Tuesday, November 26, 2019
Role and Powers of Presidents
Role and Powers of Presidents The president is supposed to exercise the powers which are granted to him or her by the Federal Constitution or the Congress act in the interest of the public. However there have been divergent arguments among the people holding this presidential office arising from different references and reasoning.Advertising We will write a custom research paper sample on Role and Powers of Presidents specifically for you for only $16.05 $11/page Learn More All the arguments insist that each is function best for the public welfare (Cronin and Genovese 43). In the above view, the president has the responsibility to act in the interest of the public, ensure all situations are right for the interest of his people and make right judgments because they directly affect the lives of the ruled. The president can at any time withdraw any entry into U.Sââ¬â¢ public lands and put aside part for forestry, for irrigation purposes and water resources. Jackson Lincoln held the view that the president must be capable of forming judgments for himself and his juniors (Cronin and Genovese 45). Todayââ¬â¢s presidency has both informal and formal leverage to command decisions at any time. They can certainly come up with personal initiatives and decide on whichever matters. Additionally, the role of presidents has seemingly become that of main agenda setters in the making of policies at federal level. The president is also surrounded with a bureaucracy that further extends his mandate and powers. In the modern days, presidents have the capacity to drive political systems in the way they wish because they are the main actors in the systems hence obscuring the role of their subordinates (Fine and Waterman 25). The president also has the power to take significant measures that can have dynamic implications on the nation. For example, the president can deploy tactical nuclear weapons. The impact of this executive power is magnified by the fact that their decisions hav e direct impacts on the general public understanding (Cronin and Genovese 54). The different views held come from the ambiguity in defining the role of the president. For many years now, presidential practices have varied. Roosevelt for example fostered palace politics, Kennedy concentrated on collegial informality, and Eisenhower assumed the role of building his staff. The ambiguity in defining presidential roles makes it easy for the office holders to shape their roles on personal basis.Advertising Looking for research paper on government? Let's see if we can help you! Get your first paper with 15% OFF Learn More ââ¬ËGreatââ¬â¢ presidents Both presidents that have succeeded and those who have failed are considered as great leaders. For example, most scholars claim that President Lyndon Johnsonââ¬â¢s extraordinary legislative system has a record in success. Despite his success, scholars argue that Johnson highly contributed in the disastrous war in Vietnam. Additionally, Dwight Eisenhower is a president that most scholars consider passive during his reign. However, history credits him with very few significant accomplishments. It is in fact argued that it was during his time that Korea went into war and corruption cases within his administration increased. Woodrow Wilson is also one of Americaââ¬â¢s presidents that is remembered for the Senateââ¬â¢s dismissal of Versailles Treaty (Pfiffner 25). These are some of presidents known as great although with remarkable failures during their administrations. A survey conducted in 2000 that ranked 10 different categories of leadership indicated that the public and politicians have different views on what presidents should have and be like. One expectation that makes one a great president is the ability to function more than just managerial or party leaders. Studies indicate that a president must demonstrate great leadership capabilities because they represent the nation at large. The rating in this context falls between being a weak or a strong president. This is the view that most presidential candidates rise to power with. However, the divergent views of a successful or a failed president must be defined in consideration of different contexts. To meet this expectation from the public, presidents must function ahead of their times. There are different political times that presidents function well and avoid getting ahead of their time including reconstruction, articulation and disjuncture periods. In this regard, presidents need to know the expectations accompanying their type of leadership. Studies show that there are further different political period that different presidencies have taken place in America (Pfiffner 35). The patrician period that occurred between 1789-1832, the partisan time occurring between 1832-1900,the pluralist period (1900-1972), and 1972- to date plebiscitary period. Considering the first period, Americans great presidents Thomas J efferson and George Washington exhibited great interpersonal skills during their political views with legislators. Additionally, James Madison and John Adams proved weak leaders when gauged against the first political period.Advertising We will write a custom research paper sample on Role and Powers of Presidents specifically for you for only $16.05 $11/page Learn More Abraham Lincoln and Andrew Jackson, who led national partisan movements, functioned under the second political period hence relatively advantaged. With the centralization of the economy, American presidency was expected to have strong leadership strengths with much emphasis on economy. This was at the pluralist period and effective confrontation of foreign policy. This was a further consideration in rating whether a president was great or a failure. More so, the presidents in this period must exert full responsibility for national issues by establishing an expansive bureaucracy. In the presen t plebiscitary period, the presidents sometimes rely less on political organizations and have less capability to bargain as it was seen in the past regimes. With such considerations, the presidents are therefore expected to directly persuade the public (Fine and Waterman 47). Most scholars believe that presidential power is the ability to persuade the public, Congress members and other political actors in order to reap positive outcome. However, it argues that a president is not considered powerful on the merit of his/her presidency. It says that cultural, constitutional and political factors also empower these individuals to become successful presidential leaders. However, political power differs among presidency holders mainly because of the diversity in strategic challenges and political resources available to them. Most of Americaââ¬â¢s presidents have ruled with the belief that the ability to persuade the public, political actors and Congress members determines whether one i s a successful president or a failure (Cronin and Genovese 21). Presidential Leadership Scholars argue that the definition of leadership must encompass good leadership. But good leadership does not always result into positive results. There are times when poor leadership has yielded positive outcomes. Leadership is therefore the ability to successfully use oneââ¬â¢s political skills and the leverage exposed to an individual to yield satisfactory outcomes. Presidentââ¬â¢s performance is influenced by various factors that expose them to particular challenges. For example, a good economy contributes to high ratings of successful leaders. The vice versa is also true. If on the other hand, a president has restricted power to influence the economy, scholars question as to whether such presidents should be termed as failures or successful (Cronin and Genovese 22). Ideally, presidential leadership means persuading other political actors to act for their own interests. This is because a leader is supposed to inspires others to do as they desire hence influencing their behaviors.Advertising Looking for research paper on government? Let's see if we can help you! Get your first paper with 15% OFF Learn More The challenge that presidential leaders face while convincing the other political actors is the fact that different situations and contexts call for different qualities and skills. Scholars argue that some personal skills can be useful at certain circumstances while others are not (Waterman and Rockman 23). In this regard, different presidents encounter dissimilar political scenarios on coming to office, because the circumstances change with time hence the different political leverage during the different terms. More so, successful presidents are measured by the ability to respond and manage political outcomes. The important thing is that which the president is interested in and the personal capability to accomplish it. Presidential leaders are limited by the resources, tools and political capital present to them. The tools include external political supporters in Congress, economical state, the political stability of the nation and the overall international political mood. With suc h factors, presidential skills as well as political powers are vital in accomplishing their political ambitions (Cronin and Genovese 23). Presidents have got copious resources, tools and political capital within their reach. This therefore describes the extent of their ability to structure, slant and adapt organizational functions towards favorable angles that match their political and policy interests. With the constitutional powers presidents can considerably control presidential appointments to advance their political interests. Another leverage tool is their ability to shape and influence the bureaucratic agencies budget. This is because the federal budget often goes with what the Congress passes. Therefore, when the Congress is controlled by the partyââ¬â¢s president, he or she can shape the budget too fit his preferences. Presidents can also use the veto to shape the final legislatureââ¬â¢s budget. Studies show that in the 20th century, presidents have used this executiv e power to gain control over particular institutions that are significant to their presidential leadership (Cronin and Genovese 36). Most people have no demarcation between leadership and its outcomes but scholars argue that there are possibilities of having good leadership systems resulting in poor performances. Scholars argue that personal leadership skills must be differentiated from the outcomes. In an example, if one has a team of ball players that frequently loses in games; this has little to do with the managerââ¬â¢s skills, the fact is that the teamââ¬â¢s quality is poor. This