Critical inquiry in Practical Nursing Essay

Question 1- According to Kerr et al (2012), the purpose of the study is to examine the nurses’ opinions on the introduction of a medical administrative to the enrolled nurses and its impact in the error rate of medication. Question 2- The author’s rationale was to: -To examine nurses’ opinions on enrolled medical administration -To analyze whether the enrolled nurses introduction effects of the medication error in organizations. Question 3- Quantitative, experimental.Question 4-The sample used was the different types of nurses who answered questions online at the website of the organization. The selected lot answers specific questions in a questionnaire related to the topic of discussion. Question 5-a)Descriptive b)InferentialQuestion 6-Education Question 7-Demographic data – Response to nurses’ survey items – Rates of medication errors- Collected within twelve months Question 8-Â  Survey question regarding support for administration of medications by qualified ENs RN SupportiveIn %RN Non-SupportiveIn %Statistically Significant? 73.8%,26.2%Yes / No Survey question measuring positive change EN SupportiveIn nEN non-supportiveIn nStatistically Significant? 73.626.4Yes / No Survey question regarding the level of education for ENs who administer medications ENME SupportiveIn %ENME Non-SupportiveIn %Statistically Significant? 73.726.3%Yes / No Question 9- Population 118, 268-256, 302 Question 10- It is true to say that A significant result (p=0.265, p

Knowledge for Nursing Essay

This essay will explore Peplau’s concept of a nurse-patient relationship and how it narrates to the experience I had whilst on placement practice. My aim is to demonstrate my gained understanding of the nursing process, the domains of nursing, the nature of nursing models and their relationship to practice and Peplau’s model of nursing. The reason why the student has chosen this concept is because nursing is an interpersonal process which involves interaction between two or more people with a mutual goal, (George 2003). The essay will start by defining the word concept then describe the incident that I observed in placement practice. The essay will analyze how theories can be used to justify nursing interventions in practice. The conclusion summarises the main points of the essay and reflect on my learning experience. (Meleis 1991) defined concept as â€Å"a label used to describe a phenomenon or a group of phenomena† (McKenna 1997). (McKenna 1997) concludes that concepts are identified when a name is put to a phenomenon. â€Å"Therefore, a concept is a tool and not a real entity – it merely facilitates observation of a real phenomenon,† (McKenna 1997 p8). Chinn and Kramer (2008); Hage (1972); Reynolds (1971) were cited that concepts can be theoretical or tangible. Theoretical concepts are created mentally independent of a particular or interval location, whereas tangible concepts are experienced directly and relate to a specific interval or location (Alligood and Tomey, 2010). â€Å"Nursing is a significant, therapeutic, interpersonal process. It functions co-operatively with other human processes that make health possible for individuals in communities. In specific situations in which a professional health team offers health services, nurses participate in the organisation of conditions that facilitate natural on going tendencies in human organisations. Nursing is an educative instrument, a maturing force that aims to promote forward movement of personality in the direction of creative, constructive, productive, personal, and community living. † (Peplau 1988, p16) Peplau (1952) defined phases in the nurse-patient relationships that overlap and transpire during the relationship interval. George (2002) cited the three phases defined by Peplau are as follows; orientation, identification, working, and termination. Whilst on Placement I had the prospect to put theory into practice with the supervision of my mentor when Mrs. Ahmed aged 85 was admitted into the ward after having had a fall (false name and age due to confidentiality, Nursing and Midwifery Council 2003). During handover it was reported that Mrs. Ahmed was at times unresponsive and seemed uninterested when addressed to by the nurse on duty upon admission, leaving the nurse to rely on the information obtained from the ambulance crew as she was unaccompanied. Upon arrival Mrs. Ahmed had not been able to get up from the stretcher as she was not weight bearing after the fall and appeared to be confused with the new environment. It was hoped that more information would be obtained in the morning when she awoke. Orientation stage My mentor gave me an opportunity to work with Mrs. Ahmed whilst under her supervision and it was obvious that the information we had was not complete. To get further information we went to her bedside which was in a mixed ward were we were introduced to the new patient. The orientation phase is initiated when a health problem occurs thus resulting in a felt â€Å"felt need, and professional assistance is sought. † Peplau (1952, p. 8) Peplau (1952) further states that the nurse and patient meet as two strangers, by clarifying and defining the problem in the orienting stage the patient can direct the accumulated energy from her anxiety about unmet needs and begin working with the presenting problem. The nurse patient rapport is established and continues to be strengthened while concerns are being identified. The nurse assumes a roles as described by Peplau in the overlapping phases of the nurse client relationship. Lebby and Pepper (1998) sees the nurse in the role of a stranger therefore acceptance of the patient as an emotionally able person is required. It is at this early stage I noticed that Mrs. Ahmed was unresponsive and seemed distant when my mentor asked for her consent to be assisted by a trainee nurse under her supervision (Nursing and Midwifery Council Code 2008). After asking her more than once she eventually responded and accepted the request. xxxxx When my mentor spoke to Mrs. Ahmed was clear and slow, and asked closed questions. Ashworth et al (1981) suggest that the quality and quantity of nurse-patient communication in geriatrics is affected by the nurse as well s the patient although some of the traditional attitudes by nurses toward elderly patients posed barriers to communication. Orem (1991) viewed the relationship between a nurse and patient as being complementary and therefore a nurse has to understand the basis of her own behavior. I noticed that the patient had some hearing aids on her bedside and I then considered that she might be having hearing impairment and was either not keen on using her hearing aids or needed assistance putting them on. I asked her if she was happy putting the hearing aids on her own. She attempted to put them on but seemed unsteady with her hands. I gestured that I could help and she extended them to me. I then helped her to put them on. George (2002) sees the working phase as a time when the patient starts to respond selectively to individuals who can meet their needs. Peplau (1952/1988) identified three types of responses from patients; the patient may participate and be interdependent, or be autonomous and independent from the nurse or be passive and dependent on the nurse (George 2002). Peplau (1952/1988) states the patient utilises the relationship fully by making full use of the nurse (Leddy and Pepper 1998). Peplau (1952) describes six nursing roles within the phases of the nurse patient relationship which are; stranger, resource person, teacher, leader, surrogate and counseling. She further described four psychobiological experiences, in her book which are; needs, frustration, conflict and anxiety. Peplau (1952) saw these experiences as energy providers transforming into action and provides a basis for goal formation and nursing interventions. Mrs. Ahmed showed she was becoming more relaxed and became more trusting and cooperative. Arnold and Underman Boggs (1999) suggested that the dynamic nursing approach Peplau advocated is not that of passive observer but participant observers, nurses actively engaging with their clients. I initiated further verbal dialogue and realised that although she could hear me she was struggling to understand what I was saying to her. Her replies where brief and at times not relevant to the questions posed. It became obvious that since English was not her first language she was struggling to understand me and her conversational English skills were basic. I then slowed my rate of speech and emphasised with gestures where appropriate. That way she seemed to comprehend what I was saying better. Forchuk (1993) mentions two types of communication, verbal and non-verbal communication, verbal communication conveyed by words and non-verbal communication conveyed through empathic links, postures, gestures, and patterns (Forchuck 1993). Peplau (1952/1988) considers the use of verbal communication to be an essential component of the nurse-client relationship (Forchuk 1993). The general principle is that anything clients act out with nurses will most probably not be talked about, and that which is not discussed cannot be understood. † Peplau (1989a p. 197). Forchuk (1993) suggest that discussing issues and concerns presents the patient an option to work them out. Thus nursing knowledge enables nurses to justify actions or stop unsafe or poor practices (Nursing and Midwifery 2003, The Code). Mrs. Ahmed was reluctant to have me assist her with personal hygiene although it was obvious that she needed it and it was also documented in her notes that she was not independent in this respect. She said something about being used to doing things for herself and how it was expected in her culture to clean one’s own body, she then suggested to wash herself and would ask for help when in difficulty. After washing herself, I took the opportunity of getting more information about Mrs. Ahmed, her family and health Data collection is constant throughout Peplau’s phases. George (2002) state that in the nursing process, primary collection of data is the nursing assessment, and further collection of data becomes an integral part of reassessment. The need for Mrs. Ahmed ‘s relations to be present compliments George (2002) statement that the nurse, patient and relatives need to work together in order to simplify and explain the problem at hand. Peplau (1995) discusses the need for the nurse to not only support but health educate the patient’s relations thus decreasing the tension and anxiety connected with the felt need and fear of the unknown thus the avoidance of future problems arising from unresolved significant events(George 2002). Peplau (1952/1988) states the importance of clarity on both parties in the relationship as their past experiences will influence their expectations in this progression. I also made her aware of her condition and situation whilst being conscious not to give advice, but rather asking her questions which we needed answers for, to help resolve her care needs. Peplau (1988) stated that the exploitation phase is where the nurse assists the patient to seek out other health care services and personal strengths in resolving the issues for which the client initially sought treatment. She thanked me for having explained everything she needed to know and for my patience during my interaction with her on that day. Peplau (1952/1988) saw the termination phase as a liberating process wherein the client’s wishes for psychological dependency and maintaining relationships have been worked through to support the ability to mutually end the relationship with the nurse (Leddy and Pepper 1998). Peplau views this phase as problematic for nurses as the progression of letting go is focused upon (Simpson1991).

