Friday, December 27, 2019

Advantages And Disadvantages Of Reconstruction - 1486 Words

During the period of reconstruction in the U.S., from 1865-1877, there were plans put in place by Abraham Lincoln, Andrew Johnson, and Congress in hopes of a brighter future. Reconstruction took place after the Civil War occurred in the U.S. from 1861-1865. Abraham Lincoln was the President during the Civil War, and he had plans prepared at the end of his presidency because he sensed that the nation would have to be rebuilt through a reconstruction period. Once he was assassinated in 1865, his successor, Andrew Johnson had his own ideas for the country involving the issue of reconstruction. In addition to those two Presidents, Congress was active throughout the reconstruction era. All of the plans set by Abraham Lincoln, Andrew Johnson,†¦show more content†¦Throughout the reconstruction period, Congress also made plans to benefit the country. From 1865-1877, Congress established three new amendments: The thirteenth, fourteenth, and fifteenth. The thirteenth amendment officia lly abolished slavery in 1865. In 1868, the fourteenth amendment was ratified, declaring every person a citizen if born in the U.S., limiting a states power to enforce laws that harm the privileges of citizens, or deprive them of freedom, and attempted to force Southern states to allow voting to blacks. The fifteenth amendment was ratified in 1870, which â€Å"forbade all states to deny the vote to anyone on account of race, color, or previous condition of servitude.† Another plan that was advantageous towards the U.S. was the last Reconstruction Act created by Congress. Ultimately, this law, through some revisions, enabled black southerners to vote. The most important plan that Congress created was the Compromise of 1877, which ended reconstruction. After twelve long years of tension in the U.S., the Compromise of 1877 was ratified, signaling a better and brighter future for every state, every citizen, and the country as a whole. Even though Abraham Lincoln, Andrew Johnson, and Congress all made plans that had its advantages, some of those plans and others had a fair amount of disadvantages. Along with the advantages to Lincoln’s ten percent plan and Johnson’s amnesty proclamation,Show MoreRelatedAdvantages And Disadvantages Of Facial Reconstruction1279 Words   |  6 PagesThis paper will examine the use and application of forensic facial reconstruction. Through topics such as its use in the identification process, discussion of soft tissue thickness, the subjectivity of practitioners, and the reliability and accuracy of these techniques, this paper will hopefully address many strengths and weaknesses found within the practice of forensic facial reconstruction. Description Forensic facial reconstruction is a technique that combines scientific methods and artistic skillsRead MoreAffirmative Action : A Set Of Procedures905 Words   |  4 Pagesunsegregated and African Americans and others of color were not being treated equally. Especially, in the south where there were such thing as Jim Crow Laws, which were based on theory of white supremacy and were a reaction to Reconstruction. They were put in place during the Reconstruction of the south in order to prevent African Americans and newly freed slaves from having the same rights as their white counterparts. There was a fear that the whites’ had, of losing their jobs to the blacks. These lawsRead MoreThe Implementation Of The Affordable Care Act934 Words   |  4 Pagesaffect the employer-based health insurance existence, various advantages and disadvantages to group insurance, including adverse selection, moral hazard and uncertainty. Employer-Based Health Insurance Employer-based health insurance has dwindled slowly since the 2014 implementation of the ACA. Health insurance in the United States has significantly transformed since the ACA and it’s been the biggest U. S. healthcare system reconstruction since the 1960s (Cole Francis, 2014). There have been severalRead MoreSlavery And The Civil War1706 Words   |  7 Pagesbarely half of the Confederates survived† (â€Å"Battle of Gettysburg† 2). Unfortunately, Pickett’s Charge led to severe Confederate casualties, making fighting the rest of the battle difficult for the Confederate Army. Undoubtedly, this provided a clear advantage for the Union Army, both in this battle and in the war as a whole. At the end of the battle, the Confederate Army had lost around 28,500 men. Loosing this battle demoralized the Confederate Army and General Lee. Through the decrease in ConfederateRead MoreThe Knee Joint And The Rehabilitation Process1577 Words   |  7 Pagesnormal activi ties after a few weeks of physical rehabilitation as long as they are low impact without surgery2. Without reconstruction ACL deficiency contributes to knee joint instability, swelling, pain and a decrease in activity levels. There is a risk for cartilage and kneecap degeneration and it also puts strain on the knee joint and wears the meniscus1. With reconstruction there is a slower rate of progression1 for these symptoms and after rehabilitation one is able to return to all activityRead MoreNetworking Analysis : An Analysis Of Pre-Clustering902 Words   |  4 Pageshierarchy at the desired level and there lies another advantage of hierarchical clustering over other clustering algorithms. There are various kinds of hierarchical clustering algorithms out of which single linkage method merge clusters based on their minimum inter-cluster distances. There are several other kinds of hierarchical agglomerative algorithms, but single linkage method is a common choice because of its easy i mplementation technique. A disadvantage of Hierarchical single linkage clustering is itsRead MoreThe Adaptation Of The National Banking Act Was Due To The1427 Words   |  6 Pagesbank a stronger incentive to become a nationally chartered bank and take advantage of this benefits. More state chartered banks became nationally chartered banks and it soon drove state charter banknotes out off the market. Another incentive of becoming a nationally chartered bank is that the government traded the right to issues banknotes as loan that were backed 100 percentage of its value in the treasury. Banks took advantage of this opportunity as well and profited from it. The National Bank actRead MoreEssay On Scaffolds902 Words   |  4 Pagesfacilitating implantation laryngeal development and reconstruction in rabbits (Hou et al. 2011). Furthermore, a study on human donor larynxes have demonstrated that the detergent-enzymatic method is not only able to retain normal morphological characteristics of the tissue, but also maintain almost normal biomechanical aspects such as tensile strength (Baiguera et al. 2011). Moreover, several growth factors necessary for successful reconstruction and integration of larynx matrices were observed inRead MoreThe Economics Of Disaster Relief1051 Words   |  5 Pagespreventing the harm from getting worse, including providing water, food, and shelters for the victims. Recovery refers to the long-term effort, whose purpose are rebuilding victims’ life back to a normal stage, usually includes public service reconstruction in the disaster-affected area, or direct monetary compensation for victims. These activit ies cover the whole period of a disaster, starting from people’s preparedness for preventing a disaster to the time when people’s lives are brought back onRead MoreThe Effects Of Using Biological Evidence For Environmental Reconstruction Of The Climate During The Quaternary Period Essay2034 Words   |  9 PagesDiscuss the advantages and limitations of using biological evidence for environmental reconstruction of the climate in the Quaternary period. Introduction The Quaternary period refers to our current geological time period, it spans over two epochs, the Pleistocene and Holocene, during this geological period, the world has experience incredible climatic changes that have shaped the world we live in today. The Quaternary period has been characterised by numerous periods of glaciation, due to these