therefore indicates that it is very possible to have good leadership but on the other hand have poor results. This further illustrates that between the outcome and skills, quality is an intervening variable that must not be ignored. The manager can however influence the outcome through his skills hence maximizing on his leverage. If a president takes over from a recessed economy, the president ha s limited tools through which he can influence outcomes in his/her leadership. Therefore there are chances of being unelected back to power. Some may argue that the individual failed to demonstrate presidential leadership skills (Waterman and Rockman 15). However scholars argue that no matter the extent of skills and abilities, it is impossible to achieve the desired outcomes. If the president inherits an economically stable nation but has limited knowledge, then it can be said that the leader was a bad one, however if the economy was stable yet with minimal leadership knowledge, positive outcomes can still be manifested. Therefore, it is important to consider such factors as to why and how the results were achieved. At some times, a president may be having personal political skills that results into effective policy or political outcomes. Whereas at other times the president may be having no skills yet there are positive results. Additionally, a president may display skills yet the results turn out negative, at other times, a president may be having no skills but the results become unsuccessful (Waterman and Rockman 18). Leverage is an intervening variable in the first and second case that determines the outcomes. Historic periods and economy state are also intervening factors that determine the success of a presidential leader. Leaders that rule during pacific times have fewer chances of being termed successful leaders than those who rule during periods of change. Therefore if all these factors are combined with the leverage that a president exerts in his/her governing, then the relationship between leadership and success is clearly manifested. The Indiana Jones Model depicts a scenario whereby the president has considerable skills, but at the same time has no or minimal leverage, yet the outcomes are significantly great. Although the president may seem gifted, the context doest not provide chances for any positive results. However the president just prevail s as a result of luck. This is therefore independent of the presidentââ¬â¢s leverage or skills. At certain times, it is possible to have positive results with no presidentââ¬â¢s persuasion and skills. On the Pseudo-leadership model, the president may be having no skills, has leverage then successful results. This is a case that occurred with President Eisenhower. In this case, leaders in Congress contributed in the passing of significant legislations. The president paid little attention to the issues but much credit went to him. The president displayed no skills (Cronin and Genovese 26). At other times there are chances of good fortune accompanying the outcomes. For example, Calvin Coolidge appeared a lucky president; it was a matter of being at the right place, at an appropriate time. The president enjoyed a very stable economy that left praises for his name yet he demonstrated no skills and had no leverage within his reach in which to exert influence. It was just his lucky p eriod. On the other hand a president may have skills and much leverage at his disposal but gets no positive outcomes. In the case of Johnson and the Vietnam War, even if he had substantive public support and extensive Democratic support from both houses, chances of successful outcomes were thin. More so, recent tapes have shown Johnson mourning because he knows that going to the war provides no chance of winning the battle, however, he also knows that if he does not, he will forever be blamed for the Vietnam defeat. This is a no-win situation in which leadership success is independent of the president. At another scenario, the president demonstrates leadership skills and is exposed to a considerable leverage that gives him/her significant success. This is a common Neustadtââ¬â¢s case of presidential leadership. Franklin Delano Roosevelt maximized on his extra-ordinary political wit and leverage during the economic recession and World War 11 era to design policies for the New Deal hence the positive war efforts. In this scenario, the presidentââ¬â¢s success was dependent on his skills (Cronin and Genovese 27). What it Takes for a Candidate to be Elected For a candidate to be elected as the president in a federal office, the individual must have attained the age of thirty five years, must be a resident for a minimum of fourteen years. The Electoral College has the provisions that the two houses of Congress and the state participates in electing the president. The state chooses the electors (Electoral College) who eventually elects the president. The candidate that garners majority votes of the electors becomes the president. If none of the candidates attains majority voles, the House chooses the president while the Senate selects the vice president, each state delegate therefore votes once. However, members of Electoral College can be elected from party states and themselves vote for their fellow party nominees hence influencing the strategies of president ial candidates. This will definitely change the conduct and nature of electing a president (Edwards 34). Critics of the Electoral College system argue that it is often flawed and that the runner up candidates must not become president, this is because the candidate that garners most votes becomes the president. This perspective, they argue, inflicts a serious burden on the minority leader according to the evolving U.Sââ¬â¢ democratic values. However, they argue that America was initially never expected to have pure democracy and neither was it thought that U.S will be guided by the notion of majority rule (Edwards 31). They say that government institution was meant to be a republic with peopleââ¬â¢s representative in the government. More so, the separation of powers that has checks and balances was supposed to curb hindrances of change. In this context, Bill of Rights is implemented to regulate majorityââ¬â¢s will from going against citizenââ¬â¢s rights. The explanation given for the president to be elected from direct citizensââ¬â¢ votes is because the president and his vice wholly represent the people amongst al the nationals. And that it is the peopleââ¬â¢s best chosen candidate. However, the critiques argue that it is not enough to say that peopleââ¬â¢s will must be the only determining factor for the nationally voted government officials. They therefore argue that because the president must be voted for by the majority of the population does not mean every other element of the government must be popularly elected (Cronin and Genovese 24). The powers of the modern president are the results of initiatives and patterns that have formed over centuries as far as presidential history is concerned. This is inclusive of crises political realignments, economic depression and institutional changes. The powers of the president, as Thomas E. Cronin says is very powerful but always inadequate. He argues that at certain times it is weak and limited while at other times it is profound and abused. The public is ambivalent about the powers of presidents. They sometimes enjoy seeing this power reduced and their presidents humbled but at the same time desire to have heroic presidents who have the ability to attain Americans dream (Cronin and Genovese 5). Opponents of the Electoral College argue that in this system the ballots cast are not equal because different states have varying populations. They argue that this benefits the small states. In their propositions they argue that the automatic plan would significantly do away with faithless electors voting by automatically enabling stateââ¬â¢s electors to vote for the most pluralist in the state (Edwards 45). The strength in this process is that individual electors will not vote in person hence minimal probability of votes being cast in unintended directions. The district plan would grant one electoral vote the popular pluralityââ¬â¢s votes within the state in a congressional district. It says that this plan will allow Electoral College vote be specific in popular vote. However the weakness is that the district plan will not completely eliminate chances of runner-up from becoming the president. The national bonus strategy would preserve constitutional and stateââ¬â¢s roles in the process of electing a president (Pfiffner 56). The Electoral College system also proposes amendments to the Constitution so as to allow for direct populace voting for a president. However the objection to this proposal is that popular election would demean the federal nature of U.S government. More so critics argue that direct popular election will reduce the common endless frauds and recounts. Those who advocate for direct election of presidents argue that federalism is rather necessary but the electoral votes within small states does not command active campaigns of the main candidate in the party. Significantly, the larger states contests will only take place in the case o f massive votes being either ways. Direct popular election will mean that all votes would be required for the candidate to win presidency. More so, minor political actors will also have an opportunity to vie for presidency hence a multiparty system scenario. This will mean that in a contested election a candidate will have to persuade the public to vote for him or her hence garnering majority populace votes. Critics of the Electoral College are justified in the sense that for a democratic nation there is always the need for checks and balances in order to control excessiveness of power and responsibility. The critics argue that the reforms are meant to benefit the public in their representation in government offices (Cronin and Genovese 25). Cronin, Thomas and Genovese, Michael. The Paradoxes of the American Presidencyà (3rd Ed.). Oxford, Mass: Oxford University Press, 2009. Print. Edwards, George C. Presidential selection: the flawed foundations of the Electoralà College. Texa s: A M University Press, 2004. Print. Fine, Jeffrey and Waterman, Richard. A new model of presidential leadership:à controlling the bureaucracy. New York: Roxbury Press, 2005. Print. Pfiffner, Davidson. Understanding the presidency: historical perspectives of theà presidency. New Haven, CT: Yale University Press, 1986. Print. Waterman, Richard, and Rockman, Bert. Presidential Leadership: The Vortex of Power. New York: Roxbury Press, 2005. Print.
