Wednesday, July 31, 2019
All That Glitters Are Not Gold Essay
All that glitters is not gold is a well-known saying, meaning that not everything that looks precious or true turns out to be so. This can apply to persons, places, or things that promise to be more than they really are. The expression, in various forms, originated in or before the 12th century[1] and may date back to Aesop.[2] Chaucer gave two early versions in English: ââ¬Å"But all thing which that schyneth as the gold / Ne is no gold, as I have herd it told,â⬠and ââ¬Å"Hyt is not al golde that glareth.â⬠The popular form of the expression is a derivative of a line in William Shakespeareââ¬â¢s play The Merchant of Venice, which employs the word ââ¬Å"glisters,â⬠a 17th-century synonym for ââ¬Å"glitters.â⬠The line comes from a secondary plot of the play, the puzzle of Portiaââ¬â¢s boxes (Act II ââ¬â Scene VII ââ¬â Prince of Morocco): All that glisters is not gold; Often have you heard that told: Many a man his life hath sold But my outside to behold: Gilded tombs do worms enfold. Had you been as wise as bold, Young in limbs, in judgement old Your answer had not been inscrollââ¬â¢d Fare you well, your suit is cold. Panning for gold often results in finding pyrite, nicknamed foolââ¬â¢s gold, which reflects substantially more light than authentic gold does. Gold in its raw form appears dull and does not glitter. ââ¬Å"Not all that glitters is goldâ⬠is an alternative formulation.[3][4][5] The inverse of this expression, ââ¬Å"All that glitters is gold,â⬠is a lyric in the Led Zeppelin song, ââ¬Å"Stairway to Heavenâ⬠, the Smash Mouth song, ââ¬Å"All Starâ⬠and theDeath in Vegas song, ââ¬Å"All That Glittersâ⬠. It is also used as lyrics in the song ââ¬Å"A Guided Masqueradeâ⬠by Alesana. A variation of the saying is used in Kid Cudiââ¬â¢s song ââ¬Å"Pursuit of Happinessâ⬠, in which it goes: ââ¬Å"Iââ¬â¢m on the pursuit of happiness and I know everything that shine ainââ¬â¢t always gonna be gold.ââ¬
Leadership and Roles of Graduate Nurse
After taking the leadership quiz, it was revealed to me that I am a Participative leader. This type of leadership style describes me very well and up holds my beliefs and values in leadership. Understanding the meaning of participative leadership style helps me understand to roles that are required for this style of leadership. As a participative leader one listens to what the team has to say and allow them to express their opinions, ideas, and suggestions to make decisions and solve problems.However, as the leader of the team he or she has the final say in making the decisions. A participative leader supports and encourages his or hers team. The effectiveness of this leadership leads to correct decision for all that is involved. The leader of participative style uses the team's creativity, knowledge, skills, and education to help reach the decisions. A leader who does this is considered fair and not favoring one side or the other.Leaders with the above qualities and characteristics lead to great leadership. The attributes of participative leaders has great respect from their team. From my experience as a staff nurse in the ED, it takes great teamwork to deal with the everyday stress and the call of duty in the ED; this only can come from a department with great leadership. I have had leaders who will server right beside you and help when things go crazy and I have had leaders who will sit in their offices and not come out to help at all.I prefer the lead that will come out and will answer the call light, place a patient on the bedpan, take a patient to the floor, and give you a bathroom or lunch break. My leaders have allowed me to cry when needed too, and not appear weak, vent when a patient or family is being demanding, listen to my concerns and not view them to being negative or complaining and willing to take my concerns and make changes to help all. A good leader does not allow the authority to overcome the reasons why he or she became a nurse in the firs t place.I believe that one of my strong attribute to participative leadership is encouraging others and lifting them up with words of appreciation and gratitude. From my experience a few words of appreciation and a pat on the back builds relationships and teamwork. I have always lived by the motto ââ¬Å"Lead by exampleâ⬠and that is what I believe we all should do not just in nursing but also in everyday life. Actions speak louder than words in any type of leadership one has.A would have to say that one of my weakness in leadership that I would need to work on is being too sensitive at times and not taking constructive critism very well. Therefore, this is an area that I am willing to grow and learn from as I continue my education as APN. A quote that I feel that goes along with participative leadership: ââ¬Å"Recognize the talent of others and acknowledge itâ⬠by Gloria Smith, PhD. , RN, FANN of the W. K. Kellogg Foundation (Burnham, 07). This quote covers all the meani ngs of participative leader style from listening to praising.
Tuesday, July 30, 2019
Central and Eastern Europe Environmental Issues Essay
Eastern Europeââ¬â¢s environmental problems are not as simple as they may seem on the surface. The environmental problems that face Eastern Europe are complicated by political, economic, and social implications. The current environmental problems are a bi-product of rapid industrial expansion under a socialist government. The soviet government was more concerned with surpassing the western cultures in technology and military might than the environmental damage they were doing to their country. The following paragraphs will address the current environmental problems facing Eastern Europe, the various solutions to the environmental problems, and the efforts taken to correct the environmental problems. Environmental Problems in Europe Eastern Europe during the 1980s had rapidly become the industrial giant for the Soviet Union. Massive industrial factories would be built throughout the eastern bloc of the Soviet Union and the factories used obsolete technology to provide the industrial needs of the country. The heavy industrial activity characteristic of the post-World War II period took a heavy toll on both the regionââ¬â¢s population and its environmentââ¬Å"(U. S. Environmental Protection Agency, 2010). Various local populations were suffering from high rates of cancer, respiratory issues, and infant mortalities. The environments in the areas around the industrial regions were also being damaged on unprecedented levels. Legacy of Pollution According to the U. S.à Environmental Protection Agency (2010), The outmoded, energy-intensive technologies were such an integral part of Central and Eastern Europe (CEE) and New Independent States of the former Soviet Union (NIS) regionââ¬â¢s economy in the post-war era not only wasted resources, but also caused severe local, regional, and trans-boundary pollution problems. Not only was the industrial technology outdated, the communication among the post-war government, local governments, and various environmental ministries was ripe with secrecy and non-communication between each other. The results would prove to be catastrophic pollution of the air, surface water, soil, ground water, marine zones, and coastal areas. Air Pollution Air pollution in Eastern Europe is the top concern because of the levels of sulfur dioxide found in all the industrial areas. High levels of sulfur dioxide exposure can lead to asthmatic children and adults, respiratory illness, decreased lung defenses, and worsening of existing cardiovascular diseases. When Sulfur Dioxide is exposed to rain it creates acid rain and raises the acidity level of everything it touches such as soil, lakes, and streams. Buildings corrode faster and there is also a reduction in visibility. Water Pollution Agricultural and industrial practices were causing large spread water pollution because of outdated waste regulation practices and no environmental regulation. According to Liroff (1990), Drinking-water supplies throughout Eastern Europe are heavily contaminated. Vast reaches of the Vistula River in Poland, which drains much of the country, are classified as unfit for use even by industry. The Baltic and Black Sea coasts are badly degraded by domestic sewage, agricultural run-off, and heavy metals and organic pollutants from industry. The Eastern Europe governments have been slow to implement solutions to purify the drinking water in the various regions. Soil Pollution Samples of produce from upper Poland have yielded 30 to 70 higher percentages of cadmium, lead, zinc and mercury then acceptable levels listed by the World Health Organization. The high percentages of these heavy materials indicate how polluted the soil is in the upper polish regions. In Hungary alone, waste generators dispose of more than 500,000 tons waste found in illegal landfills. The local government has trouble tracking any kind of waste transportation and disposal due to obsolete tracking processes, and because not all waste is indicated as waste before being disposed of. Eastern Europe is wreaked with not only environmental problems, but also with government, and local government problems also. The good news is that there are viable solutions to the environmental problems that the Eastern Europe countries are having. Viable Environmental Solutions The environmental problems that face Central and Eastern Europe are much the same as any other country in the world with one exception, the proximity of the environmental hazards. Most countries in the world deal with environmental hazards, but the hazards are spread out over different parts of the country. Central and Eastern Europe are unique when it comes to environmental disasters because Central and Eastern Europe was the industrial might behind the soviet military. For every environmental disaster Central and Eastern Europe faces, there is a viable solution thanks to modern technology and proven environmental regulations. Possible environmental solutions Because of the vast environmental disasters throughout Central and Eastern Europe there are several possible environmental solutions. The possible environmental solutions that Central and Eastern Europe are considering will be decided by the cost of the solution, ease of implementation, and consultation from environmental agencies such as the United States Environmental Agency. Even with the various economic, governmental agency communication problems, and various ecological disasters Central and Eastern Europe have a number of viable solutions. Air Pollution Solutions One of the possible remedies for air quality in Europe would be to switch to burning low sulfur coal. When coal is burned, carbon dioxide, sulfur dioxide, nitrogen oxides, and mercury compounds are released. For that reason, coal-fired boilers are required to have control devices to reduce the amount of emissions that are released. The amount of sulfur oxides produced by power can be reduced by using coal with low amounts of sulfur present. Another possible air solution would be to use scrubbers. Scrubbers are an air pollution control system that removes pollutants from the air stream they are most commonly used to help control the emissions of sulfur into our air. There are a few types of scrubber, Air scrubbers, wet scrubbers, and gas scrubbers are differentiated by the manner in which they remove gases and particulates from the air; either wet or dry. Wet scrubbers literally wash dust and particles out of the air. Exhaust air is forced into a spray chamber, where fine water particles cause the dust to drop from the air stream. The dust-laden water is then treated to remove the solid material and is often re-circulated. Dry scrubbers are used more commonly with acid gases. The pollutant is collected on or in a solid or liquid material, which is injected into the gas stream. A dry scrubber produces a dry product that must be collected downstream from this control device. Water Pollution Solutions One of the many possible water pollution solutions would be aeration. Aerating is the process to bring river water at the bottom of rivers up to the surface so that the entire river is oxygenated by the atmosphere surface to bottom. They can do this by pumping air into bodies of water at the very bottom. On the other hand Central and Eastern Europe could use more wastewater treatment plants these types of plants would drastically help the water quality in Central and Eastern Europe by removing harmful bacteriaââ¬â¢s, animal wastes and pollutants and then recycling the clean water back into their system.. Soil Pollution Solutions There are many different types of soil pollution that hurt the environment and by treating Sewage before dumping wastes would cut back on many of the current environmental issues. Spraying pesticides may be good for the crops but itââ¬â¢s destroying