Thursday, August 27, 2020

PIOCO and Nursing Evidence Based Practice

Question: Make a Design for Change proposition comprehensive of your PICO and proof evaluation data from your Capstone Project. Answer: Presentation: In a way to deal with address the key necessities of this specific task an activity will be in the blink of an eye attempted wherein a John Hopkins Nursing Evidence-based Practice model will be applied to break down a planned PICO question. The case of a clinic of Royal Adelaide Hospital, Australia have been refered to wherein the regulatory and the clinical group has accentuated on social affair applicable data related with the agony the board of the at death's door grown-up populace. Center was additionally given to comprehend whether morphine in contrast with different opiates is increasingly viable in torment the executives wherein an expanded portion of morphine can create a positive result. Thus the data absorbed was comprehensive of database, diaries that was additionally trailed by evaluation at a hierarchical level. The Practice question: Following a broad data digestion and evaluation the clinical group and the regulatory units of the concerned emergency clinic sent a training question that has been planned in arrangement with the PICO liable system. The training question is as per the following: PICO question is as per the following: In older grown-ups with a terminal sickness are opiates of Morphine bound to build their resistance and afterward bring about the requirement for increment dosages of morphine? Old Adults with terminal disease Diverse torment control strategy, for example, Methadone Fluid Morphine (Roxanol) Less requirement for expanded dosages of Morphine Proof: The EBP colleagues were found to play out a broad writing search with the assistance of different online hunt databases in particular Pub Med, Science Direct and Cochrane utilizing the catchphrases like morphine, Liquid morphine or Roxanol, Methadone and agony the board in critical condition grown-ups. The data that was found to tolerate pertinence with the subject of evaluation were additionally passed on to the concerned medical clinics. In addition on location preparing was likewise directed in the concerned clinic by the EBPO group to improve the nursing intercessions aptitudes of the medical attendants related with torment the executives of the at death's door grown-up patients. Thusly alluding to the data assembled through broad writing search positive results of methadone application in contrast with viability of fluid morphine or Roxanol is apparent as a superior torment the executives instrument for the critically ill patient. Henceforth in understanding to the confirmations accumulated a few proposals are referenced beneath can convey positive wellbeing result for the concerned patient: Methadone can be an endorsed as a medication for diminishing the torment power in the terminal grown-up patients as this medication being exceptionally lipophilic in nature is ingested quickly The utilization of methadone is prescribed in light of the fact that contrasted with morphine this medication is without any dynamic metabolites and consequently don't have any critical effect on hepatic digestion process. As methadone has as N-methyl-D Aspartate (NMDA) receptor adversary this specific property is seen as critical with diminished inclination to create narcotic resilience contrasted with morphine the medication is enthusiastically suggested for the patients with neuropathic torment. Use of methadone is likewise prescribed to patients with non-threatening agony disorder. Additionally to out of commission patients and furthermore in patients with allodynia and are not equipped for oral admission of medications contrasted with transdermal utilization of morphine methadone is proposed. As methadone is found to create long impact of activity whenever applied through rectal organization, the medical caretakers should become familiar with the viable application aptitudes in this regard. It is likewise suggested that the medical attendants ought to get appropriate preparing and comprehend the essentialness of portion for methadone application. Interpretation: In consistence with the John Hopkins Nursing Evidence Based Practice Model the concerned human services group and the nursing experts of the refered to emergency clinic has additionally considered being developed of a torment evaluation instrument wherein certain nursing intercessions has been fused as rules. The torment appraisal scales considered for this situation are 0-10 Numeric Pain Rating Scale, Visual Analog Scale, Verbal Pain Intensity Scale, Neuropathy Pain Scale and Descriptor Differential Scale. Moreover a pilot study was likewise chosen to be led for the monetary year 2016 including 50 in critical condition grown-up patients conceded in the medical clinic for the examination. Along these lines both the confirmations accumulated and the pilot study certified better result of utilization of methadone contrasted with that of fluid morphine that was viable for diminishing the power of torment in the in critical condition patients. End: The examination and writing audit was found to effectively address the prerequisites of the PICO question created and critical inclusion and energy was clear among the nursing experts of the concerned medical clinic. Consequently the related staffs of the Royal Adelaide Hospital understood the operational adequacy and handy attainability of the John Hopkins Nursing Evidence based Practice Model. References: American Nurses Association. (2015). Nursing: Scope and measures of training (third ed.). Silver Spring, MD. Creator Chamberlain College of Nursing. (2016) NR-451 Week 2: The clinical inquiry. [Online lesson]. Killjoys Grove, IL: DeVry Education Group. Dearholt, S. L., Dang, D. (2014). Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines (second ed.). Indianapolis, IN: Sigma Theta Tau International Gardiner, C., Gott, M., Ingleton, C., Hughes, P., Winslow, M., Bennett, M. (2012). Perspectives of Health Care Professionals to Opioid Prescribing in End-of-Life Care: A Qualitative Focus Group Study.Journal Of Pain And Symptom Management,44(2), 206-214. https://dx.doi.org/10.1016/j.jpainsymman.2011.09.008 Love, R. Common, K. (2014). Topical Methadone: An Alternative for Pain Control in End-of-Life Management.Journal Of Palliative Medicine,17(2), 128-128. https://dx.doi.org/10.1089/jpm.2013.0517 Manfredonia, J. (2005). Endorsing Methadone for Pain Management in End-of-Life Care.The Journal Of The American Osteopathic Association,105(3_suppl), 18S-21S. Recovered from https://jaoa.org/article.aspx?articleid=2093089 Porteous, A., Robson, P., Lee, M. (2013). End-of-Life Management of Patients Who Have Been Established on Oral Methadone for Pain Control.Journal Of Palliative Medicine,16(8), 820-820. https://dx.doi.org/10.1089/jpm.2013.0048

