be, in the end, the possible salvation of everyone's stories.

The Roman Family: Center of Roman Society :: Ancient Rome Roman History

The Roman Family: Center of Roman Society The Roman family after the advent of Christianity has been widely discussed in Roman History. Different historians have looked at the topic in different ways. There are two articles at hand, which deal with this very topic. Brent Shaw, The family in Late Antiquity: The Experience of Augustine and Douglas O'Roark, Parenthood in Late Antiquity. Both historians are looking at the family in late antiquity, after the time that Christianity was introduced to the Roman society. Through an analysis of the two essays and references to the classical period it can be seen that: The Roman family has always been an important institution in their society, it's composition, roles and the functions changed little after the advent of Christianity. The Essays Each of the historians has a solid central argument, and their essays are laid out well. Shaw seeks to show the structure and the functions of the Roman family in late antiquity. He also seeks to clear up misconceptions of the Roman family. O'Roark's argument seeks to show the closeness of the parents and children in the Roman family. The important thing to realize is that both of these essays are looking at the Roman family in the same period, late antiquity, after the advent of Christianity. Also important to note is both of these essays to not specifically talk about the impact of Christianity on the family. The essays can be used to reference against each other and against the Roman family in the Classical period. Information on the Classical period is given in G. Nathan's article: Two Traditions. With the three essays one can come to a good conclusion about the impact of Christianity on the Roman family. In interest of paper length the essays have been narrowed down to include only central topics. First looking at similarities, then differences. Children This is the first main aspect of the family that both historians look at. The first point Shaw brings up is that main purpose of childbearing. This was for the wife to produce a heir for the husband . The father organized the whole house around this, in preparation a son to take everything over when he died . O'Roark states that a major factor in having children was to love and to care for them . He however cannot deny that before this the realization is that the father must have children to pass everything on to .

Saturday, August 17, 2019

Telstra SWOT Analysis

Telstra, originally Telecom Australia was established in 1901 by the Postmaster Generals Department to manage all domestic phone services. Telecom Australia continued to be operated by the Postmaster Generals Department until 1975. In 1989, Telecom Australia became the official Telecommunications Corporations for all domestic and international telephone services. On the 1st of July 1995 Telecom Australia changed their name to Telstra for the purpose of differentiation from other global telecommunications companies.Telephony, broadband, hosting, directory and pay TV services. The company also provides ICT services to small and medium corporations, large organizations and government. It offers internet services, value added services and content services under the brand BigPond (bigpond. com). The company offers FOXTEL pay TV through its network. Its advertising and information services including White Pages, Yellow Pages, Trading Post, whereis and City search are offered through wholly owned subsidiary, Sensis.It also offers wholesale services to other carriers, carriage service providers and internet service providers. The â€Å"Telstra Corporation Limited† (Telstra) is the primary telecommunications supplier of Australia and the southern Pacific region. Telstra have spent 4 years of preparation, 2 years of project implementation and over $1. 5 Billion AU to design, build and provide a fully national IP network. This fully integrated network is known as the Telstra Next IP & Next G networks (Next networks).The business drivers for Telstra to implement the Next networks has come from Governments, large Enterprises and small businesses and their need for a standard fully integrated, more scalable, more reliable, better performing and more secure platform that connects technologies and business practise. Telstra recognised this need and have made a multibillion dollar investment to transform the already offered networks into the Next networks to enable them to support applications that will work through fixed lines and wireless networks across the whole of Australia.This flexible capability is known as â€Å"Next Dimension Telstra Corporation is one of the leading telecommunications company in Australia. The company offers mobile and fixed telephony, broadband, hosting, directory and pay TV services. It also provides information communications and technology (ICT) services to small and medium corporations, large organizations and government. The company primarily operates in Australia.It is headquartered in Victoria, Australia and employs about 45,220 people. The company recorded revenues of A$25,029 million ($22,080. 3 million) during the financial year ended June 2010 (FY2010), a decrease of 2. 3% over 2009. The operating profit of the company was A$6,501 million ($5,735. 1 million) in FY2010, a decrease of 0. 9% over 2009. Its net profit was A$3,940 million ($3,475. 8 million) in FY2010, a decrease of 3. 3% over 2009.