the soil and the drain off into the water system is affected by this as well. Cutting down on the usage of fossil fuels would create less solid waste and harmful gasses that may seep into the soil. Eastern Europe needs to adapt to more of these possible solutions. Using low sulfur coals, Scrubbers and limestone in the remedies of air pollution would set a chain reaction in the environment the water would then become cleaner along with the soil. These remedies may not fix the issue completely for Eastern Europe, but it would help them greatly. Efforts to correctà Central and Eastern Europe have been left untouched since the end of the Nazi/German rule and the fall of the Great Berlin Wall on November 9th, 1989. Many of the people living in such a terrible environment still struggle every day to survive, but it is not a war against other countries it has turned into an environmental war and one that is near impossible for them to win without help. As with most all larger countries around the world Eastern and Central Europe are suffering from the same types of environmental issues but, in their case they do not have the means that we do in order to make the necessary changes that they need. Practical and low cost solutions need to be the wave of the future and used as often as possible. The problems need to be prioritized based on the highest health risk and the surrounding public will be educated and involved in itsââ¬â¢ own environmental decision making. AIR- Airborne pollution is said to be one of the greatest environmental risks identified in the region. There is a large amount of sulfur dioxide found in the air, it comes from several different places but are byproducts of several different types of older industrial facilities like the old coal burning power plants that used to be found there (EPA). The United states are one of the few countries in which it is a law for vehicle owners to participate in an annual emissions test. The Czech government however has accelerated itsââ¬â¢ efforts in cleaning the air pollution through it $240 million project that will assist its residents in converting homes from coal to natural gas in hopes to subsidize conversion costs (EPA). Along with this local agencies in many areas lack the equipment needed to assess and identify local problems so the Krakow Air Monitoring project. This project is under the supervision of the EPA and the Polish environmental experts are working together to identify and measure the major sources of industrial, residential and vehicle emissions testing (EPA). Along with such a huge problem facing the countries the EPA has also transferred some very low-cost techniques to help them out. Water pollution- Along with clean air there is the Krakow Water and Wastewater Improvement project, the idea here is to provide safe drinking water to city residents. Most people are drinking from contaminated drinking sources, especially those outside of the city limits. The idea here is not only to decontaminate the water before it is consumed, but to attack the problem at the source and to educate the people of the possible affects that waste dumping in unsecure facilities can have on them and their families. The Krakow project as a result installed modern ozonation and chlorination equipment that in turn disinfected the drinking water of 400,000 residents in the area. It also focused on the improvement the forming of the Raba River Watershed Association as well as focusing on the agricultural runoff into local streams and rivers (EPA). In addition to this a team of EPA, Wisconsin, and Latvian environmental managers have also come up with a solution to protect supplies of future ground water in Daugavplis, this is where the national ground water protection strategy is based. Solid and Hazardous Waste- All types of waste needs to be dumped somewhere and the most contaminated solid waste sites are often found on military bases in Eastern Europe. They can be found on active or former military base cites, these are still dumping cites. Children in these areas are affected the most and are still being diagnosed with very high blood-lead levels, due to these case studies the EPA has provided special equipment and training to local officials to assess possible impacts of lead exposure. Due to such high levels of exposure in certain areas additional support has been provided by Romanian officials to assist areas in the cleanup of contaminated soil, the Czech Council of Ministers even committed to assist the cleanup of future development cites by approving $40 million to get started, this is called Project Selesia. This is not the only cleanup plan in effect there is also the Solid Waste Policy Demonstration Project, this idea helps to train local communities in the proper way to carry out more effective policies of cleaning and recycling waste. Pilot programs include the construction of new sanitary landfills, the cleanup of existing landfills, curbside recycling, are probably the most important public outreach programs taking place (EPA). Technology Transfer- the EPA has also helped with the development of a geographic information system (GIS), this system helps to track different trends that occur over time. The GIS is a computer-based mapping system that over time will store and track other environmental information that identifies pollution source and tracks it over time. This system will help the public become more informed and promote better decision making (EPA). The Radiation and Nuclear Safety Manage ment Project is yet one more idea that is hoped to assist different storage areas of nuclear material in a quick-turnaround of radiochemistry data in case of any future leaks and potential disasters. To be able to assist such tracking a mobile radioecology laboratory was created by the EPA along with the United Nations Development Program and USAID, have provided the Ukraine with possibly one of the worldââ¬â¢s best equipped mobile radiation monitoring laboratories. This lab is monitored by both the EPA project team and Ministry officials have since been conducting on-site contamination assessments of potential public health threats all around the country (EPA).
Monday, July 29, 2019
Benefits and barriers for implementation of activity based costing Dissertation
Benefits and barriers for implementation of activity based costing systems in selected Asian countries - Dissertation Example Analysis of the three countries is provided. Ultimately, the paper concludes that activity-based costing could be extremely beneficial for Asian businesses. However, activity-based costing is virtually guaranteed to fail if it is imposed top-down or haphazardly. Barriers to implementation include different organisational and social cultures, different accounting norms and regulations, regulatory frameworks, fiscal policies, varying relationships to stakeholders, and other factors. If activity-based costing is to succeed, it must grow organically from the needs and behaviors of the organisations it is applied to. Introduction As Asian countries' financial operations become more closely attuned with and leveled against the West, it is likely that the model of activity-based costing (hereafter known as ABC) will spread to Asian enterprises. This paper analyzes three countries: The Hong Kong SAR, Malaysia and mainland China. These countries are immensely different from the West where act ivity-based costing is more common, with different fiscal policies, regulatory backgrounds, macro-economic statistics and behaviors, regional problems, resources, relations to customers and suppliers, and so forth. Ultimately, activity-based costing could be extremely beneficial for Asian businesses. However, activity-based costing is virtually guaranteed to fail if it is imposed top-down or haphazardly. ... 1.1: Definition Activity-based costing is defined by Rockford Consulting (1999) as ââ¬Å"a method of allocating costs to products and services. It is generally used as a tool for planning and control. It was developed as an approach to address problems associated with traditional cost management systems, that tend to have the inability to accurately determine actual production and service costs, or provide useful information for operating decisionsâ⬠. Without ABC, managers can make errors in calculation and strategy, particularly in companies with many ââ¬Å"products or servicesâ⬠. The idea is to attribute costs to activities more than products themselves. This requires that processes are mapped and understood sufficiently to be priced or measured. A comprehensive idea of the organisation's process structure, overhead, engineering times, etc. have to be honestly calculated. Ultimately, much like scientific management, inefficiencies are exposed and accounting rectified in areas that were never expected to be problematic. Averkamp (2011) offers an example of activity-based costing that illustrates its benefits. Assuming two products engineered by the same company, ââ¬Å"Product 124â⬠being a ââ¬Å"low volume item which requires certain activities such as special engineering, additional testing, and many machine setups because it is ordered in small quantitiesâ⬠and ââ¬Å"Product 366â⬠ââ¬Å"a high volume productââ¬ârunning continuouslyââ¬âand requir[ing] little attention and no special activitiesâ⬠. Under a traditional costing regime, Product 124 has very low machine hours, thus it would have little overhead ââ¬Å"spreadâ⬠to it; but this is not an accurate representation of its cost. Similarly, Product 366 would apparently seem to cost a lot because of its
Sunday, July 28, 2019
Country Report on United Arab Emirates Research Paper
Country Report on United Arab Emirates - Research Paper Example The government of United Kingdom decided to end the treaty with Qatar, Bahrain, and the seven Trucial Sheikhdoms it took into its fortification. These nine states tried to form their own union of the Arab Emirates, but by the middle of 1971 they failed to disagree on the terms of amalgamation. In the August of1971, Bahrain became an independent nation and Qatar the following September. On December 1, 1971, the Trucial Sheikhdoms-British treaty expired and they became fully self-governing. In the December of 1971, six of these states united to become the United Arab Emirates. Ras al-Khaimah joined these states in the beginning of 1972. Sheikh Zayed bin Sultan al Nahyan, Abu Dhabiââ¬â¢s leader, was elected by the Supreme Council as Dubaiââ¬â¢s leader and President. The post of Prime Minister was designated to Sheikh Rashid bin Said al Maktoum. Geography: The United Arab Emirates is a confederation of seven emirates, each of which is ruled by a hereditary emir, and a single nation al president. The member emirates are Ajman, Abu Dhabi, and Dubai, Ras al-Khaimah, Fujairah, Sharjah and Umm al-Quwain. The United Arab Emirates is located in Southwest Asia and provides a border to Persian Gulf and Gulf of Oman, between Saudi Arabia and Oman. It is in a tactical site along northern advancements to the Strait of Hormuz, an important trade point for the worldââ¬â¢s crude oil. United Arab Emirates is situation between 51à ° and 56à °25? eastern longitude and between 22à °50? and 26à ° northern latitude. In the northwest, a 19-kilometer border is aligned with Qatar; in the west, south east and south, it shares 1 530 kilometer border with Saudi Arabia; in the... The United Arab Emirates is a confederation of seven emirates, each of which is ruled by a hereditary emir, and a single national president. The member emirates are Ajman, Abu Dhabi, and Dubai, Ras al-Khaimah, Fujairah, Sharjah and Umm al-Quwain. The United Arab Emirates is located in Southwest Asia and provides a border to Persian Gulf and Gulf of Oman, between Saudi Arabia and Oman. It is in a tactical site along northern advancements to the Strait of Hormuz, an important trade point for the worldââ¬â¢s crude oil. United Arab Emirates is situation between 51à ° and 56à °25â⬠² eastern longitude and between 22à °50â⬠² and 26à ° northern latitude. In the northwest, a 19-kilometer border is aligned with Qatar; in the west, south east and south, it shares 1 530 kilometer border with Saudi Arabia; in the northeast ad southeast it shares a 450-kilometer border with Oman. Even today, the land border it shares with Qatar at Khawr al Udayd is in dispute. The whole area of United Arab Emirates is about 83,600 square kilometers (almost about the area of Maine). Even today, the countryââ¬â¢s exact size is not known because of doubtful alleges of many islands of the Persian Gulf. Since there is lack of accurate information on the actual size of several of these islands, and also about many boundaries of land, particularly with Saudi Arabia; the size of United Arab Emirates is still not decided yet. The largest emirate of UAE is Abu Dhabi which covers 87 percent of the total area of United Arab Emirates.