The Logistics of a Third-World Relief Operation

Due to the Internal cooperation and collaboration within INCUR a great amount of knowledge emerges. This knowledge, later, Is shared with other organizations (Nags). The extensive cooperation, coordination and communication are the key successful factors for the productive partnership between both of the companies. They are on the right way because frequently they organize meetings to discuss and Implement Improvements. An Important factor INCUR should consider Is to enter Into an alliance with local government and military.Military plays a crucial role in this field; he principal reason for reaching an agreement with it is that military possesses security and emergency responses. Cooperation with government can minimize cultural differences between the refugees and the personal of the organizations. While, military participation can be useful when unforeseen events, such as meteorological or political circumstances, occur (e. G. Providing airplanes in order to reduce supplies lead t imes). From the standpoint of incoming supply and storage of non-food-items (blankets, water cans, kitchen sets†¦It can be said that the unit logistic system was not able to predict the amount of goods that would arrive at the warehouse. They did not have any control over the consignments (size, deliveries times); consequently enormous obstacles are likely to arise in satisfying refugees' needs. A solution to this problem can be the implementation of a SIT system. The core of this system is to Increase the productivity through maintaining Inventories at a minimum level. Perhaps, this is a possibility for the necessity of more space than contemplated for non-food items.Thus, it would enable them to order the exact amount of food they need. On the one hand, this allows a flexible system that is able to confront unpredictable changes. On the other hand, SIT system may have some disadvantages. In some cases this system would not be able to meet unforeseen orders. The major issue th at the senior logistics officer has to face is linked to the transportation of goods. A radical change about it is necessary. Infrastructure in Rwanda Is extremely poor.Climate, bad roads conditions, non-protective nature of he labor/w;irking conditions for the drivers worsen the situation even more. With regard to the latter, a working day of 8 hours and a drivers' rotation in one Journey, are likely to force simple modifications. These modifications can lead greater operational efficiency. Transport capacities play a pivotal role in improving the management of supplies. Andrew should precisely estimate the exact number of trucks required each time: the duration of the trip, how long it takes to undead 1 OFF other related issues.Uncertain situations such as inconsistent information or cultural preferences constitute a barrier that could lead to enormous delays and unfulfilled demands. Therefore, delivering the right amount of supplies within the due dates is a task that all involve d organizations must satisfy. Moreover, assessment (e. G. Data gathering) before implementing a new relief operation is indispensable in order to build a strong plan. If an organization aims to develop an effective relief logistic system, it is essential to analyze thoroughly its investment in vulnerable transport and communication.

How creative am I Assignment Example | Topics and Well Written Essays - 250 words

How creative am I - Assignment Example This helped me improve my reflective personality. During the last summer holiday, I went to visit my family members and I helped them running the family business in town. I was able to understand complicated things correctly and clearly in a short time. All these experiences showed to me that my creativity level was good. There are various ways of enhancing your creativity. One should exhibit more traits that are associated with creative personality, for instance, being reflective, resourceful, clever, self-confident, unconventional, capable, cautious, and intelligent among others (Gough 1398). Other ways of improving creativity are: engaging in creative hobbies, being alert in your observations, adopting a risk taking attitude, being open and receptive to other people’s ideas to promote diversity of point of views, to be more playful, overcoming negative attitudes that may block creativity, developing intrinsic motivation due to the fact that the true reward of creativity is the process itself, fighting the fear of failure, and having self-awareness, as well as brainstorming to inspire new ideas.For supervisors and managers, creativity can be very helpful in the making of decisions due to the rapidly changing business environments. It assists them to view problems as well as alternatives that others cannot. The other way is that it assists in problem solving. One is able to come up with new great ideas. Next, it motivates the staff by boosting their self-esteem and professional development.

Reflective Paper Essay Example | Topics and Well Written Essays - 2000 words - 4

Reflective Paper - Essay Example lves the ability of the management to oversee the culture and organizational leadership of the institution, and ensure that the institution complies with the labor and employment laws of a given state. This paper is a reflection of my studies on human resource management. This paper takes a stand that human resource management is an important process that helps in improving the effectiveness and efficiency of an organizations work force. In addressing the objectives of this paper, this reflection will identify the main issue in this field of HR, and thereafter demonstrate the learning that has taken place. This paper will also contain the various incidents that facilitate my processing of learning and understanding of these issues, and it will thereafter identify the future and current implications of the practice of HR in an organization. It also contains a reflection on how skills gained from this class will have an impact on my future career plans. One of the major issues learnt in this class is on the roles of the human resource management in the recruitment, planning, and selection process of the employees of an organization. The human resource department is responsible for recruiting new employees of an organization. From this class, it was in my understanding that the department of human resource management identifies the various skills needed by an organization, after which it develops a plan on how to fill in the skills that the organization does not have. It is important to denote that the major skills and knowledge leant from this section is the process of recruiting and selecting new employees within an organization. From this class, it came to my knowledge that different organizations have different methods of recruiting new employees, and this depends on the size and structure of the organization under consideration. However, there are major elements of the recruitment process that are universal to all organizations, and this includes, profiling

The investigation of contemporary art in London Essay

The investigation of contemporary art in London - Essay Example The essay "The investigation of contemporary art in London" discovers London contemporary art. Over time, the world has gone through various changes, which include increased level of immigration, intermarriages, and relocation of places. The increased level of integration between different cultures has therefore changed the kind of art that artists present these days and one presented before the current globalization set in the world. While investigating art in London, this essay will draw reference to the aspects of contemporary art in the London galleries and exhibitions. Currently, London art galleries exhibit different kinds of artistry designs representing the modern day life. The kind of art presented in the present day has significant differences with the art presented a few years ago, the trends in the art galleries show. The biggest contribution of this is the technological changes that have taken place in the recent times. Moreover, artists appear to blend life with their a rtistry skills, making the current art more real and engaging with the world. For instance, an artist can draw inspiration from the current world and use issues happening around such as the financial crisis, terrorism, effects of internet on the people, among others. There is more to explain through art in the current world than during the previous art periods. Since contemporary art is art of the present life, the more the numbers of activities taking place in the society, the more the number of artwork.... This also means that there are broader topics that artists can cover in their work. There is increased connectivity of people due to the global village model of the world. As a result, art becomes the best way to communicate the kind of activities taking place among people. Currently, it is possible to identify an artist with his work due to the consistency of their discussion topics. Therefore, the audience can identify an artist with their paintings. There is an increase in the specialization of artists in different topics that they address in their artwork (Gardner & Hallam 2011, p. 2). This has further contributed to an increase in the quality of pictures on exhibition. The previous artists had little to draw reference to and mostly, artists expressed cultural diversity in their work. Others explored the theme of love, some nature and others politics. At that time however, there were minimal changes in the world especially economically, socially, politically or technologically. H owever, these activities take place in the current day. Artists now have more scopes that they can draw reference to and inspire them. With this broadness, artists have now sought to specialize in the various categories they choose in their work. The creativity with which artists currently design and create their art works is amazing (Thorncroft 2002, p. 11). As the world changes, artists draw inspiration from different places, and through different issues. While initially there was no incorporation of color in art, currently, artists feel compelled to use color. This not only gives the paintings aesthetic features, but also makes them real. For instance, a black and white picture of a woman is not as appealing as a colored one. Additionally, contemporary art education

The Children of Hammerstein Essay Example | Topics and Well Written Essays - 1000 words

The Children of Hammerstein - Essay Example The three daughters were often grouped together and called the ‘von Hammerstein Sisters’ but the truth was that even though they had their fair share of similarities, they had their own personalities and lived different lives. The main thing they had in common was their stand against Nazism. Till the 1920s in Berlin – the years when they finally came of age – they socialized greatly be it the gymnasium, university, the social and/or political movements and so on. Once the political upheaval rose to great heights, all of them helped the victims in their own ways, not worried about the risk they were taking of their lives by opposing the Weimar Republic and later the Third Reich. Maria Luise was the oldest daughter of the five children. She opposed Hitler by joining the German Communist Party in the late 1920s. In fact, whenever her father departed from the house, she would take the opportunity to go through this safe in hopes of finding documents with import ant information on them. She even told the Soviet Union about Hitler’s political and military plans which he informed to his generals in his secret speech. This made her a traitor to her country but her father was not against it. It was during this time period also that she had a relationship with Werner Scholem but later he was shot dead. Maira Luise decided to remain in her homeland for the duration of the war. It was at some point in the 1950s that she changed her residence to the German Democratic Republic. The second daughter was Maria Theresa and she was quite an activist. She was less ideologically at risk than her sisters but she did empathize with left wing views, especially the educated middle class Jewry. She alerted the Jews if they were in danger of being deported or arrested by extracting the necessary information from her father. She would move the Jews and some Germans to Prague and helped many of the marked to hide. She also brought materials such as newspape rs to the Nazi community over there. Maria Theresa is lauded for saving innumerable Jews from extermination. She got married to a Jewish man in 1934. They travelled to Palestine but had to return and were cross examined a lot of times by the Gestapo. So, they went to exile in 1935 to Japan. Over there also, she was not safe but she managed to survive and had four children. After the war was over, they shifted to the United States of America. Helga von Hammerstein, like her eldest sister Maria Luise, was part of the German Communist Party. She helped out her sister in carrying out her parts. She had a relationship with one man called Leo Roth who lived a very dangerous live and was shot in a prison in 1936. Helga, along with her mother and youngest brother, was held in captivity by the Nazis for the duration of the last weeks of the War. They were first imprisoned at Buchenwald, then at Dachau, and then at South Tyrol. They were interrogated and asked the hiding place of her brotherà ¢â‚¬â„¢s but they did not break. She remained in Germany during the length of the war. After the end of the war, they were given freedom by the Allied Forces in 1945 when they liberated the camps. Franz von Hammerstein was the first son. He was excused from the duty of working for the army due to medical reasons. He was the brother who was imprisoned and questioned by the Gestapo along with Helga and his mother. Later, he was also freed with them by the Allies. After the war