Saturday, November 23, 2019
Hypertension Nursing Diagnosis 6 Care Plans for Any Patient
Hypertension Nursing Diagnosis 6 Care Plans for Any Patient SAT / ACT Prep Online Guides and Tips Hypertension, or high blood pressure, is an issue that affects millions of people around the world. If not properly treated, hypertension can lead to serious issues, including heart attack or stroke. That means itââ¬â¢s imperative to have an accurate nursing diagnosis for hypertension as well as an effective care plan. After explaining what hypertension is, what causes it, and what common symptoms are, this guide explains six key hypertension nursing diagnoses. For each diagnosis, the NANDA definition, potential evidence, and desired outcomes are explained, as well as steps to take for the nursing intervention. Nursing Diagnosis for Hypertension: What Is It? Normal blood pressure is when blood pressure is lower than 120/80 mmHg most of the time. A patient is diagnosed with hypertension, the medical term for high blood pressure, when their blood pressure is 140/90 mmHg most of the time. There are several levels of hypertension: Normal Blood Pressure: Lower than 120/ 80 Prehypertension: 120-139/80-89 Stage 1 Hypertension: 140-159/90-99 Stage 2 Hypertension: 160+/100+ Hypertension can be dangerous because it can make the heart work harder to pump blood to the body, which can increase the risk of heart failure, stroke, and hardening of the arteries. What Causes Hypertension? The exact cause of hypertension is not often known. Primary (or essential) hypertension is when hypertension has no known cause, or there is no evidence to link it to a specific cause. Primary hypertension makes up about 90% of all hypertension cases. Secondary hypertension is high blood pressure that does have an identifiable cause. Potential causes of hypertension (primary or secondary) include: Being overweight or obese Smoking Genetics/family history of hypertension A diet high in salt Consuming more than 1-2 alcoholic drinks a day Stress Old age Lack of exercise Sleep apnea Kidney disease Thyroid disorders Signs and Symptoms of Hypertension Hypertension does not always cause symptoms; in fact, about a third of people who have hypertension donââ¬â¢t know they have it because of no or few symptoms. Below are some of the most common symptoms of hypertension: Headache Ringing or buzzing in the ears Fatigue Irregular heartbeat Confusion or dizziness Nosebleed Blurred vision Difficulty breathing Chest pain Blood in the urine Nursing Care Plans for Hypertension Once a patient is found to have high blood pressure, itââ¬â¢s important to follow the appropriate nursing diagnosis and nursing care plan for hypertension in order to reduce the effects of hypertension and keep the patientââ¬â¢s health and quality of life high. Below are six nursing care plans for hypertension. These six care plans cover the main issues associated with hypertension. Each one includes its own nursing diagnosis, NANDA definition, possible signs of evidence, desired outcome, and nursing interventions. Use the NANDA definition and potential evidence to determine the correct nursing care plan for hypertension. Some patients may require multiple care plans. Hypertension Nursing Diagnosis #1: Risk for Decreased Cardiac Output NANDA Definition: Inadequate blood pumped by the heart to meet metabolic demands of the body. Possibly Evidenced By: N/A. This intervention is used to in order to prevent decreased cardiac output from occurring. Desired Outcomes: Show stable cardiac rhythm and rate. Maintain blood pressure within an acceptable range. Participate in activities that lower blood pressure and cardiac load. Interventions: Check patientââ¬â¢s lab data (cardiac markers, blood cell count, electrolytes, ABGs, etc.) to determine contributing factors. Monitor and record blood pressure in both arms and thighs Measure blood pressure in both hands. Auscultation of breath sounds and heart rhythm. Observe patientââ¬â¢s skin color, temperature, and capillary refill time. Advise the patient on reducing sodium intake, if needed. Administer medication, if needed. Hypertension Nursing Diagnosis #2: Acute Pain (Typically Headache) NANDA Definition: Pain is whatever the experiencing person says it is, existing whenever the person says it does; an unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of. Possibly Evidenced By: Patient reports throbbing pain in head, most often upon awakening. Changes in appetite. Patient reports neck stiffness, blurred vision, dizziness, nausea, and/or vomiting. Desired Outcomes: Patient states they are no longer suffering from a headache and appear comfortable and pain-free. Interventions: Determine the specifics of the pain, such as intensity, where it is located, and how long it has been going on. Note the patientââ¬â¢s attitude towards pain and any history of substance abuse. Encourage rest during severe pain episodes. Recommend methods of relief, such as neck and back rubs, applying cool cloths to the forehead, and avoiding bright lights. Limit how much the patient moves around. Provide medication, if needed. Hypertension Nursing Diagnosis #3: Activity Intolerance NANDA Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities. Possibly Evidenced By: Patient reporting weakness or fatigue. Abnormal heart rate as a result of activity. Exertional discomfort or dyspnea. Electrocardiogram (ECG) changes reflecting ischemia; dysrhythmias. Desired Outcomes: Patient participates in necessary and/or desired activities. Uses identified techniques to enhance activity tolerance. Reports a measurable increase in his/her tolerance for activity. Demonstrates a decrease in noticeable signs of intolerance. Interventions: Note each of the factors that contribute to fatigue (age, health, illness, etc.). Evaluate the patientââ¬â¢s degree of activity intolerance and when it occurs. Monitor how the patient responds to activity (pulse, heart rate, chest pain, dizziness, excessive fatigue, etc.). Explain energy conserving techniques (shower chairs, sitting to brush teeth, etc.). Assess any emotional factors that may be contributing to activity intolerance (such as depression or anxiety). Encourage the patient to engage in self-care and progressive activity when possible. Hypertension Nursing Diagnosis #4: Ineffective Coping NANDA Definition: Inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources. Possibly Evidenced By: Patient states he/she is unable to cope; patient asks for help. Worry, irritability, anxiety, and/or depression as a result of hypertension diagnosis. Destructive behavior such as overeating, lack of appetite; excessive smoking/drinking, and/or alcohol abuse Desired Outcomes: Patient can identify his/her ineffective coping techniques and their consequences. Verbalizes awareness of own coping abilities. Identifies potentially stressful situations and takes steps to avoid or modify them. Shows the use of effective coping skills. Interventions: Determine what specific areas the patient has difficulty coping with. Assess the effectiveness of the patientââ¬â¢s current coping skills and where improvements can be made. Help the patient identify specific stressors and how to cope with them. Work with the patient to develop a care plan, and encourage participation in the plan. Help the patient identify and begin planning for necessary lifestyle changes. Encourage the patient to evaluate his/her priorities and goals in life. Hypertension Nursing Diagnosis #5: Imbalanced Nutrition (More Than Body Requirements) NANDA Definition: Intake of nutrients that exceeds metabolic needs. Possibly Evidenced By: Patientââ¬â¢s weight is 10%ââ¬â20% more than ideal his/her height and frame. Reported or observed dysfunctional eating patterns. Desired Outcomes: Patient understands the relationship between hypertension and obesity. Initiates/maintains an appropriate exercise program. Shows changes in eating patterns, such as food choice and/or quantity, to attain a healthier body weight. Interventions: Assess the patientââ¬â¢s understanding of the relationship between hypertension and obesity. Discuss the relationship between hypertension and obesity with the patient. Discuss the need for a decreased caloric intake, as well as a limited intake of salt, sugar, and fat. Determine the patientââ¬â¢s desire to lose weight. Help the patient establish a realistic exercise plan. Help the patient establish a realistic nutrition plan. Refer the patient to a nutritionist, if needed. Hypertension Nursing Diagnosis #6: Knowledge Deficit NANDA Definition: Absence or deficiency of cognitive information related to a specific topic. Possibly Evidenced By: Verbalization of the problem. Patient requires information or more information, or he/she doesnââ¬â¢t understand the information given. Patient inaccurately follows instructions. Patient appears agitated, hostile, or upset when the condition and ways for managing it are discussed. Desired Outcomes: Patient can express his/her knowledge of the management and treatment of hypertension. Patient correctly uses the drugs they are prescribed and understand their side effects. Interventions: Determine what information the patient currently understands. Assess readiness and blocks to learning. Include the patientââ¬â¢s partner, if possible. Describe the nature of hypertension, how it affects different parts of the body, and how it can be treated. Avoid using the term ââ¬Å"normal BPâ⬠. Instead use the term ââ¬Å"well-controlledâ⬠to describe patientââ¬â¢s BP within desired limits. Discuss with the patient changes he/she can make in order to manage hypertension. Discuss the importance of maintaining a stable weight. Discuss the need for low-calorie diet, low in sodium to order. Help the patient create a schedule for taking medications. Direct the patient to other resources that can be used to better understand and manage hypertension. Review: Diagnosing and Treating Hypertension Hypertension, the medical term for high blood pressure, is an issue that can have serious and long-term health effects if it isnââ¬â¢t properly managed. Therefore, having an effective nursing care plan for hypertension is important. While itââ¬â¢s often difficult to pinpoint the cause of hypertension, high blood pressure may be caused by the weight, smoking, high sodium intake, and/or genetics, as well as other factors. Some symptoms of hypertension can include headache, dizziness, fatigue, difficulty breathing, and/or chest pain, although some patients with hypertension donââ¬â¢t show any symptoms. There are six key nursing diagnoses for hypertension. Risk for decreased cardiac output Acute pain (typically headache) Activity intolerance Ineffective coping Imbalanced nutrition (more than body requirements) Knowledge deficit For each nursing diagnosis for hypertension, itââ¬â¢s important to know the NANDA definition, possible signs of evidence, desired outcome, and nursing interventions. What's Next? Thinking about exploring a career in healthcare administration? Read our complete guide to getting a healthcare administration degree, with explanations for what levels of qualification you need for different careers.