Saturday, July 27, 2019
The Emotionally Abused Population Essay Example | Topics and Well Written Essays - 1750 words
The Emotionally Abused Population - Essay Example By seriously addressing and analyzing each of these issues, not only will we be able to see the current state of the emotionally abused population, but as well will be able to better recognize and understand about the solutions that can be sought and hoped for in the future. The aim of this paper is to do this, as well as discuss any and all other key and related issues. This is what will be dissertated in the following. The 'emotionally abused population' is a term which basically refers to just what it sounds like - the percentage of people in the world who would be medically classified as being emotionally abused. Emotional abuse can be caused by many different things and people, and in many different ways, and the worst part of all is that most of the time, people do not even realize that they have been or are being emotionally abused until it is too late. Emotional abuse "refers to a long-term situation in which one person uses his or her power or influence to adversely affect the mental well-being of another. Emotional abuse can appear in a variety of forms, including rejection, degradation, isolation, corruption, exploitation, and invoking terror" (Evans, 1996). There are many different indicators which may be a sign that a person is suffering from emotional abuse, and this includes that of the following: depression, withdrawal, low self-esteem, severe anxiety, fearfulness, failure to be able to establish a mutually acceptable manner in which to manage differences, failure to thrive in infancy, aggression, emotional instability, sleep disturbances, extreme dependence, and inability to trust, for example - there are many more. However, some persons who suffer from emotional abuse actually tend to show no signs at all, and this can be frustrating because it can thus often be basically impossible to notice whether or not someone is suffering from emotional abuse. Only a few studies actually have been able to provide any worthwhile insight into the matter of the prevalence of emotional abuse in North America, let alone the rest of the world, and there are many different reasons for this. The subject of emotional abuse is actually quite hard to research, for several different reasons in particular, including: in comparison to other forms of abuse, its effects have only recently been recognized; there are no consistent definitions and it is quite hard to define; it is difficult to detect, assess, and substantiate; and the majority of emotional abuse cases go unreported, thus resulting in a lacking of substantial evidence and data. However, there is a quite significant amount of statistical data which has been attained over the past few years in regards to emotional abuse, and in one study in particular, it was shown that "77 percent of women reported emotional abuse in combination with physical abuse81 percent of male respondents reported that they had psychologically abused a female partnerandthat
Friday, July 26, 2019
Knowledge Encounters Essay Example | Topics and Well Written Essays - 1250 words
Knowledge Encounters - Essay Example Majority of scholars working on post-colonial effects in diverse fields like history, literature, geography, anthropology, and other sources of knowledge have led to complications when comprehending encounters and their socio-politics as a moment of hegemonic and totalizing dominance of culture and knowledge production. Rather, they make it out to be more variable, difficult, and nuanced moment, as well as space, of encounter as Kant would put it (Durkheim & Fields 10). However, according to Cruikshank, the encounter and its aftermath is about how our relations are structured and how man constructs knowledge about his physical surroundings. After European accounts following their encounters with landscapes supersede the accounts of the natives, travel and scientific discourses took up, position as the fundamental means through which northwestern geography could be understood (Cruikshank 88). For the people who were indigenous to the St. Elias Mountains, the glaciers were considered t o be permanent boundaries that separated the static landscape from the humans. In their case, they were moving structures that they endowed with the sense of hearing, taste, and smelling. However, the native accounts should not be valued as historically fixed or as the truth that needs to be examined and discovered by scholars or explorers (Cruikshank 89). Rather, the native accounts about sentient glaciers show the fact that nature and man mutually make, as well as maintain, knowledge of a world that is habitable. Cruikshank is careful in asserting that glaciers must not be reduced to metaphors or scientific data (Cruikshank 108). Glaciers in their forcefulness, unpredictability, complexity, and changeability give a model for cultural history and knowledge production. The author makes her argument in a way that pays careful attention to representative politics, which is made difficult by the fact that she is using oral testimony in her work, while also discussing the representative difficulties of nature. She discusses in her book the account, in glaciers given by the natives, an examination of accounts by western explorers, and the US. In addition, she discusses a critical look at the nature of the glacier as part of the border between Canada and the US, and mappingââ¬â¢s role in the context of nationalism (Cruikshank 115). By giving a history of the Alaskan Gulf region and juxtaposing it with historical accounts from Europe about their ice age and histories from Tlingit, the glaciers became social spaces where people produce knowledge, rather than discover it. Oral accounts also allow the ability to examine the relationship between culture and nature, as well as how knowledge was constructed according to their cultures. Glaciers as used by Cruikshank aid in the examination of how glaciers are depicted and how social and natural knowledge is entangled. In the latter Ice Age period, social upheaval and geophysical changes in the mountains coincided (Cruiks hank 120). The visitors from Europe came with conceptions about nature as a spiritual and sublime resource for the progress of man. To them, glaciers were inanimate features that needed to be measured and
Thursday, July 25, 2019
HSE Management Paper Essay Example | Topics and Well Written Essays - 1750 words
HSE Management Paper - Essay Example Oil refining process releases numerous emissions in the atmosphere causing air pollution. Industrial accidents such as fire and explosions are also rampant in oil and gas industry. Environmental and safety concerns make oil refineries be located far from urban areas. Corrosion is a chief problem faced throughout the process line of hydrocarbon refining process. Corrosion refers to deterioration of metal components such as pipes that convey the petroleum products. In the refining process, corrosion occurs in forms, such as pitting corrosion from water droplets and stress corrosion from SO2 attack. Periodic cleaning and use of corrosion resistant metals prevents and controls corrosion. Unchecked corrosion leads to oil leaks and spillages that are environmental hazards. Where gas cannot be stored, it poses a risk of fire or explosion. Flaring and venting ensure safe disposal of hydrocarbon gases. Venting refers to the discharge of gases into the environment in the oil production process . Through venting, toxic gases such as hydrogen sulphide are released to the environment resulting to fatalities. Venting releases greenhouse gases such as methane leading to global warming. On the other hand, Flaring refers to burning of natural gas in the routine of gas and oil production process. Carbon Fraying produces carbon dioxide predominantly. Both flaring and venting have great environmental impact on climate through global warming (Haddow and Bullock, 2006, p45; Heidersbach, R and Heidersbach, B, 2011, p260). Process Safety Management (PSM) is proactive identification, mitigation, correction or prevention of release of poisonous chemicals that could be caused by failures in processes, procedures or equipment. It ensures that process facilities such as oil and gas plants, chemical plants, and offshore platforms operate safely. Process oriented reactions such as corrosion, runaway chemical reactions and unintended mixing of hazardous chemicals are liable for release of toxi c gases, explosions and fires. The need to reduce safety incidents caused by hazardous materials and process upset, and the need to meet safety regulations drives PSM programs. The aim of PSM is to aid employees to mitigate episodic release of hazardous chemicals that would be catastrophic to the workplace and surrounding community (National Research Council. 2011, pp6-14). Process Hazard Analysis (PHA) is the most important step in Process safety management (PSM). PHA seeks to identify and analyse the significance of potential hazards caused by handling or processing highly hazardous chemicals. It analyses causes and significance of fires, explosions, flammable toxic release and spills of hazardous chemicals. Focus is on factors that may affect the process such as human actions, instrumentation utilities and equipment in use (Skelton, 1997, pp 172-174). Written operating procedures must be implemented and must be consistent with process safety information. They prove clear instruct ions for undertaking the covered processes. Each task and procedure relating to the covered process should be clear, consistent and well communicated to the employees. Steps in every operating phase include initial startup, normal operations, temporary operations, emergency shutdown, among others. Operation procedures should also include operating limits such as, consequence of deviation, and steps required to correct the deviation or
Organizational Behaviour Team Assessment EssayReport Essay
Organizational Behaviour Team Assessment EssayReport - Essay Example Effective teams need to work together and take collective responsibility to complete significant tasks (Campion, Medsker and Higgs, 1993). So teams are formed around a specific purpose. It provides the team a meaningful purpose which decides the direction, momentum and commitment of the team members. This purpose is a vision and broader than specific goals. In my college, I am one of the team members working to shift and rearrange our library. Setting an objectives and purposes motivates members and increase sense of responsibility and ownership over the work and it make the work more interesting to perform. In my team, the main purpose of the team is to shift the library and arrange the books according to subject index, so that it could be available to each student as soon as possible and it's become easier to search the books immediately. We are the team of 15 self motivated enthusiastic students having zeal to perform the job. This self managed work team is capable of performing highly related or interdependent jobs and ready to take many of the responsibilities. Our team is ready to take the planning and scheduling of work, assigning task to members, collective control over the pace of work making operating decision, taking action on problems. Being the fully self managed team, we have the autonomy to select our team members and ev aluate each other performances objectively. Due to these specific characteristics, team leader position within the team decreases and it is almost vanished. We as a team have liberty to express our views and could set our schedules, which has been decided collectively. We have the choice of selecting new members, and disciplines members who creates problems. As a result our response to job assigned to our team has increased and implementation process becomes fast. Once we selected our team members we have different kind of person's having different abilities. In our team we have four members with technical expertise in library sciences. Another four members are from the computer sciences department who are capable of computerizing the library so that book could be found more easily and be issued to students without any problem. Apart from these members of technical expertise our team has 2 members having excellent problems solving skills. These problems solvers and decision makers a ctually been able to identify problems, generates alternatives, evaluates those alternatives and can make competent choices. The remaining 5 members are from management stream in which one member is form supply and logistic management stream. Apart from being in different streams and backgrounds all the members are good listeners as well as are able to provide objective feedbacks and have the ability of conflict resolution; all the members of my team have good interpersonal skills (Stevens and Campion, 1994). But having members with specific skills also require proper mixture of all the qualities. My team has higher mean levels of conscientiousness. The whole team always tries to maintain higher level of conscientiousness because if a single team members who lacks minimal level of say agreeableness, can negatively affect the whole team's performance so we all members of the team always try to motivate each other and try to create an informal atmosphere within the team. We have a job in our hand i.e., to shift the
Wednesday, July 24, 2019
China and GCC relations Thesis Proposal Example | Topics and Well Written Essays - 1750 words
China and GCC relations - Thesis Proposal Example On an industry level, these needs pave the way for a new and improved breed of Chinese energy companies which are no longer characterized by low-cost and substandard quality only but by upgraded technological, financial and labor capabilities. According to Grunor (150) the China-GCC trade and transactions have increased notable in the past two decades with the Chinese exports increasing by seven-fold and the GCC increasing by five-fold. On the other hand, the member states of GCC are making efforts to improve and stabilize their economies by look for global partners to sell their products. Since the terrorist attack in the US in the year 2001, there has been a shift of attention from the west to other regions of the world. According to Brauch et al. (342) the September 11 attack affected the global trading trends with the Arab countries put under scrutiny and isolation. The Arab countries opted to move to other parts of the world to advance their economic endeavors. The research paper aims to examine the different avenues that China relates with the GCC and its member states. The objective of the research is to examine the relations between China and GCC. According to Gransow (63) the relationship between China and the Arab countries has not been put into allot of research and this can be associated to limited research work in this regions. In that manner, the research will try answer the following questions; To attain the objectives of the study, the study deployed qualitative analysis research method and inclusion of other data collection method to acquire data from both primary and secondary sources. The research will also deploy the use of quantitative analysis research method to some extent. This is because the research will focus on analyzing the economic activities and relations. According to Tolmie (218) research based on measuring extensive of figures and growth needs to deployed quantitative method.