Thursday, December 19, 2019

The Heart Of Darkness Small Roles, Big Impact - 998 Words

Women in Heart of Darkness: Small Roles, Big Impact In Joseph Conrad’s Heart of Darkness, women characters hold minor, but significant roles. Female appearances, although few, are powerful and impressionable. Their roles, although conflicting and serving different purposes, influence Marlow’s journey significantly. The few female characters that are mentioned in this novella are depicted as voiceless and insignificant. Their presence is held as insignificant, so much that women were never named and only referenced to by a title, thus not given an identity. Although voiceless and nameless, the portrayal of their actions makes a huge impact on the story. One of these characters is Marlow’s aunt. She plays a pivotal role as her recommendations are the ones that enable Marlow to acquire the job he himself is unable to attain. Marlow himself tells how his aunt’s efforts land him his job, â€Å"†¦it became quite plain to me I had been represented to the wife of the high dignitary, and goodness knows to how many more people besides, as an exceptional and gifted creature—a piece of good fortune for the Company—a man you don t get hold of every day† (pt. 1). It is by her social influences and power connections that he is able to journey through the Congo. With out the initial help of his aunt, Marlow s journey to Congo and the life lessons acquired throughout that journey would never have happened. The women knitting black wool that Marlow encounters in the offices of the CompanyShow MoreRelatedTheme Of Fear In Lord Of The Flies1038 Words   |  5 PagesRalphs beliefs and perspectives that has made an impact within the group. With the conflict of the two, Jack and Ralph fear the authority of one another as dominance plays as a source of power and order which could possibly change the dynamic aspect of the group. Ralph being the protagonist, representing order and leadership, had the other boys standing by his side following the moral demands of the others by being a team leader and developing a small community on the island while waiting to be rescuedRead MoreThe Gathering by Anne Enright - Analytical Essay1408 Words   |  6 Pageshim in the woods, (the monster is his father). His mum is now scared that her husband will find Nathanial and herself, and attack them again, so she keeps moving houses. She is too scared to stand up for herself, so she just runs away, just like th e small gorilla in the zoo. Lallie’s message to Nathanial was, â€Å"Seek beyond the shadows of the past, to know the truth of the future.† Like Nathanial, every other member of the Chain, has a dark and unforgettable past. Indian for example, was watching overRead MoreCultural Values Of Womanhood In Breath, Eyes, Memory By Edwidge Danticat1089 Words   |  5 Pagesâ€Å"The girl she said, I didn’t tell you this because it was a small thing, but little girls, they leave their hearts at home when they walk outside. Hearts are so precious. They don’t want to lose them.† The Novel Breath, Eyes, Memory by Edwidge Danticat is about a young Haitian girl named sophie who was left behind with her Aunt (Tante Atie) by her mother (Martine) whose in New York. Sophie goes back and forth visiting/living with her mom and she finds out a lot about her culture. Her haitian familyRead MoreNative Zealand And New Zealand1562 Words   |  7 PagesCook Islands and how these people have migrated to New Zealand over the years and still continue too. In fact, the number of Cook Islanders in New Zealand has now reached ove r 4000 people in counting for the year of 2017. My analysis will include a small background into the history of the Cook Islanders and how they first settled in New Zealand. I will include their rituals and beliefs on how they lived their life growing up and introducing the different kinds of foods and drinks that they traditionallyRead MoreGender and Human Sexuality1375 Words   |  6 PagesTherefore they are at least seven dimensions or elements of sex and two of gender. (Huffman, 2012.) Social-learning theory of gender-role development emphasizes the power of the immediate case and behaviors seen on gender-role. It determines that girls learn to be feminine and boys learn how to be masculine. A boy who puts on his father’s tie or baseball cap wins big smiles from his parents. But what if that boy started putting on lipstick or a dress? Parents, instructors, and friends usually rewardRead MoreThe Impact Of Colonization On The Indigenous People Of Rhodesia Nervous Conditions 1711 Words   |  7 Pagesdetrimental impact of colonization on the indigenous people of Rhodesia in Nervous Conditions is illustrated by the dominance of the British Empires colonial European identity, which is perpetuated by the conception that â€Å"Englishness† will civilize the population. In Tsitsi Dangarembga’s Nervous Conditions, the natives of Rhodesia, Tambu and Nyasha, illustrate a hybrid identity crisis as a result of imperial oppression over the language and ed ucational system of the nation. The role of English languageRead MoreLiterature vs Film2194 Words   |  9 PagesArt vs. Art 1. Introduction Literature can, at times, have a fascinating connection with film. Whether it is a film or a piece of literature, both are written by someone that wants to leave an impact on an audience.  However, movies and books have different roles. They each have different strong points: books give better characterization, stronger revelations and inner conflict, but movies create better mood with music and visuals/effects. You should always read the book first because itRead MoreSummary Of Destiny Decided By Chance By Yabut1576 Words   |  7 Pagescountry, a loss of life, or a big move significant events have a strong sway if determining an individual s destiny. As the change a person’s mindset, emotions and how impartial an individual chooses to be. Elieazer Wiesel, The Man in the Foreground, and my personal life experiences portray the impact that significant events have in determining an individual’s destiny. In the literary memoir Night, Elie Wiesel describes how significant events play an important role in determining his own destinyRead MoreWilliam Shakespeares Macbeth1401 Words   |  6 Pagessuperstitious feel to the play, not only with the witches, also with Macbeth having a feeling that evil is directly related to the situation. Macbeths line, The devil wins our confidence with small snippets of the truth, meaning that evil tries to convince you it is right by rightly predicting small things, and tempting you towards bigger things, tells us he is clearly in thought. Possibly he is confused as whether and what to do about the things the witches had said. EventuallyRead MoreThe Love Of Sacrifice By Emily Stimpson1785 Words   |  8 Pagesbeings. She has been stated in Gloria Steinem’s book, â€Å"Herstory Women Who changed the World,† she had an huge impact on many people’s lives and â€Å"Today, on seven continents and in eighty-seven countries, her mission â€Å"to service the poor purely for the love of God† continues† (Ashby and Ohrn 238). Being this, she was an important person in her century and looking back upon it she made a huge impact in variety of people’s lives throughout the years till she died. Mother Teresa s objective of conveying contentment

Wednesday, December 11, 2019

History Essay On Limitation Of Renaissance Med Example For Students

History Essay On Limitation Of Renaissance Med Why did the discoveries of the renaissance period have so little impact on medical treatment at that time ? The discoveries of the Renaissance did not make a significant contribution to the improvement of medical treatment for many reasons. The first of these reasons is that the discoveries made during these times were about anatomy not treatment. Vesuvius dissected bodies in order to prove that many of the works that Galen the ancient Greek who had formed the basis for modern medical teachings had produced, were in fact wrong. Also Harvey who proved that the heart acts as a pump, pumping blood around the body left some of his work unproven for instance the discovery of the capillaries. Both these scientists were also strongly opposed by the church because they could prove Galen wrong and the church believed that Galen was the true say on medicine. The main reason the discoveries of the Renaissance did not make a significant contribution to the improvement of medical treatment was the opposed from the church. Wrought almost a thousand years in the medieval period people where only taught the works of Galen for they lived Galen based this works on the belief of a higher power, I. E. God. So for many years he was the only source of medical knowledge. No one dared oppose the church for the power they held over society until the church lost power medical remained the same. So Harvey and Vesuvius were so strongly opposed because they could both proved Galen wrong, such as Vesuvius proved that Galen was wrong bec ause he proved that we have one Jaw were as Galen believed we had two because his dissection was on apes who have two. He also proved that the kidneys are the same eight. He was also able to prove the church wrong when they claimed that men had less ribs than woman because in Genesis God removed one of Adams ribs to create Eve. Vesuvius proved his theorys through public dissection but this also limited his work because people frowned upon the dissection of the dead body. However this works were proved but still shunned due to the churches power. Harvey was able to prove Galen wrong for Galen believed that the blood was made by the liver were as Harvey proved that the heart pumped the same blood around the body. He faced the name difficulties even when this theorys were proven therefore limiting there effect on society. Another reason is Harvey could not prove all of this theory such as that there are tiny blood vessels called capillaries which moved blood between the arteries and the veins. Harvey was unable to prove this theory giving people reason to believe that his other theory were wrong. Meaning it was nearly 50 years before teachers at the university of Paris taught Harveys ideas instead of Galena. Being unable to prove this theorys lead to less patients coming to see him for some thought he was mad.

Tuesday, December 3, 2019

Victor Frankenstein Analysis Essay Example For Students

Victor Frankenstein Analysis Essay Victor Frankenstein believes that his creature is evil from its ugly looks and ugly features. He is very disappointed as he has used beautiful body parts and the finished product is ugly. At this point we feel sympathy for the creature from Victor Frankensteins remarks and opinions. Later Victor Frankenstein runs away from his troubles and abandons the creature and leaves it to fend for itself, like a newborn baby. This also makes the reader feel sympathy for the creature especially when it is uneducated and does not know how to do things. Uneducated, Victor Frankensteins creation is forced to fend for itself, and find food, even he doesnt know how to or what food is. I again went out in search of berries. Victor Frankensteins creature also senses cold and is scared when it goes dark because no one has told him what coldness and dark are. Again this makes the reader feel sympathy for the creature. We will write a custom essay on Victor Frankenstein Analysis specifically for you for only $16.38 $13.9/page Order now The creature feels, It was dark when I awoke; I felt cold also, and half frightened, as if it were, instinctively, finding myself so desolate. Victor Frankensteins creature senses beauty and enjoys it. He particularly likes birds and calls them little winged animals. He especially enjoys their singing. I was delighted when I when I first discovered that a pleasant sound, which often saluted my ears, proceed from the throats of the little winged animals. Again this makes the reader feel sorry the creature as he appreciates the beauty of nature. The reader feels more sympathy when the creature tries to mimic the sound the bird makes. Sometimes I tried to imitate the pleasant song of the birds. The creature is frightened when he attempts to mimic the bird and is unsuccessful. I wished to express my sensations in my own mode, but the uncouth and inarticulate sounds which broke from me frightened me into a silence again.