Thursday, November 21, 2019
Topic and Research Questions Essay Example | Topics and Well Written Essays - 500 words
Topic and Research Questions - Essay Example her has to study things in their natural settings, attempt to look further into them and make sense of them, and interpret them in terms of the meanings people bring to them (Yin 7). In this question the research will aim to find out what the health care providers think about the use of the electronic record keeping in medical practice. It attempts to find out the feelings that they have on whether electronic record keeping has led to improvements in their service delivery, if it has affected their delivery of care to their patients and generally what they think of electronic record keeping in relation to other methods of record keeping available for use by them. This is a quantitative research question. Quantitative research tends to focus on measurement and proof of phenomena. This type of research adopts a scientific approach to research that goes through a specific process. The scientific process is based on the premise that a phenomenon is only meaningful or of value if it can be observed and counted. Qualitative research is characterized by numerical data which allows for a variety of statistical analysis (Gravetter and Forzano). Many researches have employed this method because of the fact that it is objective and easier to interpret figures than interpreting feelings and emotions or perceptions of people or phenomena. This type of research basically employs questionnaires and surveys in data collection before analysis. Usually a large portion of the population is surveyed so that the results portray a representative sample of the whole population (Gravetter and Forzano 157-158). This question therefore aims to conduct a survey on the US hospitals by counting how many hospitals have adopted and are using the electronic record keeping. Actually a variety of hospitals may be surveyed in this research to identify how many of them use the electronic health records. The rate of adoption can be arrived at by finding out the number of hospitals that are using
Tuesday, November 19, 2019
Sources of Revenue for the New Company Assignment - 24
Sources of Revenue for the New Company - Assignment Example It is evidently clear from the discussion that when the new company is being opened up, it will have to encounter a number of start-up costs. These costs will consist largely of new equipment that the company will have to buy up to provide production and hosting for customers. In addition, other costs will include the materials that will have to be used to manufacture coffee and other food items. The new company will have to invest in coffee roasters, mixing and blending machines, a refrigerator, baking machines (if the company chooses to bake its own products) and furniture for hosting the clients. Furthermore, the company will have to pay for the security and rent of the shop they occupy along with some renovation costs. In terms of materials, the company will have to buy up coffee beans, cream, milk, flour, sugar, and other such consumables.Ã Other than these costs, the company will have to look into recurring expenditures such as costs of utilities and pays for part-time worker s. Based on these projections, the company may or may not make profits depending on the market they are present in as well as the financial backing they have available to continue with these expenses in the beginning. The owners will have to focus on the economic environment because economic recession and a slow resurgence of the economy have meant that disposable incomes are low. People would be less than willing to spend more on items such as coffee and non-essential food items because their finances would be already restrained. Another external environment that the owners would need to look into is the political environment.Ã
Sunday, November 17, 2019
Children and adults Essay Example for Free
Children and adults Essay The Effective Early Learning Project based at Worcester University highlights two ways in which adults can help children progress; The first is the way the adult encourages the child to be autonomous, to get on and try new things; The second, is the way the adult offers experiences which are stimulating, challenging and interesting. Adults need to be a supporting factor when the child is in a risky environment. Children and adults alike enjoy climbing trees; adults know when they are too high as do children. This is a whole other debate in terms of nature or nurture debate. This is where we could explore the idea of children learning to be safe when risk taking or is it already there. Stephenson (2003) wrote about a child on a swing, Swinging was very popular with these younger children, but more often than the older children their reactions indicated that they felt unsafe and wanted the swing slowed down. Therefore the child has taken the risk, has agreed a boundary, enjoyed the activity and acknowledged the safety aspect. The adult was there to ensure the safety and also make the activity a positive one by being readily available. Children must face all different kinds of risks in order to support their development and learning. Stine (1997) wrote that to support their learning and development is a complex issue. There always has to be provision for a physical challenge. More and more educational settings are using outdoor play/activity to challenge the children. Although, what is an acceptable risk to one person, may be completely the opposite of another. Bruce and Meggitt (2002) write that outdoor space needs to be available most of the time; They continue that, safety is the only consideration for keeping children in doors. Children can feel safe in risk taking environments and activities in many ways. Initially the adult to child ratio, with a high number of adults children can be supported and helped to achieve. Secondly by minimising, if possible, the risk aspect. This could be ensuring the activity is a positive and acceptable environment. Thirdly by giving the children all the opportunities available for physical risk taking, children need a stimulating and challenging environment. And finally, a well maintained balance between the childs safety and the challenge of the activity. In an educational setting, an adult carer will go to the risk area and carry out an assessment. They will check the route to be taken, dangers in the area and also any area that poses extreme concern. An adult carer should also think about the child to adult ratio. A local nursery allows children to climb trees. Due to the child to adult ratio, the nursery feels that the level of risk posed can be curtailed by having by having the children supervised and supported through the activity by adults. The children are therefore enjoying the activity of risk taking, as well as feeling safe in knowing an adult is available to help at any time. Another factor that the adult carer should be aware of is the idea of making a childs environment completely hazard free. Therefore taking away any risk or danger. Walsh (1993) thought that children in an environment that is completely safe could become bored and this could lead to self initiated risk taking that could be dangerous. Durberry (2001) felt that children who grow up in an ultra safe environment would lack confidence in their own physical ability. This would be due to the poor opportunities for the children to build and extend upon their exiting knowledge. He continued that children had to be both confident and competent physically in order to feel competent emotionally. The ideals on risk taking vary from culture to culture. Although the main aim remains the same. The child needs to remain safe, but feel they are being challenged and stimulated. To minimise hazards there needs to be a high adult to child ratio. Children need opportunities to explore and do so independently. Over the last decade, the childs freedom of choice has been limited. Adult carers are sometimes over anxious about letting the child experiment with risk taking. The procedures and guidelines that are in place give the adult carer a frame work on which to base their activities upon. The adult carer should exploit and become fluent in the procedures and guidelines in place. This in turn will provide groundwork for safe risk taking. Bibliography Smith, P., Cowie, H. Blades, M. (2003) Understanding Childrens Development, London: Blackwell Publishing.Ã Bruce, T. Meggitt, C. (2002) Childcare Education, London: Hodder Stoughton.Ã DfEE (2003) Early Years (Volume 23, Number 1), London: Taylor Francis
Thursday, November 14, 2019
The Painted Door - The Tragedy :: essays research papers
Ann and John, two characters from he short story "The Painted Door", do not have a very healthy relationship. John is a simple farmer who thinks the only way he can please his wife, Ann, is by working all day to earn money for her. However Ann would prefer him to spend more time with her. Their relationship is stressed even further when Ann is left at home alone with nothing to think about but their relationship because John has to go to his fatherââ¬â¢s house. The terrible snowstorm accentuates Annââ¬â¢s feelings of loneliness and despair. John does not pay enough attention to Ann, and therefore creates a weak relationship. Ann is justified in her decision to "sleeps" with Steven, Johnââ¬â¢s friend. John has not been paying much attention to Ann and he leaves her alone in their house with Steven. Ann also has prior feelings for Steven from when they where in school together. Ann felt that she is unimportant to John because he frequently leaves her alone; she states, "It isn't right to leave me here alone. Surely I'm as important as your father." Ann just wants to feel loved by John but because he doesn't make her feel loved. She sees Steven as the only person who can give her the love and affection she needs. John's decision to commit suicide was the right thing to do to make Ann happy. John thought that killing himself would make it easier for her to stay with Steven, who he thinks that she loves. John made a decision about his own life so he has the right to choose to kill himself. He also just wants Ann to be happy. He is "naively proud of Ann. He had bewildered by it once, her caring for a dull-witted fellow like him: then assured al last of her affection he had relaxed against it gratefully, unsuspecting it might ever be less constant than his own." (Pg.49) In John's mind he was making the right decision, so he was free to make it. Ann is the most to blame for her depression, her affair with Steven, and Johnââ¬â¢s suicide.