Tuesday, July 23, 2019
Case Study-The Russian Ruble Crisis and Its Aftermath Essay
Case Study-The Russian Ruble Crisis and Its Aftermath - Essay Example The Russian government wanted to create a dynamic economy, but there where inherent constraint that did not allowed their wishes to occur. Once price controls were removed prices for goods went wild because the people had a surplus of money to spend and there were no goods available to be purchased due an overall shortage of merchandise. One of reasons inflation took over the economy was that prior to the governmental move of unfreezing prices the government had been running an economy in which good were sold at artificially low levels. The government could have done thing differently in order to prevent prices to go out of control. For example the government central planning could have realized that there was a shortage of goods, and imports could have been increased prior to opening the economy. Another policy that would have helped was to increase the prices point of all good prior to the 1992 policy change. Another mistake the government made was investing too much money in state own companies which diminished the amount of money the Russian government had to spend on policies to bring social economic reform to the nation. The Russian economic situation between 1992 and 1998 showed us that there is an inverse relationship between currency value and interest rates. As the overall interest rates of the Rumble continue to climb which was directly reflected on the daily basis in the rise in unitary value of the currency, the actual value of the currency in comparison with other currency worldwide went down tremendously. In situations in which a country faces hyperinflation of its internal monetary policies and the international community loses faith is such currency which devalues the monetary unit (Moyer, McGuigan, Kretlow, 1992). When a country falls out of grace and stops being an attractive site for international
Monday, July 22, 2019
Marx and Weberââ¬â¢s Analyses of the Development of Capitalism Essay Example for Free
Marx and Weberââ¬â¢s Analyses of the Development of Capitalism Essay Capitalism is defined as ââ¬ËAn economic and political system in which a countrys trade and industry are controlled by private owners for profit.ââ¬â¢ It is based on the division between two classes, one of which owns the labour of the other. Not only do the upper classes, or the bourgeoisie, own the means of physical production but also the means of ââ¬Ëmental productionââ¬â¢. They control and manipulate society through the rule of education, religion and the media. Althusser distinguishes between repressive state apparatuses and ideological state apparatuses and argues about how the bourgeoisie manages to maintain its rule. He argues that the repressive includes the police and the army in which use physical force to control the working class as opposed to the ideological apparatuses such as the media and religion which control the development of ideas. A key component of capitalism is that the working class are forced to sell their labour in exchange for wages in order to survive. However, they do not receive an equal exchange for the labour they produce, but only the cost of subsistence. The difference of what the bourgeoisie receive from the labourers and the amount they pay back is called the surplus value, meaning the profit they make. Max Weber was one of the founding fathers of sociology and contributed highly to our knowledge of how society works. Weberââ¬â¢s work can be highlighted by referring to his study The Protestant Ethic and the Spirit of Capitalism, first published in 1905 (22 years after the death of Karl Marx in 1883). Weber argues that the Protestant Reformation introduced a new belief system of Calvinism (a form of Protestantism founded by John Calvin during the reformation) which promoted a high work ethic and which eventually led to the rise in capitalism. Calvinists believed that God preordains the ââ¬Ëelectââ¬â¢ meaning of who would be saved after death and go onto heaven and who would not. This could not be changed through hard work or leading a good life as the decision had already been decided. This made Calvinists strive for success, with which they would reinvest into making more money, hence the development of capitalism. Weber distinguishes the differences between the capitalism of greed and wealth in past societies to those of present. Modern day people are pursing profit for its own sake rather than for consumption, hence why the Calvinists reinvested their wealth. Weber calls this the spirit of capitalism. He further argues that this was the reason capitalism was stronger in places like Europe and America and not in other places where Protestantism wasnt so established. Weber also distinguishes between many different existing forms of capitalism including ââ¬Ëtraditional capitalismââ¬â¢ and ââ¬Ëbooty capitalismââ¬â¢; however the crucial ideal type is the one named modern capitalism, or rational capitalism meaning the repetitive, ongoing economic activity on the basis of rational calculation. Understanding what needs to happen and what the best way of achieving it is, allows for reinvestment and the growth of economic enterprises. He argues that it is the rational side of modern capitalism that distinguishes it from other advanced economic areas such as China and India, both of which had higher and more advanced infrastructures in the 17th century compared to Europe and America. However, Weber is hugely criticised for his understanding of the rise in capitalism due to others believing that it was the peoples relationship with the material forces and there means of subsidence which drove the change. Weber takes a key focus on religion and the impact that had on the rest of society as well as capitalism, whereas Marx focuses on class conflict. Marx argues that through industrialisation capitalism had been forced to increase due to growing separation of the two contrasting classes. One class is the exploiting bourgeoisie who own the means of production and the other class being the proletariat who own nothing but their own labour. Marx predicted that the working class would eventually become conscious of their alienation and exploitation and unite to overthrow capitalism. This would slowly bring in a system of socialism which would gradually evolve into a pure classless communist society lacking in exploitation. He argued that capitalism would disintegrate due to interior tensions, just like every other social system. He believed that communism was inevitably the next stage in the line of historical changes to class systems. Just as feudalism was replaced by capitalism, so capital ism would be replaced by communism. Marx argues that religion performs a different function than that of what Weber argues. Instead it operates as an ââ¬Ëideological weaponââ¬â¢ used by the bourgeoisie to justify the suffering of the poor as something unchangeable and ââ¬Ëgod-givenââ¬â¢. Religion persuades the working class that their suffering is honourable and moral and will be favoured in the afterlife. This is evident in the Christianity teaching of it is ââ¬Ëeasier for a camel to pass through the eye of a needle than it is for a rich man to enter the kingdom of heavenââ¬â¢. This manipulates and oppresses the proletariat as it renders them blind to capitalistic trends; ensuing and maintaining false class consciousness. However, Marx can be criticised for ignoring the positive functions that religions perform, made apparent by the psychological adjustment to misfortune that it offers. Abercrombie and Turner (1978) argue that ââ¬Ëin pre capitalist society, while Christianity was a major element of ruling-class ideology, it had only limited impact on the peasantryââ¬â¢ (A2 Sociology AQA Specification, 2009, pg 13) However, although Marx does argue that religion helps to control the manipulation of ideas of the working class he also believes that it is ââ¬Ëthe heart of the heartless world and the soul of soulless conditionsââ¬â¢, as it can act as an distraction to dull the pain of exploitation. When comparing and contrasting two very highly influential historians such as Karl Marx and Max Weber, some would argue that it is highly important to look at their overall impact on society as well as humanity. Karl Marx focused highly on philosophy and his work is still influential in many cultures worldwide today. This contrasts to Max Weber who is considered ââ¬Ëone of the fathers of modern thoughtââ¬â¢ and could be considered one of the worldââ¬â¢s most intellectual and influential persons. Although both historians share clear similarities, for example both coming from a European Protestant background they also contrast and have distinct differences. Weber criticises Marxââ¬â¢s theory as he believes that his view is too one dimensional and simplistic when looking at inequality. Weber argues that this is due to Marx seeing class as the only important division. Weber argues that status and power also have high impact on the volume of inequality. He points towards the ââ¬Ëpower eliteââ¬â¢ for evidence and argues that they can rule without actually owning the means of production. Currently there are many independent companies that can control and rule particular labourers without being a part of the bourgeoisie, it is not as simple as Marx likes to preach. A great amount of people are in other situations than the time when Marx was writing, for example ââ¬Ëdealers in information, managers and civil servantsââ¬â¢, meaning that the relative importance of the struggle between owners and workers has relatively declined. Although Marx and Weber have severe differences in their evaluation of modern capitalism their augments also share many similarities. They both believe that the economic system is a place where ââ¬Å"individuals are directed by abstractionsâ⬠(Marx). We must also take into account the times of which both sociologists were writing. Weber is writing nearly half a century later and focuses highly on the impact of power, wealth and prestige. He argues that these were the three main factors contributing to capitalism and the distinction of classes. This contrasts to Marx who focuses singularly on the impact of class and how the contrast of bourgeoisie and proletariat impacted on the rise of capitalism. However, both of their summaries of overthrowing capitalism share many similarities. Both sociologists argue that in order for capitalism to be overthrown the working class must unite together to overthrow the ruling class and free themselves from capitalist oppression. Bibliography Karl Marx and Friedrich Engels (1932). The German Ideology . Moscow: David Riazanov. Karl Marx and Friedrich Engels (1848). Manifesto of the communist party. London. Max Weber (1978). Economy and Society. California: University of California Press. Thomas Hobbes (1988). The Leviathan. London : Penguin . Phil Bartle. (2007). Marx vs Weber. Available: http://cec.vcn.bc.ca/cmp/modules/cla-mweb.htm. Last accessed 10th October 2012. Louis Althusser. (1970). Ideology and Ideological State Apparatuses. Available: http://www.marxists.org/reference/archive/althusser/1970/ideology.htm 970. Last accessed 10th October 2012 Michael Lowy. (2006). Marx, Weber and the Critique of Capitalism . Available: http://internationalviewpoint.org/spip.php?article1106 . Last accessed 10th October 2012. No Author. (1999). Max Weber. Available: http://uregina.ca/~gingrich/s30f99.htm. Last accessed 10th October 2012. D. Sayer, Capitalism and Modernity: An Excurses on Marx and Weber, pg. 4, London: Routledge, 1991. Cuff, E. C., W. W. Sharrock and D. W. Francis, Perspectives in Sociology, third edition, London, Routledge, 1992.