Wednesday, November 27, 2019

Trinity Community Hospital Development

Introduction Trinity community hospital operates in an environment that is influenced by national trends and policy frameworks. Currently, the hospital aspires to establish elaborate orthopedic, cardiovascular and cancer centers. Opening such centers will imply increased spending on the part of the hospital.Advertising We will write a custom case study sample on Trinity Community Hospital Development specifically for you for only $16.05 $11/page Learn More Despite the hospital’s strong strategies and planning, the revenues from the anticipated increase in volumes of patients have not been forthcoming leading to a drop in profit margins. The rationale is that national policies have affected the hospital’s financial performance negatively. While the self-pay program is yielding marginal revenues for Trinity Community Hospital, there has been a surge in Medicare and Medicaid utilization. Government’s increased involvement in health care has seen the rise of new health care policies. Ideally, national policies seek to increase health insurance covers to more people, although it is detrimental in the end. This paper discusses the impacts of national trends and policies on the hospital and prescribes a possible legislation. Impacts of National trends on Trinity Community Hospital National health policies have changed dramatically over the recent years. The government hopes to increase the number of uninsured individuals by rolling out a policy that has seen public health care providers record increased membership. Medicaid and Medicare health care providers are public-funded and as such, it is hard for private hospitals and health care insurers to compete effectively. There is a clear negative impact on community hospitals and private health care facilities. Trinity Hospital has had a declining financial performance. In fact, the revenues dropped from $462 million to $ 427 million in a period of two years. Trinity ho spital, therefore, contends with the question of reduced revenues. Reduced revenues have many impacts for Trinity Community Hospital. Chiefly, there is an apparent need for the hospital to open oncology, orthopedic and cardiovascular centers within the community.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Oncology services remain a major concern for the hospital given that the demand for such services is anticipated to increase exponentially in future. Besides, oncology services remain poorly organized in the hospital with only a few cardiologists liaising with the hospital to facilitate the diagnoses and prevention processes. To establish functional centers, the hospital needs to prioritize on urgently demanded service centers. For orthopedic and cardiovascular services, Regional Hospital and Tertiary Medical Center provide efficient services. Hence, the hospital ought to priorit ize on oncology services that are absent or poorly organized in other hospitals. National trends, therefore, will imply a review of the strategic plan to grapple with diminishing revenues. This is in agreement with David Joint’s perspective that the government has become far too involved in the health care sector at the expense of health facilities. Second, the hospital’s goal of establishing high-quality centers that provide oncology, orthopedic and cardiovascular services is at risk. Quality service centers imply more medical practitioners and employees. Nonetheless, the physicians’ returns do not match the heightened costs and as such, Trinity Community Hospital stands to lose a substantial number of already employed members of the staff while putting up with strained ability to hire skilled professionals. This will, in turn, make the hospital unable to attend to the needs of the hospital. This is not only detrimental for the hospital’s ability to meet its objectives but also lead to a farther reduction in revenues in addition to worsened shortage of medics (Marshall Rossman, 2009). Another impact that is embedded in the imminent shortage of physicians is an increase of demand for healthcare services, which at the current situation will not be met. This is not only at Trinity Community hospital but also at the community level.Advertising We will write a custom case study sample on Trinity Community Hospital Development specifically for you for only $16.05 $11/page Learn More Regional Hospital and Tertiary Medical Center will be unable to meet the demands of the patients given the impending shortage of physicians. Therefore, the national objective of increasing provision of health care to numerous people will not be achieved in the long term. Finally, Trinity Community Hospital may not be able to realize its objectives and goals stipulated in the strategic plan. It is, therefore, critical to review t he strategic plan to match the current trends. This would, in turn, insinuate a delayed realization of the hospital’s goals to provide health care services that are high of quality while at the same time complying with the national policies and trends that have made the services inaccessible contrary of the objectives of the national policies. Possible Solution and Legislation There are numerous impacts that will ensue after the legislators and policymakers allow a policy that reduces physicians’ payments to guide health care facilities. To arrive at a solution and a possible framework that will see the attainment of both the government and hospital’s objectives, there is the need to explore alternatives. At the outset, it is apparent that the government would like to see the number of people without health covers reduce significantly. The policy reflects a short-term antidote for an entrenched problem. Joint and Holland are right in their assertion that there i s a need for Trinity Community Hospital to be proactive in the activities of Hospital Political Action Committee that will propose a feedback to the legislators as well as the national policymakers. Primarily, working closely with the Committee will enhance lobbying. According to Krugman Wells (2006), a strong body that addresses the issues and impacts surrounding the current policies and national trends will have a better chance of convincing the policymakers than when Trinity confronts the policymakers as a single organization.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The committee will also allow the members to address pertinent issues and explore alternatives for the policies (Krugman Wells, 2006). For Trinity Community Hospital, alternatives that it will present to the committee include the following, although they are not limited to the Board’s opinion. First, it is important for the national legislators to appreciate that the current policies are inadequate to address the issues of rising demand for specific health services. Evidently, oncology and cancer services are not meeting the current demand of patients in the hospitals located within the community. Coupled with the fact that the government legislations seek to reduce physicians’ payments, the demand is poised to increase in the long term. As such, policies that address the issue of access to quality services for specific medical areas as orthopedic, oncology and cardiovascular could be the starting point during the feedback presentation. Besides, it is important to art iculate the rising shortage for physicians in different sectors through the Hospital Political Action Committee. For oncology services, Trinity Community Hospital alongside other hospitals, is yet to establish functional centers that provide cancer services to the members of the community partly because of the apparent shortage of medical professionals in the area. To that end, the policymakers will have to understand the glaring crises that may typify health care system in future. Subsequently, a possible legislation ought to prioritize on the areas that need staffing. While some health care services are readily available to the community, others remain elusive and it is upon the government to introduce a special category of physicians whose payments will be forthcoming. This does not only allure more people to join medical schools to pursue professions whose services are needed but also increase the ability for the hospital to retain current medics and provide improved health care services. Further, Trinity Hospital will use this platform to explicate that the numbers of uninsured patients continue to rise. Although Medicaid and Medicare constitute substantial percentage of health care insurance, increasing numbers of people have no medical covers and insurance to access health care in the community. An alternative policy ought to focus on reducing the number of uninsured members of the community while also ensuring that they prioritize on areas whose demand for services is high. Finally, the legislators ought to enhance a more comprehensive policy that addresses prevention healthcare as opposed to curative care. In line with Trinity Hospital’s objectives of embarking on community outreaches and sensitization to the members of the community, the policies ought to give priority to prevention programs that will not only reduce demand for health care services but also facilitate reduction of the current workload amongst physicians. It should be made a po licy for members of the community to access basic information regarding orthopedic, cardiovascular and oncology services. Besides, the policy should be driven by a campaign to improve people’s lifestyles and elucidate on dangers that are associated with specific lifestyles. This way, the hospital will reduce the anticipated numbers of patients seeking health care services and live within its objectives of providing quality healthcare services for patients given that their numbers will drop substantially. Summary In sum, it is important for the entire team at Trinity Community Hospital to appreciate the effects that national trends and policies will have on the hospital’s plans and projections. First, the policies will lead to a farther reduction in the revenues of the hospital. The revenue margin has reduced substantially in a period of two years. With such a decline in annual revenues, Trinity Community Hospital grapples with the need to establish orthopedic, cardiova scular and oncology centers which will be affected by diminishing revenues. Besides, legislation that seek to withdraw payments from physicians will lead to a sharp shortage of physician across the entire country. This is notwithstanding the growing demand for oncology services in particular. This is bearing in mind that, hospitals like Trinity Community Hospital are yet to organize their respective cancer departments. To address these issues, Trinity hospital ought to liaise with Hospital Political Action Committee that will increase the organization’s ability to lobby the legislators (Marshall Rossman, 2009). It is through the committee that Trinity Community hospital will be able to explicate the impacts of the policies. Besides, the committee will be able articulate the review of such policies to benefit the entire community. The amendments in the current policies will also focus on the need for more improved prevention care programs. This will go a long way in reducing the current unmet demand for services in the community. References Krugman, P. Wells, R. (2006). Health Care Policies and Impacts on Hospitals. New York: Worth Publishers. Marshall, C. Rossman, B. (2009). Healthcare Policies and Long-Term Impacts. Thousand Oaks: Sage Publications. This case study on Trinity Community Hospital Development was written and submitted by user Eli W. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Sunday, November 24, 2019

Inside the Mind of a Serial Killer Essay Essay Example

Inside the Mind of a Serial Killer Essay Essay Example Inside the Mind of a Serial Killer Essay Essay Inside the Mind of a Serial Killer Essay Essay What are the underling factors that contribute to the psychological profile of work forces and adult females consecutive slayers? One may speculate that consecutive violent death is triggered by insanity. mental unwellness. or psychopathy. However. consecutive violent death has been defined by killing at least three or more persons in a given clip ( Bartels. 2009 ) . At the same clip one might presume that a consecutive slayer is a marauder that hunts for human quarry. Another hypothesis might be that ordaining on their phantasies may possibly drive them to violence and so they kill and kill once more. Nonetheless. the victim is determined by one thing ; the head of the consecutive slayer. Consecutive violent death has been explained as mystifying. bewildering and it is repeatedly difficult to hold on and understand why one is able to kill another human being. We frequently see these culprits participate in madness or merely apparent insanity. nevertheless. many are non insane nor do they endure from mental unwellness ( Knight. 2006 ) . Still the axiology of consecutive slayings are still considered equivocal to whether the beginning is sociological. biological and psychological doctrines in which psychologist and condemnable profilers keep researching. Knight provinces. â€Å"That consecutive slayings have been chronicled throughout history since the 1400’s. Then by the 1960’s there was an increased figure of consecutive slayers. in which 1 may inquire why? Could we use Bowlby’s fond regard theory. personality upset. and physical maltreatment as a kid to explicate such flagitious offenses? We do cognize that consecutive killing comes in many different signifiers and in the manner each wrongdoer has committed these offenses. We besides know some kill entirely while others kill with spouses. although each offense is different ; one can see that about all consecutive slayings are acted upon with the intent and motivation of the captivation each slayer perceives they must move out. When we talk about work forces consecutive slayers. many remember the most ill-famed like John Wayne Gacy. Ted Bundy. Jeffery Dahmer. Robert Hanson. Larry Gene Bell. Denise Radar and Charles Manson. Although condemnable profiling has been around for a long clip ; John Douglas and Robert Ressler has made condemnable profiling into an art. The art of profiling is utilizing deductive logical thinking and depends greatly on the human experience and common sense by using psychological. behavioural. condemnable and fact-finding profiling. The chief key to capturing a consecutive slayer is to acquire into the head of that consecutive slayer ( White. 2010 ) . Because of these two work forces we are now able to see some comparable forms between these consecutive slayers. 1978 is when research workers uncovered the remains of 29 immature work forces buried underneath and around the place of 36 twelvemonth old edifice contractor in suburban Chicago. named John Wayne Gacy. In add-on to the organic structures in his crawl infinite he besides admitted to killing 4 more between 1972 and 1978. These immature work forces were found to be given marihuanas and intoxicant. had been sexually assaulted and so strangled and so buried underneath Gacy’s place. When John was immature. he was the lone male child of 2 sisters. However. his sisters were adored by their male parent. but John was the brunt of his father’s unfavorable judgment and felt that his female parent was the lone individual that made his life bearable. His male parent wanted a tough and masculine boy. nevertheless John was a really sensitive kid. By the age of 10. John would take his mother’s panties and bury them in the backyard really similar to the manner he buried the organic structures under his house old ages subsequently.