Saturday, August 22, 2020

How Appropriate Is the Title Spies Essay Example

How Appropriate Is the Title Spies Essay Absolutely there Is an away from of spying inside the book, beginning with the minor characters, for example, the youngsters In the nearby who likewise take an interest In paying. They spy on one another and grown-ups and clarify presumptions on their effectively. Without a doubt when a police officer visits the nearby the youngsters assume control over It to guess the purpose behind his visit that unwelcome voyeur was sticking around again the previous evening, the way that its kids spying causes it to appear to be fiendish and less Similarly, the round of spying is normally related as a game that youthful genuine. Sys would play: Frayne shows that isn't generally the situation. Barbara Berries is introduced as a run of the mill little youngster pulling innocent faces and making energetic signals. Frayne over and over demonstrated her as chuckling and depicted her calfskin sack as having an innocently quality to it, yet Barbara was additionally associated with the meddling demonstra tion of spying l consistently know whether youre covering up in here. Frayne adds another measurement to the subject of spying indicating that everybody is liable of it. Its not only youngsters in the novel who are engaged with the demonstration of seeing the grown-ups are additionally observed as kinds of spies. Keith and Stephen both trusted Kiths guardians were a type of spies Keith states that his dad was engaged with the mystery administration ND the two of them trusted Mrs. Hayward was a German covert agent. In spite of the fact that we know toward the finish of the novel that Kiths mother was not in reality a German covert operative and we don't genuinely have the foggiest idea Whether Kiths father was really associated with the mystery administration, this presumption of the two characters relates them to the topic and title of the novel. We will compose a custom exposition test on How Appropriate Is the Title Spies explicitly for you for just $16.38 $13.9/page Request now We will compose a custom article test on How Appropriate Is the Title Spies explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer We will compose a custom exposition test on How Appropriate Is the Title Spies explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer Thought the novel Stephen talks profoundly of Kiths family however specifies little of his own. He discovers his own family exhausting carrying out a Responsibility, too dull to even think about describing Stephen discovers his family, excessively customary. The little we do think about his dad Is that he was Like sign gentle natured textured creature In the last section of the novel we find that Stephens view of his family were completely off-base really there were two German covert operatives In the nearby. We reveal that Stephens father was from Germany and was working for the British military Intelligence. The title of the novel Is plural which Is proper as all characters take an interest In the part of spying as far as setting the title Is tremendously applicable. The lives of the kids are set In world war two. During those occasions kids were encircled by purposeful publicity of the war and knew about he war exertion. Kids most likely realized that their nation was battling an adversary however didnt genuinely know the entire realities of the circumstance likewise to when the youngsters in the nearby knew there were neighbors living in the road that were diverse to the rest AT ten monologs. I en CNN learn Dealer ten peculiar occupants were Juice we as perusers realize that they mean Jews. Toward the finish of the novel we discover the verifiable realities which were that they were really Greeks. During the war the kids were probably going to realize that something risky was going on and my have felt perilous in their roundings this may have prompted the motivation behind why a significant number of the kids in the novel want to spy. They may feel that that they can not confide in any one not even their own folks as they could be the foe. The term spy can be found in two different ways, a notable individual on a mystery strategic a tricky individual who is unfaithful. There are numerous instances of trickery all through the novel. Stephen has all the earmarks of being Kiths closest companion and sticks by him despite the fact that nobody else likes him everybody aside from you truly despises him however his unwaveringness appears to blur towards the finish of the develop. At the point when the kids in the nearby pester Keith on the presence of the cop, Stephen realizes he ought to make some noise and clarify the circumstance yet decides not to, Vive stopped to be his companion; Vive become one of the crowd. Stephen realizes he is Kiths just companion and chooses not to help him in his period of scarcity. Mrs. Hayward is introduced by Stephen as practically radiant beauty and tranquility however she isn't what she appears. Her serenity and peacefulness is bogus, behind her ideal outside conceals an existence of brutality and torment from her controlling spouse. Despite the fact that she is depicted as Ewing extremely female and exquisite, Stephen portrays her as having elegance and self-restraint, Mrs. Hayward has a huge measure of discretion. At the point when she sees Mr. Hayward holding the bushel she shows no response of frenzy Oh thank you she says serenely. Recognizing what may lay a leader of her, will be an unnerving trial from her significant other Mrs. Hayward responds exceptionally bold, a long way from the straightforward, cleaned house spouse Stephen depicted her to be. In spite of the fact that Keith and Stephens charges of Mrs. Hayward being a German government operative were somewhat fantastical, Stephen and Keith were correct n the way that she was planning some mischief clandestine. Mrs. Hayward was furtively visiting Uncle Peter in the horse shelters behind her spouses back. She at that point stops the visits when Mr. Hayward discovers, she not just misdirects her better half by these clandestine visits, she additionally sells out Uncle Peter by walking out on him and not visiting. The title can be seen from numerous points of view. It tends to be viewed as summarizing the topic of the book which the title of spies prevailing in quite well. Expressing the fundamental subject toward the start of the book urges the peruser to concentrate on it. In the event that the title of spies was named after another subject, for example, youth the peruser would concentrate more on the youth components of the book and may pass up a major opportunity fundamental bits. To finish up I accept spies is a proper title for this novel as it summarizes the book in one basic word. It depicts the characters and topic, and it includes puzzle directly from the earliest starting point. The word spies infers somebody revealing something cryptic which catches the perusers eye before they have even understood it! The story its self is a basic one so a short, straightforward title fits in well.

Friday, August 21, 2020

Transferring Colleges to a School with no Supplement TKG

Transferring Colleges to a School with no Supplement We have written a lot about the transfer process and the importance of writing stellar supplements. And if you come across a transfer school that doesn’t have one, you might feel like you’ve hit the jackpot. Well, you haven’t. We know that transfer acceptance rates are low, and we also know how easy it is to apply to schools that don’t have supplements. So how do you make yourself stand out to their admissions teams? You write one anyway. The goal is to write an email that explains why you want to go to X school. It should look a lot like a “Why X School” supplement, except that it’s addressed to a person and not copied and pasted into a dialogue box on a website. By the end of the email, the person reading it should be able to easily discern what you’re interested in, what you’re looking for, and why X school is the best place for you. Start by telling them what you’re interested in academically. If you’ve known what you want to study for a while, which we ca ll an origin story, you should share that. Think back to the beginning and ask yourself if, when looking back, if you can point to something that explains why you’re an English major. After, it’s equally important that you bring them up to speed. No one goes from reading one book to being an 18-year-old English major. It’s important that you fill in the gaps because the next thing you’ll do is tell them what you want to major in, and the email won’t flow if you go from infant bookworm to aspiring English professor. At some point, you’ll need to explain why you want to transfer. It does not need to be a standalone paragraph in your email, but it must appear somewhere. You could frame it by writing about opportunities and resources that you’re looking for at X school, and then state that you don’t currently have access to them where you are now. Whatever you do, don’t be dramatic about why you don’t like your current school. Nothing about the weather, nothing abo ut bad professors, nothing about your weird roommate. Simply explain and what isn’t working and move on. We’re going to assume that because you want to transfer to X school, you’re majorly impressed by their academic programs and have decided that it truly is the best place for you to grow, learn, and study. If that’s the case, this next part should be easy. Go to the department homepage of your desired major and find 1-2 upper-level classes that you want to take. Introductory courses are a no-go because they are not specific to the college and you’ve probably already taken them. Look for classes that align with your interests, and the more niche the better. There could be a specific track or a concentration that you’ve been trying to create for yourself at your current school.   For example, you might have been scouring the catalog at your current school looking for comparative politics courses to piece together, and now you want to transfer to X school because it is formally offered as a concentration. Next up, it’s time to find a professor that you would like to learn from, collaborate with, and do research with. Also on the homepage of your major, you should be able to find a list of professors. If you can’t, there’s always Google. The best way to streamline your research is to figure out exactly what you’re interested in, and then find a professor that is an expert in something similar. It’s crucial to get specific here. Writing that you want to research environmental science is vague and unfocused. Writing that you want to study sustainable agriculture and rooftop farming practices is a step in the right direction, but make sure that you explain why you’re qualified to assist them with their research. This is best done by telling the reader what you’ve done to familiarize yourself with the subject, and thoroughly researching their resume. Now that you’ve covered what you plan to do in the classroom, it’s time to address how you plan to spend your time outside of it. You should look for something that is an extension of what you did in high school or college. Don’t pick something random! The student organization that you choose doesn’t have to be related to your major, but it should make sense within the context of the rest of your application. If you have any other reasons for wanting to transfer, like a special program, that is highly specific to X school, you can include that here as well. But make sure what you’re writing about can’t also be found at the school down the block. If not, sign your name, thank them for their time, and send away.   Contact us here if you’re overwhelmed by the transfer process. We’d love to help.