Sunday, July 21, 2019
History of Hans Frank
History of Hans Frank Dylan Myersà THESIS STATEMENT In my Holocaust research report for Mr. Benevento and Mrs. Welch, I will discuss Hans Frank; I will focus on his diary, his imprisonment, his background and his purpose of the Holocaust. I will also talk about what happened in his life. Outline Holocaust Intro Quote Why its important to learn about. Thesis Statement. Hans Frank Background Birth Family Life Early Childhood+Education War/ Military Background How he got to his position Role in Nazi Admin Imprisonment Reason Diary Trial/Death Conclusion INTRODUCTION I ask nothing of the Jews except that they should disappear. (Hans Frank) The Holocaust was the murder of six million Jews. Hans Frank was the Governor General of Poland. He was arrested and murdered on October 16, because he killed a lot of Jews. In my Holocaust research report for Mr. Benevento and Mrs. Welch, I will discuss Hans Frank; I will focus on his diary, his imprisonment, his background and his purpose of the Holocaust. I will also talk about what happened in his life. Hans Frank was born on May 23,1900 in Karlsruhe, Germany. Frank was born into a middle-class Catholic family. Frank had an older brother, Karr Jr. and a young sister, named Elizabeth. Franks father was a lawyer so Frank went to Law school to become a lawyer as well. In 1917 Frank, served in the German army in the World War 2. Frank also joined the German Workers Party. On April 2, 1925 Frank married 29 year old Brigitte Herbst. Frank continued to study law and in 1926 he passed the final examinations and became a Legal Advisor for Hitler. Frank had 5 children Sigrid Frank born in 1927. Norman Frank born in 1928, Brigitte Frank born in 1935. Also had 2 other kids named Michael Frank born in 1937, and Niklas Frank born in 1938. While they had Other children their marriage didnt go so well so Frank asked for a divorce in 1942. Brigitte begged and begged for Frank not to divorce her. Frank became the Chief Administration officer for Polish territories. On October 12,1939 Frank became the Governor General of the Polish Territory. In 1939 Frank now became the President of the German Academy Of Law. Frank got his position in the Military because he went to school and studied law and because he had a contribute to the Fuhrestaat. Frank was actually one of Hitlers top lieutenants. Franks role in the Nazi was commissioner and reformer. During World War I Frank joined the German Army. After the war Frank joined the Freikorps. Soon after that Frank joined the Nazi party. After that he became a legal advisor for Hitler and the Nazi Party. Hitler appointed Frank Minister of Justice in Bavaria in 1933, after Hitler became Chancellor. In 1939 Hitler then mad Frank the Governor General of Poland. Hans Frank was arrested by troops on May 3, 1945 at Tegernsee lake in Germany. Hans Frank went to prison because he was responsible for the murder of thousands of Polish Civilians and Jews. While in prision Frank had a diary during his administration role.. The diary has a total of 38 volumes, and included speeches, transcripts of conferences, and minutes of cabinet sessions. Frank was captured by troops on May 3, 1945 at Tegernsee. On his first day in prison Frank tried to commit suicide by trying to cut his throat, but failed to do so. Hand Frank then went to trial on November 20, 1945. He then tried to commit suicide again two days after by lacerating his arm, but this failed as well. Frank was found indicted under four counts. Then Frank was found not guilty on counts one and two but found guilty on counts three and four. Frank admitted to his guilt in the Holocaust. Frank was sentenced to death on October 1, 1946. Frank was executed on October 16, 1946. Hans Frank was the only p erson who entered the gas chamber with a smile on his face. Frank even said im thankful for my treatment during my captivity and I want to ask god to accept me with mercy. This is all about Hans Frank. It talked about his background, his role in the war/ military, and his imprisonment. In his background it first talked about his birth, then his family life, then his Early childhood and education. The second thing it talked about was the War/ Military background. This talked about how he got to his position in the war and his Role in the Nazi Admin. The third thing it talks about is his imprisonment. This talked about the Reason he went to jail, his Diary he wrote, and his trial and death. This is all about Hans Frank. WORKS CITED Hans Frank. Retrieved from http://www.historylearningsite.co.uk/nazi-germany/nazi-leaders/hans-frank/ Hans Frank. Retrieved from http://www.holocaustresearchproject.org/ar/frank.html Hans Frank. Retrieved from https://www.jewishvirtuallibrary.org/nuremberg-trial-defendants-hans-frank Hans Frank. Retrieved from http://spartacus-educational.com/GERfrank.htm Journal And Office Records Of Hans Frank, Governor General O. Retrieved from http://nuremberg.law.harvard.edu/documents/3796-journal-and-office-records?q=*#p.1 Nuremberg Trial Judgements: Hans Frank. Retrieved from http://www.jewishvirtuallibrary.org/nuremberg-trial-judgements-hans-frank United States Holocaust Memorial Museum. Retrieved from https://www.ushmm.org/wlc/en/article.php?ModuleId=10007108 War And Social Upheaval: World War 2biographies Hans Frank. Retrieved from http://histclo.com/essay/war/ww2/bio/f/bio-frankh.html
Medical Heroin Use in Cancer Treatment: Ethical Appraisal
Medical Heroin Use in Cancer Treatment: Ethical Appraisal HEROIN USED IN CANCER TREATMENT- ETHICAL OR NOT Name: Engin LAP INTRODUCTION Our research in cancer treatment used heroin, morphine ethical assessment of the use of such agents will be carried on. The method used will be used as a qualitative method. Research investigating various literature, obtained via literature will be discussed. Cancer is one of todays most important health problems. Frequent and due to the high deadly is a public health problem (Eti, 2005). Of patients with cancer of the biggest fears that a deadly disease of cancer, the second biggest fears of the disease have been shown to cause severe pain. Cancer diagnosed patients, %20-35 disease middle period %30-50 of patients and advanced stage patients in the %60-100 lesion type and by substituting moderate or severe pain in the draw (Eti, 2005). Treatment and care of patients with health care professionals and health care institutions struggle for managers of ethics requires an array. When it comes to cancer, the situation is more delicate and complicated. The goals of medicine in the decision (to maintain health, to improve quality of life, to prevent untimely death, to relieve pain and suffering) are difficult to obtain (Uà §an, 2007). Every decision indirectly affect the patients quality of life and life expectancy due to the oncologist, treatment and care of cancer patients are expected to adhere to the highest ethical standards (Ersoy, 2009). Pain in cancer patients appears to be the most common symptoms and in the last stages of life are increasing in prevalence and severity. By adversely affecting quality of life and integrity for patients and their relatives than even death itself can be a source of great fear (Uzunoglu, 2011). Solving the pain or the pain was not addressed, inadequacy and pain sufferers have decrea sed the quality of life of people. Uncontrolled pain person physical activity, social relationships negatively affect psychological tension increases. The food habits of people with chronic pain, sleep patterns and social structure are adversely affected. The relationship between pain and psychological well-being is extremely complex and inversely proportional. Mood, perception of pain and pain-related experience can increase the intensity. Likewise, the presence of pain is the most important determinant of mood . Pain Management is a Patient Rights. The most important purpose of the rights of patients of health care to everyone, equally accessible and can be delivered in a continuous manner. When evaluated in terms of ethical pain; Do not leave people in pain that can be corrected is contrary to human rights has been concluded. Everyone deserves to be in pain pain relief. If this right stems from respect for human rights in the world. Health workers also an important responsibility is to provide adequate analgesia to pain sufferers. Cancer of the disease compared to people suffering from the disease are experiencing pain. In determining the source of pain intensity is the patient. Subjective complaints in which the objective evaluation of pain measurement scales which are usually between 0-10 verbal or numerical scale used. Pain assessment scale of five or more is important that both of the patients pain, as well as an indication of the quality of life is greatly distorted. 7 pain measurement scale 1-4 mild pain, moderate pain is 5-6, while 7-10 is classified as severe pain apioid are used for pain relief. To be effective in treating different types of pain, route of administration due to the diversity and reliable property constitutes the main treatment in cancer pain. During Cancer Treatment; The methods used for the treatment of severe pain in the second step involved with drugs or unavailability of adequate effective in cases where the pain is very severe opioid weak to strong opioids are used instead of the WHO analgesic ladder system should be made to step 3. Strong opioids are quick and slow-release preparations. Morphine, hydromorphone, bupren-fun, methadone, fentanyl, alfentanil, heron strong opioids are the most commonly used in Europe. These include oral, parenteral, buccal, transdermal, transmucosal and transnasal ways be given. Optimal pain control, analgesic doses given on a regular basis can be realized by (Ripamonti C., 2009 Messina J., 2008). Ãâà °nforming A pain relieving the pain of suffering related to how health services should be clear and easy to reach. Pain for the patients own case that the interference characteristics, risks, benefits the right to know exactly if there are alternatives. Physicians to withhold information would be more useful in patients with faith may not be familiar with the consent of the family. For example, many cancer patients disease in our country what it is, or what awaits them in dealing with the disease do not know. Patient status of chronic pain patients to pain and disability in order to eliminate planned painkillers to be used as analgesics angle (morphine, heroin) operation characteristics of the patient analgesic in terms of expected contribution about the transfer of information understandable language, foreign words that are not to be done with. Approval The prerequisite for any medical intervention after the patients informed consent for the procedure is planned. The surgery patients have the right to refuse or stop. In such a case the patient should be explained the consequences of the attempt madeà ¢Ã¢â ¬Ã¢â¬ ¹Ã ¢Ã¢â ¬Ã¢â¬ ¹. Patients will not be reported to the contrary, a statement in an emergency or if the attempt is made in advance. If the attempt to get the approval of the patients legal representative can be made (Evren, 1997). Even if the patients legal representative should participate in the decision making process itself. The use of all components of the human body and is essential for maintaining the patient consent. However, diagnosis, treatment and care Heroin, Morphine drug use can be applied without the consent of the patient when needed (TellioÃâÃ