Friday, August 16, 2019

Linking instruction Essay

Teaching is always perceived as a straightforward process whereby teachers provide instruction and students learn. With this perspective, teaching is seen as a simple instruction–learning process. In actual practice, it is more realistic to view assessment as an integral component of the teaching process. In fact, it has been estimated that teachers devote at least one-third of their professional time to assessment-related activities (Stiggins & Conklin, 1992). Assessment can and should provide relevant information that both enhances instruction and promotes learning. In other words, there should be a close alignment between theory, instruction and assessment. With this expanded conceptualization of teaching, instruction and assessment are integrally related, with assessment providing objective feedback about what the students have learned, how well they have learned it, how effective the instruction has been, and what information, concepts, and objectives require more attention. Instead of teaching being limited to an instruction–learning process, it is conceptualized more accurately as an instruction–learning–assessment process. For example, a misaligned curriculum, instruction, and assessment had been seen as one factor that led to poor student achievement. In the past, standardized norm-referenced tests, used traditionally for accountability, have only partially aligned with curricular materials and classroom instruction. These conditions obviously result in poor test scores (Burger, n. d. ). Using the standards-led alignment approach, this policy sought to align, integrate, and connect components of schools as systems (e. g. , assessments, curriculum, instruction, and accountability). According to Linn & Herman (1997), standards-led alignment should use local content standards as the focal point to: †¢ foster the use of multiple assessment sources and methods, †¢ describe how classroom and accountability assessment relate to each other, †¢ align accountability and classroom assessment with learner outcomes, and †¢ ensure that teachers and administrators use appropriate forms of assessment, are skilled in interpreting data, can plan for re-teaching activities using data, and can evaluate the impact of specific programs and instructional strategies. To begin the alignment process, Allington and Cunningham (2002) advocated a comprehensive policy review to determine where all system elements connect (e. g. , curriculum, instruction, and leadership). Stiggins and Conklin (1992) illustrated the important role that teachers play in the process of aligning instruction and assessment methods with theory: As a nation, we spend billions of dollars on educational assessment, including hundreds of millions for international and national assessments, and additional hundreds of millions for statewide testing programs. On top of these, the standardized tests that form the basis of district-wide testing programs represent a billion dollar industry. If we total all of these expensive, highly visible, politically important assessments, we still account for less than 1 percent of all the assessments conducted in America’s schools. The other 99 percent are conducted by teachers in their classrooms on a moment-to-moment, day-to-day, and week-to-week basis. In summary, if an educational institution wants to have effective teachers, they needs incorporate in their educational paradigm to link theory in the methods of instruction and assessment. Instruction and assessment are both instrumental parts of the teaching process, and assessment is a major component of a teacher’s day-to-day job. Knowing the connection of these, teachers can obtain information that promotes self-understanding and they will have more ability to help students plan for the future. For example, parents and students can use assessment information to make educational plans and select careers that best match a student’s abilities and interests. References Allington, R. L. , & Cunningham, P. M. (2002). Schools that work: Where All Children Read and Write.Boston, MA: Allyn and Bacon. Linn, R. , & Herman, J. L. (1997, February). A Policy Maker’s Guide to Standards-Led Assessment. Denver, CO: Education Commission of the States. Burger, D. (n. d. ). Using Standards-Led Policy to Align Assessment and Accountability Systems. Honolulu: Pacific Resources for Education and Learning. Retrieved 2 November 2006 at http://www. prel. org/products/re_/standards-led. htm. Stiggins, R. & Conklin, N. (1992). In Teachers’ Hands: Investigating the Practice of Classroom Assessment. New York: SUNY Press.

Thursday, August 15, 2019

Equation †Learning Essay

Many people in the world think that education is an absolutely wonderful thing and that its necessary by all means. Yes it is a good thing and is needed to be more successful but it is not necessary by all means. Education can set you up to be more success and in the long run make more money but also it can take away from the importance of outside experiences and street smarts. As school goes on it even becomes less enjoyable because its more of the things that they believe is what needs to be taught and not what the student is interested in. In many students’ opinions, most classes they take in college and even high school provide them with no type of worthy knowledge or experience for the real world. It is there to just suck money from you and act as almost like a filler. Throughout high school, the material learned often looks past fiscal obligations and real life challenges. In high school, most courses tend to deal with complex mathematics and scientific equations that the average American citizen wouldn’t dream of using in their daily routine. Most intellect that is used is often the simple knowledge that we acquired in elementary. Who has gone to the supermarket and whipped out a calculus equation? Who needed a scientific formula to mow their lawn? Usually the common individual doesn’t think about mnemonic devices, hominems, or other mnemonic devices that supposedly help us speak the english language. We just think what we want to say and in a matter of milliseconds what our brain has processed is out of our mouths. Personally, education began to become uninteresting as soon as Freshman year started. They started to give us all the unnecessary formulas and equations that mean nothing in the real world around this time. This is more of the system’s fault, not even as much as the teachers as you may think. The system comes up with all of these special requirements and expectations that we must achieve to graduate or move on to the next grade level. For example, you needed to take a public speaking class which some people might not need at all in life, or already might be a great speaker and then the class will just be another filler wasting your time. In this time you could be learning something useful to you or your overall well being. Another problem is the teachers. Not every teacher, but a good portion. Especially the teachers that don’t care about their students and you can tell they don’t. They’re just there for the money and nothing else. They’ll go through slide after slide of information and you sit there and write it all down in your notebook. That is not the way to teach because yes, there might be some students that like to learn that way and understand. But there are also at least a couple others in the class that don’t really know what’s going on and are just basically writing down words on the paper that almost mean nothing. Another thing that can be a problem is when teachers don’t connect with their students or try to mix in a little fun here and there. That’s what you need to keep the interest of a student on point. Throw a curveball in there every so often. Instead of taking notes one day, conduct a whole class activity or show some videos that pertain to the lesson or information you’ve been reviewing. Don’t think that it’s completely the teacher’s fault that students aren’t interested or involved. Some of the blame is to be put on students themselves! Most students don’t even bother to try to get involved or learn the material. You need to at least put forth some effort in whatever you do to be successful in it. So you cannot say that you are failing a class purely off the teacher or because the material. Because if you tried to learn and understand or talk to the teacher about it, half the the time you’d find yourself in a much better position than were you previously started. As stated before most think that education is a necessity in life by any means, it is not. It is still important and can affect how the outcome of your life will play out though. You will find that most young adults and individuals who do not attend school will end up in bad situations with not as good jobs, cars, houses, etc. But this is not all because they didn’t have a good education. Yes it may have helped but there are so many other factors that play into a persons life that you can’t go and say just because the education wasnt there is the sole reason that they ended up how they did. At most you could say that it played a major role. Overall education is still a very important thing but is not completely needed to be success by any means. There are a good amount of things that are wrong with the education these days, but then again there are also a plentiful amount of things that are very good about it. In conclusion education has things wrong with it at every level from the highest ranked individual in the system, to the teachers who teach and lecture, and even to the students who are there to learn and try to comprehend it all. Everyone along the line needs to try a little harder and rethink how to approach education altogether!