Thursday, November 21, 2019

Multiple Case Study Example | Topics and Well Written Essays - 3000 words

Multiple - Case Study Example Judgment would bid all group members. Question 1: Like other defrauded clients, Mr. Groetsch’s compensation should be in accordance to how much money he had lost through the Medical Capital Holdings security. In spite of Mr. Groetsch’s diagnosis with Alzheimer and his family’s request for Securities America not to do business with him, the stockholder still went ahead and sold him the securities. The arbitrator should consider his health condition, and the fact that his family’s request for no business transaction between him and the American securities. The Americans sold securities regardless of the internal memoranda of Securities America, questioning the legality of the Medical Capital. The concerns spread to brokers diagonally in the company, yet Securities America continued to sell the bonds. The stockholder could have taken advantage of Mr. Groetsch’s health condition to manipulate him into signing the transfer of Medical Capital securities. The characteristics of the disease include loss of memory severe enough to disrupt the normal activities of everyday. The stockholder knew that Mr. Groetsch could experience difficulties trying to maintain his memory ability and, therefore, defraud him. With Alzheimer, he would be unable to maintain employment, plan and execute tasks, to reason and exercise judgment (Fungate & Kinicki 299-305). Question 2 Since arbitration is less complex, cheaper and profitable, the judge should consider class action before arbitration. In this way, the court will compensate people that appealed for class action since they are the majority, and afterwards deal with Mr. Groetsch. Compensation of arbitration before class action may lead to depletion of funds and creation of fear caused by fewer funds available for the compensation of class action. Convincing Mr. Groetsch in case of a negative outcome is easier as compared to those in the class action, because one individual understand faster and bett er than a mass of people. Resolving Mr. Groetsch’s case may be hard since he might not remember some details regarding his case due to his illness. This can further bring in contradictions that may delay the ruling of the arbitrator leading to loss of time and money. Arbitration in this case may take longer and might be expensive due to the one party involved who may experience loss of some memories and record different statements regarding the same case. It is more convenient to look for funds of one individual compared to those in a class action. Class action case consume a lot of time since it involves many people with similar interests, and the judge has to make a fair decision as compared to arbitration where the judge needs to approve the decision of the arbitrator (Fungate & Kinicki 300-303). Question 3: In most cases, teamwork is the best hence; Mr. Groetsch should join class action that is likely to be favored by the judge. Since arbitration is no longer possible, he should contemplate on where the best ruling will be, since the judges spent time on the class action case. Representation by attorneys is one of the issues he ought to think about because the attorneys perform well to ensure their clients get what they deserve. In addition, joining the class lawsuits will make the judge’s work easier since he has to only deal with one case, and make an equal ruling in both

Wednesday, November 20, 2019

Miss Celie Assignment Example | Topics and Well Written Essays - 250 words

Miss Celie - Assignment Example Celie’s hardships forced her to learn others’ values and beliefs. Ms. Celie’s bank was filled with a poor self image. The banking concept did not work with Ms. Celie, especially because she was abused and taught by others around her. When Shug, Mr. Johnson’s lover, came into Ms. Celie’s life, she began to teach Ms. Celie differently. Shug respected Ms. Celie after being around her for awhile. The two became confidants and lovers. Shug taught Ms. Celie that she was worth something. This allowed Ms. Celie to blossom. She opened her own shop after leaving Mr. Johnson. Ms. Celie even contacted her sister and children after Shug showed her letters Mr. Johnson had kept from her. Ms. Celie came back after her stepfather’s death to inherit her rightful estate. None of these things would have been possible without Shug teaching her self confidence and esteem. Shug treated the pupil with respect and taught Ms. Celie in her own individual way. Paulo Frieire’s idea of respecting each individual student instead of using the banking model is admirable, but impractical. Not every one comes from a loving or nurturing home. Some like, Ms. Celie, have hard lives. Too many people, educators included, are like Mr. Johnson, Pa, and others who treated Ms. Celie cruelly. The banking concept is the best method to teach children now, but Frieires ideas cannot be applied effectively to all

Sunday, November 17, 2019

Marketing Communications Management at ALDI Group Case Study

Marketing Communications Management at ALDI Group - Case Study Example ALDI had a long-standing reputation of being a cheap discounted chain and often in West Germany, before about 1990, ALDI shops were often ridiculed as being cheap shops selling poor-quality goods. ALDI's customers were alleged to be only poor people who couldn't afford to shop elsewhere. ALDI also had a hard marketing strategy in that it refused to sell branded products and stuck to its private label products claiming that it helped to cut prices. Although ALDI is very popular in its own target segment, the company decided that a complete revamp was needed. The 500 million pound budget was aimed at improving the existing stores and building new ones. The image of the store was to be upgraded to target middle Britain while carrying specialty products was aimed to bring in upmarket customers and retaining them. Above all the image upgrade was aimed at encroaching into the market shares of its close competitors Tesco and Sainsbury. The ultimate aim was to have 217 more stores by the year 2010, totaling about 500 in the U.K alone. ALDI's strategy for marketing consisted of a TV campaign helped along by an outdoor poster activity and newspaper advertising. The common thread that binds them together is the catchphrase," Spend a little, live a lot". ALDI which embarked on this campaign had never undertaken any kind of PR activity during its past years of existence. The hard discount concept is all about keeping expenses to a minimum so the stores can undercut the main supermarkets on their limited ranges of 650 to 1 200 products, depending on the operator. ALDI's website tries to push the quality angle. It talks about quality products and wide choice "that combine with prices that never fail to astonish first-time shoppers [...] our stringent selection process enables us to offer our customers own- brand products whose quality matches that of leading brands." ALDI has also has entertained the media at one its store openings and tried to improve its visibility in the eyes of the general public through the publicity. In the US, it has used weekly inserts in the newspapers to garner public attention.

Friday, November 15, 2019

Rationale About Job Satisfaction

Rationale About Job Satisfaction Job satisfaction is an attitude people have about their jobs and it results from their perception of their jobs and the degree to which there is a good fit between the individual and organization. Job satisfaction has been influenced by many intervening variables, such as the rewards that an employee receives.  [1]  It has been said that job satisfaction has been related to many kinds of variables. It is a variable that is commonly influenced or commonly related to many variables that the other variable will be affected because of job satisfaction. Job satisfaction is the degree to which an individual feels positively or negatively about various aspects of the job.  [2]  The satisfaction of an individual in a job is either positive or negative; it depends upon the establishment that he/she is working with if they are offering more, enough, or less elements of satisfaction to their employees. Closely related to job satisfaction is the organizational commitment which is defined as the loyalty of an individual to the organization.  [3]  It has been overlooked that someone who sets his loyalty high to his organization would strongly take pride in considering himself a part of the organization. Employees of top corporations in the Philippines display the highest level of commitment and focus among workers surveyed across the Asia Pacific region, according to a study by global consultancy firm Watson Wyatt, the employees engagement score for the Philippines stood at 77%, up by four percentages from the previous survey in 2007.  [4]  It has been observed that the Philippine loyalty factor or the motivation of the employees towards the success of the company is very strong in which the rating has been said very high among other countries in Asia. Organizational commitment or Employee loyalty is very important in a company because employees who show loyalty will be able to encourage customers to feel loyal towards the company.  [5]   The University of the Philippines conducted a study on the loyalty of employees and the study shows that only 21% of Filipino employees feel fully committed to their employers and only 12% agree that their employers are fully committed to them.  [6]  Researchers have said that the level of commitment of the employees has something to do with the level of job satisfaction that the employees are experiencing. The researcher has chosen to study this issue because she personally experienced the 2 variables which are Job Satisfaction and Organizational Commitment in one famous establishment in which her co-employees job satisfaction are low, and there is a high turnover ratio happening in this establishment. The researcher as a worker of the said company also has experienced low job satisfaction which leads her to low organizational commitment. The researcher is interested in this topic so that managers/employers would know and understand that high turnover ratio and the trainings as well as the seminars that they are given to the newly hired workers costs high and useless if the employee will only spend 1 month to work and leave the company. Aside from that, if they will continue to dissatisfy their employees, the word of mouth is a virus that easily spread from one person to another person. Especially if you are a 5 star hotel, you must ensure that every word of mouth that comes from each individual, may it be employees or guest are positive because if its negative, it may deteriorate their good name. Employees will not consider themselves as a member of the organization and the services given by the employees to the guests may not be good enough to increase or maintain customer loyalty. STATEMENT OF THE PROBLEM The researcher attempts to answer the following question: Is there a significant relationship between job satisfaction and organizational commitment among hotel employees in Tacloban City? STATEMENT OF HYPOTHESES Alternative Hypothesis There is a significant relationship between job satisfaction and organizational commitment. SIGNIFICANCE OF THE STUDY It is significant to study whether employees are satisfied or dissatisfied, committed or not committed in their job because it has been proven that employees who are much more satisfied will more likely to show positive thoughts, feelings, and actions towards their job and it would increase their organizational commitment. It is also important to study the relationship between Job Satisfaction and Organizational Commitment because this may bring a huge benefit equally to employers and employees. Human Resource Management would be able to understand that the costs of hiring and training new workers are high. Therefore, the employers should try to treasure unchanging workforce, which also helps to lessen the risks of deterioration in services offered to customers. An employee who is committed with the organization may take pride in considering himself a member and would positively persuade the consumers to patronize the products/services offered by a company. Since satisfaction increas es commitment to organizational success, and if this satisfaction would be given from employers to workers, a lot of good factors such as good supervision by supervisors, good working conditions, good interpersonal relations, better policies and administration, better pay and security, challenging work, achievement, recognition, growth and development can benefit employees. If this study shows that job satisfaction and organizational commitment are correlated, employers would only need to increase one variable and that is job satisfaction to achieve the affirmative organizational commitment of workers. CHAPTER III METHODOLOGY This chapter contains the discussion on the methods and procedures used in the study. It includes research design, locale of the study, respondents of the study, research instrument, data gathering and statistical measures used in hypothesis testing with their corresponding formulas and assessment scales. The purpose of the research work was primarily to assess with utmost objectivity. Any relevant data will be useful for the derivation of accurate insight. RESEARCH DESIGN This study is a descriptive research method using a questionnaire as the principal instrument in gathering data where there will be a real investigation on the job satisfaction and organizational commitment as evaluated by the employees. The answers will be tallied in order to measure/ quantify the 2 variables. LOCALE OF THE STUDY The study will be conducted within the City of Tacloban. The researcher would like to include Magsaysay and Paterno Street as the locale of the study. It was limited to the investigation on the job satisfaction and organizational commitment among hotel employees in Tacloban City. RESPONDENTS OF THE STUDY AND RANDOM SAMPLING The respondents of this study were the employees of different hotels who are presently working here in Tacloban City. Leyte Park Resort Hotel has a total population of more or less 70 but only 20 out of 70 are the respondents who participated the survey. Royal Suite Hotel has a total of 7 and Primrose Hotel has a total of 4 populations. So the researcher has decided to take 100% from the total population to be used for the sample. RESEARCH INSTRUMENT A set of survey questionnaire carefully prepared and will be distributed to the respondents for the purpose of gathering the necessary data. The questionnaire measures on the significant relationship between job satisfaction and organizational commitment. The researcher has found numerous questionnaires regarding job satisfaction and organizational commitment. Of all the questionnaires, the researcher has chosen to use the test for job satisfaction that is based on the research carried out by Cooper and the researcher has chosen to use the research study carried out by the student of Professor S. Cote and Professor P. Heslin for organizational commitment. In order to determine whether the questionnaires were correct and valid, the questionnaires were submitted to the instructor for verifications, corrections and improvements. The research instrument is composed of 2 sets, the Questionnaire 1 and Questionnaire 2 which both gather information to employees. It can be answered by putting an (x) mark in the appropriate parenthesis. Questionnaire 1 includes questions on the job satisfaction of hotel employees such as the job itself, inter-personal relationship, organization itself, personal growth and the quantity of work. Answers scoring is as follows: Excellent 5 points Very Good 4 points Satisfactory 3 points Below Ave. 2 points Poor 1 point Interpretation of data would be this way: the higher the score is, the better is the job satisfaction. Questionnaire 2 generally includes questions about the level of commitment of employees to their company as a whole. Answers scoring is as follows: Always 5 points Often 4 points Sometimes 3 points Seldom 2 points Never 1 point Interpretation of gathered data in questionnaire 2 would be this way: the higher the score is, the better is the organizational commitment will be. DATA GATHERING The researcher will gather her data by first, giving a letter of request asking permission to the hotel manager to include their company in her research. She has spoken to a variety of persons with different positions to allow her to conduct a survey in their establishment. These persons were Ms. Anafe C. Harina, front desk agent of Asia Stars Hotel, Ms. Jedah Vivas, accounting officer of Leyte Park Hotel, Mr. Julius, front desk agent of Hotel Alejandro, Ms. Jasmin V. Ron, front desk agent of Royal Suite Hotel, Ms. Rebecca Villanueva a front desk clerk in Primrose Hotel, and to Ms. Pearlie Corneso, a front desk agent of Manhattan Inn. Second, if ever approved, the researcher will distribute 2 sets of survey questionnaires which both are for their employees. These questionnaires tackle particularly on the job satisfaction and organizational commitment and it can be evaluated by simply taking the score of each number according to weights and add the total score over the total number of weights. Below half of the total score would mean low. Mr. Cooper and Professor S. Cote and Heslins student had contributed a big help to the researcher because she was able to borrow their questionnaires to conduct a survey and gather data. Out of 6 hotels that the researcher has talked with, only Ms. Jedah Vivas, accounting officer of Leyte Park Hotel, Ms. Rebecca Villanueva a front desk clerk and Ms. Jasmin V. Ron a front desk agent with the approval of his manager Mr. Roy Salinas are those who had confirmed and assisted her to gather the necessary data. STATISTICAL TREATMENT With the purpose of identifying the relationship between the job satisfaction and organizational commitment among hotel employees in Tacloban City, the responses will be tallied, classified and tabulated in appropriate table for analysis and a pie graph will be used for interpretation. To describe the profile of the respondents in terms of job satisfaction and organizational commitment, descriptive statistics particularly percentages will be employed. Null Alternative Hypothesis There is no significant relationship between job satisfaction and organizational commitment. The Pearson Product Correlation Coefficient (Pearson r) This was used to test the significant relationship between job satisfaction and organizational commitment. Formula: N (ÃŽÂ £XY) (ÃŽÂ £X) (ÃŽÂ £Y) r = _________________________________ ____________________________ à ¢Ã‹â€ Ã… ¡ [NÃŽÂ £X ² (ÃŽÂ £X)  ²] [NÃŽÂ £Y ² (ÃŽÂ £Y)  ²] Where: N = total number of respondents ÃŽÂ £XY = is the summation of product X and Y ÃŽÂ £X = is the summation of the independent variable ÃŽÂ £X ² = is the summation of the square of X ÃŽÂ £Y = is the summation of the dependent variable ÃŽÂ £Y ² = is the summation of the square of Y Verbal descriptions of computed coefficients of correlations are as follows: Value Percentage Interpretation r Degree of relationship 0.0 to  ± 0.20 0% 20% Negligible Correlation  ± 0.21 to  ± 0.40 21% 40% Low or Slight Correlation  ± 0.41 to  ± 0.70 41% 70% Moderate Correlation  ± 0.71 to  ± 0.90 71% 90% High Correlation  ± 0.91 to  ± 0.99 91% 99% Very High Correlation  ± 1.00 100% Perfect Correlation