Monday, May 25, 2020

William Wordsworth s The World Is Too Much With Us

The Distinct Approaches to the Theme of Nature The poems â€Å"The World is too much with us† by William Wordsworth and â€Å"A Happening† by Denise Levertov address the conflict between nature and society. Wordsworth’s poem addresses how society is becoming less because of unlimited desires. Levertov reflects Wordsworth’s values, but using unique images to present this idea. Although these poems approach the same theme, literary language and literary devices make them distinct. Literary devices can strengthen the message in a poem. For example, William Wordsworth uses the literary devices such as simile and personification to emphasize his argument. The line â€Å"The Sea that bares her bosom to the moon† displays the relationship with the moon and the tides of the sea (Wordsworth). The personification in this line gives the sea human attributes, so the readers can comprehend how essential nature is to the author. He also uses personification to describe the howling of the winds and how they are now â€Å"up gathered like sleeping flowers† (Wordsworth). The simile â€Å"like sleeping flowers† allows the reader to analyze the meaning of this comparison (Wordsworth). The word flower has a positive connotation conveying beauty. The word sleep has a marginally negative connotation reflecting inactivity or even death. From this analysis, this simile presents the idea that the beauty of nature is inactive or no longer with us. This inquir y demonstrates the capabilities of literary devices and howShow MoreRelatedWilliam Wordsworth s The World Is Too Much With Us1448 Words   |  6 PagesPoetry Analysis: â€Å"The World is too Much with Us† William Wordsworth’s poem â€Å"The World is too Much with Us† is a sonnet published in 1807. Williams Wordsworth was an extreme lover of nature, and in the poem, the speaker stresses how the obsession we have with â€Å"getting and spending† causes us to forget the gift and the beauty of nature. The speaker tells about how this world is so overbearing, we cannot respect and appreciate nature, and since we are so caught up in ourselves and money, we do not takeRead MoreWilliam Wordsworth s The World Is Too Much With Us1474 Words   |  6 PagesThere’s Something About Nature In the same way Ted had lost touch with Mary, humans have lost their connection with nature. William Wordsworth, in his poem, â€Å"The World is Too Much With Us; Late and Soon,† illustrates the careless attitude of humans towards nature and all it has to offer. In this Italian sonnet, the narrator, who is Wordsworth himself, is standing on a grassy area overlooking the sea while wishing he could see the glory of nature which humanity has chosen to disregard. He also expressesRead MoreWilliam Wordsworth s The World Is Too Much With Us ``966 Words   |  4 Pages I invited William Wordsworth due to his literary works and the influence that he held on literal romanticism. This, he did with published works such as the prelude that was considered by many to be the crowning achievement of English romanticism. Romanticism was a movement that started as a counter to the Industrial Revolution as can be seen in the works of Wordsworth. For example in the poem â€Å"The World is too much with Us†, he states that humanity is losing touch with nature and all it encompassesRead MoreWilliam Wordsworth s The World Is Too Much With Us945 Words   |  4 PagesSecular Society In William Wordsworth’s â€Å"The world is too much with us,† the speaker both loves nature and wants to be part of a community; this is a conflict because the materialistic worldview of society is causing mass apathy toward nature. The tone is not nostalgic, something that is rare for Wordsworth. Instead of longing for a time gone past, the speaker is longing for a different world. Thus, the tone is melancholy. Wordsworth shows nature is necessary for a relationship with God through theRead More The World is Too Much With Us by William Wordsworth Essay908 Words   |  4 PagesThe World is Too Much With Us by William Wordsworth In William Wordsworths The World is Too Much With Us, this poem heeds warning to his generation. This warning is that they are losing sight of what is actually important in this world: nature and God. To some people both of these are the same thing ...as if lacking appreciation for the natural gifts of God is not sin enough, we add to it the insult of pride for our rape of His land (Wordsworth). With his words, Wordsworth makes this messageRead MoreThe World Is Too Much With Us By William Wordsworth853 Words   |  4 Pagespoem â€Å"The World is Too Much with Us† by William Wordsworth is, in my opinion, one of the best Romantic era poems, and it is a prime example of the values and writing styles that are expressed in Romantic era literature. One of the ways that the poem resembles other literary works of the Romantic period is that one of the main themes of the poem is nature, and nature is also a theme that was very prevalent in the literary works from the Romantic era. F urthermore, the poem by Wordsworth resembles otherRead MoreAnalysis Of `` The World Is Too Much With Us `` By William Wordsworth873 Words   |  4 PagesAnalysis of â€Å"The World is Too Much with Us† by William Wordsworth The poem â€Å"The World is Too Much with Us† by William Wordsworth is, one of the best romantic era poems, and it is a prime example of the values and writing styles that are expressed in romantic era literature. One of the ways that the poem resembles other literary works of the romantic period is that one of the main themes of the poem is nature, and nature is also a theme that was very prevalent in other literary works from the romanticRead More`` The Beat Goes On, I Am Your Host, By Caleb Argent, And Today1629 Words   |  7 Pagesat The Beat Goes on have decided that our journey of reflection will began at the peak of poems in the romantic era with a famous poet named William Wordsworth and his poem â€Å"The World Is To Much With Us† and end in the 21st century with a famous song called Gone by Jack Johnson. In William Wordsworth’s poem â€Å"The World Is To Much With Us† the theme shows us that humanity has lost its way or is losing its way. Over time this idea of â€Å"Humanity losing its way† has brought about many controversial opinionsRead MoreEssay on The World Is Too Much for Us915 Words   |  4 PagesIn William Wordsworths The World is Too Much With Us, this poem heeds warning to his generation. This warning is that they are losing sight of what is actually important in this world: nature and God. To some people both of these are the same thing ...as if lacking appreciation for the natural gifts of God is not sin enough, we add to it the insult of pride for our rape of His land (Wordsworth). With his words, Wordsworth makes this message perpetual and everlasting. William Wordsworth lovedRead MoreEssay Wordsworth’s Sonnets and Technology541 Words   |  3 PagesTechnology In William Wordsworth’s sonnets The World Is Too Much With Us and London 1802, he describes his society as being too dependent on technology. In Wordsworth’s time, the 1800’s, new phases of technology, such as electricity to run machines, were booming and people were relying more on them. With these new innovations, Wordsworth was convinced that people would stop appreciating nature while allowing technology to run their lives. In London 1802, Wordsworth describes how people