City Development in Northen Virginia and Seoul Essay

City Development in Northen Virginia and Seoul - Essay Example If all the above are available and conveniently, located, then communities may live well. However, if houses are built in such a way that they are dispersed or in isolation, then chances are that local governments/ other stakeholders will have to spend huge sums on this. 2 Additionally, such poor city plans cause excessive consumption of fuel, wastage of time when getting from one point to another and limited productivity. Excess use of resources also aggravates the situation. When Cities or towns build their houses in distant locations, then tax payers will have to spend huge sums of their money in constructing access roads. However, Northern Virginia lacks some of these features. In Accomack County, a whooping eighty percent of the employees in the area work within it. Therefore, the remaining percentage has to travel to other destinations found outside it. On the other hand, thirty four percent of the workers in Prince William County work within it. The remaining workers have to go outside the county. This implies that almost seventy percent of workers in some other county have to move to another county when going to work. 3 The overall result of these changes is... Additionally, poorly built houses are more difficult to maintain because they require high costs per unit. These high costs are eventually transferred to the tax payer and he may find it difficult to ache out a living in such an area. Many administrators in Northern Virginia have made the mistake of assuming that further road construction will solve the problems however, this not necessarily true. The most viable option for Northern Virginia is introduction of smart building plans. If houses were built in convenient locations, there would be a lesser burden on the taxpayer because houses would be constructed in one area and there would be no need for excessive fuel use in transport. This also means that smart city development also prevents pollution since it will be minimizing carbon emission. 4 Northern Virginia has recorded high levels of sprawling houses because the local government has not bothered regulating private developments. This implies that houses are built haphazardly and it becomes increasingly difficult to manage their resource utility. Northern Virginia's buildings are also not functionally planned. For instance, constructions may be done in very fertile soils that are better sources of farmland. Additionally, where houses are concentrated, some of them do not have any form of buffer zones to a low fro differences in functionality. For example, a dairy farm and a town home are located near one another. Perhaps the biggest problem in Northern Virginia is the fact that the local authorities have minimal powers with regard to land use. Most of them lack the ability to plan houses in the Coty. Private developers have the ability to determine which parts will develop and which ones will not. The law specifically

Machiavelli Term Paper Example | Topics and Well Written Essays - 1000 words

Machiavelli - Term Paper Example Thus, the people who are motivated by fear rather than any instinct to oppose the prince’s insight are disposed to honor the ends of the ruler however he wishes to pursue his goals through his legitimate power whether by ideal or mischievous political design (Machiavelli). Apparently, it is most suitable to acknowledge that Machiavelli requires a type of leader who fulfils his selfish interest by an â€Å"invisible hand† of unintended consequences in which the citizens manage to gain their own advantage by the course of nature despite the prince’s real yet unknown intention of acquiring power to its absolute extent. On behalf of stable princely rule, hence, one may well justify how Machiavelli fits in a â€Å"Republican† status though such identity becomes modified as he exhibits the role of a tactician who believes that the greater majority ought to benefit according to the projected ends of state progress. Implicitly, though the prince has nothing to do with this yet he have prudence to show and if the people of the state were to obtain prosperity by coincidence, it should not be permitted to transpire always, only most of the time. In view of the proposition where â€Å"the ends justify the means†, Machiavelli likely points out that politics, no matter which paths are taken, good or evil, as maneuvred by the prince must yield to the stability of his government, or more specifically, the foundations upon which his powers rest. Anything or anyone that threatens such ultimate end form materializing the prince is expected to have as far removed from him as possible while in the process of maintaining and expanding the realms of his potentials and authorities altogether. At whatever cost, the deliberate goal of the means is to secure a political power for the prince to enable him to execute tasks toward the favor of satisfying his subsequent desires. The citizens, the ideals, and the rest

Curtis Keim's Mistaking Africa Essay Example | Topics and Well Written Essays - 1250 words

Curtis Keim's Mistaking Africa - Essay Example The west has propagated many myths and misconceptions about Africa over the years. Though some of these myths are negative and untrue, they have been strongly held and believed as true. These misconceptions are passed tot eh kinds from their young age. The media has not helped put things in perspective as they often portray an exaggerated dark side (Curtis 57). Many students and graduates as well have no idea that Africa is a continent consisting of 54 independent nations and not a single country. In fact, all countries in Africa consist of many ethnic groups, use different currencies, and have unique national flags and varying political systems among many other differences. Social economic circumstances are different in each country, with different regions having different economic activities and social processes. The difference is so huge that English and French are the major languages through which people from different regions can communicate to one another. News on leading telev ision channels often portrays Africa as chaotic, violent and dangerous. Scenes of child soldiers, pirates and kidnappers in the Indian Ocean, civil wars and massacres strongly reinforce the myth that Africa is indeed a dangerous place. What the media denies its audience is the calm and peaceful side of Africa. Rarely will countries like Ghana, Tanzania or Malawi, which are peaceful, feature on television. Whenever there is coverage on the continent, it will most likely be about civil war in Sudan, Somali pirates, the famous Rwanda genocide, post election violence in Kenya and Ivory Coast, revolution in North Africa and severe droughts in the horn of Africa. All these paint a picture of violence and great danger in the continent, a factor that contributes to entrenching of this myth from generation to generation. For a long time, nongovernmental organizations, faith based organizations and government agencies have engaged in mobilising resources to fund development projects, respond to emergencies and fight diseases and ignorance in Africa. This translates to a misconception that Africa is poor and diseases ridden. Whereas poverty is commonplace in Africa, the continent is not all poor. A closer look reveals that wealth distribution is the key problem. For instance, South Africa has a bigger GDP than some western countries, with many natural resources, good education and health care systems, organised business districts and ultramodern infrastructure. Unfortunately, poor sections of the society cannot access these facilities and are condemned to deplorable conditions in slum areas. In respect to diseases, poor sections across the continent bear the blunt of serious diseases like HIV/AIDS, tuberculosis, polio and malaria, since they cannot access primary health care. Similarly, many poor children only attain primary education, which is cheap, often lacking finances to proceed to high school and collages. Election periods are very chaotic in many countries across Africa. Corruption across many African countries is responsible for keeping some old guards in power for as long as they wish. However, many countries including South Africa, Zambia and Ghana among others have exercised democracy to the latter. Western and Asian countries with economic interests in countries with weak constitutions have in the past championed for status quo in order to retain tyrants who protect their interest. Audit reports indicate that high-level corruption in international agencies and nongovernmental organizations in Africa has deep involvement of the administrators of such funds, who are mostly western. This indicates that corruption is not just an African affair, but has a back up from many western societies. Both high school and

How surface area of vanes effect Essay Example for Free

How surface area of vanes effect Essay Hypothesis I predict that by increasing the surface area of the vanes on the wind vane, I will increase the air resistance therefore slowing the rate at which the weight will drop. Primary Work If a piece of paper and a marble are in free fall, they will fall at the same speed, so they should hit the ground at the same time. If you test this by just dropping a marble and a piece of paper you will find it is not true. This is because the objects are not in free fall. To be in free fall, gravity has to be the only force acting on the objects. When you just drop something, there is also air resistance. Air resistance is a type of fluid friction. Because friction acts in the opposite direction of the objects motion, air resistance of an object falling downward is an upward force. This is because a falling object is coming down, so the opposite direction is up. If air resistance were equal for every object, objects would still fall at the same rate. Since we know they do not fall at the same rate, we know air resistance is different for different objects. The amount of air resistance acting on an object depends on the objects surface area. If an object has a small surface area, it will have little air resistance. Because the piece of paper has a larger surface area than the marble, the marble will have less air resistance than the piece of paper and the paper will fall slower. This is what I expect to happen with a wind vane. As the wind vane turns, air resistance will act on each of the separate vanes. By increasing the surface area of the vanes, I will increase the air resistance therefore making the rate at which the weight drops slower, because there is more opposing force. Theory Newtons law of gravity and Galileos freefall theory state that objects of any mass will fall to the ground at the same time if in a complete vacuum i. e. space, if not in a complete vacuum i. e. earth, they will fall at different times because of air resistance (and weight). The air resistance depends on the surface area of the object, the larger the surface area, the more amount of air resistance. In the case of a wind vane, the objects dropping are the separate vanes. Plan Of Experiment I will drop a 15g weight from a piece of string; this string will be attached to an axel which is further attached to a wind vane. Firstly the string will be coiled around the axel then when let go, the weight will drop and the wind vane will turn to create opposing force. I will time the rate at which it falls. My dependant factor will be the time the weight takes to hit the table. My independent factor will be the surface area of the vanes. To ensure a fair test, my controls will be the distance from the table and the weight of the falling object. Apparatus   Stand Clamp 20g Weight 55cm of String   Axel   Cork With Equal Slits For Vanes   Card For Vanes   Stopwatch Method 1. I will set up the equipment as shown below. 2. I will cut out 6 vanes with a certain surface area and put them into their corresponding slits in the cork. 3. I will coil the string attached to the weight around the axel and then drop it. I will time the time it takes for the weight to hit the table and record my results. 4. I will repeat the experiment for accuracy of results Results Surface Area (cm) 1st Try (secs) 2nd Try (secs) Average (2. d. p) 3 1. 8 1. 6 1. 7 4 2. 4 2. 3 2. 35 5 3. 2 3. 4 3. 3 6 3. 9 3. 7 3. 8 7 4. 4 4. 3 4. 35 8 4. 7 4. 5 4. 6 9 5. 4 5. 7 5. 55 10 6. 3 6. 5 6. 4 Graph Of Averages = Line Of Best Fit Conclusion I have found that I was right in my hypothesis in thinking that the larger the surface area of the vanes on a wind vane, the more time it takes for a weight attached to it by means of an axel to fall. This was because, as stated in my theory and primary work, the surface area increased the amount of air resistance and this force opposed gravity which was pulling the weight down, therefore making it travel slower. This is shown in my graph as a positive correlation. Evaluation I had no major anomalous results, this was down to accurate measuring and because I kept my experiment fair. After doing this experiment I would like to be able to calculate the actual amount of air resistance created by a wind vane and see if there is any relationship between surface area and amount of air resistance.