Tuesday, November 12, 2019
Online Requisition Essay
Introduction In the world of business, Information system is such where data are collected, classified and put into process interpreting the result thereon in order to provide an integrated series of information for further communicating and analyzing. In a progressively more spirited worldwide atmosphere, Information System plays the role as enabler and facilitator, which endows with tactical values to the officialdom and considerable step up to the excellence of administration. An Information System is a particular type of work system that uses information technology to detain, put on the air, store, retrieve, manipulate or display information. Information system enables companies to react, respond, cater, store, retrieve, disseminate, and control their new valuable asset that is information. In the years to come, a good information system within a company will be no longer an option; it will become a compulsory in determining success. Upgrading the computer information system is not an option in this technology-driven era; it is a requirement. Companies that use an up-to-date information system to gather, assimilate, and evaluate internal as well as external information are gaining competitive advantage over other firms. Management is quicker to cater to customerââ¬â¢s needs and complaints. With the growth of communication networks, there are almost no barriers between the firmââ¬â¢s management, employees, customers and suppliers. Networked computing systems have made new modes of work possible. Conceptual Framework of the Study Products and information Xammp MySQL The customers will input their information and serarch for products Xammp is the software used in this study. MySQL is the database used in this study. Online requisition material for gilmore computer solutions cabanatuan campus INPUT PROCESS OUTPUT Figure 1.1 shows the customers will be able to search for products and services faster and easier. Figure 1.1 the Proposed Systemfor the Company Verification Statement of the Problem The proponents aim to present the general problem and specific problems 1. What are the advantages of the website in a business? 2. Does the website give accurate information about the company? 3. What are the possible problems that the website will encounter in the future in terms of: 4.1 record duplication 4.2 accessibility of the information 4.3 transaction Objective of the Study The reasons for this company to have a website are pretty obvious. Whether they sell products that appeal to a large audience or products that are hard to find, if those products can be delivered quickly to homes or other businesses, online availability is a great way to increase sales. These websites may either maintain their own shopping cart software or use a third party e-commerce service. If a business provides a service or products confined to a small, local market, they can advertise on the web very economically. At the same time, they can offer a great deal of helpful information about their company, products, services that might not be possible with more conventional types of advertising due to higher costs. Significance of the Study To the Customers: it will give the customers an idea where to buy computer parts and where to repair their computer. To the researchers: it will benefit us through applying what we have learned in this project. To the company: it will benefit the company in the way that the company will e introduced to other places, be more popular and it will ring them more customers. Scope and Delimitation The study focuses on the advantage of using Operational information system in a company. The study will be conducted in Gilmore Computer solutions, Cabanatuan City * Survey on the customers * Interviews on the employee and the manager Definition of Terms Information System ââ¬â Information System is a combination of people, hardware, software, communication devices, network and data resources that processes (can be storing, retrieving, transforming information) data and information for a specific purpose. System ââ¬â A system is a procedure, process, method or course of action designed to achieve a specific result. Data ââ¬â Factual information, especially information organized for analysis or used to reason or make decisions. Officialdom ââ¬â one who holds an office or position or an administrator, especially one who acts in a subordinate capacity for an institution such as a business. Retrieve ââ¬â The act of bringing back a data. Disseminate ââ¬â ââ¬Å"scatterâ⬠or to ââ¬Å"spread.â⬠Its main usage is probably ââ¬Å"to disseminate information.â⬠Website ââ¬â A set of interconnected webpage, usually including a homepage, generally located on the same server, and prepared and maintained as a collection of information by a person, group, or organization. Internet ââ¬â a vast computer network linking smaller computer networks worldwide Workforce multiplier ââ¬â make the work faster and more efficient. Shopping cart software ââ¬â Typically, a shopping cart is the interface between a companyââ¬â¢s web site and its deeper infrastructure, allowing consumers to select merchandise, review what they have selected; make necessary modifications or additions; and purchase the merchandise. Maintain ââ¬â To keep the system working properly. Advertising ââ¬â is the nonperson communication of information usually paid for and usually persuasive in nature about products, devices or ideas by identified sponsors through the various media. The Proposal Gilmore computer solutions Cabanatuan City offers different kinds of services on computers. The store also sells high quality computers and parts of computers. Making a website for the store will make it more popular in many different areas. A website where customers can look and order for the storeââ¬â¢s available products that they need for their computer.
Sunday, November 10, 2019
Case Study Of Mercury Poisoning In Canada Environmental Sciences Essay
Between 1962 and 1970, the Wabigon river which was considered as a really of import fresh water resource in the north-western portion of Ontario, and a major beginning of nutrient supply for the people of Grassy Narrows and the Wabasseemoong First Nation communities was poisoned when a mush and paper factory industry known as Dryden paper factory, situated in the North of the river was believed to hold pumped about 10 metric tons of quicksilver into the river with the permission of the Ontario government.. Until 1970, the Ojibwe and other Aboriginal communities along the English-Wabigon River had built their support around this river for nutriment and economic activities. The people were nevertheless shocked with a CBC intelligence on November 1, 1970 that this vitalizing H2O was besides a beginning for possible decease through quicksilver toxic condition. This paper provides a reappraisal of the wellness effects of quicksilver poisoning on open people and how this goes a long manner to impact their manner of life. The paper will besides look at the intercessions put in topographic point by the authorities, whether those policies were helpful and what could hold been done otherwise. The paper will besides reexamine the available ordinances in Canada protecting people from such unsafe elements. A reappraisal was conducted seeking informations bases every bit good as utilizing indexes of published documents to understand the wellness effects. Contamination of quicksilver comes from natural and artificial/industrial beginnings. Naturally, this component appears in little concentrations in many stones, dirts, air and H2O around the universe ( Environment Canada ) . It has been shown that the worst signifiers of quicksilver taints have all resulted from human activities such as damping of industrial wastes which contain quicksilver in H2O organic structures and the usage of quicksilver in the excavation industry. Mercury has a long standing history of wellness effec ts among open citizens and has been associated with neurological, cardiovascular, immune system, cardinal nervous system, and kidney jobs every bit good as many other wellness results ( Passos & A ; mergler, 2008 ) . In small-scale gold excavation, gold is extracted utilizing quicksilver merger therefore presenting a considerable menace to both human and environmental wellness ( Spiegel, Savornin, Shoko, & A ; Viega, 2006 ) . Viega et Al ( 2006 ) as cited in Mohapatra and Mohapatra ( 2009 ) states that artisanal and small-scale gold excavation remains the largest planetary user of quicksilver and is still increasing largely in developing states. Findingss have revealed that elevated quicksilver exposure rates among the exposed are straight related to negative wellness results. In a late published study of Dr. Harada, a Nipponese quicksilver expert reveals that the people of Grassy Narrows and whitedog modesty are worse off than they were in 40 old ages ago when he foremost visited t he community to analyze the impacts of quicksilver poisoning on the people. Two of such communities that have suffered from quicksilver taint are Grassy Narrows and whitedog first states reserve in northwesterly Ontario, Canada.IntroductionMercury is a powerful toxin, exposed people all over the universe at serious hazard. Many surveies have confirmed mercury toxicity among specific populations and assorted environmental compartments ( National Research Council, 2000 ) . Health outcomes among open populations have