Thursday, May 14, 2020

Mandatory Minimum Sentences in Canada Essay - 2983 Words

Introduction This paper will be focusing on the controversial issue of mandatory minimum sentences in Canada. There has been much debate over this topic, as it has quickly become implemented for the sentencing of drug offenders, drug-related crimes and banned firearm offences. I will argue that every case that comes through the criminal justice system is different and deserves a fair trial with a sentence that is not already determined for them. There have been many cases where the judge has no discretion in the sentence due to the mandatory minimum sentences pre-determined for the case, no matter what the aggravating or mitigating factors were. I will argue that the mandatory minimum sentences in Canada should be reduced or eliminated as†¦show more content†¦The first section is for the mandatory minimum sentence of life in prison for first and second-degree murder and treason. The second section deals with firearms offences. The third section of mandatory minimum sentences address repe at offenders in seven distinct categories, which involve impaired driving and possession of unauthorized weapons (Canada, 2013). The last category of MMS in Canada deals with hybrid offences. These were implemented in the Canadian legislation in 1995. If an offender commits a crime that has been determined to result in a mandatory minimum sentence within the Canadian Legislation, the judge must implement that sentence no matter what the aggravating or mitigating factors are. Due to this sentencing legislation, many innocent people are serving time in prison due to a false conviction and the lack of judicial discretion in their individual case. Even though mandatory minimum sentences offer more costs then rewards, some politicians, community members and victims of crime still support it due to the proposed retributive and deterrent effects. There have been many cases and arguments against mandatory minimum sentences especially due to the fact that it restricts the judge’s disc retion during the sentencing process. These will be discussed in more depth throughout this paper. Issues of Mandatory Minimum Sentences There are many mandatory minimum sentences that have been placed in the Canadian law to help prevent crime from happening and toShow MoreRelatedCriminal Code And Charter Sections1414 Words   |  6 PagesSections Sentencing provisions in Canadian law are found in s.718.1 and s.718.2 of the Criminal Code, which states that, â€Å"sentences must be proportionate to the nature of the offence, reduced or increased depending on the mitigating and aggravating factors, must be similar to sentences imposed on similar offenders for similar offences in similar circumstances, and if the sentence is consecutive, it must not be unduly long or harsh.† Therefore, an offender should not be deprived of their liberty ifRead MoreThe Overcrowding Of The Correctional Facilities1730 Words   |  7 Pageson crime† for political gain. As mandatory minimum sentences and tougher conditional release criteria are introduced the population of those incarcerated increases. It causes unnecessary emotional and physical harm to prisoners. It also places inmates and correctional staff in danger. Something must be done before a major incident occurs as a result of negligent policies. Overcrowding affects nearly every correctional institution in the United States and Canada. In British Columbia some maximum-securityRead MoreThe Challenges of Creating and Implementing Crime Policy in Canada996 Words   |  4 PagesIntroduction Social policies are constructed to guide society. These policies are influenced by the collective morals and values of the people living in a society. Social policies in Canada are founded on the best interest of Canadians. Most importantly, social policies address issues by creating and implementing the appropriate solutions. Politicians have the prime role in creating policies and ensuring that these policies provide an answer to key issues in society. However, along the way theseRead MoreCanada vs. United States: Legal System1141 Words   |  5 PagesSince the British North America Act was adopted in 1867, Canada has been developing and writing up their own laws independently from other countries. Many people believe that, though our Canadian laws have come far from the days of the BNA act, they are still not up to par with the harshness of American laws. The advantage that Canadians have over Americans is that in Canada, there is only one criminal code for all Canadians whereas in the United States, every State has their own criminal codes whichRead MoreMandatory Minimum Sentences : Judicial Discretion1906 Words   |  8 Pages Mandatory Minimum Sentences: Judicial Discretion Twenty-nine offences in the Criminal Code have a mandatory minimum sentence of imprisonment time. The majority of these sentences were introduced with Bill C-68, a set of firearms-related legislation introduced in 1995. In addition, there are also mandatory minimum sentences for several other offences, such as child prostitution, betting, pool-making, and impaired driving. Mandatory minimum sentences impose legislated punishments, furthermoreRead MoreDTSM Assignment882 Words   |  4 Pagesfor up to two years. What is impaired driving? Impaired driving means operating a vehicle (including cars, trucks, boats, snowmobiles and off-road vehicles) while under the influence of alcohol or drugs. It is a crime under the Criminal Code of Canada and the consequences are serious. You may: lose your licence have your vehicle impounded need to pay an administrative monetary penalty need to attend an education or treatment program be fined upon conviction be required to install an ignition interlockRead MoreThe Canadian Bar Association Was An Appropriate Intervener1838 Words   |  8 Pageswas an appropriate intervener for two reasons: the CBA had a strong interest in the mandatory minimums within the impugned legislation and the perspective of implementing an exemption would act as a good alternative to amending the legislation in case the judiciary did not see good enough reason to dismiss the appeal. I will present an explanation for why the CBA argued for an alternative to the mandatory minimum, how it relates to the submissions of the respondents, and the reasoning behind theRead MoreThe Issue Of Gun Control1356 Words   |  6 Pageslaw-abiding citizens who use guns for legitimate purposes. HISTORY OF GUN CONTROL In 1892 Canada passed its first criminal code for gun control required citizens to obtain a permit in order to carry a pistol. In the mid-1930s, the government intensified their gun laws by requiring registration for all handguns. The restriction of automatic weapon ownership was also enacted within the next 40 years. In 1977 Canada passed Bill C-51. This law not only required that citizens obtain a Firearms AcquisitionRead MoreMarijuana Prohibition Canada1372 Words   |  6 PagesMarijuana has been a long on going battle as to whether marijuana should be legal in Canada and taken out of this act. The law behind the drug has a long history and many failed attempts at decriminalization. There are both positive and negative effects to this law, but I believe the positive effects weigh out the negative and that because of this marijuana will be legal in the near future. The Marijuana laws in Canada today are unresolved, as superior courts have ruled all cannabis laws to be of â€Å"noRead MoreAn Unconventional Approach Of Justice1780 Words   |  8 Pagesin Canada The definition of the word â€Å"justice† according to Merriam-Webster is, â€Å"the quality of being just, impartial, or fair† (â€Å"Definition of Justice†). Almost automatically associated with â€Å"justice† to many minds is the â€Å"criminal ‘justice’ system†Ã¢â‚¬â€and criminals. Canada’s criminal justice system and the penalties for crimes committed in Canada have been recent topics of discussion preceding this year’s general election. The Conservative Party of Canada promised mandatory minimum sentences for

Wednesday, May 6, 2020

Examples Of Third Spaces - 1207 Words

Third spaces refer to the social and communal places where people gather outside of home and work, or in the case of college students, gather outside of class. At the Pacific Coast Campus, students gather in a variety of locations while employees have only one communal area. Block scheduling of classes impacts the flow of traffic, yet both students and employees can find a welcoming environment at the Pacific Coast Campus. Some students choose to spend time outside of class in the three outdoor courtyards or within the cafeteria and its adjacent courtyard. Two of these areas offer limited seating yet students continue to gather in those courtyards. Only one of the courtyards contains ample seating to include seven round tables and†¦show more content†¦On either side of the help desk are areas that provide both comfortable seating and tables. One side has a large television and the other side offers a more studious environment. The space includes two charging stations with cables for a variety of different types of electronic devices. When I first visited the space at 9:30 am, there were only a few students. When I returned at 12:45 pm, students occupied almost every seat. Despite minimal socializing occurring the center was very popular. In contrast to the numerous places available for students to gather, there is only one employee lounge at the Pacific Coast Campus. The lounge is almost as large as a classroom, and a wall of windows fills the space with sunlight. The room offers several types of comfortable chairs and table as well as a television. Two all-gender bathrooms and basic kitchen amenities are also located within the lounge. Despite all that the lounge has to offer, it is often empty or occupied by no more than two employees. I only enter the lounge to access the restrooms or use the kitchen facilities. The Pacific Coast Campus offers an inviting place for employees to gather; yet the space is underutilized. Community colleges are often thought of as places where students attend class and then leave, not a place where they choose to spend time or socialize. This sentiment would not appear to hold true at the Pacific Coast Campus, which offers various areas populated by studentsShow MoreRelatedWhite Teeth by Zadie Smith732 Words   |  3 Pagesthe one they now live in. Zadie Smith shows pessimism towards creating a third space of cultural difference—where cultural difference is an encouraged, positive thing—all while showing the gradual progression of cultural difference acceptance through the first generation immigrants to their children and how it effects the males and females differently—females being more accepting of a third space. Hortense is the first example of an immigrant adjusting to a new life in Britain. She was born and raisedRead MorePoverty and Painting: Representations in 19th Century Europe864 Words   |  4 Pages In an article in the British Medical Journal, the authors show that the pathways to and from poverty and also the povertys impact upon the public health are represented in 19th century European painting s. This includes Francisco Goyas Third of May. A typology of paintings is listed in the journal article that represent poverty . These included images of poor housing, sin and charity, evictions, homelessness, bad working conditions, crime and lifestyle risks hunger, revolution and visionaryRead MoreTsc Stores1037 Words   |  5 Pagesmodel of future inventory volumes, and examined the affect the inventory had on the supply chain. The model predicts the company will experience capacity issues as soon as next spring. With larger volumes of inventory looming over a static inventory space, it would be prudent to examine alternatives of how to adapt the supply chain to the corporate expansion goals. Before considering the forecast model as gospel, it is important to understand some of the limitations and assumptions the model makesRead MoreThe Development Of A C20th Art Movement And Architectural Expression From The Same Period1663 Words   |  7 PagesDescribe and evaluate the relationship and influences between an example of a C20th art movement and architectural expression from the same period. Constructivism arose in Russia in 1914 where Lenin and Marx’s communist state supported and advertised the artistic movement with the philosophy that it was the rebirth of the art world. Constructivists held the communist belief that there should be no distinction between roles: artist, architect and engineer were all to be the same. This ‘worker’ characterRead MoreWhat Is Lack Of Branding And Marketing Strategy1735 Words   |  7 PagesDowntown for enjoyment and connection and customers Downtown for shopping, dining, and entertainment. A mixed-use downtown attracts patrons by being multi-dimensional, since patrons attracted by one use or activity often cross over to others. For example, people going to the park will often shop or eat, assuming that uses are sufficiently available. Solutions for Downtown must be more comprehensive in scope, including considerably more than just making it look nice. The action plan must be designedRead MoreThe Third Sustainable Benefit Is Social Sustainability868 Words   |  4 Pages The third sustainable benefit is social sustainability. It is related to improve and develop a social condition in cities, and a process within communities that can be realized that status. For example, when standards of sustainability determine how many people or worker inside any building in city is related to environment, and how can affect environment by how much do buildings consume energy and produce waste and emissions. According to the Western Australian Council of Social Services (WACOSS)Read MoreStuart Halls Cultural Identity and Diaspora1599 Words   |  7 PagesHall’s article: Cultural Identity and Diaspora Stuart hall talks about the crucial role of the â€Å"Third Cinemas† in promoting the Afro-Caribbean cultural identities, the Diaspora hybridity and difference. Hall argues that the role of the â€Å"Third Cinemas† is not simply to reflect what is already there; rather, their crucial role is to produce representations which constantly constitute the third world’s peoples as new subjects against their representations in the Western dominant regimes. TheirRead MoreTransition Phrases Essay919 Words   |  4 Pagesin the first place not only ... but also as a matter of fact in like manner in addition coupled with in the same fashion / way first, second, third in the light of not to mention to say nothing of equally important by the same token again to and also then equally identically uniquely like as too moreover as well as together with of course likewise comparatively correspondingly similarly furthermore additionally Opposition / Limitation / Contradiction Transition phrases like but, rather and orRead MoreApollo 131334 Words   |  6 Pages In the movie Apollo 13 three astronauts go up to space in the space craft odyssey and encounter many problems. The astronauts, Jim Lovell, Jack Swigert and Fred Haise were on a rushed mission to go to the moon when Jack went to go stir the oxygen tanks and one of them exploded. The explosion led to a whole host of problems. The astronauts had to abort the mission and focus on a safe return home. A monomyth plotline is when a person leaves a place, encounters obstacles and comes back a differentRead MoreAnalysis Of Madeleine L Engle1109 Words   |  5 PagesThe genre of A Wrinkle in Time by Madeleine L’engle is fiction. This book is fiction because the events that occur in the story can’t ever happen in real life. For example, a human being can never turn into a flying horse that takes the children to an unknown planet. Point of View: The point of view in the story is third person. It is third person because none of the characters were telling the story. The author was the one telling in the story. There was no I, me, us, you and we included in telling