Wednesday, August 14, 2019

James Alan MCPherson- Personal Life

When one begins to look Into the life of James Alan McPherson you find a very common story among people of his time. Born In 1943 In the south, he lived during a time of segregation. He worked numerous odd Jobs while going to a Catholic school to help support his mother and siblings when his father developed a drinking problem and was jailed. McPherson felt that his father had abandoned his family and that it was his responsibility to help support them in his father's absence. His father had found it difficult to be licensed as an electrician even though he was a master electrician.Since he was a black man, he was repeatedly denied his license due to his race. McPherson left Georgia and continued to work at various Jobs as well as to continue his education. In 1 962 he was a server on the Great Northern Railroad while he attended school in Baltimore at Morgan State University. He graduated in 1965 from Morris Brown College. From there he went to Harvard Law School and University of Iowa. With his formal education completed he had Hue and Cry published In 1969. McPherson married and moved to San Francisco In 1974 to teach at the university ofSanta Cruz. He remained there for 2 years before moving on to teach at the university of Valhalla. Throughout his teaching career he continued to write and won a Pulitzer Prize in 1978. He was the first African-American to win the award. Rather than being excited and speaking to people about the award, he hid out and avoided people. He found no joy in the fact that he had won; instead he feared the reactions of his white counterparts. He was afraid their reactions since he was winning â€Å"their† award. In 1979 McPherson wife gave birth to a daughter, Rachel.He and his wife .NET through an unpleasant divorce. He tried to gain custody of his daughter through the courts but was not successful. During Earache's childhood visits, they would go to Disneyland and visit friends throughout the united States. During this tim e McPherson felt that he needed to spend his time parenting his daughter. During her childhood he TLD publish any works. Instead he worked behind the scenes. When Rachel started college he began to publish hills work again since he felt like he was free to do so. McPherson writing reflects the total of his life experiences.He is able to draw upon those experiences with segregation and the changes that he has seen through his lifetime. Works Cited Henry, DeWitt. â€Å"About James Alan McPherson. † 2012. Www. Shares. Org. 12 04 2014 . James Alan MCPherson- Personal Life By clansman When one begins to look into the life of James Alan McPherson you find a very common story among people of his time. Born in 1943 in the south, he lived during a and was Jailed. McPherson felt that his father had abandoned his family and that it continue his education. In 1962 he was a server on the Great Northern Railroad while f Iowa.With his formal education completed he had Hue and Cry published in 1969. McPherson married and moved to San Francisco in 1974 to teach at the University of University of Virginia. Throughout his teaching career he continued to write and won people. He found no Joy in the fact that he had won; instead he feared the reactions would go to Disneyland and visit friends throughout the United States. During this During her childhood he didn't publish any works. Instead he worked behind the scenes. When Rachel started college he began to publish his work again since he felt

Tuesday, August 13, 2019

Green House gases Essay Example | Topics and Well Written Essays - 500 words

Green House gases - Essay Example Heavy industrialization is believed to be the major reason for the increase in quantity of greenhouse gases on earth’s atmosphere. Carbon dioxide is the major greenhouse gas which causes atmospheric temperature rise. â€Å"During the past 20 years, about three-quarters of human-made carbon dioxide emissions were from burning fossil fuels† (Greenhouse Gases, Climate Change, and Energy). The number of automobiles which use fossil fuels is growing day by day along with the number of industrial units in the world. Both automobiles and industrial units are liberating huge amounts of greenhouse gases and these greenhouse gases absorb all the thermal energy reaching on earth and prevent any thermal energy reflecting back. Earlier, there was a balance between the thermal energy reaching on earth from the sun and the thermal energy reflected back from earth and that is why climate changes were not much common earlier. However, at present, most of the thermal energy reaching on e arth’ surface from sun is staying in the atmosphere itself because of the increase in quantity of greenhouse gases and subsequently atmospheric temperature increases. Atmospheric temperature increase result in weather changes, sea level rise and unexpected natural calamities.

Monday, August 12, 2019

Trace the development of language and gender research since the 1980s Essay

Trace the development of language and gender research since the 1980s. Taking one or two examples from research in the last ten years, explain what the priorities are now - Essay Example Gender differences stem from childhood and how boys and girls are treated differently. Baby girls are considered delicate and fragile and are therefore treated as such, being exposed to language that is gentle and handled with utmost care. On the other hand, boys, expected to grow up to be strong and masculine, are exposed to power-filled language punctuated with strong tones (Rasquinha & Mouly, 2005). This example reflects the Sociolinguistic Subculture Approach which suggests that that boys and girls grow up in essentially different talk subcultures resulting from the differing expectations parents and peers direct toward them about acceptable ways to talk (Maltz and Borker, 1982). Leaper (1991) explains that at three years of age, little girls develop earlier in terms of language and this helps them explore relationships with those around them. Girls use language that demonstrates attentiveness, responsiveness, and support. Boys, in turn, use language that demand attention, give o rders, and establish dominance (Leaper, 1991). They engage in group activities with other boys and test out their ‘high’ and ‘low’ status roles: â€Å"I’m the leader†, â€Å"you follow me†, etc. They establish positions among the group and they are apparently louder, more physical and less verbal than girls (Rasquinha & Mouly, 2005). By the age of 7, children have acquired gender constancy (Kohlberg & Zigler, 1967) and knowledge of gender-role stereotypes (Huston, 1983; Martin, 1989). As they transition to middle childhood, interaction strategies become more gender-differentiated. Whereas girls become more competent in collaborative strategies, boys stick to their reliance on domineering influence strategies. Bakan (1966) explained that boys are taught to value autonomy, competition and linear problem solving and such values are expressed by the encouragement of self-assertion and self-expansion (Mason, 1994). They grow up learning that information and

Emergency Preparedness in US Prisons and Public-Private Partnerships Research Paper