been shown to be straight correlated with quicksilver exposure in the environment ( Passos & A ; Mergler, 2008 ) . The intent of this reappraisal is to critically measure the recent studies affecting exposure degrees to quicksilver of Grassy Narrows and whitdog community of Northwestern Ontario and the associated wellness results on the people. Between 1962 and 1970, the traditional life styles of these two Northwestern Ontario First Nations communities ( Grassy Narrows and whitedog ) were harmfully affected by quicksilver taint due to a chemical works upstream from their communities ( CBC, 1970 ) . The primary effects of quicksilver taint occurred in the chief basic of nutrient, fish, which had record-high degrees of quicksilver. The secondary effects of quicksilver taint affected the economic resources of these two communities when they were forced to shut their commercial piscaries and fishing ushers which rendered them unemployed ( CBC, 1970 ) . Dryden Chemicals Ltd. pumped 10 metric tons of quicksilver during this period ( 1962-1970 ) into the Wabigoon River which spread into the English River, the Winnipeg River and finally into Lake Winnipeg. This works used quicksilver to do Cl for decoloring paper. On provincial orders, Dryden Chemicals greatly restricted its quicksilver emanations in 1970 and finally halted quicksilver emanations in 1975. As indicated earlier, there are other activities in Canada such gold excavation which expose the populations of the rural communities to mecury. One of such mines located in the first state communities is the Musselwhite Mine which is owned by Goldcorp Inc ( 68 % and operator ) , and Kinross Gold Corporation ( 32 % ) . It is an belowground gold mine and processing works bring forthing about a one-fourth of a million ounces of gold yearly. It is situated on traditional First Nations land and works in partnership with First Nation communities. It is nevertheless deserving adverting that the relationships and understandings between this gold company and the First Nations have been recognized as best patterns within the excavation industry ( Musselwhite Joint Venture Mine Report, 2006 ) . Notwithstanding, all these activities straight or indirectly affect H2O organic structures and fist in peculiar, in these communities. Fishing is an activity considered by some people in Canada as leisure but for Aboriginal communities, fish ingestion is considered as portion of the civilization and this constitutes an of import beginning of support for many Aboriginal communities ( CBC, 1970 ) . Mercury exists in three signifiers ; elemental ( vapor ) , inorganic ( mercury compounds formed with other metals ) , and organic ( elemental quicksilver with C ) ( Selid, Xu, Collins, Striped Face-Collins, & A ; Zhao, 2009 ; Health Canada, 2010 ) . Beginnings of quicksilver scope from a assortment of natural beginnings, such as vents and dirts, to knowing human release activities, such as that in some excavation and other industrial operations ( Santos, Jesus, Brabo, Camara, Loureiro & A ; Macarenhas, 2000 ) . Mercury has a comparatively high vapor force per unit area, which means that it constitutes a important sum of volatile chemical being released into the air ( World Health Organization [ WHO ] , 2008 ) . Continuous exposure to contaminated air, through direct inspiration of firing amalgam or through ingestion of quicksilver contaminated merchandises, particularly fish, are easy beginning of soaking up into the lungs and other variety meats which consequences in a important sum of quicksilver related wellness effects ( WHO, 2008 ) . Miners besides have a high hazard of exposure due to direct soaking up through the tegument while managing the quicksilver. Concentrated quicksilver exposures, such as that in contaminated fish and other consumable merchandises, cause serious wellness jobs. Health effects have shown to be correlated with degree and signifier of quicksilver exposure, whether it is elemental, organic, or inorganic. Vapour is the most readily transmitted exposure tract into the organic structure, followed by inorganic exposure on tegument ( Health Canada, 2010 ) . Biomarkers and bio-monitoring are defined methods to understand degrees of environmental chemicals through hair, blood, and urine samples ( Wong & A ; Lye, 2008 ) . Biomarkers measure quicksilver concentrations and all biomarkers identified in literature are accepted as valid indexs of quicksilver exposure, although each independent marker provides a different reading of degree or type of exposure. All methods are of import in understanding proving degrees of quicksilver exposure, as most literature surveies do change on proving type. The wellness effects of quicks ilver are extremely dependent on its chemical signifier. In add-on, the definition of exposure has been defined otherwise in most literature, although as a planetary definition, it is defined as contact over clip between a individual and one or more biological, chemical, or physical agents ( WHO, 2008 ) . Harmonizing to Selid, Xu, Collins et Al ( 2009 ) , human related quicksilver emanations from the work of industries have increased with regard to natural emanations. The Agency for Toxic Substances and Disease Registry ( 1999 ) , as cited in Selid, Xu, Collins et Al ( 2009 ) , reported that about 80 % of anthropogenetic quicksilver emanations release elemental quicksilver into the air through industrial procedures, about 15 % of this quicksilver is released into the tellurian environment, and 5 % of anthropogenetic quicksilver emanations is carried from industrial effluent to the aquatic environment, inciting nutrient contaminations based on natural resources. Health Canada defines the blood quicksilver concentration counsel value, or threshold, of 20AAà µg/L for grownups. Harmonizing to this parametric quantity, any environmental quicksilver degree above this defined sum must hold follow up action to cut down the effects of human exposure ( Statistics Canada, 2008 ) . Within this paper, the Statistics Canada degree will be used as a set point in which comparings can be made. It should besides be noted that occupational exposure to mercury vapour occurs chiefly in fishing and gold excavation industries where normally people are employed ( Vahter, Akesson, Liden, Ceccatelli, & A ; Berglund, 2006 ) .History: Brief Global Picture.Globally, quicksilver toxic condition has been documented in states such as Japan ( 1953-65 ) , Iraq ( 1971-72 ) , Pakistan in 1969 and my ain state Ghana in 1969. The quicksilver toxic condition in in Japan attracted a batch of involvement. This was after some occupants of Minamata with unusual symptoms of an unkno wn disease were admitted at the Minamata Health centre in 1956. Health functionaries were able to associate this unusual disease to mercury toxic condition. An industry which used involved quicksilver in its procedures was allowed to let go of its waste into the Minamata Bay. The governments detected that people who depended on the fish and shell fish from Minamata Bay were the lone people affected by this unusual disease. It was realized that the fish and fish shell of the Bay had been poisoned with quicksilver. The usage of quicksilver nevertheless increased drastically throughout the universe after universe war two in assorted industries including the pigment, agribusiness, electrical, leather tanning and paper bring forthing industries.History of Mercury Poisoning in Canada ( Grassy Narrows and Whitedog reverves )Mercury toxic condition in Canada was accorded the necessary attending after the people of Grassy Narrows and whitedog militias were affected by this on-going threat at the clip. Grassy Narrows is a modesty located about 80km at the northeast portion of Kenora. Whitedog, on the other manus is located about 70km to the West, off the Manitoba boundary line. Wholly, there were about 850 dwellers in the two militias during the late sixtiess when the issue of quicksilver toxic condition erupted ( CBC, 1970 ) . The issue of quicksilver toxic condition of Canadian Waterss and fish became apparent to the populace in 1969 after the Federal Department of Fisheries and Forestry embarked on the commercial catching of fish from the Lakes of Cedar and Winnipeg every bit good as the Saskatchewan river and Red river, all in Manitoba ( Bligh 1970 ) . This disclosure prompted the federal authorities to inform the proprietors of the commercial fishermen and tourer centres along the English-Wabigoon river of an at hand closing of their installations because the fish in those rivers were insecure for both carnal and human ingestion. Fish in the rivers were proving really high degrees of methylmercury ( I have non finished this subdivision. Will continue after acquiring more literature )Effectss of Mercury on Exposed PopulationsOver the last three decennaries, many human wellness surveies have been executed in many communities to understand the exposure effects of quicksilver on worlds. There is a big orga nic structure of research grounds that supports a relationship between occupational exposure to mercury amongst exposed people and negative wellness results. Harmonizing to a systemic reappraisal measuring decadeaaââ¬Å¡Ã ¬aââ¬Å¾?s worth of informations, Passos and Mergler ( 2008 ) denote that gold mineworkers are the most critical population with the highest reported degrees of quicksilver in the universe today. However, in Canada, where little graduated table gold excavation is non