Sunday, August 23, 2020

Motivation Analysis Essay Example | Topics and Well Written Essays - 1500 words

3 Steps to Acing Your Upcoming Group Interview You’ve been approached in for a board meet. Perhaps you’re threatened. Perhaps frightened. Possibly you’re not even sure you comprehend what that really involves. Whatever your degree of fear, here are three simple strides to traversing your board meet tranquilly and in one piece. Stage 1: BEFOREYou reserve the privilege to ask who will be on your board. Do this. At that point inquire about each board part as well as could be expected. You’ll have the option to make sense of a considerable amount and get ready better for what each may be generally quick to ask you. What does this specific gathering of individuals educate you regarding what the organization is attempting to assess?You can likewise ask to what extent (generally) the meeting should last. This will give you a nice sentiment for what amount to and fro conversation will be conceivable, how much space you’ll be given to pose inquiries, to what extent your answers can be, etc.Step 2: DURING Treat every individual on the board like an individual not simply one more anonymous face. This isn't an indifferent divider asking you inquiries. Every questioner on your board is another chance to make a human association and persuade that a lot more individuals in the organization what an extraordinary fit you would be.Be sure to observe everybody’s name as they are presented. Record every one if that causes you recall. When responding to questions, talk straightforwardly to the person who asked, yet then attempt to widen your answer out to cause the remainder of the board to feel remembered for the discussion.Step 3: AFTERYou’ve took in their names and put forth an attempt to interface with each board part presently thank every single one of them earnestly withâ solid eye to eye connection and a quality handshake. From that point forward, it’s the typical post-meet follow-up methodology. Be that as it may, recall that you have to keep in touch with one card to say thanks for each board part. It appears to be a torment, however it’s these little contacts that will help set you apart.The board talk with: 6 hints for previously, during, and after

Friday, August 21, 2020

Food Macromolecules

â€Å"Macromolecules are a wellspring of fuel. There are four significant kinds of macromolecules-proteins, starches, nucleic acids, and lipids. This procedure assumes significant jobs in the life of a cell. (Macromolecules, 2002). The macromolecules that was available in the bundled food item Lipids which are fats. As per (Alters and Alters 2009, p. 49) Fats additionally give more vitality in our weight control plans that do identical measures of sugars or protein. Protein was likewise present on the bundled food. Proteins transport and rovide muscle compression. Modifies and Alters 2009, p. 51) Proteins fabricate, keeps up, and replaces the tissue in our body. Tissue importance: muscles, organs, and your invulnerable framework. They are likewise significant for the development of lungs, legs, and shielding you from sickness. (Finding out about proteins,2008). What amount of protein do we need every day? Grown-ups ought to get at least 0. 8 grams of protein for each kilogram of body weight every day. Expanding protein consumption decreases the danger of coronary illness. (The Nutrition Source: Protein, 2011). Sugars are additionally present in the bundled food. Starches give the body fuel for physical movement and legitimate organ work. The best wellsprings of starches - entire grains, vegetables, natural products, and beans-advance great wellbeing. (The Nutrition Source: Carbohydrates, 2011) Lipids are additionally present in the bundled food. Lipids are a gathering of particles that comprise of fats, phospholipids, and cholesterol. This bundled food is a piece of a heart solid eating regimen since it has starches, low soaked fats, and proteins. Sugars are significant for fuel, breaking these bonds and discharging vitality to support life (Alters and Alters, 2009, p. 47). A lot of immersed fats may prompt stopped up courses and danger of coronary illness. (Modifies and Alters, 2009, p. 50). The item I have decided to utilize is Quaker Oatmeal. I believe sugars to be the most significant thing recorded on the mark. Knowing the measure of starches is significant in light of the fact that carbs transform into sugar, and there is just a single gram of sugar in this item. At the point when starches transform into ugar this builds the danger of diabetes if there is to much sugars in your eating routine. I have never been a wellbeing devotee, however subsequent to doing this exposition I should be somewhat mindful of what I am eating. I have discovered that perusing names encourages us to eat more advantageous and to settle on the correct decisions our way of life. I never truly saw how sugars work. Presently I know the comprehension of good and awful starches. Coronary illness runs in my family. I do have a solid heart yet in the wake of doing the exploration for this article I would like to keep on remaining sound. Reference http://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/.starches

Saturday, July 11, 2020

Florida Bar Essay Topics

Florida Bar Essay TopicsOne of the easiest ways to earn money online is to create an effective essay on Florida bar essay topics. Once you start to apply the techniques that you have learned in a wide variety of online courses, it will be a lot easier for you to earn money through your writing skills. This article will take a look at some of the most likely Florida bar essay topics that will appeal to many online students who are considering online law school courses.You should think about using this topic on a lawyer's resume. People want to know that you have demonstrated the ability to present a variety of topics and you should always present an honest assessment of yourself. Just as importantly, you should focus on your work ethic and work ethics.A college graduate with four years of undergraduate study would benefit from taking any of the university exams required for admission to law school. These will include the LSAT, or the Law School Admission Test. All four years of course work would show that you have read many different types of legal materials and that you understand the nuances of many different types of legal issues.You may choose to take a second law degree after earning your undergraduate degree. You may also want to pursue a Masters in Business Administration, or MBA. In any case, the Bachelor of Arts degree that you obtain will include a solid accounting foundation as well as strong writing skills.As you continue to complete your law school courses, you will acquire another set of legal skills that will add value to your resume and to your subsequent career. This will include the knowledge that you have gained through practical legal training that was enhanced by extensive reading and written assignments, along with conversations with professors, judges, and others who have first-hand experience with legal matters.If you already have a business and you want to use your expertise in the financial and legal aspects of it, you may want to consid er applying for a work-from-home job while you complete your legal training. You may choose to help a family member who needs a lawyer or to begin your own business.Whatever Florida bar essay topics you decide to focus on, be sure to include them on your resume and be honest with yourself. You will then be able to find a better job with fewer interruptions and you will be able to establish a more lucrative future. Make your application essays one of the most important parts of your job application process.