Postcolonial Novel Essay Example for Free

Postcolonial Novel Essay To fully understand Chinua Achebe’s book Things Fall Apart, one must not fall for the idea that there is one main purpose for the novel. Simply stated the story is much too rich and complex for that. The themes of Okonkwo’s life, and the Ibo culture, are twofold: it is the relation of the conflict between an individual and society, and also the description of the conflict between the larger forces of cultures clashing. Support for this dual thesis is overwhelming. To begin with the text itself demands that interpretation. Things Fall Apart clearly begins with a focus directly aimed upon the main character of Okonkwo. It is going to revolve around his life. However, at the very same time, the protagonist is not mentioned even one time early on without being connected simultaneously with thoughts of both his home village and the larger culture of the Ibo people. This cannot be ignored. One could argue that rather than being a larger purpose book Things Fall Apart is just a novel of the life and growth of one man, but this is rather silly and simple. The title of the book puts one right on the path to refuting this, giving context to a larger meaning. It is clearly encouraging one to look at larger ‘things’ as opposed to a person. This is coupled with the basis for the title itself, quoted on the flyleaf: The Yeats’ poem The Second Coming: Turning and turning in a widening gyre The falcon cannot hear the falconer; Things fall apart; the center cannot hold; Mere anarchy is loosed upon the world. (Quoted in Things Fall Apart). Therefore given the context of a large chaotic world it would be more than naive to assume a different interpretation, that of a more concentrated work based upon an individual. To best prove the ambivalent statement of purpose about Achebe’s novel it is vital to review critical and popular commentary. This book has struck a highly resonant chord with readers in the fifty years since its first publication. It unabashedly describes an African culture in such a way that the power of the society is shown, and the power of the African individual is also demonstrated. Naturally, all minority groups and oppressed people can find inspiration within the pages. As a result, as may be expected, strong opinions have been catalogued as analysis over time. This paper reviews two such supports for each purpose stated in the thesis. The first part deals with the conflict between individuals and society. The primary source naturally is the book itself. Briefly paraphrased Okonkwo is a well known warrior. He is extremely self centered and important at the beginning of the novel. This has as its roots a severe cynicism regarding the life and experiences of his father Unoka. In a world where the society of Ibo is stronger than the individuals, this lack of respect seeps into Okonkwo’s world. The foible is too much and eventually pits him at odds with his society. Charles H. Rowell held a conversation regarding this aspect of Things Fall Apart with the author himself. What resulted was a fine understanding and awareness of this thesis through the words of Achebe. One example of his thought process and the workings of the story of Okonkwo on a personal level is this answer. â€Å"People are expecting from literature serious comment on their lives. They are not expecting frivolity† (250). Or as Rowell comments, the creation of Achebe’s stories such as Okonkwo’s are not made just to entertain. They are to connect with readers about their own experiences and then instruct them from there. Rowell’s interview shows an awareness of the importance of the social story. His questions aim to reveal this oft overlooked aspect of writings such as Things Fall Apart. It is tempting, he relates to merely dismiss (if this is even fair wording) the book as commenting only on the larger theme of Ibo society and what happens when an established social realm is invaded by foreigners. Instead he and Achebe through the discussion point to the power of a narrative surrounding the conflict that one can have on a smaller, more concentrated level: the conflict that occurs when one runs counter to their own society’s expectations. When Okonkwo becomes too heavily involved on a personal level with the sacrifice of the neighboring Mbaino culture, he runs into direct opposition to the world directly around him. That and his character traits create early conflict and show to the world a story based upon that – an important revelation to readers across the spectrum that may find themselves sometimes in this predicament. The biography of Achebe by Ezenwa-Ohaeto reveals this purpose to be true as well. And this comes from a treatment of just where Achebe was in his own personal life and the moods and hopes that he possessed while writing the book. He was working as a controller at the time in Eastern Region when he first began attempting to introduce Things Fall Apart to the publishing world. At this time, he ran into the sort of direct conflict with his own society, ironically, that he would develop in the story of Okonkwo. There was great objection to a book about Africans by Africans at the time. The 1950s were not exactly a compassionate moment for the words of Africans. Independence was on the horizon for many countries, but there was also a great deal of fear. This desire of many to not rock the boat, so to speak, put those who would speak out in a path of intersection with their own society (65). This only encouraged Achebe to produce a vision of that for his protagonist. There must be the strong character trait in one that wishes to change his social culture for the better, he reflects in his novel. The experience of Okonkwo is the experience of an individual in conflict with his society and the results that may come, unexpected or not, from that. The second section concerns itself with the conflict inherent when two cultures clash. This is the broader perspective, necessarily, compared to the experience of the individual. This also is the more basic and popular understanding of the novel. It is very easy to see all of the reasons why. Again, a look at the primary source of the novel is the starting point for any discussion. Commentary on the book will never quite serve the reader as well as the book itself. And what does it indicate? Most of the second section of the story is examining what happened to the Ibo people and their culture when the white culture insidiously worked their way into it. It broke the home culture into pieces. Things did, indeed fall apart. Consider this quote directly from the book: If we fight the stranger we shall hit our brothers and perhaps shed the book of a clansman. But we must do it. Our fathers never dreamed of such a thing, they never killed their brothers. But a white man never came to them. So we must do what our fathers would never have done. (Achebe 203). There is no better analysis of this second theme of Achebe’s work. Two cultures clash. Chaos results. And yet that is only the superficial layer of the problem, as this quote clearly shows. The problem that occurs when cultures come into contact and then conflict with each other is the assimilation effect. There will always be faction that fall prey to the invaders and their attractive ideas. Sometimes that is enough for them to forget the values of their peoples. This conflict then with their own home society can cause open resentment and actual warfare. Then the culture falls into shambles even worse as shared societal values are discarded. In the end there are not only two social cultures left: the home and the invaders. There are three: the home culture, the invaders, and the home culture that is infected by the invaders. None of them are true allies and only further conflict can be expected. Chapter three of John Ball’s book Satire and the Postcolonial Novel (79-114) examines this issue and the breakdown that results from it. He takes the even larger view that is used often as well when looking at the clashing of the Ibo with the whites that have come into their world. He reviews this setting of Things Fall Apart to be a criticism and revelation of the greater issues of colonialism in Africa (and other parts of the world, for that matter) as seen through one African author’s eyes. Rather than look too thoroughly at the early parts of the novel, he focuses rather on the part of the book in which the two cultures come into contact. This is the point of departure for this second theme. It is accurate to say that most of the pages from that spot and onward deal with this cultural clashing issue. I think, too, that it is accurate that this does work as a satire. That is to say that I fully believe that Achebe is trying to achieve this effect. Only too well did he personally understand what happens when two completely variant cultures meet. His hope and the hope of the Africans around him was that if treated peacefully, the foreign culture would come in and only benefit them, but he also saw the harsher side of the realities. This is how Things Fall Apart deals with the situation. Ball is not the only one who could see this expression in the novel and in other works by Achebe. It is a strong defense of the idea that one of the two main themes of the book is that of what happens when two cultures clash. A final proof would use is Isidore Okpewho’s commentary on Achebe in Chinua Achebe’s Things Fall Apart: A Casebook. She sees too this problem with assimilation, cultural conflict and resultant expectations. These are all the values and stories of Things Fall Apart. Seen from the outside she has several comments and thoughts about how these topics are addressed by connecting them to the outside world at the time of the writing. She describes the authorship of this book as being a â€Å"succession of forces controlling his [Achebe’s] development as a writer† (5). This is a great assessment. It sets the stage for understanding the direction of his landmark work Things Fall Apart. It is indeed this stage that the book concerns itself with. There is a succession of forces, to use Okpewho’s words, that are acting upon the Ibo culture. These control the development of the world of that African region and create mass conflict between the two cultures. The assimilation effects, she continues, were strongest in the Ibo part of the world. This is accurately reflected, too, in the sinister ways in which the foreigners crept in with their influences. That is the warning cry of Okonkwo with the text. He sees that the policy of indirect rule is only designed to place one group of people into opposition with another group of their own people. This splinters and fragments the strength of the initial cultures. It created enemies where there weren’t any other, as reflected in the quote concerning the killing of brethren, used above. This was the white way. It is no surprise then, that this theme would find its way so strongly into Things Fall Apart. The topic is addressed as a cautionary tale. Achebe had already seen this happen in his own world. He saw the sad results. He knew how destructive the penetration of home cultures could be. All of these can be found in Part Three of the book. â€Å"It is already too late,† said Obierika sadly. â€Å"Our own men and our sons have joined the ranks of the stranger. They have joined his religion and they help to uphold his government† (176). It is the despondent tone of the theme describing the clash of cultures. All of the above commentary from several sources, combined with a close and analytical reading of Chinua Achebe’s Things Fall Apart reveals the thesis to be strongly supported. Of the novel’s purpose, two things then are true: it aim to relate an expression of conflict between an individual and society, while concurrently exploring the description of conflicts resulting from the larger forces of cultures clashing. References Achebe, Chinua. Things Fall Apart. New York: Anchor Books, 1994. Print. Ball, John C. Satire the Postcolonial Novel: V. S. Naipaul, Chinua Achebe, Salman Rushdie. New York: Routledge, 2003. 79-114. Print. Ohaeto, Ezenwa. Chinua Achebe: A Biography. Oxford: James Currey, 1997. Print. Okpewho, Isidore, Ed. Chinua Achebe’s Things Fall Apart: A Casebook. Oxford: UP, 2003. Print. Rowell, Charles H. â€Å"An Interview with Chinua Achebe. † Chinua Achebe’s Things Fall Apart: A Casebook. Ed. Isidore Okpewho. Oxford: UP, 2003. 249-272. Print. Conversations with Chinua Achebe. Ed. Bernth Lindfors. Jackson, MS: UP, 1997. Print.