common, the following most critical populations exposed to quicksilver are those who consume fish from quicksilver contaminated H2O organic structures either wittingly or unwittingly ( Health Canada, 2010 ) . Harmonizing to the wellness Canada, Canadians in general are largely non at hazard from Mercury poisoning but there is still a concern particularly for people who consume big sums of fish, marine mammals and wild game as portion of their day-to-day diet. Data was extracted to place the most prevailing wellness issues among the open people. All surveies used cohort or cross sectional designs. The most prevailing wellness consequence noted in the informations collected was neurological shortages. Some surveies attempted to understand marks and symptoms of past quicksilver toxicity, while others tested dose degree exposure as a hazard factor for future neurological effects.Neuropsychological effectsMultiple mentions, dwelling of cross sectional, cohort and equal reviewed literature were used to picture the effects of quicksilver exposure on neurological operation. Results revealed a important dose response consequence between quicksilver and neurological shortages ( Passos & A ; Mergler, 2008 ) . Studies including those who have used strict neurological scrutinies, found neuro-toxic effects including decreased cognitive maps, lessenings in attending or spacial public presentation, hapless leg coordination, multiple sensory troubles, shu dders, concentration troubles, insomnia, memory loss and kidney disfunction ( Counter, Buchanan, & A ; Ortega, 2005 ; National Research Council, 2000 ; Passos & A ; Mergler, 2008 ) . One independent survey, every bit good as documented findings within reappraisals, indicated that hearing loss was associated with quicksilver exposure among open populations, nevertheless it is to be noted that writers could non define whether the toxicity was purely due to occupational exposure through inspiration, or if it was through dietetic ingestion of contaminated country nutrient, such as fish ( Counter, Buchanan, Laurell, Ortega, 1998 ; Passos & A ; Mergler, 2008, National Research Council, 2000 ) . It is hard to place comparison factors from each survey as consequences were elusive amongst independent and systemic reappraisals, every bit good as most surveies did non detail biomarkers.Immune system effectsRecent surveies have narrowed focal point in on the impact quicksilver exposure has on i mmune system working. Studies defining the relationship of quicksilver exposure in the Amazon mine workers found a strong correlativity between quicksilver exposure and malaria ( Passos & A ; Mergler, 2008 ) . One survey reported that malaria was four times higher for those persons describing a history of working with inorganic quicksilver than those who did non ( Crompton et al, 2002 ) . A reappraisal on grounds in Amazonian excavation populations illustrate consequences consistent with other findings that quicksilver induced effects are apparent including autoimmune disfunction ( Passos & A ; Mergler, 2008 ) . Reports based on urinary biomarkers identified exposure rates runing from 0 to 240 AAà µg/L and concentrations in the blood samples varied from 0 to 30 AAà µg/L ( Crompton et al, 2002, Passos & A ; Mergler, 2008 ) . Harmonizing to environment Canada, because Mercury exists in three different signifiers ( gas, organic and inorganic ) , the degree of toxicity and continuity in open persons vary depending on this signifier an person is exposed to. Silva et Al ( 2004 ) documented effects of quicksilver on activated immune cells and documented the response of both redness and anti-inflammation and found significantly increased redness in those who had been exposed to inorganic quicksilver and noted that quicksilver may besides be related to other chronic auto-immune diseases such as Lupus and arthritis.Central Nervous System EffectssThe consequence of quicksilver on the cardinal nervous system has been extensively studied in high and low-dose exposures. However, much of the literature identified within the context of the systemic reappraisals. As portion of this reappraisal, the initial surveies are non included due to the day of the months completed, nevertheless, it is to be noted that Passos and Mergler ( 2008 ) and the National Research Centre ( 2000 ) found that several marks and symptoms related to the cardinal nervous system shortages are evidentia ry characteristics of chronic high-dose exposures to Mercury in grownups. These included centripetal damage of the appendages, perturbation of equilibrium, and subjective symptoms such as concern, musculus and joint hurting, forgetfulness, and weariness ( Passos & A ; Mergler, 2008 ; National Research Council, 2005 ) .Cardio-vascular effectsMercury accumulates in the bosom, and exposures have been associated with blood force per unit area alterations and unnatural cardiac operation ( National Research Council, 2000 ) . Based on the inclusion standards of the reappraisal, merely three surveies evaluated quicksilver exposure and cardio-vascular effects ( Passos & A ; Mergler, 2008 ; Fillion, Mergler, Passos, Larribe, Lemire, & A ; Guimaraes, 2006 ) . Numerous surveies of cardiovascular effects have been referenced in the systemic reappraisals, although all autumn outside inclusion standards for this reappraisal. One independent survey by Kobal et Al, found that chronic exposure in pop ulations has been implicative of cardiovascular toxicity, nevertheless grounds is non clear ( Kobal, Horvat, Prezelj Briski, Krsnik, Dizdarevic et Al, 2004 ) . Other surveies reported high blood pressure and unnatural bosom rate among open workers ( National Research Council, 2005 ) . It should be noted that all surveies, including those within the systemic reappraisal, reported or referenced that higher blood force per unit area was significantly related to high quicksilver degrees. It is besides to be noted that the biomarker agencies could non be used as they varied within each survey and were non comparable.Kidney mapsThe kidneys are sensitive to mercury following inspiration exposure. Several probes have found nephritic alterations in populations inveterate exposed to mercury toxic condition ( National Research Council, 2000 ; WHO, 2008 ; Passos & A ; Mergler, 2008 ) . One survey done in 1993 measured 50 workers in a cohort survey looking at exposure degree differences on kidne y eliminations between mining workers and control workers ( Cardenas, Roels, Bernard, Barbon, Buchet, Lauwerys, et Al, 1993 ) . The statistical analysis resulted in workers egesting a average quicksilver degree of 22 mcgs over 11 old ages ( Cardenas, 1993 ) . The chief nephritic alterations associated with the exposure to mercury were chiefly found in workers egesting more than 50 micrograms/g and resulted in increased escape of cannular enzymes and antigens and biochemical changes ( Cardenas, 1993 ) . Health Canada besides acknowledges that quicksilver toxic condition can be really damaging to babies, particularly when the toxicant is easy passed on to the babies through chest milk. This is based on the fact that the nervous system of babies and kids is really sensitive to mercury and a minimum exposure can do symptoms such as reduced IQ, delays in walking and speaking, deficiency of coordination, sightlessness and ictuss. The findings of quicksilver toxic condition in grownups postulated by wellness Canada is consistent with the reappraisals I have done with few add-ons. High exposures of grownups to mercury poisoning leads to detrimental jobs such as personality alterations, shudders, alterations in vision, hearing loss, loss of musculus coordination and esthesis, memory loss, rational damage and in some instances decease ( Health Canada, 2010 )Effectss on the people of Grassy Narrows and Whitedog militiasAssociating the inauspicious effects of the quicksilver exposure in Grassy Narrows and Whitedog militias, the effects manifested in two creases. The primary effects of the taint occurred in the chief basic of nutrient and fish, which had record-high degrees of quicksilver ( Harada et al, 1976 ) . The secondary effects affected the economic resources of these two communities when they were forced to shut their commercial fishing activity which rendered huge figure of people unemployed ( CBC, 1970 ) . The open communities were affected by a disease known as Minamata disease ( Named after a unusual disease which affected the people of Minamata in Japan after terrible quicksilver toxic condition ) . Minamata disease is a neurological syndrome caused by terrible quicksilver toxic condition. The symptoms of this disease were noticed in the late sixtiess among the people in Grassy Narrows and whitedog first state communities. As indicated earlier, the symptoms being experienced were similar to that which occurred in Minamata, Japan after the terrible quicksilver toxic condition in that community. Most Nipponese physicians who had been involved in analyzing this disease came to Grassy Narrows and the whitedog community merely to recognize that the quicksilver degrees in the bloods of the dwellers measured between 100ppb and 200ppb, far transcending the wellness Canada bound ( commission for Native concerns, 2007 ) . Harmonizing to Harada et Al ( 1976 ) , the people had symptoms such as centripetal perturbations, narrowing of the ocular field, impaired hearing, unnatural oculus motions, shudder, impaired balance and hapless articulation of address.