Tuesday, May 5, 2020

The identity of a Filipino today Essay Sample free essay sample

†The individuality of a Filipino today is of a individual inquiring what is his individuality. † – Nick Joaquin When I bought this book a twosome of months ago. I instantly skimmed the first two pages. I did believe that this was a book about a female character with anatomical malformation and the book was about what caused the malformation and what should be done to rectify it. I thought that this book would do me infinitely laugh. Having formed that pathetic image in my head. I set this book aside. There were and there still are so many books by foreign writers that beckon on me. Besides. merely like most Filipinos. I ever thought that foreign books were far better than local 1s even those by our local literary greats. On many counts. I was terribly incorrect. First. this novel has nil to make with the survey of medical specialty. anthropology or anatomy. It is a novel that every Filipino should be proud of. It is a fresh written by a Filipino about Filipinos and for the Filipinos. However. it does non prophesy. It does non self-deprecate. It does non advance self-interest nor does it promote us Filipinos to detest ourselves and wish that we were of different nationalities. This novel is portion of who we are as it shows a polar portion in our nation’s history and how our race was formed or came into being by acquiring nutriment from two colonisers. kindred to two umbilicuss: those of Mother Spain’s and Mother USA’s. The two states that greatly influenced our nation’s mind and will everlastingly be portion of who we are as an Asiatic race. But I was right excessively. It made me eternal laugh. But non for the idea of a individual holding two umbilicuss. I laughed infinitely albeit mutely as I grieved approximately holding to recognize how much I’ve been losing while I prioritize foreign writers in my book picks. I besides unashamedly laughed recognizing how deformed inquiring myself who we are as a raceour civilization is and we merely couldn’t do anything about it. Nicomedes â€Å"Onching† . today merely â€Å"Nick† Joaquin ( 1917-2004 ) was awarded the National Artist for Literature trophy in 1976. This award is the highest national acknowledgment given to Filipino creative persons who have made important parts to the development of Philippine humanistic disciplines and to the cultural heritages of the state. He was said to be the Greatest Filipino author of the twentieth century and 3rd to Rizal and Recto as the greatest Filipino author of all time. He was # 1 in Filipino authors list in English. Dr. Alejandro Roces compared him to William Faulkner. His Portrayal of the Artist as Filipino is said to be the most of import Filipino drama in English. Before his decease due to cardiac apprehension in 2004. he was a friend and the biographer of the former president Gloria Macapagal-Arroyo. After his decease. this pedant with a gift of entire callback. expressed his want of donating the 3. 000 books from his personal library to Univer sity of Santo Thomas. He did non get married. Without supplying excessively many spoilers. the narrative is about a Connie Escobar who claims to hold two umbilicuss. She discloses this to a Filipino physician. Pepe Monson who is one ( the other being the priest Father Tony ) of the two boies of a former rich Filipino man of affairs who is concealing in Hong Kong to avoid postwar tests of station war independency. Connie is in Hong Kong seemingly to trail a set participant Paco Texiera even if she is already married to Macho Escobar. However. Connie says that she left the Philippines to run off from her hubby because he is holding an matter with her female parent Senora de Vidal. The novel’s subject of force per unit area of the past upon the present is similar to G. G. Marquez’ One Hundred Old ages of Solitude although Joaquin did non cover as many coevalss as Marquez did. In fact. Connie has merely the relationship between her hubby and female parent as the immediate yesteryear that greatly affect her present. However. the symbolisms are clear. Connie suffers due to the strong influence of her female parent when she was turning up ( with the incident about the dolls as the image that got etched in my head ) and the injudiciousnesss the female parent did in holding extra-marital personal businesss. All these while the purportedly the strong patriarch Don Manolo Vidal was busy protecting his concern and his political sod. Don Vidal can be likened to the Filipino business communities who sided to whoever was in power during the Spanish and American businesss merely to protect their involvement while overlooking the involvement of the many hapless provincials ( symbolized by Connie Escobar ) . This is non an easy read though. Joaquin’s narrative is confounding particularly in the first 50 pages of the book due to assorted points of position and multiple flows of ideas in merely one paragraph. I worked for two old ages in Hong Kong and I thought it would hold been more interesting if Joaquin took clip to depict his surroundings for imagery impact. He besides did non fall back to utilizing local linguistic communications or phrases. e. g. . Chinese nor in Filipino. to give genuineness to the spoken duologues. Last. I did non detect any attempt to give distinct and recognizable voices at least to the chief characters. All the voices seem to be coming from the same individual. However. the secret plan is superb. My first clip to read a local book with Hong Kong and Philippines as scenes. Prior to this. I thought that the post-war ( WWII ) epoch has been that portion of Philippine history that seems to be â€Å"untouched† by fictional authors. This was due to the fact that many literary plants chiefly focused on the clip when the WWII was on-going. Joaquin’s usage of his characters to typify the bigger range – the Philippines as it is seeking to lift from the ashes – is amazing and the impact is comparable to the purpose that Dr. Jose Rizal likely had when he was composing his Noli and Fili. I will be reading Joaquin’s Cave and Shadows and Tropical Gothic following to cognize more about the adult male.