Emergency Preparedness in US Prisons and Public-Private Partnerships - Research Paper Example It is therefore imperative that US prisons partners with private partners to increase and improve emergency preparedness. 3 This research paper identifies and analyses the special emergency risks associated with US prison systems, its current emergency preparedness regime and the philosophical underpinnings that drive the existing emergency preparedness regime. Finally, and more importantly, this paper investigates the utility of public/private partnerships for improving upon US prisons’ emergency preparedness systems. 3 Emergencies are difficult to predict and even where they are predicted, the outcomes can rarely be precisely anticipated. Prisoners in particular are a unique problem for prison staff in that prisons are already on high alert for prison-like emergencies such as riots, hostage situations, and more importantly prison escapes. Complicating matters for prisons, overcrowding adds a new set of risks that can lead to new emergencies or exacerbate existing emergencies. This is particularly so because the ratio of prison staff to prisoners is entirely unsafe and unsatisfactory. It is therefore imperative that US prisons partners with private partners to increase and improve emergency preparedness. This research paper identifies and analyses the special emergency risks associated with US prison systems, its current emergency preparedness regime and the philosophical underpinnings that drive the existing emergency preparedness regime. Finally, and more importantly, this paper investigates the utility of public/private partnerships for improving upon US prisons’ emergency preparedness systems. In the last decade, the US experienced a number of man-made and natural disasters ranging from the terrorist attacks in 2001, successive hurricanes in Florida in 2004 and Hurricane Katrina in 2005. As a result, the American public has grown to expect more of emergency preparedness systems (Kapucu & VanWart, 2006). It is hardly surprising that

Sunday, August 11, 2019

Case Analysis Study Example | Topics and Well Written Essays - 1250 words - 4

Analysis - Case Study Example ollowing issues: To begin with, the supply process was characterized by manual modes of operations, creating time challenges with regard to operations of the Company; moreover, the manual aspect of the supply process compelled the company to apply large amount of labor resources. Another issue that faced Phase 1 of R/3 implementation process is the fact that the Macpac package that was applied to manage shop floor operations did not have capacities for simulation in order to operate alternative operational processes. Moreover, the system did not have the capacity to support formal procedures of distributing resource planning. Consequently, this phase is characterized by a scenario whereby Material Requirement Planning was supported in a partial dimension. The use of manual operational processes that were used in the previous operational systems was replaced by the use of a Macpac Package that was applied to manage and control various floor operations. The fact that the system did not support a formal operational system, did not deter the company from achieving its goals, due to the fact that it was solved by implementing a replenishment schedule that took into consideration predefined economic facets. On the other hand, the challenge facing Material Requirement Planning was solved through manual operations that basically involved physical entering of pre-planned orders. Phase II of the project was conducted in October, 1998; one of the issues that was faced in the second face of the project that seem to have been more complex as compared to Phase I, is the fact that the use of MacPac and FYI Planner systems were not able to facilitate some desired changes in the second phase of the project. Specifically, the FYI Planner forecasting software was not able to facilitating forecasting on the dimension of customer by customer, as required by the company. Another complex challenge that characterized the second phase of Geneva’s operational improvement project was

Saturday, August 10, 2019

Business in Context. UK Economy Essay Example | Topics and Well Written Essays - 1750 words

Business in Context. UK Economy - Essay Example This essay stresses that political factor have a huge influence upon the economy as the policies and legislatures are drafted and implemented by the political parties are mostly related to the business trade practices. It not only has a political influence upon businesses but also the businesses create an attempt to influence environmental policy by endeavouring to position the political programme and to influence regulations and legislations. This paper makes a conclusion that the population tends to rise and the consumption habits too. The culture and the society generate demand for certain merchandises and services which are offered by the business houses as per the consumers demand. UK has shown a rise in the GDP. This is due to the socio-cultural affect. Consumers are the central point of the business. The technological advancement has made the consumers expectation more. This creates the gap between the expectation of the consumers and the predicted expectation of the business towards the consumers. The new changes in immigration law and intellectual property law stated by the UK government have gained international attention and many international corporations are looking forward to this policy. The policies have been able to attract many foreign players like Google, Intel and many other corporate. Technical advancement for any country aids in development of the business houses.

Friday, August 9, 2019

Business ethics Essay Example | Topics and Well Written Essays - 2000 words

Business ethics - Essay Example The paper tells that the 21st century workplace is a dynamic one and throws new scenarios and challenges every day. There are numerous ethical problems that arise and the decision making needs to be supported by strong ethical principles for everyone involved to be benefited. There are various ethical principles ad theories that have been discussed in great detail in theory and these needs to be applied in every day decision making. Moral and ethics is not always about being right/wrong or true/false but has numerous other considerations and factors such as feelings, preferences, resolutions, demand and many more. The details of the case: the researcher has been working as housing officer with a housing department for two years. During this time the researcher has developed a close friendship with John who is a manager of a local hostel. There had been an opening in my department and John had told me that he would apply for the position. He fears that his current job is at risk as hi s organization has financial difficulties. As the current opening in the researcher’s department needed a degree qualification, the researcher had figured that John would not get the position as he did not have a degree. But the researcher found out yesterday that John has got the job and one of the main reasons for it is his claim that he has Business administration degree from a top British University. The researcher believes John has lied in his application and interview.... Employee loyalty, moral obligation/duty, obedience, honesty, legal responsibility, etc are the various ethics involved in this response. This response is in accordance to the moral theory of obligation. One of the most basic elements of the moral fabric of our society is not to lie. It is very clear that John has lied in order to get the job. This is not just a lie but also a fraud and deception. Fraud and deception of any form violate ethical custom and law (SAGE, 2011). Any responsible citizen of a society, irrespective of being an employee of the organization or not, has a moral obligation to the society to stop or act such incidents that affect the value system of the society. Such incidents if not acted upon set a bad example in the society. So even if I was not an employee of the company, it would be my responsibility to bring the issue to the notice of the concerned. As mentioned above it is the moral duty, not just in an organization but in our society, to tell the truth. Mos t ordinary rule of â€Å"ethical custom† is telling the truth (Snoeyenbos & Humber, 2001). If an employee is aware of a lie that is been told to his employer, then the rule of ethical custom imposes a moral duty on the employee to tell the truth. Knowing about the lie and not reporting would question my honesty. Even though I am not directly involved, I would still be dishonest if I don’t act on this issue. Also I owe my loyalty to my employer. As every employee expects his employer to be loyal to him and take care of his needs and necessities so do the employer. Employee loyalty is a legitimate and coherent concept. Organizations expect employees to be loyal to the organization and vice versa. Simple obligations of loyalty that come with a job are to act in such a