Thursday, November 7, 2019
Animal Cells, Tissues, Organs and Organ Systems
Animal Cells, Tissues, Organs and Organ Systems The building blocks of all matter, atoms and molecules, form the substrate for the increasingly complex chemicals and structures that make up living organisms. For example, simple molecules like sugars and acids combine to form more complex macromolecules, such as lipids and proteins, which in turn are the building blocks for the membranes and organelles that make up living cells. In order of increasing complexity, here are the basic structural elements that, taken together, make up any given animal: Basic Structural Elements atomssimple moleculesmacromoleculesmembranesorganellescellstissuesorgansorgan systemsanimal The cell, toward the middle of this list, is the basic unit of life. It is within the cell that the chemical reactions necessary for metabolism and reproduction takeà place. There are two basic kinds of cells, prokaryotic cells (single-celled structures that do not contain a nucleus) and eukaryotic cells (cells that contain a membranous nucleus and organelles that perform specialized functions). Animals are composed exclusively of eukaryotic cells, though the bacteria that populate their intestinal tracts (and other parts of their bodies) are prokaryotic. Eukaryotic cells have the following basic components: A plasma membrane that forms the outermost boundary layer of the cell, separating the cells internal processes from the external environment.Cytoplasm, which consists of the semifluid substance called cytosol as well as various organelles.A well-demarcated nucleus, which contains the animals chromosomes inside a nuclear membrane. Organ Systems During the development of an animal, eukaryotic cells differentiate so they can perform specific functions. Groups of cells with similar specializations, and which perform a common function, are referred to as tissues. Organs (examples of which include lungs, kidneys, hearts, and spleens) are groups of several tissues that function together.à Organ systems are groups of organs that work together to perform a specific function; examples include skeletal, muscular, nervous, digestive, respiratory, reproductive, endocrine, circulatory, and urinary systems.
Tuesday, November 5, 2019
3 Sentences with Unnecessary Semicolons
3 Sentences with Unnecessary Semicolons 3 Sentences with Unnecessary Semicolons 3 Sentences with Unnecessary Semicolons By Mark Nichol Semicolons, used to separate two independent clauses or two or more words and/or phrases in a list when at least one phrase is itself a list whose items are separated by commas, are sometimes erroneously employed when those conditions do not exist. Here are three such sentences, each followed by a discussion and a revision. 1. The regulation extends the civil market abuse regime to new markets and instruments; adds extraterritorial scope; and introduces a new offence of attempted market manipulation. A long sentence that lists several things with extended phrasing does not merit semicolons; commas are sufficient the separate the elements: ââ¬Å"The regulation extends the civil market abuse regime to new markets and instruments, adds extraterritorial scope, and introduces a new offence of attempted market manipulation.â⬠2. The organization saw an opportunity to connect more clearly with a multitude of stakeholder expectations; position risk in the context of an enterpriseââ¬â¢s performance, rather than as the focus of an isolated exercise; and enable organizations to become more anticipatory. This sentence does not require semicolons, either- ââ¬Å"rather than as the focus of an isolated exerciseâ⬠is clearly parenthetical to the second item, not part of a list within a list: ââ¬Å"The organization saw an opportunity to connect more clearly with a multitude of stakeholder expectations, position risk in the context of an enterpriseââ¬â¢s performance, rather than as the focus of an isolated exercise, and enable organizations to become more anticipatory.â⬠(Notice how each item begins with a verb, signaling a clear syntactical structure.) 3. Advances in digital technologies- including intelligent devices and machines; virtual reality; mobile technologies; cloud computing; social business; and smart grids, factories, and cities in an app-centric world- are driving disruptive change. Only one item in this list itself consists of a list, and it is the last item, so no confusion about the organization of the sentence is likely: ââ¬Å"Advances in digital technologies- including intelligent devices and machines, virtual reality, mobile technologies, cloud computing, social business, and smart grids, factories, and cities in an app-centric world- are driving disruptive change.â⬠An alternative is to set the final item apart from the others: ââ¬Å"Advances in digital technologies- including intelligent devices and machines, virtual reality, mobile technologies, cloud computing, and social business, as well as smart grids, factories, and cities, in an app-centric world- are driving disruptive change.â⬠This version also avoids the cluttered look of a semicolon-laden sentence, though it makes the sentence slightly more complex. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Punctuation category, check our popular posts, or choose a related post below:How to Structure A Story: The Eight-Point ArcTaser or Tazer? Tazing or Tasering?48 Writing Prompts for Middle School Kids
Sunday, November 3, 2019
Sunningdale Agreement Essay Example | Topics and Well Written Essays - 1500 words
Sunningdale Agreement - Essay Example The British government created Northern Ireland against the wishes of the majority of the Irish People who wanted a free and independent Irish republic. Though there are some counter claims, the victory of the Sinn Fein in the 1918 Irish Elections is a convincing indication of the people's strong republican sentiments. The 1920 partition created the first great divide between Irish nationalists and Unionists and left it festering like an open wound. (NIFR, 1984). The partition did benefit the Protestants in Northern Ireland, where they assumed the role of the majority, while the Catholics became the minority in a highly sectarian society. Discrimination against Catholics over jobs, education, and housing; violations of many of their basic rights; and Protestant apprehension over nationalist organisations and activities have only widened and hardened the differences between them. The discontent created by this situation has sparked off various protests in Northern Ireland since 1920. ... idualhighlight all possible abuses of power demand guarantees for freedom of speech, assembly and association(and) inform the public of their lawful rights." (NICRA, 1978). Sunningdale Agreement 4 "The civil rights movement drew a hostile response from the Protestant state, which saw it as a threat to its very existence." (Fitzduff, 2000). British troops landed on Northern Ireland soil in 1970 to deal with civil rights actions. Internment was introduced in 1971, and Catholics were incarcerated without being tried. This created widespread resentment. The IRA became increasingly active and received increasing support from Catholic communities. From 1970-1972, in a paroxysm of violence, almost 500 people were killed due to conflict that involved British troops, unionists, nationalists, and their paramilitary groups. By 1972, Home Rule by Stormont was replaced by direct rule by the British government. Something had to be done, and that something was Sunningdale. Sunningdale Revisited The Sunningdale Agreement provides strong assurances to Northern Ireland Unionists that the principles of consent and majority rule will preserve their dominant position in NI society. (CAIN, Sunningdale Agreement). It states that the majority of the people of Northern Ireland will decide whether they want to remain within the UK or become part of a united Ireland. Both the Irish Republic and British government guarantee that they will respect and abide by the decision of the majority. Logically, since the NI majority are Sunningdale Agreement 5 Protestant Unionists, we can expect Northern Ireland to remain within the UK for the foreseeable future under the agreement. Viewed from the other side, Catholic nationalists can expect little improvement in their situation since the
Friday, November 1, 2019
The Chinese Decision to Enter the Korean War Essay
The Chinese Decision to Enter the Korean War - Essay Example China's intervention in Korea cannot be ascribed simply to wanting to maintain the semblance of balance of power, "a theory of state behavior [that] explains and predicts how states respond to threats posed by a potentially dominant, revisionist and aggressive state"1, based on the assumption that states seek to, "maximize their power in order to survive in a competitive international system".2 US presence in the Asian region led to China and the US pursuing purely security related strategies that were mutually exclusive, inadvertently generating mutual hostility. Similarly, Chinese responses cannot be generalized into the Chinese merely wanting to secure their national interests without taking into consideration many other factors such as leadership challenges, domestic imperatives, and political consensus amongst domestic bureaucracies that can impinge upon foreign policy. The general understanding and belief is that China's foreign policy has been shaped primarily by external stimulus with domestic factors playing only a marginal role. However, the inability of existing theories to fully explain the reasons for China's entry into the conflict signifies that we must look at explanations that go beyond functional concepts of International Relations but also look more closely at internal factors and domestic compulsions. Students of international relations a... This is particularly relevant in the context of the Korean War, when one recollects that China was then emerging from the throes of a protracted civil war and that the People's Republic of China had been formally declared less than a year earlier, in October 1949. When the internal polity of a country is in a state of flux, any government which is seen as defending a nation's interests will only emerge stronger. China's entry into the Korean conflict can therefore, largely be seen to emanate as a result of the CCP converting a external 'threat' into an opportunity to consolidate its position internally. Korea was annexed by Japan in 1910 and remained under Japanese occupation until the end of World War II. In August 1945, the Soviet Union and the United States decided to oversee the surrender of Japanese forces to the North and South of the 38th parallel respectively. This was to be a temporary arrangement, with a united Korea the ultimate aim. In the interim, the US and the Soviet Union established governments in their respective zones that were sympathetic to their political ideologies. The US installed Syngman Lee in South Korea, while the Soviet Union backed North Korea Kim Il-Sung, with both wanting a unified Korea, under their own system and stewardship. However, North Korea was bolstered by Soviet advisors and military equipment was better prepared to seize the initiative. The North Korean attack across the 38th Parallel in June 1950 was a resounding success North Korea could not capitalize on their gains. North Korea failed to accomplish two crucial tasks, namely the total annihilation of the South Korean army and the
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