Wednesday, May 20, 2020

Is Technology Changing Culture - 1377 Words

Do it yourself (DIY) is a term used to describe building, modifying, or repairing of something without the aid of experts or professionals. The phrase do it yourself came into common usage in the 1950s in reference to home improvement projects which people might choose to complete independently. In recent years, the term DIY has taken on a broader meaning that covers a wide range of skill sets. DIY is associated with the international alternative rock, punk rock, and indie rock music scenes; indymedia networks, pirate radio stations, and the zine community. In this context, DIY is related to the Arts and Crafts movement, in that it offers an alternative to modern consumer cultures emphasis on relying on others to satisfy needs. The†¦show more content†¦Some homes that had four walls turned to homes with three walls due to bombings or accidents. The homes stayed damaged until jobs were available, which was not until World War II. The culture changed by adapting to the needs of the society. As centuries passed bows and arrows slowly turned into self-guided missiles that work more efficiently but crudely. The traditional bows and arrows require more effort to be done by its user, while the new, modern, self-guided missile only requires you to aim and push a small butto n. Even though all technological advancements develop in a particular cultural context, it does not mean that they stay within that cultural context. Useful technologies spread, either through relocation of residents or by distribution of techniques to neighboring inhabitants. The requirements and customs of the culture that implements a new form of technology outline how that technology is used among the culture. An example from the Middle East is trained horses. Horses were tamed around 4000 B.C. in the region of current Ukraine, and from there diffused south and eastward, reaching Anatolia around 3000 B.C. and Mesopotamia around 2100 B.C. [4] Although the prairie nations that first domesticated the horses first used it for transportation, horses in Mesopotamia were first used for draught, substituting for the smaller, and less efficient donkeysShow MoreRelated Is Technology Changing Culture? Essay1528 Words   |  7 PagesTechnology, an extravagant advancement of hominid creatio ns, is revolutionizing cultures by substituting the manifestation of human intellectual achievement with facile objects that make life on earth easier. The fact that technology affects all individuals is inevitable, since everyone is surrounded by it, from large nuclear reactors to small nano chips. Culture is affected greatly from these daily encounters by changing views upon war, religious traditions, and lifestyles. These changes do notRead MoreThe Surrender Of Culture And Technology Essay1239 Words   |  5 PagesTechnology is a neutral tool that does not shape what humans desire, it solely allows people to fulfill their desires. If the main human desires are remaining constant and only the ways in which humans express themselves is changing due to technological advances, then technology does not alter human values and desires in a significant way. In the book Technopoly: The Surrender of Culture to Technology, Postman explains the evolution of human dependency on technology. He starts with the tool-usingRead MoreA Short Note On Pop Music And Its Effects On Popular Culture932 Words   |  4 Pagesaudio-visual media content through online social media community networks. Jung Shim (2014, pp.485) illustrate that following Psy’s global success, other Korean pop music or K-Pop, have become one of the most vigorously distributed forms of pop culture globally, through its distribution via social networks. Hogarth (2013, pp.144) illustrates how K-Pop entertainment agencies have recognised the Internet as an important means of spreading this cultural product internationally, and now continuouslyRead MoreCulture And The 21st Century937 Words   |  4 PagesCulture is Changing What is culture in the 21st century? Culture is a term that has been around from the beginning of time. According to the Merriam- Webster dictionary, â€Å"Culture is a particular society that has its own beliefs, ways of life, and art.† Culture is everything that an individual stands for and has lived through. Without culture, the world would not be very unique. The word â€Å"different â€Å"would not exist because the way people would live would all be the same. Cultures vary throughoutRead MoreThe Impact Of Technology On The Global Marketplace991 Words   |  4 PagesThe impact of technology on the global marketplace is substantial. In terms of business, technology is the most rapidly changing market, and the rate at which new technology emerges is nearly daily. From Augmented 3D environments to virtual reality and smartphones, technology is a constantly evolving catalyst in global business markets. Our lines of communication are becoming so streamlined and remarkably efficient that it is possible to collaborate in real time with business teams, corporationsRead MoreChanging Role of Hr Management959 Words   |  4 PagesThe Changing Role of Human Resources Management The ever-changing roles within human resources management (HRM), in response to trends, are from a dynamic environment and the importance of HRM. Every changing organization has a need for a HRM to respond and implement changes. The organizations driven by e-business and technology need to be ready to respond and adapt to the environmental changes and should focus on satisfying the company’s customer needs. In this role, the HRM contributesRead MoreCulture And Technology : Introduction1317 Words   |  6 PagesCulture and Technology: Introduction Human culture, technology and nature are forever changing and adjusting with each other in a vigorous trend. The changes in culture that one technology creates may then influence the development of another or different technology. â€Å"There has always been a connection between technology and culture† (Rotman). Technology has influenced human culture just as much as culture has generated progressions in technology. It is an intricate relationship that forms a symbolicRead MoreA Continuously Changing Business Environment1519 Words   |  7 Pagesa continuously changing business environment In today’s society companies need to build a culture within their organisation that embraces change and individuals in the workforce need to learn to thrive in an ever changing environment. The workplace is always changing and companies that don’t change are being left behind. Organisational change efforts can be destroyed by internal resistance, as the age of technology advances. The technology available to business’s today is changing at an increasingRead MoreHow The Changes Affect The Managers And Working Team Of The Company1150 Words   |  5 Pageswork in 19th century and this nature is continuously changing with the advancement of technology. This article explores some key points of what changes have been occurred in workplace and how these changes affect the managers and working team of the company. And what other change we expect in the coming years. Following are the few key points of changes in work place: 1) Improving Efficiency and Productivity: With the use of new technologies, efficiency of doing work has been improved.The numberRead MoreQuestions On Managing Organizational Change890 Words   |  4 PagesPost How to Survive Organizational Changes in the Fast-Changing World As we have learned all quarter, managing the changing organizational environment is one of the most salient challenges in today’s business world. Managing organizational change properly can minimize resistance from employees and cost of and maximize the effectiveness of the changes. In other words, managing organizational change addresses the human side of the changing management. Personally, I think organizational changes are

Wednesday, May 6, 2020

The role of information systems in Supply Chain Management.

The role of information systems in Supply Chain Management Introduction The purpose of this essay is to explore and evaluate the various approaches that can be taken to facilitate the management of supply chains. Supply Chain Management - A terminological background The Institute for Supply Chain Management has defined supply management as the identification, acquisition, access, positioning and management of resources an organisation needs or potentially needs in the attainment of its strategic objectives. The essence is a shift of focus away from business units such as warehouses or factories to a more holistic view of a supply chain. For a given company this might include parts suppliers, manufacturers, transport, logistics and†¦show more content†¦It need not stop there either, systems are available to transfer information between various trading partners; systems such as these are known as inter-organisational information systems (IOIS). The virtual corporate integration that results when such systems are adopted can lead to a reduction in what has been termed supply chain uncertainty. All companies within the IOIS will have a greater awareness of the state of play at any given time resulting in increased operational efficiency. The company that has access to this information is also going to be able to offer value added services to its customer such as order tracking. New approaches to manufacturing become possible such as Just-in-Time (JiT) and Build-to-Order (BTO). A large company is now able to react to a change request from a customer, giving more added value. Inventory Carrying unsold inventory costs U.S. businesses about $332 billion per year. As can be seen from the above statistic there is huge scope for clawing back lost potential revenue in this area. If, for example, at the end of a supply chain, company A is supplying vendor B; it is quite possible that both companies might keep a reserve surplus stock or worse still, they may both run out of stock. The solution here, as I hinted at earlier, is to share information between the companies or even to integrate systems. This has been implemented in a number of different ways; we shall examine VMI (VendorShow MoreRelated Apply Chain Management vs Traditional Mananagement Systens Essay1406 Words   |  6 Pages A. Approach The use of information technology by firms that want to gain competitive advantage has increased dramatically in the last twenty years. Large and small firms have been utilizing information systems to connect their internal business functions and the company’s activities to stakeholder such as suppliers and customers. (FORMAN WEB 13). Supply chain management and customer relationship management are some of the many systems used by firms to accomplish the aforementionedRead MoreSupply Chain Management : Case Study869 Words   |  4 PagesMicroeconomics 25 March 2015 Supply Chain Management Tom Greening once said, All management begins with planning† (Tom Greening). Those who study and research supply chain management will agree that the aforementioned quote holds true in their field. Companies looking to reduce their costs and better their customer service often look to implement supply chain management. In order to effectively execute successful supply chain management one must acknowledge the importance of demand management, communicationRead MoreInformation Technology and Supply Chain Management in Amazon.com684 Words   |  3 Pagesï » ¿Information Technology and Supply Chain Management in Amazon.com Introduction The most critical component of the Amazon.com business model is the efficient, profitable performance of its supply chain. For online retailers who compete in high velocity sales environments, the ability to orchestrate suppliers across a very broad supply chain is critical for their continual profitable operation and growth (Albors-Garrigà ³s, Hervas-Oliver, Mà ¡rquez, 2009). Integral to this aspect of Amazons businessRead MoreSupply Chain Management : Supply Chains1476 Words   |  6 Pages1.3 Supply Chain Supply chains encompass the companies and the business activities needed to design, make, deliver, and use a product or service. Businesses depend on their supply chains to provide them with what they need to survive and thrive. Every business fits into one or more supply chains and has a role to play in each of them. The pace of change and the uncertainty about how markets will evolve has made it increasingly important for companies to be aware of the supply chains they participateRead MoreThe article describes about the supply chain management and various activities and programmes800 Words   |  4 Pagesabout the supply chain management and various activities and programmes involved in supply chain management. The author even explains different phases in the evolution of supply chain management. Mainly focuses on the 7 principals which bring host of competitive advantage to the company. Andersen consulting listed all the 7 principles and briefly explained them. The role of logist ic professionals and the use of technology in the implementation of the system. The relation between the information technologyRead MoreLogistics Of Logistics And Transportation1304 Words   |  6 PagesRole of Logistics and Transportation Kevin D. Walden Park University Ms. O’Quinn 29 November 2014 Logistics contributes to and moves the entire economy. Economic developments in recent years have led to the creation of complex company networks and systems of goods flow – in the process, the globalization of procurement, production and sales as well as the division of labor have increased. In addition, the complexity of international logistics systems in many sectors has grown as a resultRead MoreSupply Chain Management Of Supply Chains1188 Words   |  5 Pagesthe supply chain, not just a simple competition between enterprises. In order to win the competition in the supply chain, which means it must be through the management of the supply chain. Currently supply chains become more integrated, more global, the high-speed development of information technology has become an important driving force. In this report will explore the development of supply chain management technologies and important role. Supply chain and technologies role Supply chain is theRead MoreSupply Chain Management Is The Flow Of Goods And Services Essay1321 Words   |  6 PagesAbstract Supply chain management is the flow of goods and services which involves the movement and storage of raw materials, manufacturing, and delivering finished products from point or origin to point of consumption. Organizations find the need to rely on supply chain networks to compete in the global market. In the previous decade, supply chain networks had very little role to play and was only dedicated to large brands or companies with international distribution. In case there was any disruptionRead MoreThe Supply Chain Of Honda Essay1334 Words   |  6 PagesFrom above, the process of Honda’s supply chain in purchasing is very clear. Firstly, the purchasing division of Honda signs a purchase order with the component suppliers and then these suppliers determines the needed raw materials and sends a demand to Honda after receiving the order. The next is that Honda trading classifies these orders into different materials and signs a purchasing order with these raw materials factor ies. After then these factories send these raw materials to suppliers. FinallyRead MoreWal Mart s Supply Chain Management Essay1510 Words   |  7 Pages WAL-MART’S SUPPLY CHAIN MANAGEMENT TECHNIQUES Praseeda Sasanka Pisipati NUID :94862513 Table of Contents: Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 A Brief History of Supply Chain Management (SCM)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦....4 How Supply chain management influenced the retail business †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..5 Gartner hype cycle and scope of SCM trends†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.7 Supply Chain Management in the Gartner hype cycle†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦

Risk management Plan of Imam Abdurrahman AI Faisal Hospital - Samples

Question: Discuss about the Risk management Plan of Imam Abdurrahman AI Faisal Hospital. Answer: Purpose Risk management plan is designed in such a way it can easily support mission and vision of Imam Abdurrahman AI Faisal Hospital as it generally focusses on clinical risk which is to tackle clinical risk and safety of patient. It generally comes up with visitor, third party and employee safety and potential business and risk of property. Guiding principles Risk management plan is nothing a but a conceptual framework which guides for plan which can be used forrisk management and safety of patients. The patient safety and risk management is nothing but key responsibility for risk management in everyones life. Risk management can be defined as the integral part of any healthcare firm which is generally based on various kinds of business practices. It mainly focusses on identification and evaluation of risk. Apart from evaluation of risk it makes use of some kinds of dangerous methods or ways for reducing or eliminating it (McNeil, Frey and Embrechts, 2015). Imam Abdulrahman AI Faisal Hospital is one of the oldest Ministry of National Guard Health Affairs in Dammam. On 14th October 2002 this hospital was opened officially in Saudi Arab (Glendon, Clarke and McKenna, 2016). It is considered to be one of the leading hospitals in the whole eastern region because of its international accreditation from JCIA for the effort given by this hospital . Governing body leadership The success of Imam Abdurrahman AI Faisal Hospital patient safety and risk management generally requires top-level commitment and support. The governing body generally focus on formal program and adoption of plan is generally done by resolution of various documents in board meeting. Patient safety and risk management program is generally designed in such a way that it can reduce errors related to system and unsafe condition by proper implementation of continuous improvement strategies for improvement strategies for organization culture and safety. Definition: Potential managerial and clinical risk Clinical risk management (CRM) mainly focus on improving the quality and safe delivery of healthcare. It can be achieved by introducing of system which can identify and prevent situation related to risk of harm (Glendon, Clarke and McKenna, 2016). Generally, health services are generally needed to be implemented which are based on clinical management system. It is needed mainly needed for enhancing the risk associated with clinical risk management (Pocock et al. 2015). Clinical risk management focus on management of risk in various hospitals: It generally aims in increasing the safety of various patients and persons who are generally involved in health It generally serves together with quality management for proper development of organization. It is generally considered to be an important part for addressing decision making process which is needed for providing proper care for large number of patients. It is considered to be an important tool which is used for addressing various kinds of clinical risk which is associated with prevention, diagnosis and nursing care (Catherine et al... 2013). It is generally dependent on information which is available for best from figures, data, facts and scientific findings. It generally creates target group which is based on transparency. It mainly focusses on development of in various kinds of domains like medicine and nursing caring. Identification and analyzation of potential risk There are large number of risk which are generally encountered in Imam Abdulrahman AI Faisal Hospital that are Identification of situation in a hospital which can create a condition which is related to financial loss. Evaluation of reports from the data of six months and comparing of data in other hospitals so that possible situation can be identified which can take place in near future (Singh and Ghatala, 2012). Elimination or removal of dangerous kinds of procedures which is generally done on the premises which can easily result in liabilities of various kinds of products. Reduction of risk can focus on the fact that hospital can easily feel comfortable when it is founded or operated as a result of mechanism (Hopkin, 2017). Transfer of liability so that proper harmless agreement can be made with drug and manufactures of various kinds of equipments. Coverage of issuance by providing best available information among commercial domain by properly meeting the needs of the hospital in a most reliable and cost- effective way. The hospital should have various components so that proper methods can be used for risk management programs: Proper grievance mechanism for complain registration. Proper evaluation of medical care. Proper risk management for hospital staff who are involved in activities related to caring of patients. Development of intervention for managing potential risk Rapid changes are being seen in the various kinds of healthcare industry which mainly focus on strengthening of both evaluation and monitoring of risk management program (Sadgrove, 2016). This can be easily achieved by focus on certain areas like: Proper education of staff and key persons who are associated with the hospital. Evaluation and monitoring of integrated programs. Establishment of communication with peer which are at local, religion and state and national organization which can be used for improving various programs in the hospital (Huntley et al..2013). Proper discovering of situation which is present in the hospital for any kinds of accidents. Identification of areas which have high risk in hospital. Building up of reports which can be used to meet the contemporary needs in hospital. Filing of incident report so that contemporary needs can be satisfied or meet. Monitoring and improving the quality of care by providing information to physicians which mainly results due increasing number of claims from the side of hospital which is being encountered (Huntley et al..2013). Providing support to all the segment of the community present in the hospital. Making use of statistical data from both internal and external source. Patient related programs which can be which can be easily characterized by integrity and various level of patients. Reducing the number of risk so that hospitals can easily assume risk by making use of less expensive self-insurance. Elimination of dangerous procedure and prescribed medicines even safer substitutes can be easily found. Risk management plan Risk identifier Risk identification Risk owner Likehood Consequences Risk Status Risk response R1 Patient care Organization (Project manager) Possible Severe on organization Open Taking of proper steps so that care of patient can be taken in a more effective way. R2 Liability risks Organization (project owner ) Likely Organization Open Proper steps should be taken by risk manager so that liability risk in hospital can be overcomed. R3 Financial risk Organization Possible Organization Open Financial risk can be dealt by having proper understanding of cost, renegotiate rates with various kinds of insurers, increasing efficiencies and productivities and lastly reduction of bad debt. Program goals and objective The patient safety and risk management program goals and objective are: Continuous development or improvement of safety and minimization and prevention of various kinds of errors, events and breakdowns related to system. Reduction of adverse kind of errors related events, breakdown of systems. Reduction of losses to the organization by identifying, analyzing, prevention and controlling of potential clinical problems and operational risks. Scope and function of the program Risk management can be considered to be an important thing for quality improvement and safety of patients. It is considered to be an important aspect for creating awareness among staff as family members of patients (Huntley et al..2013). The need or requirement for training is not limited to hospital depended website. A risk manager mainly develops system and processes which can be used for monitoring and controlling of associated risk. The hospital can easily ask him to perform duties along with team of risk management specialist (Sadgrove, 2016). A risk manager in a hospital is generally associated with new kinds of policies and procedures which is associated with it. Risk management program function The training institute should be prepared in such a way that it can meet the biomedical technology training needs (Abed et al... 2013). This generally ranges from initial training to new equipment for training, various kinds of on-going services and training which is generally indicated. Based on the complexity of the biomedical technology which is used by clinical providers, proper education is provided about the equipment (Huntley et al..2013). Responsibilities in hospital is inclusive of maintenance or collaboration like biomedical engineering and responsibilities related to routine cleaning or disinfecting. Administrative and committee structure and mechanism for coordination The patient risk and safety management is generally done by risk manager and designer who generally provide reports to chief executive officer. The risk manager generally interference with various administrator and other kind of professional. The risk manager generally checks activities of patient and risk management committee. Documentation is considered to be an important designation for risk manager which is generally contained in the patient safety and risk management plan. Monitoring and continuous improvement The patient safety and risk management generally reviews about the various activities of risk management. The risk manager generally focusses on various kinds of activities and outcomes which is related to various governing bodies. Data reporting generally focus on event trends, analysis of claims, frequency and severity data. The factor is taken for consideration key to successful risk management program is considered to be loss for program control (Krumholz, 2013). Necessary steps should be taken for effective type of control program which is taken to through institution commitment, documents, functional organization models, improvisation of communication and evaluation on a continuous basis (Abed et al... 2013). The assistant administration of quality control will generally address risk management committee which will have administration from various kinds of departments like Quality Control Medical Audit Blood bank Safety and Security Education Medical records Nurses The ultimate goal of risk manager is to fulfilling responsibilities of his position so that there can minimization of injuries to patients, visitors and employees and financial loss to hospital. References Abed, H.S., Wittert, G.A., Leong, D.P., Shirazi, M.G., Bahrami, B., Middeldorp, M.E., Lorimer, M.F., Lau, D.H., Antic, N.A., Brooks, A.G. and Abhayaratna, W.P., 2013. Effect of weight reduction and cardiometabolic risk factor management on symptom burden and severity in patients with atrial fibrillation: a randomized clinical trial.Jama,310(19), pp.2050-2060. Catherine, Q., Susanna, W., Isidora, E.S., Mark, H., Aurelie, V. and Jean-Franois, H., 2013. A review of current knowledge on toxic benthic freshwater cyanobacteriaecology, toxin production and risk management.Water research,47(15), pp.5464-5479. Glendon, A.I., Clarke, S. and McKenna, E., 2016.Human safety and risk management. Crc Press. Hopkin, P., 2017.Fundamentals of risk management: understanding, evaluating and implementing effective risk management. Kogan Page Publishers. Huntley, A.L., Thomas, R., Mann, M., Huws, D., Elwyn, G., Paranjothy, S. and Purdy, S., 2013. Is case management effective in reducing the risk of unplanned hospital admissions for older people? A systematic review and meta-analysis.Family practice,30(3), pp.266-275. Krumholz, H.M., 2013. Post-hospital syndromean acquired, transient condition of generalized risk.New England Journal of Medicine,368(2), pp.100-102. Mamishi, S., Pourakbari, B., Teymuri, M., Babamahmoodi, A. and Mahmoudi, S., 2014. Management of hospital infection control in Iran: a need for implementation of multidisciplinary approach.Osong public health and research perspectives,5(4), pp.179-186. McNeil, A.J., Frey, R. and Embrechts, P., 2015.Quantitative risk management: Concepts, techniques and tools. Princeton university press. Pocock, S., Bueno, H., Licour, M., Medina, J., Zhang, L., Annemans, L., Danchin, N., Huo, Y. and Van de Werf, F., 2015. Predictors of one-year mortality at hospital discharge after acute coronary syndromes: A new risk score from the EPICOR (long-tErm follow uP of antithrombotic management patterns In acute CORonary syndrome patients) study.European Heart Journal: Acute Cardiovascular Care,4(6), pp.509-517. Rennke, S., Nguyen, O.K., Shoeb, M.H., Magan, Y., Wachter, R.M. and Ranji, S.R., 2013. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.Annals of internal medicine,158(5_Part_2), pp.433-440. Sadgrove, K., 2016.The complete guide to business risk management. Routledge. Singh, B. and Ghatala, M.H., 2012. Risk management in hospitals.International journal of innovation, management and technology,3(4), p.417.