Thursday, August 8, 2019

Business ethics Essay Example | Topics and Well Written Essays - 1750 words - 1

Business ethics - Essay Example Based on ethical theories and literature, this paper will attempt to show that it is important for companies to embrace the concept of sustainable development in order to grow their bottom line and ensure future growth. Companies are required to embrace sustainable development because by doing so, they will be fulfilling their ethical obligations to sustainability. In order to understand these ethical obligations, this paper analyses the ethical theories related to sustainability and how they apply. In an article by Mohamed Eid (2012) on sustainable development, the author relates the four major ethical theories to sustainability. These theories help understand how sustainable development is critical to any company. The first ethical theory supporting sustainable development is utilitarian ethics, a theory that focuses on the need to maximize good and the promotion of happiness. Based on this theory, sustainable development is approached by looking at the balance between economic, social and environmental welfare. Companies are thus required to engage in actions that will promote the overall good by striking a balance between these aspects. Companies have to focus not only on themselves and the maj ority in society but include the minorities as well. This requires that future generations are considered when making critical decisions. This also demands a focus on the economic gains of the company that meet the needs of all stakeholders (Najam, 1999 p. 70). The utilitarian theory requires companies to use approaches and methods that promote happiness from the individual level to the wider society. Companies thus need to create an environment that guarantees a better future for everyone. Secondly, sustainability is also tied to the deontological theory in which it is argued that actions are either right or wrong irrespective of their consequences. In this case, actions need to be justified by accepted universal principles. Currently,

Wednesday, August 7, 2019

Management project Research Paper Example | Topics and Well Written Essays - 250 words

Management project - Research Paper Example This however, never changed how other charity organizations viewed the group even though exotic dance is a legal profession (Edbermac, 2007). The exotic dancers hold an annual event to raise funds to donate to the charity societies. The groups hold the event in remembrance of their former dancer who died due to breast cancer (Edbermac, 2007). Trina Rickettes, the former dancer had said a mail sent notified her that the society declined to collect that years’ donation (Edbermac, 2007). The society pointed out that its major donors never approved the connection to the exotic dancers. The group fells discriminated due to rejection of donations done to help the cancer-affected patients in the society. Many organizations view the dancers as strippers hence prostitutes and they term their earning as dirty money (Edbermac, 2007). Charity organizations fear to associate with the exotic dancers unless the group agreed to be anonymous. The raised money end up in less discriminating charity organizations and the organizations benefits from the thousands of dollars from the exotic dancers (Edbermac, 2007). Edbermac. (2007, February 07). Breast Cancer Society rejects donation from exotic dancers. Retrieved may sunday, 2014, from democratic underground:

Life as a Master Cosmetologist Essay Example for Free

Life as a Master Cosmetologist Essay What is a master cosmetologist? A master cosmetologist is an individual that has knowledge and skills in the field of cosmetology through advanced education. Cosmetology is defined as the art and science of beautifying and improving skin, hair, and nails. (Houghton Mifflin, 2009) In order to obtain the title master cosmetologist certain requirements must be met. A master cosmetologist may provide beauty services, massages and scalp treatments, apply make- up, style wigs, perform some hair removal and provide nail and skin care services. Life as a Master Cosmetologist A master cosmetologist has several advantages. One advantage from working as a master cosmetologist is the option to work on skin, hair, or nails. Many choose to work in a specific field after they are licensed. Job titles reported for a master cosmetologist are; hair stylist, hairstylist, hair dresser, hairdresser, barber stylist, manager stylist, platform artist, celebrity stylist, make-up artist and nail technician. A state issued license is required to practice cosmetology, although educational requirements to receive such license vary depending on state. Georgia State Board of Cosmetology first requires an individual to receive 1500 credit hours from an accredited cosmetology school. Coursework is taught by licensed professional instructors and consist of lectures and labs covering bacteriology, sterilization, customer service and business. † (Master cosmetologist, 2011) Additional coursework includes anatomy, physiology and chemistry. Secondly, the individual must submit an application to state board for an examination date. You must past a written and practical exam with a score of 70 or above. Following, an application for initial licensure along with a money order must be submitted. The fees vary by state between $30 and $50. A Master Cosmetologist License should be renewed every two years before March 31. Some states may allow a license holder to apply for reciprocity in another state. Reciprocity may be extended to licensees from other states or countries that have similar training and licensing requirements. The state of Georgia does not reciprocate with Florida, Hawaii, New York or California. There is an endless list of job descriptions associated with a master cosmetologist. A job description is defined as a document that outlines all duties and responsibilities of a particular position in a salon. The following entries are examples of such job descriptions. *Develop new styles and techniques. *Demonstrate and sell hair care products and cosmetics. *Operate cash registers to receive payments from patrons. *Shampoo, rinse, and condition scalp, hair or hairpieces. *Update and maintain customer information records, such as beauty services provided. *Bleach, color or tint hair using temporary, demi-permanent, semi-permanent, or permanent hair color. * Schedule client appointments. *Analyze patrons’ hair and other physical features to determine and recommend beauty treatments or suggest hairstyles. Cut, trim, and shape hair or hairpieces based on customers’ instructions, hair type and facial features. *Keep work stations clean and sanitize all tools, implements, and equipment. The skills of a master cosmetologist are limitless. Providing personal assistance, emotional support, and other personal care has proven to be the most valuable. Others include but are not limite d to; performing for or working directly with the public, thinking creatively, updating and using relevant knowledge, active listening, time management, judgment and decision making, critical thinking and management of financial resources. Being aware of others’ reactions and understanding why they react the way they do is an important skill known as social perceptiveness. (E-Best resumes, 2011) Employment Most employers require a person to have a high school diploma or GED and cosmetology license. â€Å"Candidates must have a professional presentation and strong customer service skills. † (Cosmetologist career profile, 2011) Employers may ask that a salon stylist also provide an employment portfolio and resume. A portfolio is a collection of photos and documents that reflect your skills, accomplishments, and abilities in your field. A resume can be described as a written summary of a person’s education and work experience. By law, a master cosmetologist must display his or her credentials at his or her station, and clients may ask to see a license in areas where the license need not be displayed by law. A lengthy career in cosmetology may cause physical damages to the body. These damages would be considered disadvantages of working as a master cosmetologist. One disadvantage would be carpal tunnel syndrome. Carpal tunnel syndrome is caused by pressure on the median nerve- the nerve in the wrist that supplies feeling and movement to parts of the hand. It can lead to numbness, tingling, weakness or muscle damage in the hands or fingers. Varicose veins are swollen twisted and sometimes painful veins that have filled with an abnormal collection of blood and would be considered another disadvantage of this profession. Moreover, lower back pain is triggered by a combination of overuse, muscle strain, and injury to the muscles, ligaments, bones and discs, making the back more prone to injury and re-injury. Low back pain can lead to overall imbalance in the spinal structure. Occupational Outlook The market seems favorable in years to come for cosmetologists. Cosmetology could be one of the few recession proof careers; things would have to get pretty bad for most people to prompt taking haircuts and hairstyling out of their budgets. â€Å"In fact, as stress and anxiety about the economy rise, so does business at salons, where clients can find relaxation and relief in the midst of the turmoil. †(Cosmetology career trends, 2011) According to SimplyHired. com, as of 2010, the average salary for a master cosmetologist is $31,000 per year. Income may vary due to customers’ tipping habits, services provided, experience of the cosmetologist, and whether he or she works on commission. The demand for cosmetologist is expected to grow by 20% between 2008 and 2018. Opportunities should remain plentiful, especially for new graduates seeking entry-level positions. Finally, to be successful you must take ownership of your education. Not surprisingly, employment will be greater for those with professional experience and those licensed to provide a broad range of services. A demand for specialized hair services has increased in recent years. This trend will continue, leading to a favorable occupational outlook for cosmetologists.