Monday, March 9, 2020

Science and Technology Essays

Science and Technology Essays Science and Technology Essay Science and Technology Essay In recent years, a lack of communication between people has been a significant issue in modern society. It is certainly true of my home town. In this essay, several reasons of the phenomenon and solutions will be discussed. One of the biggest reasons is that people has lost their opportunities to interact with neighbours. There used to be various kinds of local communities few decades ago, however, less and less people participate in these communities because they are busy for work and study in a recent hectic society. The development of technology also has lead to little relationship in the society. While people tend to spend more time at home by internet surfing, the conventional method of communication is losing its importance. A lack of connection within the community units may significantly influence the society. In fact, an increase in the amount of crime in my hometown is now one of the vital issues and many of them seem to be solved by the improvement of local communities. To solve the issues, the local counsel should provide more practical community supports for citizens so that people can gather frequently to exchange their information. It is also important to have special occasions such as local festivals, meetings and educational classes in order to enhance persons quality of life too. In conclusion, even though there are some issues of a lack of communication between people in my hometown, the problems can be solved by enhancement of community supports. In todays world, technology has invaded many aspects of human life. From its gigantic influence on our education and professional development, to the more subtle presence of little gadgets littering our homes, technology is almost everywhere. The reasons for such pervasiveness would boil down to some characteristics that technology by itself possesses. One such characteristic, which is of major interest to many scholars, is the seeming lack of barriers to the spread of technology. It easily penetrates societies and even to remote communities, and once it reaches its destination and catches on, it becomes seemingly difficult to stop its spread. As a result of this, consumer technology like cellular phones, computers, PDAs, radios and televisions have become commonplace in places like Africa, even with all the barriers one would have envisaged. Sadly, it does not need much analysis to realize that even though technology usage is growing rapidly in Africa, we still have numerous developmental problems in our continent. This is a situation where advanced technology is coexisting with underdevelopment in Africa. With all the power that technology wields, it will be a useful exercise to study the ways in which it can be used to solve some of those very problems it has come to meet. In essence, using our little gadgets to solve our big problems. Where would we be as a global community without the study and aid of science and technology? How could humankind have survived through the ages without it? Science and technology have been around for almost as long as time itself. Ancient caveman used early science to learn how to make fire. Caveman, who developed spears from sticks tied with carved stones to hunt with, benefited from the creation of science. The word science (2009,  ¶ 1) comes from the Latin word: scien tia, which means â€Å"knowledge† or â€Å"knowing† and technology (2009,  ¶ 1) comes from the pairing of two greek words: techne and logia which means â€Å"art or craft† and â€Å"skill†. Throughout the centuries, many different fields of science and technology have been developed as ways to better understand the natural world around us. Much of the early studies of science and technology pre dating the sixteenth and seventeenth centuries were dismissed and labeled as being forms of magic or the works of supernatural forces that should remain unchecked and unquestioned. Many early scientific experiments of that time were deemed unethical and frowned upon by society. Advancements in the fields of science and technology are ethical and necessary to the beneficial development of humankind. It would seem that in today’s society the methods of science and technology are once again being scrutinized by society. Many of the break throughs and developmental research that is conducted by scientists in the medical field as well as other fields of science are being deemed by society as unethical. Some extremists are claiming that some of the scientific developments are entering the realm of God’s work, and that we as humans should not be tampering with.

Saturday, February 22, 2020

Questionaire Essay Example | Topics and Well Written Essays - 500 words - 1

Questionaire - Essay Example of the world, but then, many articles and reports provide the fact that big countries like USA, do not have a public insurance for majority of their people. In reality there comes uncountable advertisements and news regarding the several insurance companies and policies for health care, but those who need to get benefit does not really get it in majority. This shows that the administration has some drawbacks or to be more precise only a partial action has been taken by the authorities. The talk concerning how to reduce the expenditure for health care among the individual and the group under the health care services provided by public and private authority still continues. There has been a lot of development seen in the field of computers and wireless technology. The system of wireless health care services helps a lot in reducing the expenses to some extent by making arrangements such as fixing the Appointment for the patients, reminding the dates by sending SMS, and these gradually reduces the cost of medical expenses. The provisions of certain Health Care software, and the availability of Health Care consultants, Health Care Service Providers, help a lot in reducing the expenditure for he patients. The health insurance also helps a lot during emergency times. Though the premium rates have to be given in correct time, the effect of the insurance seems to be really worth during more expenses. The health care is usually financed by public and private authority in general. For example the â€Å"Medicare† and the â€Å"Medicaid† set to meet the health care expenses for the aged and the poor respectively. The process of Universal Health Care system which is funded by the tax revenue has two way payment system â€Å"single-payer† and â€Å"multi-payer†. The single payer is government run organization, which acts as the payer and it saves money. The multi-payer system runs with the joint venture of the public as well as private sectors as payer. introduced by the

Wednesday, February 5, 2020

Argumentative Research Paper on Gun Control Essay - 1

Argumentative Research Paper on Gun Control - Essay Example Americans generally feels that some gun control is necessary, however, people argue to what degree "Control" is necessary without taking their right to keep and own guns, the focus is then, is the right to own a guns is a inalienable right as outlined by the 2nd Amendment, "the right to keep and own a gun should not be infringed upon. Kleck and Kates (2001) have argued that â€Å"handguns are actually used by victims to repel crime far more often than they are by criminals in committing crimes - as much as three times more† (Kleck and Kates p.16). They have also pointed out that â€Å"Liberal allowances of concealed handgun carry by thirty one states have coincided with a reduction of thousands of murders, rapes and other violent crimes in those states† (Kleck and Kates p.17). Many people are of the view that the crime rates in America could be reduced with the help of gun control. They are forgetting the fact that the situation would be worse if the public deprived the opportunity to own a gun for their self defense. Gun control legislatures may prevent the public from owing a gun for self defense; however, these laws may not prevent criminals from owing or using guns for executing their missions. In other words, the absence of guns in the hands of general public for self defense will serve as a bl essing for the criminals in executing their plots easily. It is because of the above fact that public opinion polls consistently show their opinions against gun control laws. â€Å"Most Americans are skeptical that gun control can do much about crime and particularly dubious about the likelihood of disarming criminals through gun control† (Kleck and Kates p.112) â€Å"People also insist even if you do have gun laws it will not help control all the violence. They say there are still knives and weapons that can kill also† (Against Gun Control). Gun is not the only weapon used by people