Thursday, April 23, 2020

The Populist Party free essay sample

After attempts at independent political action failed (see Greenback party), loosely knit infestations called Farmers Alliances were formed during the 1 sass. Separate organizations were founded in the North and South, and Southern blacks organized their own alliances. The Farmers Alliances agitated for railroad regulation, tax reform, and unlimited coinage of silver and attempted to influence the established political parties.Growth was so rapid, however, that interest in a third party began to increase; in 1891 delegates from farm and labor organizations met in Cincinnati. No decision was made to form a political party, but when the Republican and Democratic parties both traveled the currency question at the 1892 presidential conventions, a convention was held at Omaha, and the populist party was formed (1892).Goals The party adopted a platform calling for free coinage of silver, abolition of national banks, a substructures scheme or some similar system, a graduated income tax, ple nty of paper money, government ownership of all forms of transportation and communication, election of Senators by direct vote of the people, non-ownership of land by foreigners, civil service reform, a working day of eight hours, postal banks, pensions, revision of the law of contracts, ND reform of immigration regulations. We will write a custom essay sample on The Populist Party or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The goal of the populists in 1892 was no less than that of replacing the Democrats as the nations second party by forming an alliance of the farmers of the West and South with the industrial workers of the East. James B. Weaver was the Populist candidate for President that year, and he polled over 1 votes. The Populist votes in the 1894 congressional elections increased to 1 ,471 ,OHO as the party gained momentum.Dissolution In 1 896, while the Republican party adhered to the sound money platform, the Populists kept intact their platform of 1892; the Democratic party, forever, adopted the plank of free coinage of silver and nominated William Jennings Bryan for President. Although the Populists tried to retain their independence by repudiating the Democratic vice presidential candidate, the Democratic party, helped by the eloquence Of Bryan, captured the bulk Of the Populist votes In 1896. The 1896 election undermined agrarian insurgency, and a period of rapidly rising farm prices hel ped to bring about the dissolution of the Populist party. Another important factor in the failure of the party was its inability to effect a genuine urban-rural coalition; its program ad little appeal for wage earners of the industrial East. An Overview of Populism By Charles Postal, San Francisco State University In the early sass, a coalition of farmers, laborers, and middle class activists founded an independent political party named the Peoples Party, also known as the Populist Party. This party was the product of a broad social movement that emerged in response to wrenching changes in the American economy and society.In the decades after the Civil War, the telegraph and telephone meant that information that had taken weeks or months to travel across monotints and oceans now traveled at the speed of electric current. The telecommunications revolution made the world a much smaller place (today we call it globalization). It also made possible large-scale business organization in the form of railroad corporations and other giant and centra lized enterprises. Corporate power grew exponentially, allowing corporate executives to amass great fortunes, while hard times pressed on most everyone else. Americans had never experienced such a divide between rich and poor. The Peoples Party was the most successful third party movement since prior to the Civil War. In 1892, the Populist candidate for president, James B. Weaver of Iowa, won more than a million votes. Tom Watson of Georgia, Jeremiah Simpson of Kansas, and Marion Cannon of California were among the leaders of the third party bloc in the U. S. Congress, while William A. Prefer of Kansas, William V. Allen of Nebraska, and Marion Butler of North Carolina were Populist U. S. Senators.The people party also gained key state offices in North Carolina, Colorado, Kansas, North Dakota and other states. Meanwhile, dynamic Populist stump speakers such as Mary Elizabeth Lease Of Kansas and James Cyclone Davis Of Texas attracted enthusiastic crowds of thousands in rural districts across the nation. The Populist movement also posed one of the biggest challenges to corporate power ever witnessed in the United States. In protest of high freight charges and usurious mortgage rates the movement pressed for government regulation or ownership of railroads and banks.To provide relief from debts and low prices on farm goods the Populists pressed for currency expansion by way of minting silver and printing greenbacks at the expense of bankers and creditors. To finance essential public functions they demanded the enactment of a progressive income tax on the wealthiest Americans. To rid government of the undue influence of corporate lobbyists the Populists demanded the direct election of senators, as well as the initiative and referendum, and other experiments in direct democracy.The rise of Populism horrified many upper and middle class Americans. The corporate elite believed that their laissez-fairer ideal of unregulated capitalism was the only model suitable for modern development. In the eyes of the well to do and well educated, Populism represented an assault by primitive hayseeds and anorak clodhopp ers that put modern civilization in peril. Ever since, such a perspective has influenced how Populism has been understood and where it has been situated in the narrative of American history.Who were the Populists and what did they represent has been one of the great controversies of historical interpretation. For many American intellectuals, the Second World War and its aftermath raised concerns about the origins of fascism, as they had witnessed in Europe how a popular mass movement had resulted in the rise of Hitler and the Nazi holocaust. In the 1 sass, Richard Hovercrafts at Columbia University and other post-war scholars looked at Populism to see if it might contain seeds of irrational, intolerant, and anti- Semitic mass politics. Sure enough, that is just what they found.Hovercrafts drew the conclusion that the Populists were backward looking and delusional, a rural people psychologically unable to cope with the demands of a modern society. Quite different concerns animated the scholars of the sass and sass. Their point of reference was the grass-roots activism of the 1 sass. Historians such as Lawrence Goodwin and Christopher Lash saw populism as the 1 sass culture writ large. Populism, as they saw it, provided a historical confirmation of their own ideas about the failings of a hierarchical and commercial culture.Populism, such scholars argued, was the democratic response of rural people taking a stand to defend their traditional way of life from the modern culture of business and development. The common point of these sharply dissimilar views -? Populism as proto-fascism versus Populism as the last best hope for grass-roots democracy is that they are both founded on a common premise: The Populists were tradition-bound people in revolt against progress and modernity. Indeed, this premise is rooted In basic assumptions about rural people held in the wider political culture.But populism takes on a very different meaning if assumptions about who was modern and who was not are put in que stion. Populist farmers and laborers may have had callused hands and mud on their shoes, but they also viewed themselves and were modern people. They were reformers seeking innovation in commercial relations, government, and ways of life. Hundreds of thousands of women joined the Populist movement as means to gain education, employment in new industries, and freedom from traditional restraints.The Populists embraced invention and new technology, as they sought to harness scientific research to serve their own visions of prosperity and development. Far from rejecting centralized and hierarchical systems of organization, they strove to adopt such systems for marketing cooperatives and other rural needs. The Peoples Party eventually failed as a third party. In the 1896 election, William Jennings Bryan, running on a reform platform and nominated by both the Democratic and populist Parties, went down to defeat at the hands of the Republican candidate William McKinley. The Peoples Party never recovered from the blow.

Tuesday, March 17, 2020

Elemental Composition of the Human Body by Mass

Elemental Composition of the Human Body by Mass This is a table of the elemental composition of the human body by mass for a 70 kg (154 lb) person. The values for any particular person may be different, especially for the trace elements. Also, the element composition does not scale linearly. For example, a person who is half the mass may not contain half the amount of a given element. The molar amount of the most abundant elements is given in the table. You may also wish to view the element composition of the human body in terms of mass percent. Reference: Emsley, John, The Elements, 3rd ed., Clarendon Press, Oxford, 1998 Table of Elements in the Human Body by Mass oxygen 43 kg (61%, 2700 mol) carbon 16 kg (23%, 1300 mol) hydrogen 7 kg (10%, 6900 mol) nitrogen 1.8 kg (2.5%, 129 mol) calcium 1.0 kg (1.4%, 25 mol) phosphorus 780 g (1.1%, 25 mol) potassium 140 g (0.20%, 3.6 mol) sulfur 140 g (0.20%, 4.4 mol) sodium 100 g (0.14%, 4.3 mol) chlorine 95 g (0.14%, 2.7 mol) magnesium 19 g (0.03%, 0.78 mol) iron 4.2 g fluorine 2.6 g zinc 2.3 g silicon 1.0 g rubidium 0.68 g strontium 0.32 g bromine 0.26 g lead 0.12 g copper 72 mg aluminum 60 mg cadmium 50 mg cerium 40 mg barium 22 mg iodine 20 mg tin 20 mg titanium 20 mg boron 18 mg nickel 15 mg selenium 15 mg chromium 14 mg manganese 12 mg arsenic 7 mg lithium 7 mg cesium 6 mg mercury 6 mg germanium 5 mg molybdenum 5 mg cobalt 3 mg antimony 2 mg silver 2 mg niobium 1.5 mg zirconium 1 mg lanthanum 0.8 mg gallium 0.7 mg tellurium 0.7 mg yttrium 0.6 mg bismuth 0.5 mg thallium 0.5 mg indium 0.4 mg gold 0.2 mg scandium 0.2 mg tantalum 0.2 mg vanadium 0.11 mg thorium 0.1 mg uranium 0.1 mg samarium 50 g beryllium 36 g tungsten 20 g