Tuesday, August 6, 2019

The Effects Of Carbon Dioxide Environmental Sciences Essay

The Effects Of Carbon Dioxide Environmental Sciences Essay Carbon dioxide is a simple mixture of exactly what it sounds like; one part carbon with two oxygen atoms attached to it. Carbon dioxide is in a gaseous state at normal temperatures and its chemical equation is stated as CO2. The gas originates from many different sources around the globe. Some of the most common and highest producers of CO2 are: fossil fuel combustion, iron and steel production, natural gas refinery systems, and the manufacturing of cement. The burning of fossil fuels is the largest single producer of CO2 gas. Many people associate this with the internal combustion engine which powers the modern automobile. In fact, the largest producer of carbon dioxide, in the United States, within the fossil fuel combustion group is the generation of electricity (EPA). Transportation comes in second place in the United States for CO2 production levels. This includes the burning of gasoline, diesel fuel, and many other petroleum based fuels. Although the burning of fossil fuels hap pens to be the largest source of CO2 there are also natural causes of the gas within the atmosphere. The breathing of animals, volcanic eruptions, and release of CO2 from the ocean, which happens to be a large carbon sink (meaning that it stores mass amounts of carbon), are all natural causes of carbon dioxide. One of the great parts about our Earth is the natural way it can clean itself. Carbon dioxide is a naturally occurring gas within our atmosphere. Due to this naturally occurring substance there is a natural way for decreasing the levels of CO2. The processes that absorb and consume carbon dioxide consist of the natural photosynthesis process in which plants/trees use the suns energy and convert it into food. During this process carbon dioxide is drawn in through the leaves and stored within the main mass of the plant/tree. The carbon is then drawn into the soil through the roots of the agricultural crop or tree. This is natures way of drawing the carbon dioxide out of the air and into the ground where it can be stored. Although the plants have temporarily removed the CO2 from the atmosphere the substance still exists and can be re-released into the atmosphere through a tilling process of the ground or digging up the soil. Even though the carbon dioxide is being released into the air again this is how nature self regulates the CO2 on its own. With naturally occurring carbon dioxide levels this process works great. However, it cant completely compensate for human generated carbon dioxide levels which are produced today. The CO2 emissions today are higher than natural amounts due to the burning of fossil fuels as previously mentioned. These increased emissions due to fossil fuels burning can be reduced and battled in order to try and keep the CO2 levels at a manageable amount instead of becoming out of control as the current trend is currently working toward. Technology will help us to develop machines and devices to reduce the emission of carbon dioxide from the burning of fossil fuels. However, currently we do not have the technology to completely eliminate the gas from our emission list. In order to reduce CO2 emission levels action must be taken to enhance a device in the exhaust of modern machinery. New technologies could also be introduced to various other parts of the combustion process in order to make it more efficient. The more efficient a combustion process is, less fuel will be needed and therefore less CO2 will be produced from that running engine. A great way of reducing the carbon diox ide levels would be to switch over to a different type of fuel energy in order to receive the same amount of work time, or more, with less maintenance. One method of reducing CO2 levels is to use Carbon sequestration. This process involves capturing the exiting carbon dioxide and storing it underwater or underground in order to reduce the CO2 levels in the air. It is a very costly process but it is an option available for reduction of carbon dioxide (Zactruba). The industrial revolution was a major improvement for the world. During this time there werent any regulations on carbon dioxide levels emitted from production plants. Therefore plants back then were producing large amounts of CO2 and nobody thought anything of it until testing was done at a later date. Cars built during this time period were not fitted with emissions sensors and parts due to the lack of requirements for the emissions gasses and the lack of technology during the time. Levels of various different gasses are tested every so often and in 2005 the CO2 levels were tested and the results showed an increase of 35% over the levels tested before the industrial revolution hit. This proves that the industrial revolution along with current fossil fuel burning has produced mass quantities of CO2 and placed the gas into the atmosphere (EPA). The increase in carbon dioxide in our atmosphere is said to have been a contributing factor to the global warming effect. CO2 is named a greenhouse gas along with other gases such as methane and nitrous oxide. These retain heat and emit it at the same time. This causes a long term warming effect with increases in concentrations of the gases. Major increases in the amount of carbon dioxide will lead to this heating effect. With no mass effective way to decrease the amount of CO2 in the air it will be hard to reverse this effect unless a different form of combustion and transportation is developed. With new and emerging technologies it can seem feasible to create a device or vehicle that doesnt emit carbon dioxide through the exhaust of the vehicle or the process of creating the fuel needed to move the vehicle. This technology sounds amazing and revolutionizing. However, it has not yet been fully developed and no promises have been made toward it either.