Tuesday, November 12, 2019

World War 1 as a Total War

In what ways can the First World War be seen as a Total War Total war is defined as the organisation of entire societies for war, using all Its economic, military and human resources to aim for complete victory. In addition there is less differentiation between combatants and civilians than In conventional warfare; civilians were affected as deliberate targets of war In their own right. It can be argued that the government of the Involved countries focused the economy on the war effort which in turn had an Impact on everyday life.The countries tried to make the maximum use out of their human and economic resources, which leaded to a entralization of power In hands of the government. The government started to control their countries In different aspects. Conscrlptlon was Introduced to control manpower better. Conscription Is defined by the compulsory enlistment In some kind of national service. In this case It was military service. In the united Kingdom, for example, it was introduced in 1916. In addition, governments started to exercise more control over industry, which leaded to nationalizing key industries like coal mining and shipping.They also had to control inflation, so that wages and prices were regulated. In order to pay for the war various countries increased taxes. Britain, for example, increased direct taxation. The governments also started to adopt tariffs on certain imported goods. The countries also borrowed money from other countries and also from their own people, what was done through ‘war loans' . ‘War loans' were credits issued by the population of a country to finance military operations and other expenditure in times of war, which the government would pay back with interests after the war ends.We can highlight that propaganda also made World War One a total war. After a big amount of time fighting some persons lose their otivation to fight a war and therefore they stop supporting their country. Propaganda was used to solve that problem by the governments. With propaganda the countries usually wanted to recruit new soldiers, motivate the population to support their country with work and money and to set on their population against the enemy. A poster made by the allies shows three anxious kids near by a shadow of a swastika and says: ‘Dont let the shadow touch them†¦ uy war bonds'. That poster was used to make the population hate Germany and to use that hate to make them support their country with money. Propaganda was an Important part of the war and Britain even created a Ministry of Information which made propaganda a key element of Its war policy. One of the points that make the First World War a total war Is the affect the war had on the life of civilians. The clvlllans were affected by military action and due to the new technology available there were many casualties.On the Eastern Front, due to the movement, clvlllans were Involved In violence, accidentally and deliberately. The Jews, for example, were attacked deliberately by the Russians. On the Western Front the civilians were able to keep away from the fighting, so that casualties were reduced to Inaccurate artillery fire. The First World War Is also the war that caused most casualties on civilians until that moment, due to military action or Oue to Tamlne, Olsease or accidents. A clvlllans oleo on Dotn sloes In total due to military action.The most shocking fact is that about 6,000,000 civilians died because of other reasons that were caused by the war and the life circumstances. As a result of the military casualties, in some countries conscription was introduced. Due to conscription a lot of men left their work and Joined the army. As a consequence a lot of pursuits weren't satisfied, like for example nutrition as a consequence of a lack to farmers. In addition both sides started to cut off supplies to their enemies. They tried to disrupt trade routes and to intercept the food and raw materials supplies.German y used submarines to create shortages which affected British civilians. As a result, the average calorie input of an adult civilian from the involved countries dropped from about 1500 in 1915 to 1000 in the winter of 1916-1917. In addition, due to the rapid growth of industry and men Joining the army and leaving their workplace, a lot of woman Joined the workforce. In spite of all to employ a woman was not the first choice of the employees. Women had to deal with isadvantages. One of them was the differentiation in wages compared with male workers.The wages of women remained low, despite their work increased. By 1917, one in four war workers was female. That shows how big the role women had in World War One was. In addition women had to deal with agreements made to let them work in ‘men's Jobs', as for example that these arrangements would Just be temporarily. By 1918 Woman formed 55% in Germany and in other countries the number of workers increased dramatically, for example i n Russia, with 20%, and in Austria-Hungary with 25%. All of the involved countries had ‘total' aims and they ere reluctant to give them up.Germany ‘s war aims were to expand their territory and to increase their economic strength to ensure security for Germany in west and in east ‘for all imaginable time'. As a consequence negotiated peace was difficult to achieve. Propaganda also made the peace difficult to achieve because it Justified the war and demonized the enemy. However, there were some tries to make peace by important persons. Some of them were the Pope Benedict XV and Lenin. They tried to develop peace without taking any personal benefits out of it. They principally called for a peace without annexations or financial demands.The affected countries, on the contrary, tried to make the maximum profit out of peace treaties. The First World War also affected the civil population of the involved countries and not only the soldiers. The on war effort focused econ omy led to changes in the life of the civilians what is basically what makes a war a ‘total war'. In the points above it is made clear that World War One was a ‘total war' because of the effect the war had on civilians and their lives, the growth of power of the government and how it was used to take advantages in war out of it and the attitude of the countries towards the implementation of their aims.