Role of Triage in Emergency Care

Role of Triage in Emergency Care OVERVIEW There is a consensus on the fact that there has been a significant increase in traffic to emergency rooms which has resulted in rapidly growing demand on the limited resources of emergency rooms worldwide. In 1980, there were more than 82 million visit to hospital Emergency rooms in the USA, and a large percentage were for non urgent medical conditions. One reason for this trend is that people know they can get medical attention immediately in the Emergency departments without the long wait for appointments. This has led to very high load of patients visit to emergency rooms; a pattern that holds true globally for non urgent patient visits to most pediatric emergency rooms ( Wilson FO etal ). Another reason given for overcrowding is the increase rural to urban migration of populations and also the increase in the standard of care provided in most emergency room. However, the resulting increase in demand for emergency medical care has not been matched by availability of resources in most healthcare systems and hence there is need for emergency room managers to adopt or develop tools and protocols to prioritize the urgency and acuity of conditions to allocate appropriate level of care. If this is not done, then there is a likelihood that very ill patients may end up waiting long hours with increased risk of morbidity and some may even die as a result of delay in life saving treatment or interventions. (Mirjam van veen and Harriette a Moll) DEFINITION Triage as a term actually originates from the French verb ‘trier’, which translates ‘to sort’. It was originally used by the military as a concept to deal with large number of casualties managed by very few human and material resources. The decision is made to prioritize who had the best chance of survival, and what level of care for the survivors (LE Slay,WG Rislan ) In the last 20 years, this concept has become applicable in response to the increasing traffic to the emergency rooms and several tools have been developed to assess, prioritize and sort patients coming to the emergency department according to a determined severity of illness or injury, the level of suffering, the likely prognosis and need for intervention with available resources. It must be clarified, that triage in itself is not a diagnostic tool but a systematically structured and methodical way of assessing the severity of patients conditions to determine their clinical priorities using their presenting symptoms and measurable physiological parameters and it aims to optimize the provision of emergency care efficiently to produce the best outcome for every patient by channeling patients to appropriate level and quality of care. Hence the factors that are considered are severity of illness, level of urgency and impact of life saving intervention to reduce mortality, as well as level of care needed baring limited resources. These factors can be measured objectively using mortality rate, number of admissions to critical care unit and wards as well as patients referred to low urgency care services. The development of different assessment scoring systems and other pediatric-specific scales were attempts to have an objective approach to the assessment of severity acuity and to help predict illness or injury outcomes in children. Hence the Pediatric Glasgow Coma Scale, the Yale Observation Scale, the Pediatric Trauma Score, the PRISM score (Pediatric Risk of Mortality score), different pain scales and various respiratory severity scoring systems were all attempts to provide common nomenclature and standardize the assessment of severity of sickness and to predict prognosis in the pediatric age group. However in practice the emergency room triage nurse needs a comprehensive, simple and efficient acuity stratificaton of the severity, to make rapid and effective decisions(Dieckmann, 2002). These led to development of various decision making tools or triage scales. Gerber Zimmerman and McNair had tried to described triage as simply a rating of patients clinical urgency, that eventually evolved into 2 levels of urgent, and non urgent. Triage scales are hence developed with the aim to rapidly identify very urgent cases requiring immediate or urgent life saving treatment, or efficiently direct them to appropriate level of care, and the variations of triage scales are due to functional differences in service provision as well as availability of resources. Though there is no fail proof scale of stratification because invariably cultural adaptations, level of sophistication of data collection, personal and environmental factors do influence every measurement tool. (Christ et al 2010 as per Azeredo et al) Fittzgerald in his doctoral thesis in 1989, showed it is actually a far more complex decision making tool using defined criteria to classify patients as either a simple 3, 4 or 5 level urgency scale, pioneering the objective distinction of the earlier urgency scales(Fitzgerald GT. Emergency department triage. Department of Medicine. Queensland, Australia: University of Queensland, 1989.) TRIAGE IN CHILDREN Laskowski-Jones and Salati (2000) had strongly elucidated that children should not be seen as little adults and must not be treated as such by healthcare professionals. This is because of obvious anatomical, physiological, as well as emotional and intellectual differences between children and adults which directly alter the presentation of this group of patients in the emergency department[Laskowski-Jones]. This makes it inapplicable to use adult triage criteria for children of pediatric age due to unique clinic-pathological characteristics that creates the potential for sudden and rapid deterioration when children present to the Emergency department, creating an absolute necesity for very accurate focused triage. There are evidence that in mixed emergency departments, adults tend to ‘be seen earlier than equally ill children resulting in unacceptable waiting times for very ill children, therefore again creating a need for specific pediatric triage scales.(Cain P, Waldrop RD, Jones J; improved pediatric patient flow in a general emergency department by altering triage criteria. Acad Emerg Med 3:65-71, 1996) The UKs Manchester Triage Systems MTS, the USAs Emergency Severity Index ESI, the Canadian Triage and Acuity Scale CTAS, and the Australian(National ) Triage Scale, the most widely used triage scales and by consensus the most studied were all eventually modified to contain specific parts for children, are all also made of five level of triage urgencies (van Veen and Moll) It is important to note that none of them had been developed ‘de novo’ specifically for the pediatric age group. The initial three-level systems which predominated in the United States typically used either levels 1, 2, and 3 or emergent–urgent–nonurgent classification assignments. These methods are driven by the underlying question, ‘‘How long can patients wait?’’ When evaluated, these three-level methods had been found to be highly unreliable and have been criticized because they lack validation with clinical outcomes. (Travers DA, Waller AE, Bowling JM, Flowers D,) The 5-level scales provided a better discriminated tool for pediatric patient triage in emergency department, which was shown to be more efficient in predicting resources utilizations including hospital admissions, length of stay, and resourse utilization.(Chang, Hsu) Though 5-level scales are similar to the adults, but they have pediatric clinic-pathological parameters. Level 1 is critical, level 2 is emergent, level 3 is urgent, level 4 is non-urgent and level 5 is fast track.(O’Neil KA, Molczan K: Pediatric triage: a tier, 5-level system in the United States. Pediatr Emerg Care 19:285-290, 2003) The MTS is a five-level scale that incorporates the UK National Triage Scale. It was developed in 1996 and then revised ten years later after thorough input by various experts.(Mackway-Jones et al 2006). Though it was designed predominantly for adults, the MTS eventually adapted six flow charts that relate specifically to children and hence in 2007 it became endorsed by the Royal College of Pediatrics and Child Health. WHAT IS ALREADY KNOWN? What is already established is that the true functional capability of an effective triage system is determined by their reliability and validity. Reliability is measured as both inter rater reliability which is a measure of the agreement between two or more separate individuals using the same scale. It is an affirmation that the agreement is beyond that presented by chance, and this can be statistically determined and analyzed using Cohen’s kappa k. Where K is equal to 1 if the raters are in perfect agreement, and K is equal to 0 if their agreement is absolutely by chance. So k is rated from 0.1-0.9 ( as poor to excellent agreement). Intra rater reliability measures the agreement of one triage rater agreeing on the same level of urgency when two different cases of same scenario present on separate occasions. Validity is a determination that a conclusion of a true urgency is in fact the true value for every clinical presentation. Whereas internal validity measures of the ability of the triage system to predict this true urgency within a system, external validity measures its reproducibility in a different setting. Hence experts agree that any triage has to have these characteristics to be seen as a legitimate tool of assessment and to perform as intended [Fernandez C]. It is also known that the four major triage scales, the MTS, ESI, CTAS, and ATS have been studied and validated for both internal validity and reliability in adults and have been used in ED triage by different health institutions. Some studies reported that the MTS and the Pediatric-CTAS both seem to be valid and reliable to triage children in pediatric emergency care. (Ma, Gafni and Goldman)This has been confirmed by van Veen and Moll in another review in 2009. The CTAS enables rapid stratification of patients at the time of first encounter based on 5 levels of urgency (risk and symptom severity). Each level has a targeted waiting period until the patient is examined by the doctor or to be reassessed again in the triage area to consider the possibility of waiting longer or to be seen immediately by the physician. The standards recommended by CTAS is that waiting time is 0 minutes for level 1, 15 minutes for level 2, 30 minutes for level 3, 60 minutes for level 4, and 120 minutes for level 5. (Murray M, Bullard M, Grafstein E; CTAS National Working Group; CEDIS National Working Group. Revisions to the Canadian Emergency Department Triage and Acuity Scale implementation guidelines. CJEM 2004, 6: 421-427.)