Monday, August 5, 2019

Study On The Cardiac Causes For Chest Pains Nursing Essay

Study On The Cardiac Causes For Chest Pains Nursing Essay The relation of chest pains with cardiac causes responsible for the pain was one targeted area for studies. From the previous researches chest pain was observed to be one common complaints in children and previous findings reported it to be more prominent in old ages with mean age of 13 and cardiac causes was responsible for less than 20% of chest pain complaints in younger children and in community which was supposed to exist because of ischemic vertical dysfunction, myocardial and pericardial inflammatory process or arrhythmia but exact cause for cardiac chest pain was still in dark. Specialised methods like echocardiography, Holter monitoring, excercise stress test, electrophysiological studies were reported to be required to assess cardiac diseases in children responsible for chest pain but still it may not be able to give exact causes of chest pain. The purpose for this study was to identify cardiac diseases and to explore cardiac causes which were directly associated with chest pain in children.(Cagdas and Pac, 2009) Methods: In this study 120 children with ages in between 5-16 years who were frequently reported to pediatric cardiology clinic regarding chest pain were analysed in a tertiary subspecialty clinic from March 2005 to May 2006. The reason for selecting children with ages 5-16 years having chest pain complains was based on previous findings of studies and was good choice of selection for assessment of cardiac diseases related to chest pain as it was targeted group for chest pain and further in this study it was divided in two age groups that was 5-12 years age group and 13-16 years age group because of psychogenic pain consideration in children older than 12 years age which was good reasoning for dividing groups. Thus it was cross-sectional and a retrospective assessment but as it relies on previous findings and data from other clinics it might have limitations in selection and number selected that was 120 subjects seems to be very less for this type of assessment thus it might lead in error.(Ca gdas and Pac, 2009) The strength of this study was dependent on the outcomes of methods used for analysis of cardiac diseases associated with chest pain. All selected patients were subjected to Echocardiography, Electrocardiography(ECG) and Chest X-Ray and analysis of Hemogram, serum glucose and electrolytes was done. In Chest X-Ray all necessary images to diagnose heart, lung, chest wall and big vessels are generated by ionising radiation in X-ray form (P.A.Mahesh, 2006). In Electrocardiography functioning of different parts of heart muscles are measured by recording in skin electrodes placed on different positions of heart and it displays in ECG as electrical signal. The display of ECG shows rhythm of heart and damage of any heart muscles can be concluded(Meek and Morris, 2002). Echocardiogram generates two-dimensional pictures using ultrasound techniques for cardiovascular systems. In Echocardiography echoes of sound waves are picked by transducer and are transmitted as electrical impulses which are then converted to motion pictures of heart by Echocardiography machine and also movement of blood via heart is recorded by Doppler probe. Different types of cardiac diseases can be identified by this methods.(Quinones et al., 2003) Also excercise and tilt table test and twenty four hour Holter monitoring was carried out in some required cases which also gave detail regarding cardiac diseases. In 24 hour Holter monitoring test for 24 hour an electrodes are attached on chest of the subject to be monitored by which electrical activity of heart is recorded to an attached small battery operated monitor. Note of all activities carried out by patient during 24 hours is required and results after 24 hour of test are analysed to see any irregular changes in rhythm of heart and for further analyses of cardiac disease (Hilbel et al., 2008). Different ways are developed to perform tilt table depending on individual patient generally patient is obstructed to any physical movement of body and kept flat on tilt table and it is then suspended or tilted at different angles. Records of symptoms, blood pressure, pulse, electrocardiogram etc are kept during test which can be use for analysis of cardiac disease(Benditt et al., 1996 ). Actually this study was designed and conducted on algorithm setup in which depending on types of symptoms observed from physical examination and history of patients it was further evaluated using different methods to identify cardiac causes.(Cagdas and Pac, 2009) SPSS 11.0(SPSS, Inc., Chicago, IL, USA) software was use to carry out statistical assessment in which Chi-square test was selected for analyses of difference in variables of groups in which significant level p value was kept less than 0.05 and risk between groups was compared by odds ratio value(95% Confidence Interval). Here the total number of patients was 120 which is quite large thus selection of Chi-square test to analyse difference in variables of two groups was perfect.(Cagdas and Pac, 2009) Results: In this study out of 120 patients depending on history and physical examination evaluation of further detail assessment by performing stated techniques as required 52(42.5%) patients were found to have cardiac diseases out of which 11(9.2%) patients on admission were found to have history of cardiac disease and in 28(23.3%) patients chest pain was supposed to be directly associated with cardiac disease and out of 28 patients 14(11.6%) were reported with different types of arrhythmias as shown in table 2.(Cagdas and Pac, 2009) On complete assessment of all patients for cardiac disease according to the age group that is 5-12 years of age and 12-16 years of age the children were analysed with structural Cardiac Disease and types of arrhythmia as shown in table 1 and 2.(Cagdas and Pac, 2009) Different types of Cardiac diseases found to be associated with chest pain is also listed in table 1 and 2. In table 2 patients with infrequent supraventricular ectopy and ventricular ectopy were excluded.