Sunday, November 10, 2019

Oprah Winfrey Commencement Speech Essay

Oprah’s audience was very receptive of her mainly because she is a respected icon known all over America. The audience was a group of diverse faculty, staff, graduates, family and friends. When Oprah started her speech welcoming the audience, she gave them an icebreaker saying she wanted to let them in on a secret to personalize her speech. She lets the audience know that her god daughter Kirby attends Stanford and she is very proud of her. Oprah uses humor throughout her speech as she says the name â€Å"Stanford† engaging the audience as she speaks. She gives personal experience in her speech to show her audience that she too had experiences throughout college that could have hindered her from being the icon she is today. Oprah uses great eye contact throughout her speech. She did not read word for word what was on her paper because most of her speech was based off her experience as a student in the past at the beginning of the speech. She gave quotes of her father and B.B. King about learning that is beautiful. She lets the graduates know that your education had just started. Her speech lead on to elaborate on how the world has so many lessons to teach. She lets the audience know that earth is like a school and our lives are the classrooms. Life will have detours and road block but the secret to learn to be open to the lessons. Self improvement will help evolve as human beings. Oprah speaks with an inviting tone keeping her audience engaged. Even though the speech is lengthy, Oprah was not repetitive. She explained a few life lessons of her own journey but still gave humor as she spoke about the main lessons of her speech. The audience was still engaged throughout her speech. Oprah was very familiar with her speech content. She spoke as if she was graduating herself and speaking like she would want to be spoken to as a graduate. Oprah’s posture was appropriate and the gestures she uses with her hands and tone of her voice made the speech stand out more towards her audience. The overall tone of the message was exciting, funny and receptive. Oprah’s speech was spoken to relate to those who were not graduates also. She wants  the audience to understand that a degree is important and you can not allow yourself or others to defer you of a goal or dream. The speech Oprah gave was ethical. She realized the majority of her audience was of the white race and she included her own racial experiences in her speech with the stories she shared. Her own experiences made up the entire speech. The graduates seemed like they were listening and understanding the speech based off the feedback they gave after she spoke. There were interactions from the audience when Oprah spoke about how she made it as the icon talk show host. Oprah conveys to her audience to learn that life is more than just making money. You have to earn it and making money has to have meaning. If you do not have meaning in making your money and making a difference to the world then money doesn’t matter. Oprah shows much inspiration in her speech that should make the audience aspire to be like her or even more. Overall, Oprah did a great job catering to the diverse audience with her speech. It did not seem rehearsed, she gave eye contact and her audience seemed engaged in her speech for the 30 minutes I analyzed it. She did a great job and kept me engaged myself.

Friday, November 8, 2019

How to Become a Successful Pediatrician Essays

How to Become a Successful Pediatrician Essays How to Become a Successful Pediatrician Paper How to Become a Successful Pediatrician Paper What is a pediatrician? A pediatrician is a physician who treats children. The choice to care for children should be based on a love for children and a belief that it is a significant accomplishment to make a difference in a childs life. As a bonus, a pediatrician gets to hold his patients in his arms, to see them grow and change, and years later, to see the adults they have become. Three responsibilities a pediatrician assumes it conducting yearly health history survey, with care plans and intervention guides as appropriate, monitoring immunization compliance and tuberculin skin testing, and developing and implementing the health component of Individual Education Plans. I chose to be a pediatrician because I have a love for children. I have been around children my whole life, we ever I had a little cousin I couldn’t resist just picking them up and they have always brought joy to my day. To be come a pediatrician, after high school I need four years of undergraduate courses at a college or university, which will get me a BS, BA, or other Bachelor degrees. After that I need four years of medical school, which will get me a MD or DO degree. Then after completing that I become a general doctor and have three more years of residency at a local hospital. Then I become a pediatrician and eligible to become certified in pediatrics by passing several tests dealing with medical conditions. The salary for a pediatrician is, while a resident $30,000-$40,000 per year, after residency $100,000-$140,000, then the average pediatrician makes $140,000 a year, but ranging all the way to $300,000 per year. There are many of illnesses that pediatricians encounter deal with children but some are, chickenpox, ear infections, the flu, fevers and other illnesses that can get more dramatic than that. Pediatricians require many different qualities to be a success doctor, some are be able to commit varies hours at a time to the hospital with previous notice, friendly, caring, good communication skills, and able to work with others in different conditions. Some qualities that might hinder being a successful doctor is bad people skills, not having patience, getting upset when something doesn’t go right, and the ability not to be able to deal with the varies conditions people go through. For my second career choice I chose to become a cardiac nurse. What is a cardiac nurse? A cardiac nurse is a person who meets the needs for education and the support of patients with coronary heart disease who are making lifestyle changes to prevent worsening of the disease. After hearing all the different things they do and whom they help, I decided that that could be a career that I would enjoy. Cardiac nurses have many different responsibilities, but a couple of them are proving acute care to people with heart problems, evaluating chronic health problems, monitoring their patients while they are doing workouts, and providing the right medication and help the patients need. I chose this profession because I believe that helping people is the right thing to do. Also with this field dealing with the elderly it made it stand out even more. I know that the older people are the past knowledge to they younger generation, and without them we would not know some things that they inform us of. Also I will be able to learn about the way the heart functions better and what each part does. In order to be come a cardiac nurse you first have receive a high school diploma then you have to graduate from a nursing program to be eligible to take the nursing examination. Then you must receive at least one of the three possible certificates like: a Bachelors of Science in Nursing (BSN), an Associate Degree in Nursing (ADN), or a Hospital Diploma. Although the salary for a nurse varies depending on education the starting salary starts at $30,000 to $45,000 per year, plus additional pay for evening, nights and weekends shifts. Their benefits include health insurance, vacation, holiday pay, college tuition reimbursement, childcare, flexible scheduling and pension plans. Florence Nightingale was one of the most important people that died who made a big contribution to the nursing field. She then studied at the Institute for Protestant Deaconesses at Kaiserworth, Germany. In 1853, she became superintendent of the Hospital for Invalid Gentlewomen in London. She volunteered her services in 1854 in the Scutari after the Crimean War broke out. Through her efforts, the mortality rates among the sick and wounded was greatly reduced. After the war, in 1869, Nightingale founded the Nightingale School Home for Nurses at Saint Thomass Hospital in London, marking the beginning of professional education in nursing. The different types of illnesses that cardiac nurses face/treat are acute heart attacks and bypasses. In order to be a nurse you have to have to have patience, be able to deal with elderly people, the ability to be on call at different times, good communication skills, teaching commitment to physical fitness and well-being, and emergency management. Some qualities that might hinder success is a bad attitude, not committed to the job, and not being a people person.

Wednesday, November 6, 2019

The reality of Andrew Jackson essays

The reality of Andrew Jackson essays Andrew Jackson, who was believed to be a man of dignity and self respect, was in addition, incredibly undemocratic. Jacksons followers presented him as the hero to the common man and although Jackson as well viewed himself as a man of the people, he was anything but that. Even though born in a log cabin, in truth he was no frontiers man at all, rather a wealthy farmer. He lived luxuriously by building a highly successful career in Tennessee in regards to law, politics, land speculation, cotton planting, and soldering. Through his action with the establishment of the spoil system, the imposing of tariffs in South Carolina, forced removal of the Native Americans and the destruction of the Bank of United States, it is obviously clear that Jackson was not for the common man as people had perceived him to be. In 1828, the year he was elected president, his biggest support came from the west and south, in which the overwhelming majority of people were from the farming community. Several implications can be made as to why Jackson was undemocratic. As the dictionary so eloquently states, democracy is defined as attempting to treat people of all classes in the same way. Once in power, Democrats who were immensely suspicious of the federal government had created the spoil system which rewarded political supporters with public office. Although Jackson defended the spoil system by declaring every man is as good as his neighbor and why should there be an encouragement for a development of an aristocracy, ironically Jackson was considered to be a frontier aristocrat, who owned many slaves, cultivated broad acres and owned one of the most expensive mansions at the time. Another unfairness that was demonstrated occurred in South Carolina with the issue of the tariffs. The Tariffs protecte d the American industry against competition from the European manufactured goods, however it also drove up prices for the Americans and...

Sunday, November 3, 2019

Bullying in Early Education Essay Example | Topics and Well Written Essays - 1500 words

Bullying in Early Education - Essay Example ave equal strength or power to the bully† (Berthold & Hoover, 2000; Olweus, 1996; Solberg, Olweus & Enderson, 2007; Sourander, Holstela, Helenius & Piha, 2000). Aggression was clearly defined in Lee’s research on the relationship of aggression and bullying to social preference as a â€Å"behavior that is intended to harm someone either physically or psychologically (Berkowitz, 1993), manifests itself in a wide variety of acts† (Lee, 2009, 323). Despite differences in definitions, bullying still manifests an aggressively vicious behavior expressed either indirectly or directly by a repeated tormenting towards a victim with obviously less strength and power to defend oneself from his aggressor aimed to harm him or her physically or psychologically. III. The role of gender in bullying Diverse research literatures examined the role of gender in increased susceptibility in bullying. There are actually two sides to be examined: (1) does gender play a significant part in assuming the role of the aggressor? In this issue, one would like to assess and evaluate if indeed boys are the instigator of bullying. If so, what forms of bullying do they usually perform? On the other hand, does it necessarily follow that girls are always the victims of bullying? What other perspectives in bullying give credence to gender differences as relevant correlates of bullying? The study conducted by Carbone-Lopez, et.al. (2010) reveal that gender differences have significant impact on bullying and victimization. However, it was necessary to qualify the direct form of bullying versus the indirect form. The direct form involves behavior that aims to physically harm the victim through any of the following means: hitting, kicking, pushing (Carbone-Lopez, et.al, 2010, 333) and fighting, flicking,... Bullying in Early Education Parents of bullies were observed to resort to unjustifiable physical punishment instigated by mood swings and flares. Due to the fact that bullies have never learned the value of sharing or cooperation, getting along with others is not an ultimate priority. In this regard, the objective of the research is to determine if gender affects the way children respond to bullying in terms of the response or action taken against bullying and how young children, in general, deal with it. II. Differences in Definition of Bullying Bullying has been described by Marees & Petermann (2010) as â€Å"a specific for or aggressive behavior, namely the systematic humiliation, harassment and/or torment of certain children by their peers: (178). Taylor (2003), on the other hand, who studied primary school bullying and the issue of gender differences, defined bullying as â€Å"a subcategory of aggressive behavior; but a particularly vicious kind of aggressive behavior since it is directed, often repeated ly, towards a particular victim who is unable to defend himself or herself effectively†. The impact of gender on the response of children to bullying can still be further investigated to ensure that possible findings would shed light on the diversity of gender and the way they perceive bullying as either a threat to be directly addressed or ignored. There could be other reactions or responses that were not evidently investigated, or reported especially for the age group targeted for the project.