Saturday, February 29, 2020

Case Study Of One-Peter Mitchell Samples

Chronic health conditions are multifactorial in nature and the care process by nurse must involve the clinical and patient needs. The treatment outcomes are affected by multiple factors and the nurse must be aware of different factors affecting the patient’s health (Helgeson & Zajdel, 2017). The essay deals with the case study of Peter Mitchell are a 52 year old male with morbid obesity and type 2 diabetes. The aim of the essay is to prioritize the patient needs for care integrating the different aspects of patient needs. Prioritization refers to use of clinical reasoning and decision making skills to design care process that can avoid adverse outcomes (Urden, Stacy & Lough, 2015). In reference to the chronic condition presented in the case study, the essay will identify and discuss two priorities of care while applying the clinical reasoning cycle by Levett-Jones. It is a non-linear process to analyse the series of contributing and predisposing factors. It helps develop goal driven patient care (Dalton, Gee & Levett-Jones, 2015). The clinical reasoning cycle involves eight stages, where the first stage is â€Å"consideration of patient’s situation† (Dalton, Gee & Levett-Jones, 2015). In the given case study Peter, 52 year old male is admitted to the medical ward with morbid obesity and type 2 diabetes. The patient is presented with the poorly controlled diabetes, obesity ventilation syndrome and sleep apnoea. The second stage of the clinical reasoning cycle is â€Å"collection of cues and information†. In this stage the patient’s current information is reviewed using case history, previous assessment and new information is collected through further assessment (Dalton, Gee & Levett-Jones, 2015).   The patient history shows obesity and type 2 diabetes, hypertension, sleep apnoea and depression. The patient also has history of gastro oeasophageal disease reflux and smoking (for 30 years).   The patient was previously on high protein diet to reduce weight. Peter had difficulty copi ng with the weight loss. He was instructed for light exercises by his physiotherapist. As per the patient social history, he lost his job due to insulin therapy. His weight gain, obesity and diabetes interfered with his occupations and that added to his fatigue and other health issues. Overweight is also interfering with his activities of daily living, and may have increased risk of apnoea. It added to socially isolation. He lives alone and lacks emotional support, which may also be the cause of stress and poor health. However, the patient is motivated to quit smoking and lose weight with appropriate supervision.   The patient’s assessment results showed BP 180/92mmHg, height 170cms, Weight 145kgs, HR 102 Bpm, Sp02 95% on RA, RR 23 Bpm. The handover informs different medications for abnormal vital signs and diabetes. The untreated condition may increase the risk of cardiovascular problems and other comorbidities (Koolhaas et al., 2017).     Ã‚   An important part of clinical reasoning cycle refers to â€Å"processing of information†. It involves interpreting the information, relating with the clinical knowledge to prioritize care (Dalton, Gee & Levett-Jones, 2015).   It will better help to prioritize the care.   The weight and height of the patient indicates a BMI of 50.2, which much greater than the normal range of 30, indicating obesity (Mark & Somers, 2016). Obesity is associated with ventilation syndrome and sleep apnoea. It may be the cause of upper airway obstruction that is causing the episodes of shallow breathing, when sleeping. Smoking also results in airway obstruction and apnoea (Krishnan et al., 2014). The patent may be immediately provided with oxygen. It may increase the risk of further health deterioration. Hypertension may be due to high blood pressure and increased heart rate. If untreated it may worsen diabetes as the patient is obese, which also influences blood pressure (Heymsfield & Wadden, 2 017). Increase in respiratory rate, blood pressure, high glucose level may increase the risk of heart failure or collapsibility of pharyngeal tract. Excess adipose tissue restricts the movement of diaphragm and that of chest muscles (Mark & Somers, 2016). Altogether it may affect the inhalation, exhalation as well as heart rate. It is essential to reduce weight of the patient as fatty tissue in excess amount may increase vascular resistance. Diabetes also increases blood pressure and hypertension by predisposing arteries to arthrosclerosis. It may increase the risk of kidney failure, stroke and other health issues (Cheung & Li, 2012). Social isolation and smoking may further increase the risk of anxiety and depression (Choi & DiNitto, 2014). The main problem or health issue of the patient can be identified by synthesizing facts and inferences (Dalton, Gee & Levett-Jones, 2015). The main health issue of the patient, from the above analysis, is clearly obesity and diabetes as they are linked with all the other presenting sign and symptoms.   The adverse symptoms such as hypertension, high blood glucose level, diaphoresis, or abnormal seating are common in obesity and uncontrolled diabetes. Obesity increases insulin production for compensating high glucose level. It increases the type 2 diabetes and sequentially appetite, weight gain. Diabetes is also associated with shakiness and diaphoresis. Unusual sweating or diaphoresis is common symptom in overweight and obese individual. Hypertension is also observed in both obesity and diabetes people but the later has greater influence on the hypertension (Heymsfield & Wadden, 2017). Therefore, the signs and symptoms are common in both diseases like a cyclical pathway. Interventi on is immediately required to decrease obesity and control diabetes. It will consequently improve his activities of daily living and social life.   Applying clinical reasoning cycle, establishment of goals that will yield desired health outcomes in the patient is important part of care process (Dalton, Gee & Levett-Jones, 2015).     The two priorities for   nursing care is reduction in weight and control the blood glucose level. I will do this by developing comprehensive   nursing care plan that is patient centered and evidenced based. Taking action based on evidence will ensure positive health outcomes as per clinical reasoning cycle (Dalton, Gee & Levett-Jones, 2015). To fulfill the first priority of reducing the weight of Peter, a realistic weight reduction plan will be formulated, along with appetite reduction and diet plan. It will be initiated on collaboration with dietician. Peter will be given a weekly weight loss protocol. The diet plan will include high protein and low fat consumption.   