(Cagdas and Pac, 2009) Table.1. SPSS result for frequency and risk of structural cardiac disease according with age in patients with chest pain(Cagdas and Pac, 2009) Groups Structural Cardiac Disease pÃŽÂ ± Present Absent Type N Total,n(%) Total,n(%) 5-12 years old (n=55) RVHD 5 11(20) 44(80) 0.011 MVP 3 CMP 1 ASD 1 PFO 1 13-16 years old (n=65) RVHD 12 27(41.5) 38(58.5) MVP 4 CMP 3 VSD 3 AS 3 ASD 1 PFO 1 ÃŽÂ ±Chi-square test, ÃŽÂ ²Risk analysis, ÃŽÂ ´Reference group is taken as 5-12 years age group AS- valcular aortic stenosis, ASD- atrial septel defect, CMP- cardiomyopathy, MVP- mitral valve prolapse, PFO- patent foramen ovale, RVHD- rheumatic valvular heart disease, VSD- ventricular septal defect Ref: CAGDAS, D. N. PAC, F. A. (2009) Cardiac chest pain in children. Anadolu Kardiyoloji Dergisi-the Anatolian Journal of Cardiology, 9, 401-406. As shown in above SPSS result the risk of structural cardiac disease in elder age group was 2.84 times higher as compared to younger age group and significant p value was 0.011 which was less than 0.05 which states that there was significant difference between variables of two age groups with structural cardiac disease.(Cagdas and Pac, 2009) Table.2. SPSS result for Frequency and risk of arrhythmia with age in patients with chest pain(Cagdas and Pac, 2009) Groups Arrhythmias PÃŽÂ ± Present Absent Type N Total,n(%) Total,n(%) 5-12 years old (n=55) Frequent VE and SVE 3 3 (5.5) 52 (94.5) 0.05 13-16 years old (n=65) Frequent VE and SVE 7 11 (16.9) 54 (83.1) WPW Syndrome 2 Sinus bradycardia 1 Sinus pause 1 ÃŽÂ ±Chi-square test, ÃŽÂ ²Risk analysis, ÃŽÂ ´Reference group is taken as 5-12 age group SVE supraventricular ectopy, VE ventricular ectopy, WPW Wolff-Parkinson-White syndrome Ref: CAGDAS, D. N. PAC, F. A. (2009) Cardiac chest pain in children. Anadolu Kardiyoloji Dergisi-the Anatolian Journal of Cardiology, 9, 401-406. As shown in above SPSS result the risk of arrhythmias in elder age group was 3.53 times higher as compared to younger age group and significant p value was 0.05 which shows borderline significant difference in variables of two groups with arrhythmias.(Cagdas and Pac, 2009) Overall analysis of arrhythmias and structural cardiac disease reported 4.12 times higher risk of cardiac disease in elder age group (12-13 years age) as compared to that with younger age group (5-12 years age).(Cagdas and Pac, 2009) Discussion: The results of this study was compared with other studies and different required methods were performed for analyses of cardiac disease related to chest pain which was not performed in previous studies. In previous findings majority of patients were assessed by only echocardiography without performing 24 hour holter monitor test to any patients while in this study echocardiography was performed to all children and holter monitoring was done for 38(31.6%) patients out of 120 as required and also frequencies of arrhythmias was found to be 11.6% and same ratio for structural cardiac disease which as compared to other studies was high. Thus use of various methods for assessing cardiac diseases associated with chest pain was good effort made in this study.(Cagdas and Pac, 2009) One finding of this study was that chest pain complains was more in the elder children which was supported by previous epidemiological studies for the chest pain complaints. Cardiorespiratory problems in young children and psychogenic pain in children older than 12 years of age was reported from previous studies while from this study 4.12 times more risk to cardiac disease was found in elder age group on analysing all cardiac diseases and was explained because of aging related risk of arrhythmias or increase in structural cardiac diseases symptoms or increase in level of consciousness with increasing age regarding cardiac chest pain symptoms which was satisfactory reasoning given in this study. From the SPSS results it concluded that older children were at high risk to structural cardiac disease (p=0.011) and 3.53 times more frequent to arrhythmias. Thus use of SPSS results in analyses of cardiac disease was one very important part of this study as it explored some critical and diffe rent results compared to other studies.(Cagdas and Pac, 2009) In 28(23.3%) patients chest pain was supposed to be directly caused by cardiac diseases and which was assumed because of high frequency of some cardiac diseases in patients selected but clear reasons for chest pain was still not proved. From previous studies majority of non-cardiac chest pain was reported because of gastro-esophageal reflux diseases and in this study total 40 patients were suffering chest pain because of similar reasons like abdominal pain, epigastric tenderness etc which highlighted one important conclusion that their may exist more than one cause for chest pain not necessary that its always related to cardiac disease. This study also gave example of important application of echocardiography in diagnosis of rheumatic valvular heart disease as it was detected in 17 children as compared to analyses done by clinical examination for existence of rheumatic valvular heart disease.(Cagdas and Pac, 2009) In this study following the particular algorithm the study groups were analysed from which many results reported was different from that concluded by physical examination like in 16 patients physical examination showed it to be innocent murmur but was found to have structural cardiac disease on further analyses. Thus though this type of algorithm requires some extra excercise but it made analyses to identify cardiac disease more clear.(Cagdas and Pac, 2009) Overall this study concluded that risk of cardiac disease was increased with age and it also gave percentage of cardiac disease that was 42.5% which was high as compared to other studies. The study also highlighted importance and use of different methods that can be used for detail analyses of cardiac disease that was not covered in previously performed studies but this type of evaluation was to be carried out with larger number of patients to get more clear with results and draw important conclusion because by analysing only 120 children with chest pain one common conclusion can not be given. Selection of proper SPSS tests was done which gave important results for this study. This study attempted very well to identify cardiac diseases causing chest pain with all good planning and reasoning behind all steps and methods used but still research in area of cardiac diseases will not be clear unless any sure and specific result for particular cardiac disease can be taken as reference to i dentify and to draw conclusion.