Friday, November 1, 2019

Legal & Finance Assignment Example | Topics and Well Written Essays - 1000 words

Legal & Finance - Assignment Example Through the Fed, the government has created a compensation program act where each and every member belongs to its department. The law provides for compensation of workers as per the nature of their work. The remunerations should not be below the minimum wage and salaries provided for according to their efforts. This prevents exploitations of employees from both the private and public sector. The compensation act also provides for payment of injuries that are obtained as a result of duty. This will ensure that firms provide for safety working conditions that do not expose their staffs to any harm while on duty. Failure to conform to the legislations amounts to serious prosecutions. The employers are also expected to provide various medical and security benefits to her employees. Medical covers includes; t staffs given a potential leaf of not less than three months to either take care of a family member, women given compassionate leaf as a result of maternities and take care of the newborn or be able to access any medical care whenever necessary. These medical covers usually covered with organizations making payments to government agencies. Securities, on the other hand, are benefits that accrue to an individual after retirement. These contributions are made to them by the state and are mandatory to be remitted by the employer. How hiring and placement will be held, conditions when an employee can be rendered jobless, promotions and demotion criteria. This will provide equity in the workplace so that discrimination will not occur. Amount of salary that is compensated to the worker. Any other relevant allowances should be explicitly stated. However, the statement must show how this figures are reached or determined and should not be less than the minimum wage that is recommended by the state. Benefits, securities that are provided to employees, relationship and the rights that employees are expected to adhere to while on duty.

Wednesday, October 30, 2019

Quantitative Method in Economics Assignment Example | Topics and Well Written Essays - 750 words

Quantitative Method in Economics - Assignment Example This is the rate which the government has to charge firms involved in polluting the environment to compensate for the impacts of their operations to the environment. 16. The total tax revenue collected will be arrived at by taking the product of this tax rate and the estimated units likely to be produced. Assuming the units produced are Q*; the tax revenue will be 3.3698Q*. 18. Price elasticity of demand is the change in price relative to demand and it is a measure of the degree or extent at which price changes relative to the demand. It is worked out as the Change in demand divided by Change in price; 20. Depending on how elastic demand is will dictate the potion for the producers and that for the consumers. With inelastic demand as witnessed in our case, the producer will bear a smaller weight of the tax as compared with the consumers who will feel a greater pinch of the

Monday, October 28, 2019

William Shakespeare Essay Example for Free

William Shakespeare Essay William Shakespeare (1564-1616) was born in Startford-on-Avon, in the country of Warwick. The third child and first son, William was christened on 26th April, 1564 in the parish chruch. His father, John Shakespeare, was a prosperous businessman. William got his education in a good grammer school. His father’s business failed due to neglect so William could not attend the University. At the age of eighteen, he married Anne Hathaway, the daughter of an old family friend and they had three children. The date of his arrival in London is not known but he was said to have been arrived there around 1592. A theatre company, ‘Lord Chamberlain’s Men’, refounded in 1594, developed into London’s leading company. Shakespeare became an important member in it and this group later got the name, ‘King’s Men’. From 1599, this occupied the Globe Theatre and later in 1608 took over the Blackfriar’s monestry. Shakespearean plays performed here show the change in the stage conditions, having more scenery and lighting effects. Shakespeare, by his Venus and Adonis and Rape of Lucerce, had earned considerable fame in 1594. The revival of classical drama brought about a change in the attitude of noblemen of that time. The theatre began to be attended by and the quality of the plays improved. In 1597, Shakespeare purchased ‘New Place’, an outstanding residential property. After acquiring a lot of property in Stratford, he retired to his house ih New Place. His career as a dramatist was over and The Tempest was his last play, written in 1611. On 23rd April, 1616, Shakespeare died and was buried in the altar of Stratford Church. As You Like It is a pastoral comedy by William Shakespeare believed to have been written in 1599 or early 1600 and first published in the First Folio, 1623. The plays first performance is uncertain, though a performance at Wilton House in 1603 has been suggested as a possibility. The play remains a favourite among audiences and has been adapted for radio, film, and musical theatre. Plot Development The plot of As You Like It is complex and comprises of a number of interweaving plots. The inter-linking of plots has been done beautifully by Shakespeare. The characters have been fashioned and fit into incidents. ‘ As You Like It’ follows its heroine Rosalind as she flees persecution in her uncles court, accompanied by her cousin Celia and Touchstone the court jester, to find safety and eventually, love, in the Forest of Arden. The play features one of Shakespeares most famous and oft-quoted speeches, All the worlds a stage, and is the origin of the phrase too much of a good thing. Themes Envy, Hatered,Jealousy,Conceit The theme of envy, hatred, jealousy and conceit has been brought by Shakespeare with the help of Oliver and Duke Frederick. Oliver is envoius of his brother Orlando because although he treats him like a rustic he has all the good qualties in him which eclipse the qualities of Oliver. It is because he is jealous of Orlando, he hates him and tries to kill him. In the same way Duke Frederick is jealous of the popularity of Duke Senior and Rosalind. When he comes to know that it is because of Rosalind that the qualities of Celia are hidden, he decides to banish her as well. He had only kept Rosalind back because Celia could not stay without her. Loyalty,Love,Devotion Adam is loyal to Orlando and loves him because he reminds him of Sir Rowland de Boys. He saves Orlando’s life by helping him escape from the trap laid by Oliver to take his life. Adam also offers Orlando his life savings and his service although he is very old. Duke Senior also has some followers who willingly follow the Duke to banishment. Love and devotion is also seen in Celia for Roslind as they ecape to the forest of Arden together. They are inseperable like the Juno’s swans. Rosalind is in love with Orlando when he bravely defeats Charles the prized wrestler of the Duke. She gives him her necklace. A shepard named Silivius has also fallen in love with Phebe. Another love-story of Touchstone and Audrey is also taking place. It is anti-romantic story and although Touchstone wants to marry Audrey, he does not want it to be a life-long bond. Background of the Poet Vikram Seth is an Indian novelist and poet. He has written several novel and poetry books. He has also received several awards including Padma Shri, Pravasi Bharatiya Samman, WH Smith Literary Award and Crossword Book Award. Seth was born on 20 June 1952 in a Punjabi family to Leila and Prem Seth in Calcutta (now Kolkata). Seth spent part of his youth in London but returned to his homeland in 1957. He received primary education at Welham Boys School and then moved to The Doon School. After commencing secondary education at The Doon School in India, Seth returned to England to Tonbridge School. Having lived in London for many years, Seth now maintains residences near Salisbury, England, where he is a participant in local literary and cultural events, having bought and renovated the house of the Anglican poet George Herbert in 1996 and in Delhi, where he lives with his parents and keeps his extensive library and papers. Structure of the Poem The Frog and the Nightingale is a fable in the form of a poem. A fable is narrative, not longer than a short story and has a moral. This poem has animals as its main characters. In this poem the poet has adapted features of modern poetry in following the pattern mixed metre and free verse. However to add the flavor of a ballad, a conscious effort has been made to keep it close to the common speech. The poem follows the iambic meter and regular rhyme immediately following the lines rhyming together. The last word of each line rhymes with the last word of the next line. Mostly the lines are hexasyllabic with variations of one syllable. Theme and Summary of the Poem The poem, The Frog and the Nightingale is a powerful example of how people are deceived by others because of the wrong self-image and the lack of moral courage. Generally, people build their self-image on what others think of them. They do not have the moral courage to see through their strengths and weaknesses, and thus they fall into traps of selfish people. There are many people who use other people to fullfil their selfish motives. The poet wants to convey the message that we need to realise our potential, have self-confidence and judgement of character so that we do not become victims of the crafty and hypocritical world. The poem begins with the frog croaking all day long at the Bingle Bog, under the sumac tree. Although the other creatures hated his singing, they had no choice because the frog was to determined to display his hearts elation. One night a nightingale arrived and enchanted everyone withher melodious voice. Everyone cheered the nightingale and she sang all night long. The following night when the nightingale was getting ready to sing the frog came to her and criticised the song as if he was a very good singer. The frog promised to train the nightingale but would charge a reasonable fee. He made nightingale sing continuously for six hours, not caring whether it is raining or not. He charged fee to everyone who came to sing the nightingale sing and thus she became very famous. The frog used to watch all the audience with joy both sweet and bitter. The frog used to scold her and she grew more morose. Her voice was losing its charm and thus people stopped to listen to her singing. Once, during a performance, the frog began to shout on her asked her to puff up and sing properly. Th nightingale puffed up ,burst a vein and died on the spot. The frog got back his position and continued to sing and display his hearta elation.