Tuesday, January 28, 2020

Preventing Blood Stream Infections Health And Social Care Essay

Preventing Blood Stream Infections Health And Social Care Essay National Patient Safety Goals (NPSG) were introduced in 2002 in order to help address some of the issues that were responsible for causing a majority of the situations that were responsible for creating patient safety issues. These goals were implemented in order to put focus on what were deemed to be the most preventable of these issues. One of these goals is the prevention of central line-associated blood stream infections (Lyles, Fanikos, Jewell, 2009). Literature Review Central venous catheters (CVC) are indispensable in the care of critically ill patients. However, their use is not without risk. Catheter-associated bloodstream infections (CA-BSI) are common healthcare-associated infections in intensive care unit (ICU) patients and have been estimated to occur in 3%-7% of all patients with CVC (Warren, et al., 2006). It is well documented that intravascular catheter related complications are associated with extending hospital length of stay, increasing direct costs and increasing ICU mortality. Clinicians insert approximately 7 million central venous access devices (CVAD) annually in the United States, and of these, 1 in 20 is associated with a CA-BSI, despite the use of the best available aseptic techniques during catheter insertion and maintenance. Overall, an estimated 250,000 CVAD-related CA-BSI occur annually, with an attributed mortality of 12.5% to 25% per occurrence. The national cost of treating CA-BSI equals $25,000 per infection, respecti vely, or $296 million to $2.3 billion in total. While the number of CA-BSI has remained relatively steady, vascular access device use has drastically increased, especially in nonhospital settings (Rosenthal, 2006). A vast amount of research is directed toward reducing these complications in an effort to improve patient outcomes. A review of the literature provides an overview of current recommendations concerning intravascular catheter care and research regarding the use of education programs to promote recommended practice. The Centers for Disease Control and Prevention (CDC) published the Guidelines for the Prevention of Intravascular Catheter-Related Infections in 2002, which is the benchmark for all intravascular catheter care recommendations. The guidelines for CVC suggest the replacement of dressings every 7 days or when soiled or loosened, intravenous tubing changes every 72 hours, and the replacement of tubing used to administer blood products and lipid emulsions within 24 hours of infusion initiation (East Jacoby, 2005). According to the CDC, approximately 53% of adult patients in intensive care units have a central venous catheter on any given day (Rupp, et al., 2005). Skin cleansing of the insertion site is regarded as one of the most important measures for preventing catheter-related infection. Historically, povidone-iodine is an antiseptic that has been used during the insertion and maintenance of the intravascular devices. It works by penetrating the cell wall of the microorganism. More recently, chlorhexidine has been studied and found to be more effective as a skin antiseptic to prevent catheter-related infection. It works in less time, retains its antibacterial effect against flora longer, is not inactivated by the presence of blood or human protein, and causes minimal skin irritation. Chlorhexidine works by disrupting the microbial cell wall. It is active against many gram-positive and to a slightly lesser degree gram-negative bacterium (Astle Jensen, 2005). A multistep process is recommended to prevent CA-BSI that includes: educating staff, using maximal barrier precautions (e.g. a sterile gown and gloves, mask, cap, and large sterile drape), performing infection surveillance, and replacing occlusive dressing every 7 days or when needed (Buttes, Lattus, Stout, Thomas, 2006). Other strongly recommended practices include proper hand hygiene, use of chlorhexidine gluconate for insertion site preparation, and avoidance of routine catheter changes. Catheters impregnated with antimicrobial agents are recommended when infection rates are high or when catheters will remain in place for a considerable time (Krein, et al., 2007). Education of staff on the proper care of CVC is paramount in reducing the amount of CA-BSI. This is perhaps one of the most cost-effective methods of reducing CA-BSI (Ramritu, Halton, Cook, Whitby, Graves, 2007). Implementation A staff education program was initiated for the nursing personnel that primarily deal with CVC. This education program was aimed at training the ICU and step-down unità ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s nursing staff proper care and maintenance of the CVC. Education focused on proper care of the CVC, including when dressing changes should be performed e.g. every 7 days or when the dressing is soiled. Nurses were also trained in how to appropriately assist with CVC placement and the documentation tool that infection control utilizes to evaluate adherence to insertion guidelines. Posters were also placed in the nurseà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s break and conference areas that had educational material related to proper care of CVC. Documentation was also placed in the physicianà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s lounges that encouraged utilization of maximal barrier precautions during CVC insertion. The facility that was observed currently utilizes a few different means of measurement with regards to CA-BSI. First, a checklist is utilized during CVC insertion that evaluates adherence to insertion guidelines by the staff. This checklist is sent to infection control and entered into a database which is correlated with patient data regarding CA-BSI. Second, in patients that are identified as having a CA-BSI, after catheter removal, laboratory microbiological studies of the catheter, blood, and insertion site swabs are performed to identify causality of the infection. Implementation Compared to Literature Suggestions Practices that reduce the risk of CA-BSI include the following: (1) use of maximal barrier precautions during CVC insertion (i.e., a surgical mask, sterile gown, sterile gloves, and large sterile drapes), (2) placement of the catheter in the subclavian vein rather than the internal jugular or femoral vein, (3) changing catheters only when necessary, and (4) changing dressings on CVC exit sites when they become nonocclusive, soiled, or bloody. These practices have been incorporated into national guidelines. Currently, the Healthcare Infection Control Practices Advisory Committee (HICPAC) of the Centers for Disease Control and Prevention (CDC) recommends that hospitals implement comprehensive educational programs that teach proper CVC insertion and maintenance techniques (Warren, et al., 2006). These practices are mostly in line with what is implemented at the observed facility. One difference, which is not in line with these recommendations, is that the observed facility has a high nu mber of internal jugular insertions rather than utilizing the subclavian vein. When asked about this, many of the physicians stated that access was easier to identify utilizing ultrasound during insertion and they preferred this method over subclavian insertion. Recommended Changes First, implementation of an education program for providers that is focused on infection control, especially the recommendation of utilizing the subclavian vein insertion for CVC placement as a first choice in patients that have no contraindications to this placement. Second, procuring the second-generation antiseptic catheter, coated with chlorhexidine and silver sulfadiazine on the internal and external surfaces, to more effectively prevent microbial colonization in patients that are identified as being at risk. Decreased bacterial colonization, a critical step in the pathogenesis of catheter-associated infection, may correlate with prevention of catheter-related bacteremia (Rupp, et al., 2005). Third, education and training needs to be expanded to any nurses that may be responsible for caring for a patient with a CVC. These areas include non-critical care areas such as pediatric and medical floors. Larger numbers of patients with CVC are now found in non-ICUs than in ICUs and that CA-BSI rates in those settings are higher. Catheter types and insertion sites vary greatly among settings. For example, jugular and femoral insertion sites are common in ICUs; subclavian and peripheral sites are more common elsewhere. So strategies for reducing CA-BSI must be tailored to the setting (Hadaway, 2006).

Monday, January 20, 2020

MANAGEMENT :: essays research papers

Building Blocks Known as the 4th largest standing natural gas distributor, Southern Union Gas serves nearly 1.5 million customers Nationally, and Internationally, for over 50 years. They have four divisions in the United States, which are: Ø Southern Union Gas in Texas. (Corporate Headquarters) Ø Missouri Gas in Missouri. Ø PG Energy in Pennsylvania. Ø New England Gas in Rhode Island and Massachusetts. Focus: My focus for this report is the â€Å"building blocks† of the Management, and how it shapes the organizational functions of the Missouri division of Southern Union Gas. James H. Oglesby is the COO and President of the Missouri division. MGE (Missouri Gas) serves approximately 498,000 natural gas customers in central and western Missouri, including Kansas City, St. Joseph, Joplin and Monett. MGE has about 700 employees to serve its customers in 155 communities throughout Missouri. Before accepting the title of COO (Chief of Operations), he was Vice President of Operations. He was promoted to this position after being employed with the company for 34 Years. His effiecency and knowledge company has taken the organization to new heights. Objectives: James Oglesby’s objectives were to successfully achieve the critical mass needed to compete in a challenging, changing energy industry, and was successful in doing just that by offering electric and propane subsidiaries such as the newly opened PEI Power Corporation, a 25-megawatt co-generation plant which uses natural and methane gases to generate steam and electricity, to increase revenue and decrease competition. This compliments the already effective natural gas operations. In doing so annual revenue has increased to more than 10.8 million dollars just within the first quarter results. While continuing to strengthen the core operations, in Missouri, he focused on propelling the organization to the forefront of the gas industry, and amplified the focus on business growth. Of course this built value to shareholders, and created a notable reputation of safety and quality. Under new direction of new management, the Missouri division is expected to result in the annual addition of approximately 16.7 million in the next quarter, in pre-tax income to the company, due to new rates. The accomplishments of Oglesby show dedication to the rapid development, progression and outcome of Missouri Gas. Article: James H. Oglesby Named President and COO of Southern Union's MGE Division February 2002 (Newstream) -- Southern Union Company ("Southern Union") (NYSE: SUG) announces the promotion of James H. Oglesby to president and chief operating officer of its Missouri Gas Energy ("MGE") division. Oglesby joined MGE in 1968 as a service technician.