Thomas Paine and Common Sense :: essays research papers

Common Sense Published anonymously by Thomas Paine in January of 1776, Common Sense was an instant best-seller, both in the colonies and in Europe. It went through several editions in Philadelphia, and was republished in all parts of United America. Because of it, Paine became internationally famous. "A Covenanted People" called Common Sense "by far the most influential tract of the American Revolution....it remains one of the most brilliant pamphlets ever written in the English language." Paine's political pamphlet brought the rising revolutionary feeling into sharp focus by placing blame for the suffering of the colonies directly on the reigning British monarch, George III. First and foremost, Common Sense advocated an immediate declaration of independence, putting forward a special moral duty of America to the rest of the world. Not long after publication, the spirit of Paine's argument found importance in the American Declaration of Independence. Written at t he beginning of the Revolution, Common Sense became the leaven for the ferment of the times. It stirred the colonists to strengthen their resolve, resulting in the first successful anticolonial action in modern history. Little did Paine realize that his writings would set fire to a movement that had seldom if ever been worked out in the Old World: sovereignty of the people and written constitutions, together with effective checks and balances in government. Paine has been described as a professional radical and a revolutionary propagandist without peer. Born in England, he was dismissed as an excise officer while lobbying for higher wages. Impressed by Paine, Benjamin Franklin sponsored Paine's emigration to America in 1774. In Philadelphia Paine became a journalist and essayist, contributing articles on all subjects to The Pennsylvania Magazine.

Lawsuits and the End of Sanity in America :: Exploratory Essays

Lawsuits and the End of Sanity in America Not having experienced much of the past is a mixed blessing. What's grotesque, shocking and unheard of to older Americans might seem normal, perhaps just a bit curious, to younger Americans. For example, last year New Orleans Mayor Marc Morial brought suit against gun manufacturers to recover carnage costs in his city. This January, Philadelphia Mayor Ed Rendell met with his advisors to consider whether the City should sue gun manufacturers for creating a public nuisance since guns were used in Philadelphia's 400-plus homicides. The City would seek to recover the cost of everything from cleaning up after bloody murders to the costs of court and social workers for victims. Mayor Rendell's imagination has also led him to discover a new liability for tobacco companies: since some of Philadelphia's fires have careless smoking as their origin, why not sue tobacco companies to recover the city's fire losses? Decades ago anyone suggesting bringing lawsuits against gun manufacturers for homicides, or tobacco companies for fires caused by careless smoking would have been considered a prime candidate for a lunatic asylum. If one generalizes from the lawsuits brought against gun manufacturers because people use their product to commit murder and mayhem, and against tobacco companies for smoking illnesses and fires caused by careless smoking, he would conclude that people are not to be held responsible for anything they do. It is the inanimate object, while incapable of acting, that is responsible. That is, a gun is responsible for murder, not the gun's user. A cigarette is responsible for a fire, not the careless smoker. That being the case, it "logically" follows that manufacturers of the offending inanimate object are culpable. After all had the manufacture not produced the gun or cigarette there would be fewer homicides, smoking-related illnesses and fires caused by careless smoking. This it's-not-my-fault principle could be broadened to include just about anything. If a scantily clad young lady is prancing along the street, distracts my attention, and I have an automobile collision, the it's-not-my-fault principle would hold the young lady liable for my accident. But she might make the case that it is the manufacturer of her mini-skirt who is really liable. If we Americans were to carry the it's-not-my-fault principle to its logical conclusion, we would virtually guarantee poverty. There would be little production. Why should I manufacture irons if I could be held liable for anything a person might do with the iron, including assault or leaving the iron unattended thereby causing a fire.

Parkinson’s Disease Essays -- Health, Diseases

Parkinson’s disease (PD) is one of the most common neurodegenerative disorders and is classified as a movement disorder with the presence of the motor symptoms bradykinesia, tremor and rigidity. The literature on the management of PD motor symptoms focuses extensively on the medical treatment and outlines the vast advancements that drug therapy has seen over the past 40 years. There are beneficial outcomes of medicinal therapy on the treatment of motor symptoms; however, extensive research also finds there is a wearing off effect as well as potential for motor and nonmotor side effects. As the pharmacological research continues their search for the ideal medical treatment model, awareness of the psychosocial symptoms and the potential burden on caregivers has also achieved much attention in the last few decades. The increasing interest in the psychosocial characteristics of the disease appears to stem from the evolving scientific knowledge of the disease and its lack of a cure. Compounding the sequelae of PD, nonmotor challenges are sometimes unrelated to the common progression of PD and dopamine deficiency. Clinical diagnosis of PD is often confounded by the psychosocial realm of the patients daily functioning and the impact it has on the care and treatment of patients. This paper summarizes the literature of PD from a psychosocial perspective. The first chapter reviews the intrinsic psychosocial symptoms of PD and how they may or may not be influenced by dopamine neurotransmitters. The second chapter examines the side effects of three commonly prescribed medications used to treat PD. The last chapter focuses on implications the disease has on the caregiver’s own personal well-being. Introduction: Parkinson’s Dise... ... cognitive, dementia, levodopa, MAO-B inhibitors, dopamine agonist + side/adverse effects and caregiver/burden/distress. All searches were limited to English language and the years 2000 - 2010. I also referred to reference lists found in articles deemed relevant to the research project. A few reviews were outside the limits of the year restriction but were included as they added to the scope of this paper. The abstracts were reviewed and deemed to be relevant for the inclusion in this literature search based on its focus and relevancy to the topics outlined in this paper. My initial search yielded over 1000 hits from the various literature databases for this paper, of which 61 were included in this review. Those that were excluded were duplicate hits found in the various databases or had a focus on an unrelated subject matter after a review of the abstract.