¸lu, 2002). Addiction, Tolerance and Detoxification All serious side effects of pain medications and methods are available. When considered ethically adequate pain relief pain patients and physicians, the balance should be made available with minimal side effects, morphine used in cancer treatment, there are side effects of substances such as heroin. Addiction, tolerance and physical dependence on the substance of abuse was defined as. Tolerance, substance repeated, exposure, in the form of a reduction in the pharmacological response represents adaptation. Physiological dependence, uptake ceases or is reduced significantly, emerging situations that are marked with withdrawal symptoms. Withdrawal symptoms, substance starts as soon disappear from the body via metabolism, and excretion of the substance initially in the direction opposite of the effect of rebound effects (Evren, 1997). Detoxification is the first step to start treatment and stay out without real success is not the situation. The more difficult aspects of treatment, drug-taking behavior is protection again. The adaptability of the body, treated with any known drug and is not dependent on tolerance and withdrawal symptoms often occur should be noted that (Evren, 1997). Detoxification of patients addicted to heroin and other opioids, just stay away from long-term substa nce or opioid antagonist with maintenance helps to prepare rehabilitation. Because most patients relapse quickly because they are away from substances remain in the program, although supported by society and the private health care system, even though detoxification is usually unsuccessful. Heroin is used in medical terms (recreational drug) use of terms can be highly addictive (Evren, 1997). Again there is no detoxification. However, opioid withdrawal syndrome in medical terms used obtrusive, though, is not life threatening and long acting opioids, such as morphine, can be easily treated by reducing the dose gradually (Evren, 1997). Heroin/Morphine usability in Cancer Treatment Adequate pain management in cancer patients can not be provided without the dedication of the function. It is not possible to extend the design life in cancer patients. Then the latest objectives of should be to prolong life. These objectives and priority in making belà ¼ien both clinicians and patients also should play a role. As mentioned previously proposed methods for the treatment of pain serious side effects may be undesirable (CansÃâà ±z, 2002). For example for cutting pain opioid tolerance can lead to the high dose. This tolerance is a state abbreviation patient survival but reduces the quality of life. briefly outlined and exemplified patient rights and physician to the patient of their duties properly fulfilled only physicians as health provision employees interests are not at the same time the government, hospitals, nurses, insurance companies, health care workers providing education to medical schools, nursing schools as institutions that are interested with. In diff erent countries in different stages of this hierarchical order is clogged (CansÃâà ±z, 2002). For example in some countries for the treatment of pain and the morphine-like analgesics can be achieved due to various causes is still very difficult. At this point, after obtaining these drugs from the government until the pharmacist is responsible for everyone. Human rights and ethical principles that can be treated when viewed in the light of a serious crime is not limited to pain relief enough. Some of insensitivity on this issue when the system is insensitive clinicians are dragging. The problem is systemic and widespread legal size already out anyone who can not examine the moral dimensions of this problem (CansÃâà ±z, 2002). METHOD In this research in cancer treatment used heroin, morphine ethical assessment of the use of such agents will be carried on. In the research literature will be scanned and analyzed. The method used will be used as a qualitative method. Research investigating various literature, obtained via literature will be discussed. DISCUSSION Cancer patients welfare should be provided, the patient must be protected from potential harm. Patients and their families should be provided for all of the support, the pain should be minimized. For this purpose, the most effective method is the effective treatment of pain and other symptoms. In the treatment of patients with cancer pain, inability to use ones free will, have the ability to be able to use various dilemmas arising out is considered (Ersoy, 2009). Sometimes patients refuse treatment. Patients rejected pain when they are required to investigate the cause of the clinician. We all know the pain which is caused by cancer drugs, radiotherapy and surgery as a treatment for these patients is generally insufficient and emergency assistance is needed analgesic (Ersoy, 2009). Despite the side effects of the recent target for cancer patient should be pain relief. Cancer patients welfare should be provided, the patient must be protected from potential harm. Patients and their fam ilies should be provided for all of the support, the pain should be minimized. For this purpose, the most effective method is the effective treatment of pain and other symptoms. CONCLUSION Cancer is one of todayââ¬â¢s most important health problems. Frequent and killing is high, is a public health problem. The development of diagnostic possibilities and opportunities to benefit from health care organizations with the increase of cancer cases are diagnosed each year more. Patients undergoing cancer treatment is undergoing a painful process. Untreated pain; the patients physiological functions, mental functions such as thinking and communication, reduce quality of life by adversely affecting their social relations and psychological disorders can cause. Cancer related pain can be seen as a result of suicide attempts. So removal of pain during cancer treatment is very important. If the patients pain during cancer treatment doctors in terms of blocking requires ethical responsibility. Heroin is used for the prevention of pain, such as morphine can be thought as an ethical matter. An arduous process in which cancer pain and in the treatment of a legal requirement that pat ients rights, Approval, Information and ethically when we think of patients with this stage to accept the result of the treatment and pain relief methods, in terms of the methods used is ethical considered. REFERENCES AÃâÃ
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Saturday, July 20, 2019
motivation :: essays research papers
I once had an interesting conversation with the owner/manager of a clothing manufacturing company. He operated a large and successful business, principally supplying uniforms for the corporate market. He was surprised by some of his workers. They worked on a piece work rate (paid per item) and some of the very efficient staff did not produce as much as they were capable of. They worked hard at the start of the pay period, but then they tapered off. He expected them to work hard the whole time, as they were paid by what they produced - the harder they worked, the more they were paid. He expected that the extra money reward would motivate them. Motivation is a complex concept. Remuneration is also complex. Individuals react in different ways to pay schemes. A simple explanation for the clothing worker behaviour is that they did not work just for the money. They enjoyed the working environment and the social interaction it provided. They liked to have work, to be employed, and yes they needed a certain level of income. But once they achieved that, the pressure to work hard was reduced. Given that the actual work task was quite monotonous and repetitious, it was not surprising that they exhibited this behaviour. Drastic work design was required. People think that money is a motivator. It does have an effect, but motivation involves far more. Sales people are the classic example. Most are on performance based schemes. But what is one of the main themes sales and marketing consultants write about? You guessed it - how to motivate your sales team! Consultants would not need to write motivation articles if financial reward alone worked. Equity in compensation practices Positive effects come from good financial and non-financial rewards. It is very important to have a well managed remuneration system in place. Fair and reasonable reward is essential and very important for good morale. I believe strongly in the equity theory of motivation. Simply put, the theory states that people have to believe that their pay is equitable with others. When they compare their salary and benefits with their colleagues and co-workers, they must believe that they are being fairly compensated. If they believe their compensation is not equitable, they become very de-motivated and their work performance suffers. Financial and nonfinancial rewards I subscribe to the theory that states it is the nature of the work that is important.
Friday, July 19, 2019
Essay --
Scott Sorrell 12/11/13 Soc 221 ââ¬â Social Problems Dusty Myers Homosexuality and Society George Bernard Shaw said the following when discussing how marriage brings two people together "under the influence of the most violent, most insane, most delusive, and most transient of passions. They are required to swear that they will remain in that excited, abnormal, and exhausting condition continuously until death do them part." Marriage is hard, and it is something people have to work at. However, society in recent years has begun to strongly dictate who can, and who cannot be joined in matrimony. Gay marriage has become the hot topic. It is a fact that humans have been engaging in homosexuality activity for centuries. China, India, Japan, and all over Europe homosexuality has been occurring. It was not until Christianity and organized religion did it become as big of an issue. It has become a more pressing issue now because people have begun fighting for equal rights. Society will ask ââ¬Å"should homosexual marriage be legalized?â⬠, however, the contradictory outlook is ââ¬Å"why should society be able to dictate what two adults choose to do?â⬠If two people decide to participate in traditional marriage, no one cares. No one calls the papers. No one protests. No one commits hate crimes. It is assumed that they are two people who are in love, and feel warmth for one another. How could those feeling ever be wrong? But when this case is changed to a nontraditional marriage between a man and another man, or a woman and another woman, a large portion of society has many objections. They feel that it is their responsibility to make their objections heard. They decided then that they care. They call the papers, they protest and they commit hate crime... .... However, the argument has been made that two people in a homosexual relationship should not have children, because it will corrupt those kids. But, there has been many studies done that show kids that grow up in same sex households have no adverse effects. They are loved the same. They do just as well in school. They contribute to society just the same. The studies that show otherwise, have all been proven to have flawed results, or have been adjusted to support a specific viewpoint. Love is love, which is all children need to grow. For me, as an openly bisexual male, and someone who was very religious at one point in my life, I feel that I have a unique perspective. I feel that it is my right as a human being to love who I choose to love. It is my right as a human being to pursue a sexual relationship with who I want. No other person should have a say in that.
Thursday, July 18, 2019
HTML and Web Site Construction :: essays research papers
Chapter 1 Planning à à à à à When you plan your web page you start by writing everything down on paper. Write what you want your web page to say, show, and do. To make a map of the links you will be using, write a circle in the center of a new sheet of paper and write HOME in it. Then draw lines to other circles that say the names of your sub pages. Later you will learn how to link your home page to your sub pages. Chapter 2 Starting your front page à à à à à First we want to have a simple text program to use. Go to START programs Accessories NOTEPAD. Notepad is the only program I found to work for html. After you are in notepad type the following. - this will start an html document à à à à à - starts the header à à à à à - title that you see at top left corner on screen à à à à à - ends title à à à à à - ends header à à à à à - starts the body ( the guts ) à à à à à - ends the body à à à à à - ends html document ( IMPORTANT ) à à à à à After the 1st tag, type the name you want to appear in the upper left corner of your screen. This will put whatever you typed ( between the two title tags ) up in the upper left corner of your screen. Note: Make sure that you type in between the two title tags. If you donââ¬â¢t you wonââ¬â¢t see the title on the screen. à à à à à TIME TO SAVE! After you finish typing your title click on the file option menu at the top of the screen. Once there, click ââ¬Å"save asâ⬠. Save the document to a new 3 à ½Ã¢â¬ floppy as home.htm. You must save it .htm or your internet browser will not open. If you are done saving it go to ââ¬Å"my computerâ⬠on the desktop and click on 3 à ½ floppy ( A: ) Then click on home.htm. When the file opens up look at the upper left hand corner of your screen. There you should see your title. To edit the web page and add more stuff, click on view ( at top of screen ) then click source. Notepad should open up with the codes you typed earlier. After you are done editing go to file save. Then go back to your web page and click REFRESH. This should refresh the screen to what you just typed. Chapter 3 Text, centering, coloring, and font à à à à à To enter text into your web page, all you need to do is type what you want any where in between the two tags.