The patient will be monitored for ignoring the signals of hunger or track any distortion. The rational for this lifestyle intervention is decrease in hypertension and cholesterol with protein intake. A weight loss by ten kg may have positive impact on the cholesterol and blood pressure as per Nanditha et al., (2016). Further physical activity is essential for overweight individual. It will help reduce weight every month and enhance the metabolic rate.   The patient may be recommended for aerobics as it puts lest press ure on joints. Swimming is also considered better than jogging and walking. Involving in physical activity for 30 minutes for five days in a week will help the body mange sugar level by improving sensitivity to insulin (Koolhaas et al., 2017).    The patient will be supported with education to encourage him to lose weight. Peter will be educated about healthy diet and need of high protein consumption in present condition. To patient may be administered with the anti-obesity medication. Orlistat is another affective medicine for BMI greater than 30 kg/m2 in decreasing the absorption of dietary fat by 30%. It will help reduce weight and associated complications. It may include glycosidase inhibitors, metaformin or insulin therapy (Bedhiafi et al., 2018). The pharmacological interventions will be initiated by collaborating with the general physician attending Peter. To control the glucose level, which is the second   nursing priority metaformin may be continued as it was previously administered. Further blood pressure can be controlled by administering metaprolol (Yang et al., 2018). Medication will be administered as per the instructed dosage. Patient education is also important to self monitor glucose and for self-management of complications due to obesity and diabetes. The patient will be educated to cope up with the mental health concerns associated with weight loss program. The patient may be encouraged to stop smoking as it elevates blood sugar in diabetes patients. Referring to cognitive behavioural therapist may be effective to help Peter manage stress due to lifestyle interventions specially Smoking cessation. Further, the effect of smoking on his respiratory efficiency and Heart rate will be explained. It will relive him of fatigue (Lycett et al., 2015). The rationale for educational intervention is to encourage client in adopting h ealthy behaviour. The effectiveness of the outcomes must be evaluated as per the knowledge of clinical reasoning cycle (Dalton, Gee & Levett-Jones, 2015).   The patient’s weight will be monitored daily.   It is important to assess his understanding of the illness and treatment procedure to ensure compliance. The patient’s vital signs will be assessd to rule of any side effects of medications and modified diet. The patient will be monitored for deviations in exercise, nutrition and diet recommendations. The client is expected to demonstrate reducing weight as per plan and healthy eating. The patient is expected to self monitor glucose and show high self esteem in coping with complications. It is also important to assess for hyperglycemia condition (American Diabetes Association, 2015). Reflection on the care process is the last stage of the clinical reasoning cycle that involves contemplating on the caring and learning process (Dalton, Gee & Levett-Jones, 2015). It may be difficult for client to adhere to dietary recommendations in initial phase of treatment as he lacks emotional support.   The patient also has low self esteem due to poor body image. To address the challenges I will engage client in motivational therapy and group discussions to promote social connectedness (Harvey, 2015).   Further, challenges will be identified to prioritize future action.   The essay helped learn ways to identify patient health issue and prioritize care for Peter using clinical reasoning cycle. Identification of health issues assisted in prioritizing care. The tool helped in collecting and analyzing the clinical information. Analysis facilitated the understanding of factors underlying the Peter’s health’s complications. Prioritizing the care guided the development of adequate nursing interventions. The interventions to reduce weight and control glucose level in patient are based on evidence. It will help to address the priority issues and promote the patient health. American Diabetes Association. (2015). 3. Initial evaluation and diabetes management planning.  Diabetes Care,  38(Supplement 1), S17-S19. Cheung, B. M., & Li, C. (2012). Diabetes and hypertension: is there a common metabolic pathway?.  Current atherosclerosis reports,  14(2), 160-166. Choi, N. G., & DiNitto, D. M. (2014). Role of new diagnosis, social isolation, and depression in older adults’ smoking cessation.  The Gerontologist,  55(5), 793-801. Dalton, L., Gee, T., & Levett-Jones, T. (2015). Using clinical reasoning and simulation-based education to'flip'the Enrolled Nurse curriculum.  Australian Journal of Advanced Nursing , The,  33(2), 29. Harvey, J. N. (2015). Psychosocial interventions for the diabetic patient.  Diabetes, metabolic syndrome and obesity: targets and therapy,  8, 29. Helgeson, V. S., & Zajdel, M. (2017). Adjusting to chronic health conditions.  Annual review of psychology,  68, 545-571. Heymsfield, S. B., & Wadden, T. A. (2017). Mechanisms, pathophysiology, and management of obesity.  New England Journal of Medicine,  376(3), 254-266. Koolhaas, C. M., Dhana, K., Schoufour, J. D., Ikram, M. A., Kavousi, M., & Franco, O. H. (2017). Impact of physical activity on the association of overweight and obesity with cardiovascular disease: The Rotterdam Study.  European journal of preventive cardiology,  24(9), 934-941. Krishnan, V., Dixon-Williams, S., & Thornton, J. D. (2014). Where there is smoke†¦ there is sleep apnea: exploring the relationship between smoking and sleep apnea.  Chest,  146(6), 1673-1680. Lycett, D., Nichols, L., Ryan, R., Farley, A., Roalfe, A., Mohammed, M. A., ... & Aveyard, P. (2015). The association between smoking cessation and glycaemic control in patients with type 2 diabetes: a THIN database cohort study.  The Lancet Diabetes & Endocrinology,  3(6), 423-430. Mark, A. L., & Somers, V. K. (2016). Obesity, hypoxemia, and hypertension: mechanistic insights and therapeutic implications.  Hypertension,  68(1), 24-26. Nanditha, A., Snehalatha, C., Ram, J., Selvam, S., Vijaya, L., Shetty, S. A., ... & Ramachandran, A. (2016). Impact of lifestyle intervention in primary prevention of Type 2 diabetes did not differ by baseline age and BMI among Asian?Indian people with impaired glucose tolerance.  Diabetic Medicine,  33(12), 1700-1704. Urden, L. D., Stacy, K. M., & Lough, M. E. (2015).  Priorities in critical care nursing. Elsevier Health Sciences. Yang, T., Hao, Y., Zhou, S., Jiang, Y., Xu, X., Qu, B., ... & Liu, W. (2018). GW26-e0732 Superior Dynamic Heart Rate Control and Non-Inferior Blood Pressure Control with Bisoprolol vs Metoprolol Sustained Release Tablet in Mild-to-Moderate Hypertension: CREATIVE Study.  Journal of the American College of Cardiology,  66(16 Supplement), C202.