Women Empowerment in Bangladesh

Women Empowerment in Bangladesh Introduction: Women’s empowerment is defined as â€Å"women’s ability to make strategic life choices where that ability had beenpreviously denied them† (Kabeer 1999). Women empowerment now is often accredited as an important aim of international development policies, and many donor agencies include women’s empowerment in their development strategies.Although empowerment is often conceptualized as a process (Cueva Beteta 2006; Kabeer 2001; Malhotra and Schuler 2005), most quantitative studies have been cross-sectional, comparing individual women with others in their communities or societies(Malhotra and Schuler 2005). In the development of indicators it is usually implicitly assumed that higher levels of empowerment represent a change from a pre-existing situation in which women have more limited power, influence, freedom, or autonomy; but such changes have rarely been measured using a common set of indicators.Such studies ca n be valuable for cross national comparisons (UNDP 1995; Ibrahim and Alkire 2007) and for documenting change over time, particularly at the macro- or meso- levels, but I would argue that the meanings and salience of empowerment indicators are likely to evolve over time both in developing interventions to foster women’s empowerment and in documenting empowerment processes.A woman's level of empowerment is defined here as a function of her relative physical mobility, economic security, ability to make various purchases on her own, freedom from domination and violence within her family, political and legal awareness, and participation in public protests and political campaigning(Sidney Ruth Schuler and Syed M. Hashemi,1994). Women empowerment in Bangladesh means giving women of the country the power to rule and govern their own lives, away from traditional and social constraints. The women empowerment movement in Bangladesh focuses on giving women the power and authority they ne ed to be men’s equals.The structures of sub ordinance that have keep women in the dark for so long must be eliminated. Women must have intellectual resources that can be acquired through good education and material resources that can be accumulated with the help of a solid job. Women in Bangladesh work in rural areas and do most of the manufacturing labor as well as most of the harvesting. This traditional practice needs to stop. The violence against women must also stop. Women need to gain a lot more power over their decision making process. They should not be seen as fertility machines that have only the goal of reproducing.Most of the violence against women that takes place in Bangladesh is located in urban and rural households. Violence against women is an old, patriarch practice that focuses on establishing the balance of power in the family. The system of early marriage for girls is also a cause for violence against women because little girls are forced into new familie s from an early age. There, they have to work like adults. Bangladesh is a society that perpetrates the myth of the mother as a divine creature. Women who do not get pregnant are considered inferior because they can’t bear children.This is a male tradition that limits the mobility of women all over the country. Global NGO’s that are working towards helping women get empowered in Bangladesh are still facing difficulties because Bangladesh is a closed society which allows very few changes. In Bangladesh, gender inequalities are a social construction that can be eliminated with time. History of Women Empowerment: Bangladesh accomplished independence from Pakistan’s economic exploitation, political and cultural suppression in 1971after a long period straggle.Though the country has homogeneous culture, language, and social norm, but social hierarchy is divided by the gender, especially women, and classes of the society. Post-independence (i. e. after 1971), womenâ₠¬â„¢s organisations focused on a broad range of issues such as political empowerment, economic equality, legal reforms of customary and gender biased laws, violence against women, reproductive rights, etc. (Jahan 1995; Kabeer 1989). Then women are involved themselves in variety economic, household and nonproductive activities that always remains them under reported.The real unexpected truth is that this types of work women always overlooked by women themselves. The main important thing is that women are the major forces behind the development of today’s civilization for extending their contribution without earning in the economic, political, social and cultural process of the modern civilization. However, women's work always remains under reported; especially women’s non? market homestead based economic activities. Theoretical perspective of the study: Credible documentation of women’s participation in economic activities is problematic particularly for women be longing to farm households.Several theoretical frameworks have been on board to explain issues surrounding women’s work and the sexual division of labor. Marxists have distinguished between productive and reproductive labor, economists have conceptualized the difference between market production and subsistence production and between wage and non-wage labor, and sociologists have drawn a line between work at home and outside home (Ferber 1982; Sachs 1988). Neoclassical economic tradition emphasized the activities undertaken to meet the demand of the markets. On that count, women’s work outside labor market has often been overlooked and excluded from economic analyses.In recent years, empirical research have tried to document the extent of women’s participation in specific responsibilities, and their contribution to GDP, economic growth, household management, education, health & politics, but the argument regarding the complication of women’s task and the interconnectedness between different types of functions remains. This paper presents some empirical evidences of recent changes in women roles in socio-economic activities, and impact of women’s participation on their empowerment and the socio-economic conditions of the household.A recent study on Bangladeshi women’s empowerment presents that the theoretical issues related to the measurement of women's empowerment, and describes findings from a recent study in the villages exploring the current salience of indicators developed fora 1992 survey. The paper mainly focus on the types of social, economic, and political change that affect the measurement of women’s empowerment; propose and explain a new set of indicators for the rural Bangladesh setting; and discuss implications for measuring women's empowerment in other settings. Sidney Ruth Schuler, Farzana Islam, and Elisabeth Rottach,2011) Another study of UNDP on women empowerment also addresses the conceptua l and methodological issues related to women’s empowerment, the trends in women’s empowerment over the last 20 years in key areas such as education, health, economic and political participation, and finally the best practices of state and non-state actors in empowering women. The trends in women’s empowerment over the past 20 years show that hile there have been gains in primary and secondary education, in political representation at the national level, and in waged labor, and a decline in fertility and maternal mortality, violence against women and HIV/AIDS continue to be endemic and these trends vary across regions and within countries urban and rural poor, ethnic minorities, and older and disabled women fare worse on all indicators with the current economic crisis reversing many gains ( Manisha,2010).Statement of the problem Are new articulations or pathways to women’s empowerment emerging as a result of these changes? What are the emerging pathways? T his article is concerned with the question of women’s empowerment where empowerment is conceptualized in terms of multidimensional processes of change rather than some final destination.These processes touch on many aspects of women’s lives, both personal and public: their sense of self-worth and social identity; their willingness and ability to question their subordinate status in society; their capacity to exercise strategic control over their own lives and to negotiate better terms in their relationships with others; and finally, their ability to participate on equal terms with men in reshaping society to better accord with their vision of social justice.Each of these changes is important in itself, but it is through their mutual interactions that the empowerment of individual women is most likely to translate into broader struggles for gender justice and social transformation. The pathways through which processes of empowerment occur are neither predetermined nor r andom. They occur within specific contexts and are shaped by them. In particular, they are shaped by the gender-related structures of constraint which prevail in a given context.Since these structures influence the pace, substance and direction of social change, as well as defining areas of ‘inertness’, pathways of empowerment are generally characterized by a certain degree of path dependence. They carry the imprint of the societies in which they occur. Significance of the study The socio-cultural situation and family structure of our country remains unchanged for centuries. Peoples belief and understanding have not changed despite of modernization and ongoing changes all around. Their life style still follows the pattern that has been followed by their ancestors for thousands of years.As women become economically productive, their spheres of influence increase. Evidence from Demographic and Health Surveys suggests that in some developing countries much of the impact of women’s overall decision making power is concentrated at the community level. Across the developing world, studies show that women’s participation in community initiatives can have long lasting benefits for women. Considering this view, this study was aimed to assess the women decision making power or empowerment in the household issues. The findings of the study would help inEmpowerment as delegation of power to someone has been a mechanism to increase personal and work life quality of woman in recent decades. Higher education and occupation is effective instrument to empowerment of women but culture role can't be denied in this relation. Social norms can directly or indirectly limited women empowerment. In this article the role of higher education and occupation in psychological empowerment of women in Tehran has been quested. Current research is a descriptive-practical research. Education and occupation were independent variable and empowerment was dependent variab le.Random sampling was used and 600 questioners were completed by women in Tehran city. To determine validity of scale we took advantages of construct validity and factor analysis. The reliability index of Cronbach's alpha was 0. 8945 and spearman correlation and structural equations model was used for statistical analysis. Results of research indicate th Objective of the study The aim of this article is to explore how processes of women’s empowerment and broader struggles for gender justice have played out in the specific context of Bangladesh.By drawing on women’s own accounts of these changes, it seeks to provide insights into what empowerment might mean in this particular context. There is no exact equivalent for the concept of empowerment in the local language. However, when women talk about forms of change in their lives that they value, and when these changes undermine the prevailing structures of patriarchy in some way, they are providing us with their own high ly articulate narratives of empowerment, ones that are grounded in their local realities and everyday lives. Scope of the study The structure of the article is as follows.The first section explores the gendered structures of constraint in the Bangladesh context, both to understand what gives these structures their resilience as well as to theorize about how they might shape the possible pathways of change. The second section documents the changing nature of state and society in Bangladesh. This includes a number of positive changes in women’s lives, including processes of individual empowerment, but as the paper notes, there is little evidence to suggest that these changes have enabled women from poor rural households to articulate and act on their vision of social justice.One exception to this generalization suggested by the author’s field research are women’s groups organized by development NGOs committed to social change. It is the experiences of this subset of women that inform the analysis in this article. The third section then examines the impact of the strategies adopted by these organizations on women’s capabilities as defined by their material position, their cognitive capacity and their relationships with others, while the fourth section explores how they have used their enhanced capabilities to take collective action against gender injustice.The concluding section draws out the theoretical implications of these findings. It suggests that the analysis of women’s strategies for dealing with various manifestations of injustice in their lives provides important insights into the values and motivations which shape their efforts to navigate change in different domains of their lives. It notes that there are injustices which they are prepared to deal with through open confrontation but others where they seek compromise and conciliation.This caution on their part testifies to the uneven pace of change in the wider structu res of constraint and the risks associated with the pursuit of autonomy. Finally, it highlights some government best practices such as quotas, cash transfer programs, gender budgeting, and community based micro enterprises, some movement practices, i. e. , local women run community based programs to combat violence and HIV/AIDS and transnational exchanges, unions campaigns such as Decent Work for Women and corporate practices such as gender equality seals and corporate social responsibility. References: . Manisha Desai, Hope in Hard Times1: Women’sEmpowerment and Human Development. 2. Women’s empowerment revisited: a case study from BangladeshSidney Ruth Schuler, Farzana Islam, and Elisabeth RottachSidney Ruth Schuler: [email  protected] org; Farzana Islam: [email  protected] co. uk; Elisabeth Rottach: 3. IMPACT Model of Women’s Empowerment, 2010. 4. Nature and Impact of Women’s Participation in Economic Activities in Rural Bangladesh: Insights from H ousehold Surveys, 2004. 5. Mobilizing for Women’s Rights and The Role of Resources: Synthesis Report – Bangladesh (February 2011).

Human Relations in Management Essay

W. L. Gore & Associates The goal of human relations is â€Å"to create a win-win situation by satisfying employee needs while achieving organizational objectives.† (Lussier, 2013). They do this by not operating the way normal companies do. No one in the company has a title and promotions are given based on who the employees agree thinks they deserve it. While this is something I’ve never heard of I can see it working, you have to have a good workplace in order for something like this to be successful. Another thing that they have is sponsors who I think is something all jobs should offer. Once a person is finished being trained they are left to learn the small thing which can be overwhelming when left alone. Having someone who has been there and can help you through those moments and can relate to problems you may have done the job. With the systems effect all the people of the company are somehow affected by at least one person in the group (Lussier, 2013). You can see this in their sponsors, when one person gets a new role in the company they gain a new sponsor. This affects multiple people because as you’re promoted on the job you get more sponsors and the role of that sponsors is to be there to help guide the employee on the job. At some point everyone will be a sponsor to more than one person and they can use the things that they learned from their sponsor to help the person they’ve been assigned to sponsor. The Hawthorne effect believes that an employee’s performance would increase if they were given special attention (Lussier, 2013). Working for W.L. Gore & Associates there doesn’t seem to be anyone who will micromanage you to make sure you’re doing your job, there is no one to tell you good job after every task is competed. You are self-managed and you work on your own to get the job done. While this may seem like a terrible working environment to other’s it doesn’t to me. I don’t think a person has to be given any special attention to want to increase their job performance; they should work to do so because they love their job and want the company to be successful. In order to be an effective sponsor you have to be able to follow all ten of the guidelines of human relations. You have to be positive and willing to listen to people; the person you’re sponsoring is going to be depending on you to help them when they are facing problems on the job. If you aren’t willing to go out of your way to help other and show that you’re truly show that you are interested in helping them become better on the job. I think the most important one of the ten is having a sense of humor, while it’s important to get the job done there is nothing wrong with having fun while do so. A good sponsor will try to find a way to truly help you enjoy what you do for a living, References Lussier, R.N. (2013). Human relations in organizations: Applications and skill building (9th ed). New York: McGraw-Hill.