Bluffing
HUMN 330 Values and Ethics Online Course Syllabus Credit Hours: 3 Delivery Method: Online (Internet / Blackboard) Required Textbook Rosenstand, N. (2013). The moral of the story: An introduction to ethics (7th ed. ). New York, NY: McGraw-Hill. ISBN: 978-0078038426 Course Description This course focuses on the process of practical ethics as a way of resolving moral conflict and of understanding professional responsibility in a multi-culturally diverse society without devaluating specific viewpoints of ethical or metaphysical theory, ideology, or religion.Students will use proposals, value judgments, observation statements, assumptions, and alternate-world assumptions in arguing contemporary issues of moral importance. With this basic moral logic, students will resolve issues in terms of rights, responsibilities, and the community of rational beings; in terms of consequences and contingencies; and in terms of habituated virtues and character. Free and unrestricted discourse will be enc ouraged so as to let students find common ground in diversity. Course Goals This course is designed to help students: 1. Understand the basic vocabulary and fundamental theories of ethics. . Discover life's values and determine which values are the most worthwhile. 3. Relate the textbook theories to actual life situations. 4. Find greater personal peace by choosing more constructive values. 5. Apply understanding of ethics to personal lives. 6. Understand the relationship between attitudes, values and moral conduct. Learning Outcomes This syllabus was developed for online learning by Dr. Moseby HUMN 330 Online Syllabus 0712 Upon course completion, students will be able to: 1. Judge the role and importance of ethics and evaluate moral behavior based on the criteria of value and self autonomy. . Assess the psychological, sociological, historical, and philosophical background of ethics. 3. Relate the nature and role of reason in understanding values. 4. Relate the nature and characteri stics of freedom when responding to values. 5. Distinguish and apply ethical principles in ethical situations. 6. Explain the various arguments for and against the major contemporary ethical issues. 7. Discuss oneââ¬â¢s options for identifying and replacing inferior values. 8. Explain the role, nature, and characteristics of responsibility. 9.Defend the value of and the process of foreseeing the consequences of an individualââ¬â¢s conduct. 10. Defend the choice of a viable ethical theory in solving an ethical problem. 11. Utilize the principles of critical thinking to enhance learning skills and to increase intellectual and moral growth. 12. Evaluate their conduct in the light of constructive ethical expectations. Grading Your final grade will be based on the following evaluation items: Grade Scale 90 ââ¬â 100% 80 ââ¬â 89% 70 ââ¬â 79% 60 ââ¬â 69% 0 ââ¬â 59% A B C D F Evaluation Items and Weights Weekly Assignments Discussions Midterm Exam Group Project Fina l Exam Total 5% 30% 15% 15% 15% 100% Activities and Assignments Activities Each module, excluding Module 9, contains various assignments related to the respective module, such as: ? Chapter and Lecture Notes. This activity consists of reading the text and the lecture notes that are posted in each module. ? Reading and Reflection. This activity contains a reading activity that is assigned to stimulate additional thinking and some discussions within the topic area. This syllabus was developed for online learning by Dr. Moseby HUMN 330 Online Syllabus 0712 ? ? Research and Critical Thinking.This activity varies with each module; however, they are typical outside readings with associated discussion questions of short essay-type answers to the topic area. Application. This activity varies with each module and is integrated into the learning modules to help you apply and reinforce the concepts that each module introduces. Weekly Assignments The assignments vary from module to module and a re based on the activities that were contained within the module. Each includes a combination of threaded discussions, short essays, or study questions based on text or outside readings.The weekly assignments comprise 25% of your grade. Discussions The Discussion Board is an integral part of your learning in this course. You are encouraged and expected to participate in online discussions. Regular and meaningful discussion postings are part of your final grade. Each module, excluding Module 9, contain Discussion Board topics or questions that will help sharpen your critical thinking and written communication skills as you study the theories and concepts related to values and ethics.Thirty percent of your course grade will come from your original responses to module discussion prompts and responses to classmates submitted to the appropriate Discussion Board forum in response to these module discussion activities. Please refer to the Checklist for Meaningful Discussions and Discussion Rubric in Module 1. Discussions account for 30% of your grade. Exams Both the Midterm and Final Exams are time-limited online tests. The Midterm will cover Modules 1 through 4 (Chapters 1-6) and is to be taken in Week 4. The Final is comprehensive (Modules 1-4 and 5-9, Chapters 1-13) and is to be taken during Week 9.The Midterm and Final are each worth 15% of your grade. Group Project Module 8 is devoted to the group project. The Instructor will divide the class into four virtual groups to discuss a case involving an ethical issue. ? ? ? ? Group 1: Media Ethics Group 2: Theory of Just War Group 3: Animal Welfare and Animal Rights Group 4: Death Penalty Each group will have its own private group discussion forum. Accessing this private forum is a little different from reaching the public discussion forums. You will need to click the Groups menu item, not the Discussion Board.After clicking Groups, you will see the four groups listed but you will only have access to the group you hav e been assigned to. Click your group link to see a list of the other members of your group and then the Group Discussion Board link to access the discussion forum. This syllabus was developed for online learning by Dr. Moseby HUMN 330 Online Syllabus 0712 Work with your assigned group members on the ethics case for your group in your private discussion forum. Identify ethical or moral justifications to support your arguments from the text or additional sources as necessary.Use the Internet to research any additional information you would like to use in your group's discussion. After groups have had time to review and discuss their cases and reach a consensus on the topic, one member of each of group will post its findings to the appropriate thread in the public Module 8 ââ¬â Group Presentations forum. As individuals, each student will then comment on at least two other group presentations. The group project makes up 15% of your grade. Additional Information Library Embry-Riddle Aeronautical University has one of the most complete library collections of aviation-related resources in the world. ? ERAU Libraries: http://library. erau. edu/ Hunt Library Worldwide: Information, Services, Help o Worldwide Library: Basic Training o Worldwide Library: Ask-a-Librarian o Reference: Research Request Contact Information ? Hours: Monday ââ¬â Friday 8:00 a. m. ââ¬â 5:00 p. m. Eastern Time ? Telephone: 1-800-678-9428 or 386-226-6947 ? Email: [emailà protected] edu RefWorks RefWorks is an online database tool that can manage references and citations from almost any source. It provides specific guidance in how to collect and use references, create bibliographies, and write research papers.You may access it through this ERAU organizational login link when signed in to ERNIE or directly from the RefWorks website (http://www. refworks. com). A different link must be used for off-campus access (see these instructions). RefWorks requires users to create a RefWorks-spe cific username and password. Please contact the Hunt Library if you have any questions. Online Sources There are many websites that offer current information on values and ethics and any search engine (Google, etc. ,) will get you to both historic and current information that is relevant to the content of this course.In addition, many links are provided within the online learning modules. APA Format ERAU students should master the American Psychological Association (APA) editorial style format for research papers and other written assignments. Two good websites to bookmark for help citing references used in your assignments and discussion posts are listed below. (See the Academic Resources folder in the Resources area of the course for additional sites on APA style. ) This syllabus was developed for online learning by Dr. Moseby HUMN 330 Online Syllabus 0712 The OWL at Purdue, APA Formatting and Style Guide APA Style. rg Course Policies Academic Integrity Embry-Riddle is committed t o maintaining and upholding intellectual integrity. All students, faculty, and staff have obligations to prevent violations of academic integrity and take corrective action when they occur. The adjudication process will involve imposing sanctions which may include, but are not limited to, a failing grade on the assignment, a failing grade in a course, suspension or dismissal from the University, upon students who commit the following academic violations: 1. Plagiarism: Presenting the ideas, words, or products of another as oneââ¬â¢s own.Plagiarism includes use of any source to complete academic assignments without proper acknowledgement of the source. Reuse or resubmission of a studentââ¬â¢s own coursework if previously used or submitted in another course, is considered self-plagiarism, and is also not allowed under University policy. 2. Cheating: A broad term that includes, but is not limited to, the following: a. Giving or receiving help from unauthorized persons or material s during examinations. b. The unauthorized communication of examination questions prior to, during, or following administration of the examination. . Collaboration on examinations or assignments expected to be, or presented as, individual work. d. Fraud and deceit, that include knowingly furnishing false or misleading information or failing to furnish appropriate information when requested, such as when applying for admission to the University. Online Learning This course is offered through ERAU Worldwide Online (Blackboard) and runs nine (9) weeks. The first week begins the first day of the term and ends at midnight EDT/EST (as applicable) seven days later.Success in this course requires in-depth study of each module as assigned, timely completion of assignments, and regular participation in forum discussions. Late work should be the exception and not the rule and may be downgraded at the discretion of the Instructor, if accepted at all. Unless all work is submitted, the student co uld receive a failing grade for the course. Extensions may be granted for extenuating circumstances at the discretion of the Instructor and only for the length of time the Instructor deems appropriate. The most important element of success in an online course is to communicate with your Instructor throughout the term.Conventions of ââ¬Å"online etiquette,â⬠which include courtesy to all users, will be observed. Students should use the Send Email function in Blackboard for private messages to the Instructor and other students. The class Discussion Board forums are for public messages. It is highly recommended that students keep electronic copies of all materials submitted as assignments, discussion board posts and emails, until after the end of the term and a final This syllabus was developed for online learning by Dr. Moseby HUMN 330 Online Syllabus 0712 grade is received.When posting responses in a discussion forum, please confirm that the responses have actually been posted after you submit them. Course Schedule Module Title Understanding Values, Morals, and Ethics Activities / Assignments 1. 1 ââ¬â Introductions 1. 2 ââ¬â Read Chapter 1; View Morality Video 1. 3 ââ¬â Reading and Reflection: Morality and Ethics 1. 4 ââ¬â Application: Current News Search 1. 5 ââ¬â Discussion 1: Ethical Behavior 1. 6 ââ¬â Discussion 2: Moral Issues 2. 1 ââ¬â Read Chapter 2 and 3 2. 2 ââ¬â Research and Critical Thinking: Haroun and the Sea of Stories Study Questions 2. ââ¬â Discussion: Understanding the Past 2. 4 ââ¬â Application: Moral Dilemma 2. 5 ââ¬â Discussion: Ethnicity vs National Identity 3. 1 ââ¬â Read Chapter 4; 3. 2 ââ¬â Research and Critical Thinking ââ¬Å"The Ethics of Emergencies Study Questionsâ⬠3. 3 ââ¬â Reading and Reflection: Altruistic Behaviors 3. 4 ââ¬â Application: Essay on Randââ¬â¢s Ideas 3. 5 ââ¬â Discussion: Understanding Altruism 4. 1 ââ¬â Read Chapters 5 and 6 4. 2 â â¬â Reading and Reflection: Utilitarianism and Deontology 4. 3 ââ¬â Research and Critical Thinking: Flight 93 and Utilitarianism in Times of Crisis 4. ââ¬â Discussion: Ends and Means 5. 1 ââ¬â Review Modules 1 through 4 Learning Objectives 5. 2 ââ¬â Discussion: Midterm Q & A 5. 3 ââ¬â Midterm Exam 6. 1 ââ¬â Read Chapters 7 and 8; Listen to ââ¬Å"I Have a Dream Speechâ⬠6. 2 ââ¬â Reading and Reflection: Walmart Employment Practices 6. 3 ââ¬â Application: Education Equity and Social Justice Awareness 6. 4 ââ¬â Discussion 1: Person vs. Human Being 6. 5 ââ¬â Discussion 2: Rights and Responsibilities 6. 6 ââ¬â Research & Critical Thinking: The Trial of Socrates 6. 7 ââ¬â Application: Resolving Ethical Dilemmas 6. 8 ââ¬â Discussion 3: Socratesââ¬â¢ Trial 7. ââ¬â Read Chapters 10 and 11 7. 2 ââ¬â Research and Critical Thinking: ââ¬Å"Either/Orâ⬠Study Questions 7. 3 ââ¬â Reading and Reflection: Philosophers 7 . 4 ââ¬â Application: ââ¬Å"Why Courage Matters: The Way to Braver Lifeâ⬠Study Questions 7. 5 ââ¬â Discussion: Politics 7. 6 ââ¬â Group Project Preview 8. 1 ââ¬â Read Chapters 12 and 13; View Gender and Ethics Video 8. 2 ââ¬â Reading and Reflection: Group Case 8. 3 ââ¬â Research and Critical Thinking: Group Case 8. 4 ââ¬â Application: Group Findings 9. 1 ââ¬â Review Modules 1 through 8 Learning Objectives 9. 2 ââ¬â Discussion: Final Q and A 9. ââ¬â Final Exam 1 2 Moral Lessons Through Time and Ethical Relativism 3 Exploring Psychological and Ethical Egoism 4 Utilitarian Reasoning and Universal Law 5 Midterm Exam Week 6 Human Rights, Justice and the Concept of Virtues 7 The Contemporary Perspectives and Case Studies in Virtue 8 Feminism, Virtue, and the Exploration of Ethics in a Global Context 9 Final Exam Week This syllabus was developed for online learning by Dr. Moseby HUMN 330 Online Syllabus 0712 This syllabus was developed for onl ine learning by Dr. Moseby HUMN 330 Online Syllabus 0712