Thursday, February 13, 2020

Rhode Island v. Innis, 446 U.S. 291, Stewart J Case Assignment

Rhode Island v. Innis, 446 U.S. 291, Stewart J Case - Assignment Example Miranda safeguards are there when â€Å"a person in custody is subjected to either express questioning or its functional equivalent†. The respondent Innis was arrested with the accusation of robbing a taxi driver. Five days ago, a taxi driver was robbed and found dead because of being fired in the head with a shotgun. This was the second robbery that led to respondent’s arrest. When he was arrested, he was repeatedly informed about his Miranda rights and allowance to contact a lawyer. After listening multiple times about his Miranda rights, the respondent informed that he would require the assistance of a lawyer. Three officers took him in the patrol car and they were forbidden by Captain Leyden to ‘question the respondent or intimidate or coerce him in any way’. While discussing handicapped children in the area who could use the handgun, officers showed their concern. They did not invite the respondent to the discussion, but he interrupted their conversation and informed them that he could show them the location of the gun. He was again informed about his Miranda rights, but he said that he kn ew about his Miranda rights, but he â€Å"wanted to get the gun out of the way because of the kids in the area in the school†. The Court found the respondent guilty without violation of his Miranda Rights. The case applicable here is Miranda v. Arizona that informed the respondent about his constitutional rights. The Supreme Court of Rhode Island decided that Innis was repeatedly informed about his Miranda rights and allowance of consultation to his lawyer, but he willfully confessed about his crime. He was not interrogated by the police officers in any way.

Saturday, February 1, 2020

Language Development Essay Example | Topics and Well Written Essays - 750 words

Language Development - Essay Example ing process, the young, impressionable children not only learned the three R’s, but also developed holistic personalities, by internalizing knowledge into awareness, wisdom, rigorous denial and self-discipline. The Gurus not only taught them the Holy Scriptures, but also the manner of living and leading virtuous, noble and beneficial lives. This process ensured that the children became worthy citizens in their later lives. When the learning environment in the house is conducive to studying, and the parents of the child are themselves well educated, the child would be in a position to imbibe the teachings of the parents quickly and learn fast. Similarly, the child’s friends and neighbours also play a very important part since the influence of the friends and relatives with whom the child is interacting plays an important role in moulding his future personality. If the friends and neighbours are well-trained and intelligent children, coming from respectable and well- to-do families, it will be seen that the child would be able to pick up good learning habits from early years itself, which would sustain him in his later life. The formative years of the child, that is the period between 4 – 12 years are very crucial for the child, and whatever good inputs and reading habits are acquired by the child would stand him in later life including his learning habits and writing skills. Thus, it is s een that the situations that foster early language developments could be seen in terms of the parental influence, including that of early teachers, governesses, friends and relatives. If these were well attuned to nurturing and nourishing the child’s natural curiosity, forming good learning and reading habits, it would foster his language skills. Moreover, it is also necessary to build good reading, writing and recitation skills that could be â€Å"validated by research and practice while delivering the basis of all major aspects of research work.† (Gunning,