On The Last Days of My Life Essay

On The Last Days of My Life The Fantasy of My Life On the last days of my life, I want to thank God for everything, for taking care of my family and for my own safety as well. I know every second of our lives are so significant, so I want to make memories be unforgettable. Not every moment I’m here for my beloved family but towards my weaknesses, they still there for me and always encouraging me to stand and never say ‘’no’’. I want to thank them for giving their lots of love and care even sometimes I lose hope, they are diligent enough in explaining that life goes on whatever may happen at least I did my better than best. I also want to spend the last days of my life to those people who are very close to my heart, my gloomy friends. I want to make a big sacrifice for them and that is to see that they are happy and contented enough for what God that has given to them. I want them to be still complete even my entire presence will not be able to be there. And that is what I want for my family to be happen as well. The third is to my special someone who deserves to change and improve my entire life. I want him to be with me on the last day of my life, enjoy the last hour while singing our favorite theme song and experience the last kiss on the last minute if my life. I want him to be happy so on the last second of my life, I’m giving his freedom to love another woman who will be able to continue my love and care to him. And God will be my arms in finding the fantasy of Heaven.. :†) By: Jelin.. 11.08.11

Protecting the Scenic Beauty of Wildlife

Protecting the Scenic Beauty of Wildlife By Jeramy Buckman CM220 Unit 9 Final Project 7/17/12 I want everyone to close your eyes and picture yourself in the Rocky Mountains with your children hiking up a trail to your favorite camping site next to a hidden lake. While walking down the trail you are looking around looking for animals prints to show your children. You are excited to show your children some of the beautiful wildlife that you got to see when you where their age when your parents did this for you.As you and your children are walking you start to realize that you are not really seeing any wildlife that should be very abundant in this area. You also are noticing that there are not as many wild flowers and plants that were also here. You finally realize that you will not be able to give your children the wonderful memories that you received as a child. As you may have realized that this is a problem that we are starting to see and face today. Many times animals become extinc t causing changes to the scientific life cycle, environment, scenic sights, food sources and many others.This has a drastic affect not only one our habitat and environment but can and will also affect us as humans. We as people can prevent and preserve this beauty for future generations all we have to do is understand the problem and take action. We need to educate ourselves and our children of the importance of animals and how to protect them. We need to understand what happens when we introduce an exotic species to an area, about pollution, habitat destruction, over using animals, poaching, the punishment for poaching, and how we can help prevent all of this.Every day we are rapidly losing many different plant and animal species. With this rapid decrease of these animals and plants we start to lose the beautiful sights that we grew up with, taking away those potential memories from our children and generations to come. Ten thousand scientists in the World Conservation Union stated that anywhere between 2. 7 and 270 species are erased from existence every day including today. So broken down, 1 out or 4 mammals, 1 out of 8 birds, 1 out of 3 amphibians are at risk of extinction (Whitty, J. 2007). This is not the only thing that can happen though.With the loss of these species it starts to affect the plants and animals around them causing them to slowly die out. This then can end up causing more drastic effect to the environment and even us. As E. O. Wilson stated in a speech: â€Å"that if we were able to kill off all the insects that it would lead to our own extinction† (2007). First, I want to provide a friendly recap of what many of us have learned as a child in school, and that is the food chain. The food chain basically contains four important groups. The first group of the chain is the sun. This offers energy to everything on this planet.The next group is the producers. These are things that are able to make their own food by using the energy the s un provides. Examples of these are, grass, trees, flowers, vegetables, etc. Next, we have the consumers. Consumers are any species that eats something, either plants or other animals. Finally, we have the decomposers. These are things like bacteria or fungi that take something that has died and breaks it down and produces gases like carbon and nitrogen. They then release that back into the air, soil, or water where it will be used by future producers (ThinkQuest, 2012).When an animal (such as a grizzly bear) becomes extinct this an effect not only on the food chain but the food web also. When the bear is gone it is no longer eating other plants or animals, which can then lead to them starting to over populate. Over time these plants and animals are going to start to decline because their food sources are being depleted due to the increased numbers. So as you can see even the smallest species plays an important role and affects everything around them. There are many things that are t he leading causes of animal endangerment and extinction.One of these causes is the introduction of exotic species not found in a specific area. When this is done it can affect the balance of things. Lets’ take the government’s action to introduce the grey wolf into Montana and how it had a drastic effect on things. First off the grey wolf that the government introduced was not the species of grey wolf that are native to Montana. Because of this introduction many of us noticed the numbers of deer and elk started to rapidly decrease. And like I mentioned earlier the deer population decreasing has an effect on other species of plants and animals that depend on them.So the biggest thing that not only the government, but us also, is that we have to remember is that we need to introduce animals in the area that they normally come from instead of an area that has never known that type of species. Another factor that is causing the increase of endangerment and extinction of sp ecies is habitat destruction. The greatest force that causes habitat destruction is the human being. We cut down forests to make room for our expansion and needs. We cause pollution of the land, water, and air which in turn can also increase the greenhouse effect (Kurpis, L. 002). So what are some of the ways that we can prevent this? That is an ongoing battle that we fight today. For the pollution is to use greener more environment friendly types of energy such as wind or solar, drive less or carpool, and of course recycling is a big help. Also keep in contact with the state government if you notice factories or companies that happen to be polluting and see if there may be a safer alternative. Never be afraid to write to state officials, remember we helped to get them into office so they can help us protect the animals.This leads to another cause of the increase of endangerment and extinction is what some call â€Å"over exploitation†. This is when we â€Å"over use† a species. This can be caused by miscounting numbers of a species in an area, and then over hunting that area, causing a drastic drop in numbers. Again we are not just affecting that species but others that are part of that food web in that area. Another reason why animals’ numbers are declining is due to poaching. Poaching is the knowledgeable and purposeful illegal killing of an animal. This is done either for trophies such as antlers, horns, or other things that poachers will classify as a trophy.Some poachers will do it for money selling the animal meat or trophies to the highest bidder. Unfortunately, some do it because they need the food and cannot afford to wait till the proper hunting season, or come across the animal in a no hunting area. Yet some poachers do it for the sport of the kill. This affects us because they are killing and wasting animals that can be hunted during proper hunting seasons, kill endangered species, and other animals that are not allowed to be hunted (Fish, Wildlife, & Parks 2012). Here in Montana we do have laws against poaching but is it enough?The punishment for poaching an animal can be a fine of $50 up to $35,000, jail time from 6 months up to 20 years the loss of hunting, fishing, and trapping rights from 2 years to life and possible restitution for the animal based off of the species, sex, age, and whether it was a trophy animal or not. The bad thing about this is that not all judges will give the maximum punishment and give more of a â€Å"slap on the wrist†. For example a person was caught poaching two moose and the judge sentenced them with a fine of $50,000, no time in jail and the loss of their hunting rights for 8 years.I feel that we as a whole need to contact our state legislature and try to get the punishment increased and enforced better, because I feel that some poachers don’t learn the lesson. Again we will use the hunter mentioned earlier. He didn’t learn his lesson because he stil l brags about what he done and goes around telling people of other animals he has poached since then. If we can get additional laws and bills passed I believe that this will help limit the amount of animals killed due to poaching. Some of you are asking, â€Å"What can we personally do about poaching†.One of the ways that you can help reduce the numbers of poachers is if you happen to see an animal being killed illegally you need to report it to the local Fish and Game, Forest Service or the local authorities. Second if you are a hunter or a fisher make sure that you know that the area that you are hunting/fishing is an area that is not protected against it. On way you can do this is by purchasing a local map that will show areas that are allowed to be hunted or places that you can seek permission to hunt or fish. Always keep an eye out for no hunting or no trespassing signs which are the number one way to know you can’t be there.Also, you want to make sure that you be come familiar with the animals or fish that you are trying to get so that you don’t shoot or fish something that you should not. For example black bears are not always black but can also be brown. This can lead someone to shoot a grizzly which happens to be a protected animal. You need to learn the distinguishing marks and differences between the black bear and the grizzly before you go hunting. You should always get the hunting/fishing regulations because they always include information on the species and what to look for so that you know what you are trying to hunt or fish.Another option is that you can research the animal that you are going to be hunting and get information and pictures of them so you can become familiar with the species. And finally you can always take hunters safety which will give you additional hunting and fishing knowledge. You have to remember that poaching isn’t always done on purpose it can be done due to the lack of knowledge. The main this that everyone has to keep in mind is that poaching is illegal and needs to be stopped. We need to remember to know the areas that we can and cannot hunt or fish.We also need to have a running knowledge of the animals that we are hunting and fishing so as not to shoot something that looks similar only to find out that it is a different species. And above all is if you see or know someone that is poaching is that you need to report it to the proper authorities. With this knowledge and understanding of poaching together we can help lower one of the reasons for the rapid decline of animals. So as you can see, we as humans need to take a stand and start helping to protect what many of us hold very dear to us and future generations.We need to educate ourselves and future generations of the importance of animals. We need to limit, as best as possible, the amount of habitat that we destroy. We also need to understand the amount and types of species that we bring into an area. We need to un derstand and help prevent pollution not only for our sake but also the animals. Above all we need to take a stand against the over exploitation of animals and the biggest one is poaching. If we stand together I feel very confident that we can make a difference and protect our childhood scenic beauty to share with future generations to come. ReferencesFish, Wildlife, & Parks (2012). Poaching in Montana. Source Retrieved from http://fwp. mt. gov/enforcement/crimes/poaching. html Kurpis, L (2002). Causes of endangerment. Source Retrieved from http://www. endangeredspecie. com/causes_of_endangerment. htm ThinkQuest (2012). The food chain. Source Retrieved from http://library. thinkquest. org/11353/food. htm Wilson, E. O. (2007). Saving life on earth. Source Retrieved from http://www. ted. com/talks/e_o_wilson_on_saving_life_on_earth. html Whitty, J. (2007). Animal extinction – the greatest threat to mankind. Source Retrieved from http://www. commondreams. org/archive/2007/04/30/8 62