Wednesday, July 17, 2019
Nursing questions Essay
The sop up is performing her admission assess ment of a un kick. When grading arterial pulses, a 1+ pulse indicatesAbove normal perfusion. go away perfusion.Normal perfusion.Diminished perfusion.Murmurs that indicate knocker unhealthiness are often accompanied by other symptoms such as Dyspnea on exertion.Subcutaneous emphysema. pectoral petechiae.Periorbital edema.Which pregnancy-related physiologic change would place the unhurried with a history of cardiac illness at the greatest risk of exploitation severe cardiac problems? Decrease join rate lessen cardiac end productincrease plasma hatful ontogenyd blood mechanical pressThe precession cling to diagnosing for the long-suffering with cardiomyopathy is dread related to risk of declining health office. otiose individual coping related to disquietude of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac widening related to trim myocardial con packetility. A lo ng-suffering with thrombophlebitis reached her judge outcomes of care. Her change leg appears pink and warm. Her motorcycle pulse is palpable and there is no edema present. Which step in the nursing process is described supra? provisionImplementationAnalysisEvaluationAn old long-suffering may move over bear on a basilar skull fracture later on slipping and falling on an rimed positioningwalk. The go for knows that basilar skull factures Are the least signifi jakest fictional character of skull fracture.May have cause cerebrospinal placid (CSF) leaks from the lift or ears. Have no peculiarity findings.Are always surgically repaired.Which of the followers types of drugs might be given to image increased intracranial pressure (ICP)?Barbituratescarbonic anhydrase inhibitorsAnticholinergicsHistamine receptor blockersThe suckle is direction family members of a persevering with a concussion astir(predicate) the earliest signs of increased intracranial pressure (ICP). Which of the next would she cite as an early sign of increased ICP? Decreased systolic blood pressureHeadache and castInability to wake the patient with toxic stimuliDilated pupils that dont react to uncontaminatingJessie James is diagnosed with retinal detachment. Which intervention is the about important for this patient? Admitting him to the hospital on strict bed consist join both of his eyesReferring him to an ophthalmologistPreparing him for operating theaterDr. Bruce Owen, a chemist, sustained a chemical substance burn to one eye. Which intervention conceives priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. plow a cycloplegic agent to reduce ciliary spasm. at present in lock up a tropical anesthetic, then(prenominal) irrigate the eye with saline solution solution. Administer antibiotics to reduce the risk of infectionThe withstand is assessing a patient and notes a Brudzinskis sign and Kernigs sign. Thes e are deuce classic signs of which of the side by side(p) disorders? Cerebrovascular shot (CVA)MeningitisSeizure disorderParkinsons diseaseA patient is admitted to the hospital for a judgement biopsy. The take holdmaid knows that the about normal type of primary brain neoplasm is Meningioma.Angioma.Hemangiobla stomate.Glioma.The nurse should instruct the patient with Parkinsons disease to ward off which of the spare-time activity? move in an indoor shopping marrow academic session on the deck on a cool summer flushWalking to the car on a cold winter sidereal daySitting on the beach in the sunbathe on a summer dayGary Jordan suffered a cerebrovascular accident that go forth her unavailing to comprehend speech and unable to speak. This type of aphasia is known as subject aphasiaExpressive aphasiaGlobal aphasiaConduction aphasiaKelly metalworker complains that her headaches are occurring more frequently contempt medicines. Patients with a history of headaches should be taught to avoid Freshly prepared meats.Citrus fruits. skip milkChocolateImmediately following cerebral aneurysm rupture, the patient unremarkably complains of PhotophobiaExplosive headacheSeizuresHemiparesisWhich of the following is a cause of embolic brain injury?Persistent hypertensionSubarachnoid phlebotomiseAtrial fibrillationSkull fractureAlthough Ms. Priestly has a spinal corduroy injury, she fecal matter notwithstanding have sexual intercourse. Discharge pedagogics should make her sensitive that She must take bear indispensable urinary catheter prior to intercourse. She cannister no longer achieve orgasm. status may be awkward.She can still get pregnant.Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with gang tr effect. When caring for the patient in resplendence parcel of landion, the nurse must Keep a wrench taped to the halo put for quick removal if cardiopulmonary resuscitation is necessary. reverse the brace once a day to al low the patient to rest.Encourage the patient to use a pillow under the ring.Remove the brace so that the patient can shower.The nurse asks a patients husband if he understands wherefore his wife is receiving nimodipine (Nimotop), since she suffered a cerebral aneurysm rupture. Which response by the husband indicates that he understands the drugs use? Nimodipine replaces calcium.Nimodipine promotes harvest-tide of blood vessels in the brain. Nimodipine reduces the brains demand for oxygen.Nimodipine reduces vasospasm in the brain.Many men who suffer spinal injuries continue to be sexually active. The belief invent for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely prevent hard-on and ejaculation? C5C7T4S4Cathy Bates, age 36, is a homemaker who frequently forgets to take her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best booster the patient remember to take her medication? Tell her take her medication at bedtime.Instruct her to take her medication later one of her favorite television shows. relieve that she should take her medication with breakfast.Tell her to demoralize an alarm watch to remind her.Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the pre anxietys necessary withthis diagnosis? Im so depressed because I cant have any visitors for a week. Thank goodness, Ill only be in isolation for 24 hours. The nurse told me that my body of peeing and stool are similarly sources of meningitis bacteria. The rein verbalize is a good associate of mine and wont throw me in isolation. An early symptom associated with amyotrophic asquint sclerosis (ALS) includes Fatigue piece of music talkingChange in mental statusNumbness of the hands and feetSpontaneous fracturesWhen caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder no rmally stems from Esophageal perforationPulmonary hypertension ingress hypertensionPeptic ulcersTiffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and gown forrader entering the patients room. violate gloves and a gown when removing the patients bedpan. Prevent the droplet spread of the organism.Use caution when bringing food to the patient.Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states hell tie-in the desexualize if He experiences abdominal cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the relapse is running out.Hes unable to complete the procedure in 1 hour.The nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for some(prenominal)(prenominal) days afterward because It prevents urinary tract infection following surgery.It prevents pissing supply memory and resulting pressure on the perineal contuse It minimizes the risk of wound contamination by the piss.It determines whether the surgery caused vesica trauma .The depression day after, surgery the nurse finds no measurable fecal drain from a patients colostomy stoma. What is the most separate nursing intervention? Call the doctor immediately.Obtain an order to irrigate the stoma. indue the patient on bed rest and call the doctor.Continue the current plan of care.If a patients GI tract is functioning but hes unable to take foods by mouth, the preferred method of feeding is centre parenteral foodPeripheral parenteral nutritionEnteral nutrition viva liquid supplementsWhich type of solution causes piss to shift from the cells into the plasma? HypertonichypotonicIsotonicAlkalineParticles move from an reach of greater o smelarity to one of lesser osmolarity through and through Active transportOsmosisDiffusionFiltrationWhich mind finding indicates dehydration?Tenting of office skin when pinchedRapid modify of hand venous blood vesselsA pulse that isnt easily obliteratedNeck vein distentionWhich nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution Weighing the patient day by dayAdministering tap water enema until the revert is clearEncouraging the patient with prodigal perspiration to dink broth Which legal opinion finding would indicate an extracellular fluid volume deficit? BradycardiaA underlying venous pressure of 6 mm HgPitting edemaAn erect blood pressure changeA patient with metabolic acidosis has a preexist problem with the kidneys. Which other organ dos see blood pH? LiverPancreasLungs totalityThe nurse turn overs the patient anuric if the patientVoids during the nighttime hoursHas a urine produ ce of less than 100 ml in 24 hoursHas a urine output of at least 100 ml in 2 hoursHas fuss and electrocution on urinationWhich nursing action is appropriate to prevent infection when obtaining a impotent urine specimen from an indwelling urinary catheter? Aspirate urine from the subway port using a sterile syringe and needle Disconnect the catheter from the provide and obtain urineOpen the drainpipe bag and pour out nearly urineWear sterile gloves when obtaining urineAfter undergoing a transurethral resection of the prostate to discretion benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient tracks bladder pain. What should the nurse do first? Increase the I.V. flow rateNotify the doctor immediatelyAssess the irrigation catheter for patency and drainageAdminister meperidine (Demerol) as positivistA patient comes to the hospital complaining of sudden onset of sharp, severe pain originating in the lumbar region and give out around the side and toward the bladder. The patient alike reports nausea and vomiting and appears pale, diaphoretic, and anxious. The doctor tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation grade? KidneyUreterBladderUrethraA patient comes to the hospital complaining of severe pain in the dependable flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi). When planning this patients care, the nurse should assign highest priority to which nursing diagnosis? PainRisk of infection altered urinary eliminationAltered nutrition less than body requirementsThe nurse is reviewing the report of a patients quotidian urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1.002 piss pH of 3 absence of proteinAbsence of glucoseA patient with suspected renal insuf ficiency is scheduled for a extensive diagnostic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney does the work. Which answer is correct?The glomerulusBowmans capsuleThe uriniferous tubuleThe tubular systemDuring a coke state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased resorption of sodium and water Decreased urine output, decreased reabsorption of sodium and water Increased urine output, increased reabsorption of sodium and water Increased urine output, decreased reabsorption of sodium and water While assessing a patient who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis.The nurse suspects A urinary tract infectionRenal calculiAn enlarged kidneyA distended bladderGregg Lohan, age 75, is admitted to the medical-surgical floor with weakness and left-sided chest pain. The symptoms have been present for several weeks after a viral illness. Which sound judgement finding is most symptomatic of pericarditis?pericardiac friction rubBilateral crackles auscultated at the lung basesPain unrelieved by a change in position triplet heart sound (S3)James power is admitted to the hospital with right-side-heart failure. When assessing him for jugular vein distention, the nurse should position him Lying on his side with the head of the bed flat.Sitting upright. matted on his back.Lying on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a middling overweight 43-year-old man with mild emphysema and borderline hypertension. He admits to smoking a pack of cigarettes per day. When developing a teaching plan, which of the following should receive highest priority to help decrease respiratory complications? Weight drop-offDecreasing salt brainchild consume cessationDecreasing caffeine intakeWhat is the ratio of chest compressions to ventilati ons when one deliveryman performs cardiopulmonary resuscitation (CPR) on an adult? 151152121122When assessing a patient for fluid and electrolyte balance, the nurse is aware that the organs most important in maintaining this balance are thePituitary secretor and pancreasLiver and gallbladder.Brain stem and heart.Lungs and kidneys.
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