Friday, January 24, 2020

Studies Pertaining to the Clinical Aspects of Malaria :: Health, Diseases

STUDIES PERTAINING TO THE CLINICAL ASPECTS OF MALARIA Malaria is a complex condition exhibiting different manifestations in different parts of the world depending on a few variables (Bin Mohanna et al. 2007). It was found that anemia and splenomegaly are significantly associated with malaria among asymptomatic schoolchildren in Hajr valley, Hadramout (Bin Mohanna et al. 2007). Agina and Abd-Allah (1999) conducted a case control study for the association of nitric oxide levels to the severity and outcomes of cerebral malaria in Yemeni in-patients. The main clinical presentations in cerebral malaria patients were fever (76.4%), pallor (72.0%), hypoglycemia (67.4%), splenomegaly (60.5%), deep coma (39.5%), jaundice (18.6%), pulmonary oedema (13.9%), subconjunctival hemorrhage (13.9%), severe anemia (53.5%), and hemoglobinuria (6.9%) while in non-cerebral malaria patients the clinical presentations were fever (83.8%), pallor (67.7%), splenomegaly (66.0%), jaundice (9.7%), severe anemia (51.6%) and hypoglycemia (3.2%) . The serum level of ni tric oxide was found to be higher in patients with cerebral malaria than those without. In cerebral malaria, nitric oxide levels were highly elevated in patients with deeper coma and longer duration of coma as well as those who died of cerebral malaria indicating its association with indices of disease severity and outcome in patients with cerebral malaria (Agina and Abd-Allah, 1999). Sheiban et al. (1998) studied severe acute renal failure secondary to falciparum malaria among children receiving antimalarial therapy and other supportive therapy as well as peritoneal dialysis referred to the renal unit at Al-Thawra Hospital in Sana’a. In this study, it was concluded that significant differences were found between children who died (43.8%) compared to those who survived regarding age, plasma creatinine, plasma bilirubin, systolic and diastolic blood pressure, hemoglobin concentration, urine output, and time from diagnosis to referral. However, gender, alanine aminotransferase level, degree of fever, plasma sodium or potassium levels were not found to be statistically different between these two groups (Sheiban et al. 1998). The author found that previous immunity, as indicated by presence of splenomegaly, was associated with better prognosis both in terms of lower mortality and less hemodynamic disturbance which was evident in the older children owing to pre vious exposure to malarial infection, and therefore development of immunity (Sheiban et al. 1998). It is important to note that malaria was reported to be the cause of 5.9% of chronic renal failure in patients undergoing regular hemodialysis in Hadramout governorate (Badheeb 1998). Recently, Al Rohani et al. (2011) reported that malaria is the most common infectious disease causing acute renal failure (ARF) in Yemeni patients.

Thursday, January 16, 2020

Fangirl Essay

There are some kinds of love in this universe. Without love, a human being will not be able to live normally and there will be something empty inside their hearts. This can be love for our God, parents, families, lovers, or maybe just for our bestfriends. But now just think about this case: how about love for someone that we have never even met before? Maybe just fangirls who know how it feels, because they are the one who have a non-sense head over heels in love all over the time. What thing that comes in your mind when you hear the word â€Å"fangirls†? Maybe just a bunch of weird girls who are too much obsessed with the artist whom they admire to death. Why are they so weird? Because commonly, fangirls always have their own world, their own strange hobbies, and their own reason for being so crazy. The things such as plastering their idol’s face as their phone wallpaper, sticking so many huge posters at their rooms, overreacting when their favorite songs from their precious boys are played at the public place, sighing desperately when their hardisk is running out of memory due to a bunch of photos and videos that are too precious to be deleted, and other nonsense actions; they just do it naturally and with no other purpose than their own satisfaction over the idols. They just want to feel close with their boys. Moreover, fangirls even often call them as their ‘‘husband’’. See? It seems like fangirls’ imagination is their last hope. The other thing about fangirl is for most of them, every single thing about their boys always matters. That is why they joined some fanbases that keep updating about their boys’ current condition all the time. And believe me it means trully literally, starting from what their idols are doing, if there is any newest clip or tv show, attending some events, or even just being spotted at a supermarket without wearing any make up. They keep sharing the information with the other fangirls all over the world. That’s why for these girls, living in social networking such as twitter and facebook is much more interesting than their own and always-boring-real life. Being a fangirl sometimes can also be very annoying to the people surrounding them. I mean, when their â€Å"love†, or should we call it as an â€Å"obsession† instead? Yeah, stuff like that goes into an extreme level, obviously people may look at them in an oh-i’m-so-irritated-by-this-creature way. For example, when two angirls meet each other for the first time, have a little chit chat, and then find out that they are admiring the same person in a same group, those two will dive into their own world. Those fangirls will easily connected and nonstop talking about the newest news from their idols and ignoring the others who keep staring at them all the times, wondering what they are excitedly talking about. That is the reason wh y people always ignore the fangirls when they started talking about the topic-that-god-and-them-who-only-know. Now, let’s move on some obstacles that might bother most of fangirls in this earth. One of them is that being a fangirl is extremely expensive, since they always have the urge to wipe out their credit cards or spend lots of money to buy every single album, postcard, DVD, photobook, and other merchandise that has their idol’s face on it. This collecting habit will make their wallet pathetically empty. The most ironic thing about this is, when their idols’ groups come to their country and hold a big concert with such a high price ticket, the fangirls would separate into two paths. The first, in the case of fangirls who fortunately come from the have family, or maybe already have salary from their job, they will easily buy the ticket with no hesitation, watch the concert excitedly, and form a smile that will never leave their face for at least one month later. Such a sweet memories~ In the other way, for those who do not have enough money to own the ticket, they will just cry to death all day long, knowing that they will just let their boys come to their country and perform perfectly as always on the stage without witnessing it by themselves. Their sorrowful faces won’t dissapear easily for sure. Do you think fangirl is nothing than just a weirdo because theye’re crying for something that isn’t worth it? They do know it by themselves but they just couldn’t deny the feeling. Even though their obsession towards the boys sometimes makes no sense, there is still some positive things that can be taken from those fangirls. One of them that is, the faith. They always keep the faith, no matter what mistake that their boy’s done, they will find the excuse behind it, apologize them, and continue supporting them as always. That’s why the artist wouldn’t be exist without their loyal, caring, and supporting fans behind them.

Tuesday, January 7, 2020

Descriptive Language and The Lady of Shallot Essay

Descriptive Language and The Lady of Shallot In any piece of lyrical poetry, authors must masterfully use the language of the poem to covey the intended meaning. In order to ensure the meaning is not lost, it is imperative that the author incorporates various aspects of the narrative to escalate the poem past its face value. Alfred Tennyson’s poem â€Å"The Lady of Shallot† is no exception to the rule. From lines like â€Å"blue unclouded weather† and â€Å"the gemmy bridle glitter’d free†, one can draw that descriptive language is Tennyson’s tool to revealing the underlying meaning (Griffith 334). In each of the four parts of â€Å"The Lady of Shallot†, Tennyson uses descriptive language to convey his intended meaning to the audience. Tennyson†¦show more content†¦All of Part I sets up the rest of the poem, and Tennyson’s use of descriptive language makes the reader feel as if they are right there, witnessing the events first hand. The second part of â€Å"The Lady of Shallot† reveals much more of the outside world than the confines on the tower of Shallot. Tennyson uses Part II to show the Lady of Shallot’s need for contact with the brilliant world he has built through vivid description. It begins by speaking of the â€Å"magic web with colors gay† which â€Å"she weaves by night and day† (Griffith 333). This small passage is quite important to the rest of the story. By describing this â€Å"magic web† that the Lady of Shallot painstakingly spends all her time on, Tennyson is conveying a message much bigger. In this stanza, the â€Å"magic web† is the Lady of Shallot’s life. She constantly works on this â€Å"web† and it is all she has ever know. And as she weaves, the Lady of Shallot gazes through a mirror and sees â€Å"shadows of the world† (Griffith 333). And this is exactly what she is witnessing, shadows; since she isn’t involved wit h this outside world, the happenings are never more than images—never reality. The Lady of Shallot contently continues â€Å"to weave the mirrors magic sights† (Griffith 333). She then witnesses â€Å"a funeral, with plumes of light†, and even â€Å"two young lovers lately wed†Show MoreRelated Illustrated in the poems The Lady of Shalott and Ulysses by Alfred Lord1347 Words   |  6 PagesIllustrated in the poems The Lady of Shalott and Ulysses by Alfred Lord Tennyson, The Door by Mir slave Holub and The Girl in Times Square, a novel by Paulina Simmons. Change gives us roots; continuity gives us branches letting us stretch and grow to reach new heights. Living as we know it wouldn’t exist if change didn’t occur. This ability to continue changing is the only true security we have. This is illustrated in the poems ‘The Lady of Shalott† and ‘Ulysses’ by Alfred Lord Tennyson