Saturday, October 26, 2019

Paratextuality in Shakespeares King Lear Essay example -- William Sha

Pitching Mad Boy: How Paratextuality Mediates the Distance Between Spectators, Adaptations, and Source Texts. A popular anecdote used to introduce students and spectators to King Lear tells how, for 150 years, the stage was dominated by Nahum Tate’s adaptation, in which Lear and Cordelia are happily reconciled, and Cordelia is married off to Edgar. Here is what N.H. Hudson had to say about Tate: This shameless, this execrable piece of demendation. Tate improve Lear? Set a tailor at work, rather, to improve Niagara! Withered be the hand, palsied be the arm, that ever dares to touch one of Shakespeare’s plays again. (quoted in Massai 247) Of course, such sophisticated and erudite commentators as are assembled here today will be quick to point out a couple of ironies about Hudson’s condemnation of Shakespeare adaptation. First, Shakespeare himself was an adaptor. Most if not all of his plays are adapted from extant plays, renaissance romance novels, or even, as in the case I will be discussing today, old Norse sagas. King Lear was adapted from an earlier play, which was itself based on Holinshed’s chronicles. Second, popular adaptations by Tate and Colley Cibber, among others, by making Shakespeare accessible and tasteful to Restoration and Enlightenment audiences, played no small part in establishing Shakespeare at the centre of the literary canon (Massai 247). And as an afterthought, it might be worth noting that Tate’s adaptation does not so much ruin the original King Lear as restore it – Tate’s happy ending is more â€Å"faithful† than Shakespeare to Shakespeare’s sources, The True Chronicle History of King Leir and Holinshed’s Chronicles. I mention this by way of introducing Michael O’Brien’s Mad Boy Chronic... ...eares.ca/ Massai, Sonia. "Stage Over Study: Charles Marowitz, Edward Bond, and Recent Materialist Approaches to Shakespeare." New Theatre Quarterly 15, no. 3 [59] (1999): 247-55. Morrow, Martin. â€Å"A Viking Free for All.† Rpt. in O'Brien, Michael. Mad Boy Chronicle : From Gesta Danorum by Saxo Grammaticus, c. 1200 A.D. and Hamlet, Prince of Denmark by William Shakespeare, c. 1600 A.D. 1st ed. Toronto: Playwrights Canada Press, 1996. Pp. 152-54. O'Brien, Michael. Mad Boy Chronicle : From Gesta Danorum by Saxo Grammaticus, c. 1200 A.D. and Hamlet, Prince of Denmark by William Shakespeare, c. 1600 A.D. 1st ed. Toronto: Playwrights Canada Press, 1996. Shaner, Madeleine. Rev. of Mad Boy Chronicle, by Michael O'Brien. 2001. Backstage West 28 Sept. 2003. http://www.canadianshakespeares.ca/ Stam, Robert. Film Theory : An Introduction. Malden, Mass.: Blackwell, 2000.

Thursday, October 24, 2019

MAR project team Essay

Strength Integrated Health consists a number of hospitals. Has an internal technology department – MIS. Has a large number of staff MAR project team is well rounded with technology. The institutions of Integrated Health are well known by the people in Tempe, Arizona. A non-profit organization, which means all the earned money minus the salary and daily operational costs of the institution, can be used for development. Weaknesses Utilizes manual processing of information. Low investment on automation. Chief Information Officer doesn’t have technical background. Some Directors doesn’t support automation and would rather have the traditional process. A large number of staff doesn’t agree with the change. Due to manual filings, specialists reported that patients endorsed to them doesn’t have files 30% of the time. Doesn’t have a change management process. MIS Staff are underestimated and their relevance is not clear to the whole organization Opportunities Lower of costs by investing on computerizing MAR. Can attract partnerships with insurance companies as they are becoming a trend. By investing in computerized MAR, less information would be missing or incorrect If medical tests would not be repeated unnecessarily, then operational costs can be lessen. Computer management of patient medication profiles offers the opportunity to enhance communication between pharmacists and nurses decrease medication errors and delays in delivery of therapy. enhance medication delivery accuracy and timeliness Threats If the computerized MAR is not implemented, insurance companies would not want to partner with Integrated Health. Increasing incorrect medical profiles of patients. If the computerized MAR is implemented, There will be dependence on its automation in the future and when it fails, operations will stop. Cost for further upgrades to fix bugs and improve services will be considered.

Wednesday, October 23, 2019

Children Stay at Home for Entertainment Essay

The twenty first century held many changes for our life . This changes are different and multifarious . as well as this covered all aspects of life. The most effect was on the children that changed their life completely different rather than previous generation . Those children become spend a large amount of time inside their homes , playing computer games and watching television , rather than playing games and sport outside . This phenomenon is disturbing many people, therefore they ask what are the benefits , and what are the drawbacks in this case. This essay will talk about these views. To begin with ,there are two reasons may be most advantages for the children spend a large of time inside their home. Firstly , It is clear that children who spend more time at home for entertainment will be more safe from those who spend time outside, which may causes for them risk of theft or assault. Secondly , Children sit at home a long time help them to avoid many bad practices such as smoking or drug. On the other hand , there are many drawbacks in this instance , firstly , children who spend bulk of time inside their home, that means they will disappear from the sun for a long time, it may result in they have deficiency in vitamin D , which the sunlight is natural source for it , â€Å"kids tend to stay indoor more days and play on their computers instead enjoying the fresh air . This mean their vitamin D levels are worse then previous years â€Å"(S.Peace 2010)[1]. Consequently it lead to some diseases such as rickets , which this practice blamed for increasing numbers of children suffer from it . As well as these figures dismayed some scientists as well according to professor T Cheetham from Newcastle university[2] . Secondly, stay a long time in front of screen lead to fitness that the most common diseases among children. In conclusion can the children of new century enjoying with a new technologies , but they should not ignore the healthy practice which protect them from diseases . In fact I think the generation of this century is more lucky than their ancestors ,particularly if I compared him with our generation.

Tuesday, October 22, 2019

Burns Essays

Skin Disorders/Burns Essays Skin Disorders/Burns Essay Skin Disorders/Burns Essay The incidence of burn injuries has been declining during the past several decades. Approximately 2 million people require medical attention for burn injury in the United States each year (Kao Garner, 2000). The risk of death increases significantly if the patient has sustained both a cutaneous burn injury and a smoke inhalation injury.Young children and elderly people are at particularly high risk for burn injury. The skin in people in these two age groups is thin and fragile; therefore, even a limited period of contact with a source of heat can create a full-thickness burn. The National Center for Injury Prevention and Control lists â€Å"fire/burn† among the categories of the 1998 Unintentional Injuries and Adverse Effects.Most burn injuries occur in the home, usually in the kitchen while cooking and in the bathroom by means of scalds or improper use of electrical appliances around water sources (Gordon Goodwin, 2001). Careless cooking is one of the leading causes of household fires in the United States. The U.S. Fire Administration reports that nearly one third of all residential fires begin in the kitchen. The major factors contributing to cooking fires include unattended cooking, grease, and combustible materials on the stovetop.Burns can also occur from work-related injuries. Education to prevent burn injuries in the workplace should include safe handling of chemicals and chemical products and increasing awareness of the potential for injuries caused by hot objects and substances. The national Institute for Burn Medicine, which collects statistical data from burn centers throughout the United States, notes that most patients (75%) are victims of their own actions. Contributing to the statistics are scalds in toddlers, school-age children playing with matches, electrical injury in teenage boys, and smoking in adults combined with the use of drugs and alcohol. One of the major culprits of burn injuries is the inappropriate u se of gasoline. The U.S. Home Product Report, 1993-1997 (2001), indicated that there were over 140,000 gasoline-related fires and approximately 500 people died from gasoline-related injuries during this period.Many burns can be prevented. Medical personnel can play an active role in preventing fires and burns by teaching prevention concepts and promoting the use of smoke alarms has had the greatest impact on decreasing fire deaths in the United States.There are four major goals relating to burns:PreventionInstitution of lifesaving measures for the severely burned personPrevention of disability and disfigurement through early, specialized, individualized treatmentRehabilitation through reconstructive surgery and rehabilitative programsII. DiscussionA. Classification of BurnsBurn injuries are described according to the depth of the injury and the extent of body surface area injured.a.)  Ã‚  Ã‚   Burn DepthBurns are classified according to the depth of tissue destruction as superfici al partial-thickness injuries, deep partial-thickness injuries, or full-thickness injuries. Burn depth determines whether epithelialization will occur. Determining burn depth can be difficult even for the experienced burn care provider.In a superficial partial-thickness burn, the epidermis is destroyed or injured and a portion of the dermis may be injured. The damaged skin may be painful and appear red and dry, as in sunburn, or it may blister.A deep partial-thickness burn involves destruction of the epidermis and upper layers of the dermis and injury to deeper portions of the dermis. The wound is painful, appears red, and exudes fluid. Capillary refill follows tissue blanching. Hair follicles remain intact. Deep partial-thickness burns take longer to heal and are more likely to result in hypertrophic scars.A full-thickness burn involves total destruction of epidermis and dermis and, in some cases, underlying tissue as well. Wound color ranges widely from white to red, brown, or bla ck. The burned are is painless because nerve fibers are destroyed. The wound appears leathery; hair follicles and sweat glands are destroyed.The following factors are considered in determining the depth of the burn: ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   How the injury occurred ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Causative agent, such as flame, or scalding liquid ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Temperature of the burning agent ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Duration of contact with the agent ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Thickness of the skinB. Management of the Patient with a Burn InjuryBurn care must be planned according to the burn depth and local response, the extent of the injury, and the presence of a systematic response. Burn care then proceeds through three phases: emergent/resuscitative phase, acute/intermediate phase, and rehabilitation phase. Although priorities exist for each of the phases, the phases overlap, and assessment and management of specific problem s and complications are not limited to these phases but take place throughout burn care.C. Planning and GoalsThe major goals for the patient may include restoration of normal fluid balance, absence of infection, attainment of anabolic state and normal weight, improved skin integrity, reduction of pain and discomfort, optimal physical mobility, adequate patient and family coping, adequate patient and family knowledge of burn treatment, and absence of complications. Achieving these goals requires a collaborative, interdisciplinary approach to patient management.III. ConclusionContinued assessment of the burn patient during the early weeks after the burn injury-focuses in hemodynamic alterations, wound healing, pain and psychosocial responses, and early detection of complications.Other significant and ongoing assessment focus on pain and psychosocial responses, daily body weights, caloric intake, general hydration, and serum electrolyte, hemoglobin, and hematocrit levels. Assessment fo r excessive bleeding from blood vessels adjacent to areas of surgical exploration and debridement is necessary as well.