Sunday, January 12, 2020

Digital Rights Management

Technological innovation is drastically taking place in almost every field. Experts and engineers put their extraordinary effort to develop software or products that requires some kind of security to protect it from misuse. Digital Rights Management is the one which is used for technologies that controls the use of digital content. With the advancement of Internet and development of digital content, content owners are being impelled into a new arena where they can enhance their rights by using DRM technologies as a way to control the use of their content.The present paper focuses on DRM, argumentative views of various experts on it and effectiveness of DRM in radically changing Hi- tech world. Digital Rights Management (DRM) facilitates copyright holders to achieve value for their works. DRM is used variably in literature. According to Electronic Frontier Foundation, â€Å"Digital rights management technologies are aimed at increasing the kinds and/or scope of control that rights-ho lders can assert over their intellectual property assets.†DRM allows the copyright holder to control the ways consumer’s access and use the holder's work once the work is made available in a digital format. By controlling the access, a right holder is capable to offers an exclusively competent business model and his work will be protected from infringing uses. It is not possible for DRM at its own level to realize these aims because it is susceptible to the hackers, which is able to avoid DRM safeguards. That’s why, law enforcement is required to avert from hackers.These steps will strengthen DRM technology (Christopher D. Kruger, pg: 281). The focus of the first generation of Digital Rights Management (DRM) was mainly on security and encryption as a way of working out the problem of unauthorized copying of the content. It was performed by locking the content and to limit its distribution to only those who make payment. In the second-generation of DRM, major step s to cover the description, identification, trading, protection, monitoring and tracking of all forms of rights procedures over both tangible and intangible assets.DRM deals with all rights and not only the rights applicable to permissions over digital content. There are two significant architectures which must reflect on while designing and implementing DRM systems. The Functional Architecture is the first. This covers the high-level modules or components of the DRM system that together provide a management of rights till the end user. The Information Architecture is the second critical architecture. This covers the modeling of the entities within a DRM system as well as their relationships.In digital rights management, the licensing authority issues to the DRM licensee a certificate and a public/private key pair for use in service. The client will sign the certificate with the licensing authority private key and send it to the content server along with the public key. The content server then verifies the certificate and thereby authenticates the client. The server also checks the certificate with the list of revocation and if so, the client will not be able to receive or decrypt content. There are two algorithms used in signing.The Windows DRM for Network Devices and HDMI and the Open Mobile Alliance use the RSA algorithm. An Elliptic Curve algorithm being much lighter, are used in Windows DRM for Mobile Devices and DTCP. There are number of companies holding patents, which cause some concern for adopters and have delayed the introduction of ECC to wider use in DRM. Once the authentication of a device is complete and it is determined that it has the valid license authority certificate, then in a DRM design, the last step is to decrypt content – the symmetric cipher key. This is obviously very important.Consumers just can not break their head to manage a key for every song or video that they have licensed under a DRM scheme, nor would the owner of a br and new product wish to enter 40 hex digits into the new console before using it. It is to be noted that one tremendously imperative feature of DRM security design is the processes by which secret DRM values are stored. While these consumer electronic products can be accessed by consumers, hackers will pry the design looking for susceptibilities. It is better to use the key storage on chip non-volatile memory.The major problems with this approach are NVM memory is not available in every process, especially the advanced technology nodes, the license fees for NVM are fairly high and last of all the programming of the secret values in off-shore ODMs may encounter a security issue as the secret values are in plaintext (Al Hawtin, Embedded Technology Journal). DRM has many advantages such as one can make more investment in digital content. Digital copies are perfect no matter how many copies are to be made. Large corporations are not the only creators of content.The Internet provides low -cost distribution network globally from which thousands of software producers get advantage. Strong DRM ensures a revenue stream at lower rate. Furthermore, good DRM means more legal free media, and lower prices. (John Carroll, 2002ZDNet). Even though DRM has many positive aspects and it is legally protected, it is always a matter of argument. Debate over the issues of fair use and DRM at the 12th annual Computers, Freedom and Privacy (CFP) conference in San Francisco summarizes that it is too early in this period of technological modernization to begin locking down digital content.Peter Jaszi, law professor at American University's Washington College of Law referred to copyright holders' attempts to keep tight control over their digital content, such as some record companies' moves to distribute DRM-protected CDs that cannot be played on more than one device. But even more threatening to fair-use advocates is proposed legislation introduced by Senator Ernest â€Å"Fritz† Ho llings, which aims to incorporate a built-in copyright protection measure in all consumer digital devices. Most speakers at CFP established that DRM was not the solution to the copyright difficulty.Many of the advocates agreed that DRM would be more successful in harmonizing the rights of user and copyright holders than would be legislation. Stefan Bechtold, a Stanford Law School fellow and author of a book on digital rights management, argued that even though DRM can slow down fair use and free speech, the technology is more progressive than law. It develops speedily and can be installed on an international level. According to Microsoft Security Architect Barbara Fox, DRM technologies make easy to secure the content and setting rules for consumer use but it is much more intricate to guarantee that users have fair use of that content.Further he noted that copyright law is vague when it comes to fair-use rights and DRM would be incapable to settle on whether a user should be able to use content under certain state of affairs (CNN). Even so many controversies, various industries like the entertainment industry, led primarily by the Motion Picture Association of America (MPAA) and the Recording Industry Association of America (RIAA), are dynamically chasing DRM-friendly policy initiatives through federal legislation and regulations, the courts and standards organizations.Music and movies have grabbed most of the headlines around digital rights management (DRM). The â€Å"killer app† for enterprise DRM is document management, primarily for purposes of regulatory compliance. The relevant regulations include the Health Insurance Portability and Accountability Act (HIPAA), the Gramm-Leach-Bliley Act (GLBA) and the Sarbanes-Oxley Act (SOA). These laws require that the confidentiality and/or integrity of certain types of documents be protected (E.John Sebes, Mark Stamp, Pg: 52). DRM is computer code that can be embedded in music and video files to dictate how th ese files are used. The best-known example is the music Apple Computer sells at its iTunes Music Store. Using a DRM system it invented called FairPlay, Apple has engineered its songs, at the insistence of the record companies, so that they can be played only on a maximum of five computers, which means that one can burn only seven CDs containing the same play list of purchased tracks.In fact, obtaining relatively liberal DRM rules from the labels was the key to Apple's success in selling music. But some other uses of DRM technology are not so benevolent. Some CD buyers are discovering to their dismay that new releases from certain record companies contain DRM code that makes it difficult to copy the songs to their computers, where millions prefer to keep their music.People who buy online music in Microsoft's Windows Media format too often run into the DRM error message â€Å"unable to obtain license† when try to transfer the songs to a music player. The theft of intellectual p roperty on the Internet is a real problem. Millions of copies of songs, TV shows and movies are being distributed over the Internet by people who have no legal right to do so, robbing media companies and artists of rightful compensation for their work (WALTER S.MOSSBERG, 2005). The premier provider of smart mobile content retailing solutions, announced the U. S. Patents and Trademarks Office has issued the company a patent in the area of mobile content and applications Digital Rights Management (DRM). To sum up, DRM standardization is now taking place in a number of open businesses. Digital Rights Management is rising as an alarming new confronts, and it is necessary for DRM systems to provide interoperable services.

Saturday, January 4, 2020

Comparing Wide Sargasso Sea by Jean Rhys and Jane Eyre by...

Comparing Wide Sargasso Sea by Jean Rhys and Jane Eyre by Charlotte Bronte In the novels Wide Sargasso Sea by Jean Rhys and Jane Eyre by Charlotte Bronte, the theme of loss can be viewed as an umbrella that encompasses the absence of independence, society or community, love, and order in the lives of the two protagonists. They deal with their hardships in diverse ways. However, they both find ways to triumph over their losses and regain their independence. The women in both novels endure a loss of personal freedom, both mental, and physical. Jane Eyre, in her blind infatuation with Mr. Rochester, allows her emotions to enslave her. She realizes her obsession when she states, My future husband was becoming to me my whole world; and†¦show more content†¦In her search for approval, Antoinette utilizes a voodoo potion to try and force Rochester to love her, which makes him despise her more than ever. He accuses Christophine of acting for Antoinette when he insists â€Å"You tried to poison me† (Rhys 153). Both Jane and Antoinette are prisoners of their intense feelings for the man they adore, leaving them open to pain and betrayal. Jane’s foster family, the Reeds, restrict her rights, refusing to treat her as an equal to the other members of the family. Jane, at a mere eight years old, is chastised by Mrs. Abbott, the nanny, who asserts, â€Å"you are less than a servant, for you do nothing for your keep† (Bronte 11). When Rochester imprisons Antoinette in England, he deprives her of any sense of humanity. The people in their lives who yielded power over them unjustly repressed both women. Jane and Antoinette are both ostracized by their respective communities as a direct result of their social positions. Jane is an orphan with no money and no close relatives. Although she is clearly a bright and unique girl, she is treated as an outcast due to her orphan status. She refuses to accept their low opinion of her however, and maintains â€Å"The more solitary, the more friendless, the more unsustained I am, the more I will respect myself. I will keep the law given by God, sanctioned by man. I will hold to the principles received by me when I was sane, and not mad--as I am now†, illustrating her desire to persevere through